Sleep Pattern Disturbance Related To (Etiology)
- Fear of insomnia
- Inadequate sleep hygiene
- Biochemical agents
- Obsession thoughts
- Fears (e.g., dark, intrusion,death)
- Adrenaline rush related to high levels of anxiety
- Panic attacks
- 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
Sleep Pattern Disturbance Nursing Care Plan 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
- 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
- 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
Sleep Pattern Disturbance Interventions and Rationales
1. Assess client and family usual sleep pattern, any changes that have occurred, and what was happening at the time. Identify if there was a precipitating event around onset of sleep problem or if it is chronic. R: Information from both client and family clarifies specific sleep disturbance.
- Bedtime rituals
- Time of rising, time of retiring
- Use of alcohol and/or caffeine before sleep
- Use of sleep aids (prescribed or over-the-counter medications)
R: Establish a baseline and help identify problems:
- Sleeping medications and alcohol interfere with rapid eye movement (REM) sleep.
- Caffeine and exercise before retiring can interfere with sleep.
- Use decaffeinated beverages until sleep pattern improves.
- Limit fluid intake 3 to 5 hours before retiring.
- Increase physical activity during the day, even if fatigued.
- Avoid daytime naps.
- Establish regular times of retiring and waking.