NURSING INTERVENTIO

CUES RATIONALE OBJECTIVES RATIONALE ANALYSIS

DIAGNOSIS N
Subjective: Disturbed Health care Short Term: Independent: Short Term:
“mahirap sleeping interventions After 30 – 45  Observe  To determine After 30
kasing pattern related as stimulus minutes of and/or obtain usual sleep minutes of
makatulog to nursing feedback pattern and nursing
dito, paso ng environmental Sympathetic interventions from client/ provide a interventions
pasok yung stimulation nervous the patient will relative comparative the patient
mga nurse (health care system be able to: regarding baseline was able to
tapos maingay interventions) Identify factors usual identify factors
pa yung mga as evidenced Norepinephrin that can help sleeping that can help
kasama ko by : e her promote routines, no. her promote
dito”. sleeping of hrs of sleeping
as verbalized Subjective: hypothalamus pattern. sleep pattern.
by bthe patient “mahirap and cerebral  Limit fluid  To reduce  GOAL
kasing cortex Long Term: intake in the need for FULLY MET
Objectives: makatulog After 1-2 days evening night time
 Irritability dito, paso ng Serotonin & of nursing elimination Long Term:
 Interrupted pasok yung GABA interventions,  Encourag After 1 day of
sleep mga nurse the patient will e  To aid in nursing
 Drowsy eyes tapos maingay sends nerve be able to participation stress interventions,

 Frequent pa yung mga impulse adjust to the in regular control/releas the patient
kasama ko environment exercise e of energy was be able to
 yawning dito”.As and achieve program adjust to the
 Total sleep verbalized by activates optimal during day environment
time of 3-4 the patient reticular amount of time and achieve
hrs activating sleep as optimal
system (RAS) evidenced by  Recomm amount of
Objectives: rested end inclusion  To reduce sleep as
 Irritability REM &NREM appearance, of bedtime sleep evidenced by
 Interrupted verbalization snack interference rested
sleep of feeling  Explain from hunger appearance,
 Drowsy eyes Disturbed rested and necessity of  To assist verbalization

 Frequent sleeping improve in disturbances client to of feeling

yawning pattern sleeping for establish rested and

 Total sleep pattern monitoring optimal sleep improve in

time of hrs Reference: vital signs pattern sleeping

Kozier & Erbs. and/or other pattern
Fundamental care evidenced by
s of Nursing Dependent: rested
8th ed. Vol.II,  Administer appearance,
pp.1163-1171 pain reliever verbalization
meds as  To relieve of feeling
ordered discomfort rested and
and take improve in
maximum sleeping
advantage of pattern
sedative
effect “mas
nakakatulog
na ko ng
maayos
ngayon.” As
verbalized by
the patient.