Group-5-Ncp-Disturbed Sleeping Pattern

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NURSING CARE PLAN- DISCOMFORTS DURING PREGNANCY

ASSESSMENT NURSING DIAGNOSIS PLANNING NURSING INTERVENTION RATIONALE EVALUATION

SUBJECTIVE DATA: Disturbed Sleeping After 5 days The nurse was able to: After the implementation
Pattern related to urinary implementation of nursing 1. Establish rapport. To gain the trust of the of nursing care, the client
"Madalas na akong frequency as evidenced care, the client will be client that could help in was able to:
nagigising tuwing gabi at by reports of difficulty able to: evaluating the client.
madaling araw para lang of falling and remaining  Identify ways
umihi kasi hindi ko asleep.  Identify ways 2. Assess the client’s Elevated blood pressure to promote
mapigilan at lagi kong to promote vital signs. is usually observed in sleep
nararamdaman yung sleep client suffering with GOAL WAS MET
kagustuhan umihi kahit disturbed sleep.
tulog. Minsan umaabot ako  Have adequate fluid  Have adequate fluid
ng limang beses halos na intake (2–4 L per 3. Assess the client’s This will be a baseline on intake (2–4 L per
pag ihi sa gabi." as day), and limiting past sleeping pattern: comparing how much day), and limiting
verbalized by the client. intake during late sleeping position, changes happened with intake during late
evening and at amount and length of the sleeping pattern. evening and at
OBJECTIVE DATA: bedtime sleep. bedtime
GOAL WAS MET
 BP: 110/70mmHg  Learn how to 4. Encourage the client Conducive environment
 Height: 5’6” prevent increased to provide quiet and promotes good sleep.  Learn how to
 Weight: 62kg urination at night relaxing environment prevent increased
 Age: 20 to the client. urination at night
 Patient looks very  Improve her sleep GOAL WAS MET
tired with dark circles pattern 5. Provide comfort To soothes and relaxes
underneath her eyes. measures such as the client.  Improve her sleep
massage. pattern
GOAL WAS MET
6. Encourage the client To promote calmness and
to express thoughts comfort to the client.
NURSING CARE PLAN- DISCOMFORTS DURING PREGNANCY

and concerns when


unable to sleep.

7. Promote the use of In order for the client to


bedtime rituals. promote relaxation and
readiness to sleep.

8. Encourage the client Urinating before bedtime


to void before may lessen the chances
sleeping. of sleep disturbance
brought by urinary
frequency.
COLLABORATIVE:
9. Refer the client to an
Obstetrician- To assess further
Gynecologist diagnosis.

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