Student Nurses Community

NURSING CARE PLAN Readiness for Enhanced Sleep

ASSESSMENT

SUBJECTIVE:

I want to sleep
better, as
verbalized by the
patient

OBJECTIVES:
-appears eager to
learn
- participates in
comfort measures
of choice

DIAGNOSIS

Readiness for
enhanced sleep

INFERENCE

Feelings of ease,
relief, and
transcendence in
physical,
psychospiritual,
environmental,
and/or social
dimensions

Recognition of the
need and desire
to strengthen
them with
concentration and
eagerness

Readiness for
enhanced sleep

PLANNING

After 8 hours of
nursing
interventions,
patient will be
able to verbalize
and identify
certain
techniques that
help enhance
sleep

INTERVENTION
S

Ascertain usual
sleep habits and
changes that are
occurring.
Obtain a sleepwake history
including history
of sleep
problems,
changes in sleep
patterns, and use
of medications
and stimulants.
Assess for
underlying
physiological
illnesses as a
potential cause
for nighttime
sleep loss and
daytime
sleepiness
(including, but not
limited to
pulmonary,

RATIONALE

Determines need
for action and
helps identify
appropriate
interventions
Assessment of
sleep behavior
and patterns are
an important part
of any health
status
examination
Symptomatology
of disease states
can cause
insomnia
Alcohol and
nicotine should be
avoided for
several hours
prior to sleep
Increases comfort
for sleep;
provides

EVALUATION

After 8 hours of
nursing
intervention, goal
met. Patient was
able to report
improved sleep,
identify strategies
that help enhance
sleep, verbalize
contentment and
was able to
display a calm
and relaxed
appearance

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cardiovascular
and
gastrointestinal
conditions).
Advise patient to
avoid se of
alcohol or
cigarettes prior to
use of sleep
medication or
retiring for the
evening
Provide
comfortable
bedding and
some of own
possessions, such
as a pillow or an
afghan.
Establish new
sleep routine
incorporating old
pattern and new
environment
Encourage some
light physical
activity during the
day. Make sure
client stops
activity several

physiological and
psychological
support
When new routine
contains as many
aspects of old
habits as
possible, stress
and related
anxiety may be
reduced,
enhancing sleep.
Daytime activity
can help client
expend energy
and be ready for
nighttime sleep;
however,
continuation of
activity close to
bedtime may act
as a stimulant,
delaying sleep.
Helps induce
sleep
Promotes a
relaxing, soothing
effect. Milk has
soporific qualities,
enhancing

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hours before
bedtime, as
individually
appropriate,
Instruct in
relaxation
measures.
Promote bedtime
comfort regimens
(warm bath,
massage, a glass
of warm milk, etc)

synthesis of
serotonin, a
neurotransmitter
that helps client
fall asleep faster
and sleep longer
Uninterrupted
sleep is more
restful, and client
may be unable to
return to sleep
when awakened.
Daytime activity
can help client
expend energy
and be ready

Avoid or limit
interruptions such
as awakening for
medications or
therapies
Encourage some
light physical
activity during the
day. Make sure
client stops
activity several
hours before
bedtime, as

for nighttime
sleep; however,
continuation of
activity close to
bedtime may act
as a stimulant,
delaying sleep

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individually
appropriate