Cues Diagno Inference Plannin Intervent Rationa Evaluatio

sis g ion le n
Subjective Sleep Trauma Long Term Independent: Long term outcome; :
“hindi masyadong deprivation (Vehicular Outcome: Provide quiet -this provides a Not met,because of
accident)
makatulog ang anak related to After 1 week of environment conducive short interaction with
ko.” as musculo-skeletal nursing (straighten sheets). environment for the patient and
verbalized by impairment as Fracture of the right interventions the the client to uncomfortable sleep
leg bleeding from
the client. evidenced by guardian of the relax. environment.
damaged ends of
presence of bone and client will mention
elastic bandage surrounding tissue the Provide comfort -this soothes and Short Term goal:
Objective: on the right thigh improvement in measures (back rub). relaxes the
dry and intact. stimulates quality of sleep client. . After 30 mins. of
>eyebags inflammatory pattern for her nursing
response
> sleepiness, child. interventions, the
>clumsiness Arrange care to -to promote client stated two
>being sluggish increased capillary Short Term provide uninterrupted wellness. ways to improve
>dry mouth permeability Outcome: sleep. sleep pattern such
>yawning After 30 mins. of as providing a
fluid and cellular nursing quiet environment
Presence elastic exudation interventions, the Explore other sleep -to promote (straightening
bandage on the right guardian of aids. (warm bath or wellness. sheets) and
thigh dry and intact. the client will milk) comfort measures
pain state some ways (back rub).
to improve sleep

impaired physical pattern such as Collaborative: “Goal met”

immobility providing a quiet Refer to sleep
environment specialist for -for advice from a

Change in (straightening treatment when specialist.

sleep- wake sheets) and indicated.
schedule comfort
measures (back
rub).
Decreased REM