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    Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation

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    astersisk1121
    The client reports disturbed sleep patterns related to pain, feeling unrested and dissatisfied with sleep. Nursing assessment found dark circles, yawning, restlessness, and napping. The client experiences 5/10 back pain 1-3 times per night. The nursing plan is to determine sleep interfering factors, expectations, and patterns through discussion. Interventions include teaching importance of sleep, negative effects of lack of sleep, and pain-relieving factors. The goals are for the client to verbalize improved sleep understanding and report optimal sleep balance with no restlessness.

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    Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation

    Uploaded by

    astersisk1121
    494 views1 page
    The client reports disturbed sleep patterns related to pain, feeling unrested and dissatisfied with sleep. Nursing assessment found dark circles, yawning, restlessness, and napping. The client experiences 5/10 back pain 1-3 times per night. The nursing plan is to determine sleep interfering factors, expectations, and patterns through discussion. Interventions include teaching importance of sleep, negative effects of lack of sleep, and pain-relieving factors. The goals are for the client to verbalize improved sleep understanding and report optimal sleep balance with no restlessness.

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    NCP Sleeping pattern

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    The client reports disturbed sleep patterns related to pain, feeling unrested and dissatisfied with sleep. Nursing assessment found dark circles, yawning, restlessness, and napping. The client experiences 5/10 back pain 1-3 times per night. The nursing plan is to determine sleep interfering factors, expectations, and patterns through discussion. Interventions include teaching importance of sleep, negative effects of lack of sleep, and pain-relieving factors. The goals are for the client to verbalize improved sleep understanding and report optimal sleep balance with no restlessness.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    494 views1 page

    Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation

    Uploaded by

    astersisk1121
    The client reports disturbed sleep patterns related to pain, feeling unrested and dissatisfied with sleep. Nursing assessment found dark circles, yawning, restlessness, and napping. The client experiences 5/10 back pain 1-3 times per night. The nursing plan is to determine sleep interfering factors, expectations, and patterns through discussion. Interventions include teaching importance of sleep, negative effects of lack of sleep, and pain-relieving factors. The goals are for the client to verbalize improved sleep understanding and report optimal sleep balance with no restlessness.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    ASSESSMENT NURSING PLANNING INTERVENTION RATIONALE EVALUATION

    DIAGNOSIS

    Subjective data Disturbed sleep After 2 hours of >Determine the >Sleep problems can
    "Hindi ko na e-enjoy pattern related to pain rendering nursing factors known to be caused by different
    yung tulog ko kasi as manifested by intervention, the client interfere sleep factors that needs to
    hindi sapat, madalas feeling unrested and will be able to: be assess.
    pa akong magising ng dissatisfaction with >Determine the
    madaling araw dahil sleep >Verbalized the client’s sleep >Individuals may have
    sa sakit ng katawan." importance of sleep. expectation faulty beliefs, attitudes
    and unrealistic
    Objective Data: >Discussed the >Assess the client’s expectations about
    •Presence of dark negative effects of not usual sleep pattern sleep.
    circles on the eye having enough sleep and compare with
    •Yawning current sleep >To ascertain the
    •Restlessness >Discussed the disturbance. intensity and durations
    •Taking a nap when possible factors that of problems.
    there is a free time. causes pain while >Assist the client to
    sleeping stablish optimal >Allows for longer
    Pain scale of 5/10, (1 sleep/rest pattern periods of
    being the lowest and LONG TERM: uninterrupted sleep,
    10 as highest) on the especially during
    upper back part that >reduce the presence night.
    last for 1-3 minutes of dark circles on the
    every 1-3 am in the eyes.
    morning
    >Report optimal
    balance of sleep.

    Vital Signs: >No evidence of >Conduct health >To impart new


    restlessness. teaching regarding the knowledge to client
    T= 36 °C importance of sleep and correct client’s
    PR= 70 bpr and the negative misconception about
    RR= 20 cpm sleep.
    BP= 100/70 mmHg

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