Disturbed Sleep Pattern Nursing Care Plan

Suffering from disturbed sleep pattern, the patient may complain on sleep maintenance insomnia, long awakenings, sleep onset more than 25-30 minutes, insomnia occurring early in the morning, not feeling well-rested, dissatisfaction with sleep, complains about the difficulties with falling asleep, sleep time less than the norm, frequent nightmare awakenings, decreased ability to function normally, and many others. This disorder becomes more and more frequent nowadays. Therefore, the nurses should develop an effective disturbed sleep pattern nursing care plan that would outline the causes and consequences of this disorder, as well as suggest its effective treatment.

Factors Related to the Appearance of the Disorder

Increased body temperature; daytime activity pattern; frequent use of antisleep midicines; childhood onset; sustained thinking about home; gender-related hormonal shifts; changing sleep-wake schedule; age-related sleep shifts; feelings of loneliness and depression, loss of sleep partner, grief; different time zones; separation from close people; boredom, fatigue, having schedule inconsistent with biological chronotype; darkness /daylight exposure; preoccupation with trying to sleep; use of biochemical agents; maladaptive conditioned wakefulness; medications; fear of insomnia, malnutrition, and many others.

The Potential Outcomes of Disturbed Sleep Pattern Nursing Care Plan

  • Good sleep;
  • Satisfactory rest;
  • Increased level of comfort;
  • Well-being;
  • Positive life change;
  • A high quality of life;
  • Reducing the pain level

Patient`s Outcomes According to Disturbed Sleep Pattern Care Plan

  1. A patient wakes up full of energy and is not tired during the day;
  2. A patient creates an effective plan to overcome bedtime routines;
  3. A patient falls asleep without difficulties;
  4. A patient awakens less frequently in the nighttime.

Nursing Care Plan for Disturbed Sleep Pattern

  • Find out the current patient`s level of anxiety;
  • Evaluate the patient`s bedtime rituals and sleep patterns incorporating the information into the plan of care.
  • Provide the patient with the effective measures that should be taken before going to sleep;
  • Conduct a careful research on the medications taken previously to struggle with the disorder;
  • Maintain the quiet environment;
  • Observe the patient`s diet, especially caffeine intake. Check if there are some sources of caffeine intake that are hidden;
  • If the patient is awakening frequently in the nighttime, consider including the presence of sleep apnea problems and address to a specific sleep clinic for assessment.
  • Check for the presence of anxiety or depression;
  • Encourage the patient to get involved in the social activities;
  • Try to increase the daytime activity of the patient. Encourage him/her for long walking if the patient is able to do that;
  • Encourage the patient to avoid the use of alcohol or hypnotic agents to sleep.
  • Encourage light TV viewing or reading that does not stir up as an evening activity.
  • Evaluate the signs of depression: statements of fear and hopelessness; depressed mood state; poor appetite, etc.
  • Define the elimination patterns. Make sure that the patient decreases fluid intake in the late evening, and ensure that he/she takes diuretics early in the morning.
  • Use soothing sound generators imitating the sounds of the rain, sea, or waterfall to induce sleep, which should block out the other sounds.
  • Find out if the patient has some physiological problems that could result in insomnia such as the neurological problem, cardiovascular disease, pain, dementia, or pulmonary disease.
  • If the patient still has insomnia despite developing the effective sleep hygiene habits, feel free to address disturbed sleep pattern nurses labs for further assessment.

Family Teaching as the Part of Disturbed Sleep Pattern Nursing Care Plan

Teach the family to maintain good sleep hygiene and sleep habits:

  1. Go to bed only when sleepy;
  2. Let the family be active for the whole day and do quiet activities in the late evening;
  3. Use the bed only for sleeping, not for watching TV or reading;
  4. Take the alarm clock from the bed if it distracts any of family members;
  5. Encourage the patient and his/her family to avoid coffee and caffeinated foods, as well as high-fat meals before going to bed;
  6. Explain the necessity of increasing the physical activity to the family;
  7. Ask the patient to create a sleep diary and follow it for a few weeks.
  8. Teach the family some relaxation techniques and measures that can relieve pain.

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