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NURSING CARE PLANNURSING CARE MANAGEMENT
Subjective /Objective Cues
NursingDiagnosis /
Analysis
Analysis Goal /Objectives
NursingIntervention
Rationale Evaluation
Subjective:Hindi tuloy-tuloyang tulog naminkasi nagigisningkami
pag nagra-rounds kayo.
May diagnostics parin kasi siya kayapaputol-putol ang
tulog.
Madali talagangmagising ang anak.Konting galaw okaluskos.
ObjectiveThe client lookspale.
The client isirritable anduneasy.
The client hasdiagnosticsscheduled at 11:45PM.
The client can easilyawakened during
DisturbedSleep
Patternr/tInterruptionsfortherapeutics,monitoring,laboratoryresults,other
generatedawakening
This problem iscommon duringhospitalizations.The patients
arealways subjectedto someprocedures, suchas VS
monitoring,laboratorymeasures and
also checking thepatency of the IVfluid. With theseactions, it
istherefore relatedfor having adisturbance ofsleep pattern.Since
achild/pediatrichas a verysensitive
sensorium,he/she can beawakened due tothe above reason.
Preschooler
requires 11-12
hours of sleep per
night. They often
Goal: Afterthe nursingintervention,the client willbe able tohave
anadequatesleeppattern.
Objectives:1. The clientwill evidenceabsence ofpain
anddiscomfort.
2. The clientwillexperience arefreshedsleepcontinuously.
3. The clientwill take aneight-hoursleep eachday as well asnap
or restperiod.
Independent
1. Recommendpositions for sleepthat provideadequate support.
2. Recommend anap or rest periodeach day.
3. Encouragehaving schedule
1. Sleep isneeded to feelrefreshed
andrestored.(MaternalNewbornNursing,Second Edition,
McKinney, p.1042)
2. Propersupport withpillows for
theside-lyingpositionpromotesrelaxation and
aids sleep.(MaternalNewbornNursing,Second Edition,McKinney,
p.1042)
3. When othersassist with
The client wasable to have anadequate sleeppattern asevidenced
by:
1. The clientunderstood theimportance ofsome
procedures,such as VSmonitoring,laboratorymeasures andalso
checkingthe patency ofthe IV fluid..
2. The clientexperienced a
refreshed sleepcontinuously.
3. The clienttook an eight-hour sleep eachday as well asnap or
restperiod.
8/12/2019 (212006973) 49692851-NCP-Sleep-Deprivation
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NURSING CARE PLANNURSING CARE MANAGEMENTrounds. dislike
bedtime
and resist by
requesting
another game and
televisionprogram.
(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 ofNursing; Kozieret. al.;
assistance so thatmother can sleep.
4. Discourageentertaining orfrequent visits fromothers.
5. Encouragerestriction of
outside activities.
householdactivities orinfant care, themother is freeand
sleep.
(MaternalNewbornNursing,Second Edition,McKinney, p.1042)
4. Visiting withfriends usesenergy andcontributes to
fatigue.(MaternalNewbornNursing,Second Edition,McKinney,
p.1042)
5. Outsideactivities use
energy andcontribute tofatigue.(MaternalNewbornNursing,Second
Edition,McKinney, p.1042)
