Nursing Care Plan : Nanda Nursing Diagnosis

Nursing Diagnosis for Sleep Pattern Disturbance


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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