Tuesday, October 25, 2011

Nursing Care Plan Disturbed Sleep Pattern


Sleep Disorder

A sleep disorder, or somnipathy, is a medical disorder of the sleep patterns of a person or animal. Some sleep disorders are serious enough to interfere with normal physical, mental and emotional functioning. A test commonly ordered for some sleep disorders is the polysomnography.

Disruptions in sleep can be caused by a variety of issues, from teeth grinding (bruxism) to night terrors. When a person suffers from difficulty in sleeping with no obvious cause, it is referred to as insomnia.[1] In addition, sleep disorders may also cause sufferers to sleep excessively, a condition known as hypersomnia. Management of sleep disturbances that are secondary to mental, medical, or substance abuse disorders should focus on the underlying conditions.wikipedia.org

Nursing Care Plan Disturbed Sleep Pattern


Nursing Care Plan Disturbed Sleep Pattern

 Disturbed Sleep Pattern

Related factors:

Pathophysiology
Associated frequent awakening:
(Damage to transport oxygen)
Angina
Arteriosclerosis
Respiratory disorders
Impaired circulation
(Damage to bowel and urinary elimination)
Diarrhea
Constipation
Retention of Urine
Dysuria
Frequency
(Damage metabolism)
Hyperthyroidism
Gastric ulcer
Hepatic disorders
Action
Difficulties associated with undergoing the usual position
Splints, traction
Painful
IV Therapy
Associated with excessive daytime sleep:
(Drugs)
Tranquilizers
Sedatives
Hypnotic
Antidepressants
Antihypertensive
Amphetamines
Corticosteroids
Soporifik
Barbiturates
Situational (Personal, Environment)
Associated with excessive hyperactivity
Anxiety panic
Associated with excessive daytime sleep
Associated with ketidakadekuatan activity during the day.
Dealing with depression
Responses associated with anxiety
Associated with discomfort
Lifestyle-related disorders
Emotional
Social
Associated with changes in circadian rhythms
Dealing with fear
Maturisional
(Children)
Dealing with fear of the dark
(Adult Women)
Associated with hormonal changes (eg, premenopausal)

Major Data :

Difficulty falling asleep and staying asleep

Minor Data :

Fatigue when awake or during the day
Or nap during the day
Agitation
Changes in mood

Results Criteria

Individuals will:
1. Describe the factors that prevent or inhibit sleep.
2. Identify techniques to induce sleep.
3. reported an optimum balance of rest and activity.

Intervention:

1. Reduce noise.
2. Organization procedure to provide the smallest amount of disturbance during sleep periods (eg, when individuals get up to the treatment also provide handling and measurement of vital signs)
3. If urination during the night interrupt, limit your fluid intake at night and urinate before lying down.
4. Assign an individual with a schedule for program activities over time (path, physical therapy)
5. Limit the number and length of time if excessive sleep (eg, more than 1 hour)
6. Assess with individuals, families, or parents of bedtime routine - time hygiene practices, rituals (reading, toys) - and stick as close as possible whenever possible.
7. Limit drinks that contain caffeine input
8. For the children:
a. Explain to children the night (moon, stars)
b. Discuss how some people (nurses, factory workers) to work at night.
c. Compare the opposite that when night came in their place, it will happen during the day for people in other places.
d. If there is a nightmare, encourage the children to talk about it if possible. Reassure the child that this is a dream even though it seems very real. Sharing feelings with your child that you also never dreamed.
e. Give your child the night lights and / or flashlight to be used, so that children can control the darkness.
f. Reassure your child that you will be nearby sepenjang night.
9. Explain to individuals and other people closest to cause disturbance to sleep / rest and possible ways to avoid it.

Nursing Care Plan for Hyperthermia

Ineffective Breathing Pattern Care Plan

Fundamentals of Nursing

 

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