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NURSING CARE PLAN NURSING CARE MANAGEMENT

Subjective / Objective Cues Subjective: Hindi tuloy-tuloy ang tulog namin kasi nagigisning kami pag nagrarounds kayo. May diagnostics pa rin kasi siya kaya paputol-putol ang tulog. Madali talagang magising ang anak. Konting galaw o kaluskos. Objective The client looks pale. The client is irritable and uneasy. The client has diagnostics scheduled at 11:45 PM. The client can easily awakened during

Nursing Diagnosis / Analysis Disturbed Sleep Pattern r/t Interruptions for therapeutics,

Analysis This problem is common during hospitalizations. The patients are always subjected to some procedures, such as VS monitoring, laboratory measures and also checking the patency of the IV fluid. With these actions, it is therefore related for having a disturbance of sleep pattern. Since a child/pediatric has a very sensitive sensorium, he/she can be awakened due to the above reason.

Goal / Objectives Goal: After the nursing intervention, the client will be able to have an adequate sleep pattern. Objectives: 1. The client will evidence absence of pain and discomfort. 2. The client will experience a refreshed sleep continuously.

Nursing Intervention Independent 1. Recommend positions for sleep that provide adequate support.

Rationale

Evaluation The client was able to have an adequate sleep pattern as evidenced by: 1. The client understood the importance of some procedures, such as VS monitoring, laboratory measures and also checking the patency of the IV fluid.. 2. The client experienced a refreshed sleep continuously. 3. The client took an eighthour sleep each day as well as nap or rest period.

monitoring, laboratory results, other generated awakening

1. Sleep is needed to feel refreshed and restored. (Maternal Newborn Nursing, Second Edition, McKinney, p. 1042) 2. Proper support with pillows for the side-lying position promotes relaxation and aids sleep. (Maternal Newborn Nursing, Second Edition, McKinney, p. 1042) 3. When others assist with

2. Recommend a nap or rest period each day.

3. The client will take an eight-hour Preschooler sleep each requires 11-12 day as well as hours of sleep per nap or rest night. They often period. 3. Encourage having schedule

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

4. Discourage entertaining or frequent visits from others.

NURSING CARE PLAN NURSING CARE MANAGEMENT

6. Encourage client to establish a quiet, relaxing routine before bedtime.

6. A bedtime routine aids relaxation, so sleep is promoted. (Maternal Newborn Nursing, Second Edition, McKinney, p. 1042)

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