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NURSING CARE PLAN

NURSING CARE MANAGEMENT

Subjective / Nursing Analysis Goal / Nursing Rationale Evaluation


Objective Cues Diagnosis / Objectives Intervention
Analysis
Subjective: Disturbed This problem is Goal: After Independent The client was
“Hindi tuloy-tuloy Sleep Pattern common during the nursing able to have an
ang tulog namin r/t hospitalizations. intervention, 1. Recommend 1. Sleep is adequate sleep
kasi nagigisning Interruptions The patients are the client will positions for sleep needed to feel pattern as
kami pag nagra- for always subjected be able to that provide refreshed and evidenced by:
rounds kayo.” therapeutics, to some have an adequate support. restored.
monitoring, procedures, such adequate (Maternal 1. The client
“May diagnostics pa laboratory as VS monitoring, sleep Newborn understood the
rin kasi siya kaya results, laboratory pattern. Nursing, importance of
paputol-putol ang other measures and Second Edition, some
tulog.” also checking the Objectives: McKinney, p. procedures,
generated
patency of the IV 1. The client 1042) such as VS
“ Madali talagang
awakening fluid. With these will evidence monitoring,
magising ang anak. actions, it is absence of laboratory
Konting galaw o therefore related pain and 2. Recommend a 2. Proper measures and
kaluskos.” for having a discomfort. nap or rest period support with also checking
disturbance of each day. pillows for the the patency of
Objective sleep pattern. 2. The client side-lying the IV fluid..
The client looks Since a will position
pale. child/pediatric experience a promotes 2. The client
has a very refreshed relaxation and experienced a
The client is sensitive sleep aids sleep. refreshed sleep
irritable and sensorium, continuously. (Maternal continuously.
uneasy. he/she can be Newborn
awakened due to 3. The client Nursing, 3. The client
The client has the above reason. will take an Second Edition, took an eight-
diagnostics eight-hour McKinney, p. hour sleep each
scheduled at 11:45 Preschooler sleep each 1042) day as well as
PM. requires 11-12 day as well as nap or rest
hours of sleep per nap or rest period.
The client can easily night. They often period. 3. Encourage 3. When others
awakened during having schedule assist with
NURSING CARE PLAN
NURSING CARE MANAGEMENT

rounds. dislike bedtime assistance so that household


and resist by mother can sleep. activities or
requesting infant care, the
mother is free
another game and
and sleep.
television (Maternal
program. Newborn
Nursing,
(Pediatic Nursing; Second Edition,
Potts et. al.,p.273) McKinney, p.
1042)
The 4 or 5 year
old may becomes 4. Discourage 4. Visiting with
restless and entertaining or friends uses
irritable if sleep frequent visits from energy and
requirement are others. contributes to
fatigue.
not met. Nap
(Maternal
during day time Newborn
maybe needed to Nursing,
restore energy. Second Edition,
McKinney, p.
(Fundamentals of 1042)
Nursing; Kozier
et. al.;
5. Encourage 5. Outside
restriction of activities use
outside activities. energy and
contribute to
fatigue.
(Maternal
Newborn
Nursing,
Second Edition,
McKinney, p.
1042)
NURSING CARE PLAN
NURSING CARE MANAGEMENT

6. Encourage client 6. A bedtime


to establish a quiet, routine aids
relaxing routine relaxation, so
before bedtime. sleep is
promoted.
(Maternal
Newborn
Nursing,
Second Edition,
McKinney, p.
1042)

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