Nursing Diagnosis for Sleep Pattern Disturbance

Definition

Sleep Pattern Disturbance as time limited disruption of sleep (natural, periodic suspension of consciousness), amount, and quality.

Sleep Pattern Disturbance Related To :
  • Depression
  • Fear
  • Anxiety
  • Fear of insomnia
  • Fatigue
  • Inadequate sleep hygiene
  • Biochemical agents
  • Nightmares
  • Obsession thoughts
  • Fears (e.g., dark, intrusion,death)
  • Adrenaline rush related to high levels of anxiety
  • Panic attacks

As Evidenced By
  • Early morning awakenings
  • Arising earlier or later than desired
  • Verbal complaints of difficulty falling asleep
  • Verbal complaints of not feeling well-rested
  • Three or more nighttime awakenings
  • Decreased ability to function
Outcome Criteria
  • Develops an uninterrupted sleep pattern 5 to 8 hours per night
  • Reports feelings of being rejuvenated after sleep
  • Establishes an effective sleep routine
Long-Term Goals
Client will:
  • State he/she begins to see improvement in quality of sleep and pattern of sleep after 2 weeks
  • State that the relaxation exercises (tapes) are useful sleep aids by (date)
  • Work with nurse to review and revise plan if sleep pattern has not improved after 2 weeks
Short-Term Goals
Client will:
  • Identify personal habits that disrupt sleep pattern and those things that could augment quality of sleep after first interview
  • Form a “sleep plan” with nurse that the client is willing to try within 2 days
  • Identify any other issues that might need attention that are contributing to sleep pattern disturbance, and be open for referrals

Nursing Diagnosis

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