Domain 4. Activity-rest
Class 1. Sleep-rest
Diagnostic Code: 00198
Nanda label: Disturbed sleep pattern
Diagnostic focus: Sleep pattern
- Introduction to Nursing Diagnosis Related To Disturbed Sleep Pattern
- NANDA Nursing Diagnosis Definition
- Suggestions of Use
- Suggested Alternative NANDA Nursing DiagnosisOther relevant nursing diagnoses among similar symptoms include Ineffective Coping, Impaired Social Interaction, Impaired Verbal Communication, Risk for Injury and Self-Care Deficit. Usage Tips For Improving Sleep Quality
- NOC Outcomes
- Evaluation Objectives & Criteria
- NIC Interventions
- List of Nursing Activities
- Conclusion
- 5 FAQs
Nursing diagnosis is an important step in the nursing process, which entails a systematic review of the patient’s physical, psychological and social health by the nurse. The nurse collects data about the patient's health history, performs physical examinations and takes other factors into consideration to make an accurate diagnosis. Generally, nursing diagnoses classify diseases, malfunctions and physiological alterations, and often come with a defined set of related interventions that provide a basis for therapeutic actions. As such, nursing diagnosis are an essential part of patient treatment and nursing practice, and they focus specifically on responses connected to health issues in patients.
One of the more common nursing diagnosis is Disturbed Sleep Pattern, which identifies when a patient has difficulty sleeping and is having problems in their sleep cycles. This type of diagnosis may also be referred to as “Insomnia” or “Sleep disorder”. Sleep disturbance is often associated with depression, chronic pain as well as mental illnesses such as bipolar disorder, post-traumatic stress disorder, or even schizophrenia. It can also be caused by environmental and psychological factors like sleep environment, medications, or stress.
NANDA Nursing Diagnosis Definition
According to the North American Nursing Diagnosis Association (NANDA) International, the term "Disturbed Sleep Pattern" is defined as the "presence or risk of a disruption to normal pattern of sleep, including amount, quality, or timing of sleep".
Defining Characteristics: Subjective and Objective Signs
Subjectively, patients may complain of difficulty falling asleep, difficulty staying asleep, restlessness, excessive dreaming, early morning wakening, or fatigue. Objectively, a medical practitioner may look for answers such as increased levels of cortisol, decrease immune system function and disturbances in respiratory patterns.
There are several possible related factors to disturbed sleep pattern which can range from acute to chronic. These include chronic pain, nocturia, obstructive sleep apnea syndrome, depression, anxiety, poor sleep hygiene, circadian rhythm disorders, substance use or abuse, secondary insomnia, stress, and medical conditions.
Associated Conditions
Other conditions that may affect the sleeping environment and contribute to a disturbed sleep pattern are noise, light, extreme temperatures and a pillow which does not conform to the shape of the person's body. In addition, medications such as benzodiazepines, corticosteroids, stimulants, antidepressants, antihistamines and some other can cause sleep disorders.
Suggestions of Use
Beside medication, there are some suggestions that could assist patients suffering from a disturbed sleep pattern. These include regular exercise, relaxation techniques, cognitive-behavioural therapy, avoiding caffeine and alcohol, and good sleep hygiene.
Suggested Alternative NANDA Nursing Diagnosis
Other relevant nursing diagnoses among similar symptoms include Ineffective Coping, Impaired Social Interaction, Impaired Verbal Communication, Risk for Injury and Self-Care Deficit.
Usage Tips For Improving Sleep Quality
Some practical tips for improving sleep quality can be employed to help improve sleep patterns. These include maintaining regular sleep and wake schedules, avoiding large meals or caffeine at night, creating a comfortable sleep environment, and avoiding nicotine and other stimulants.
NOC Outcomes
The Nurse Outcome Classification (NOC) list contains outcomes related to assisting with disturbed sleep pattern. These outcomes include Maintaining Wakefulness, Self Care Performance, Pain Management, Problem Solving and Sleep Pattern. Each outcome has specific indicative criteria in order to measure success.
Evaluation Objectives & Criteria
To assess the effectiveness of treatment goals towards disturbed sleep pattern, patient evaluation objectives and criteria should be established. Evaluation criteria consisting of patient and parent/ caregiver assessment of sleep problems and improvement in self-care performance should be used to measure outcomes.
NIC Interventions
The Nursing Intervention Classification (NIC) provides some interventions for disturbed sleep pattern. These interventions may differ base on level of care required and can include reassurance, comfort care, patient education, and monitoring for health status changes.
List of Nursing Activities
In order to ensure better sleep the following activities should be performed in order to ensure best health outcomes:
- Assessing the patient’s sleep history and patterns.
- Applying non-pharmacological interventions such as cognitive-behavioral therapy and biofeedback.
- Monitoring and recording patient’s symptoms, sleep patterns and quality of sleep.
- Encouraging patient to practice good sleep habits, including regular exercise and relaxation techniques.
- Making sure the patient’s sleep environment is comfortable, safe and conducive to sleep.
- Educating patient and family on the importance of sleep and its effect on health.
- Monitoring and administering psychotropic medicines or medications according to physician’s orders.
Conclusion
Disturbed sleep pattern, also known as insomnia, is a common sleeping disorder that affects many people worldwide. Identifying a patient's problem with sleep is essential for providing appropriate interventions and treatments, in order to help the patient achieve a normal sleep pattern and better quality of life. Nurses have an integral role in assessing and treating patients with disturbed sleep pattern by providing various interventions according to the individual needs of each patient.
5 FAQs
- What is a disturbed sleep pattern? A disturbed sleep pattern typically means that an individual has difficulty falling asleep and/or staying asleep, resulting in restlessness and fatigue. Other symptoms may include excessive dreaming and early morning wakening.
- What are some potential causes of disturbed sleep pattern? Potential causes of disturbed sleep pattern can range from acute to chronic and may be caused by environmental and psychological factors such as poor sleep hygiene, stress, medications, and mental illnesses.
- What are some suggested interventions to help individuals with disturbed sleep pattern? Some suggested interventions to help individuals with disturbed sleep pattern include regular exercise, relaxation techniques, cognitive-behavioural therapy, avoiding caffeine and alcohol and good sleep hygiene.
- What nursing activities can be performed in order to ensure better sleep for the patient? Nursing activities which can be performed in order to ensure better sleep can include assessing the patient’s sleep history and patterns, applying non-pharmacological interventions, monitoring and recording patient’s symptoms, sleep patterns, and quality of sleep, encouraging the patient to practice good sleep habits, making sure the patient’s sleep environment is comfortable and safe, educating the patient and family on the importance of sleep and its effect on health, and monitoring and administering psychotropic medicines or medications according to physician’s orders.
- What are some NOC outcomes related to disturbed sleep pattern? Some NOC outcomes related to disturbed sleep pattern are Maintaining Wakefulness, Self Care Performance, Pain Management, Problem Solving, and Sleep Pattern. Each outcome has specific indicative criteria in order to measure success.
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