Scribd Logo
Upload

Welcome to Scribd!

  • NCP Sleep Pattern

    Uploaded by

    RA Balaoing
    825 views3 pages
    The patient reported being tired due to constant pain. The nursing diagnosis was disturbed sleep pattern related to pain, with the patient reporting irritability and a pain scale of 7/10. The scientific explanation discussed how NSAIDs, acid, and pepsin can damage the mucosal barrier and cause inflammation, pain, and further sleep disturbances. The planning section discussed implementing relaxation techniques like music to promote sleep, as well as providing sedatives. The short-term outcome was that after 6 hours of nursing intervention, the patient was able to identify ways to promote sleep and had reduced irritability and pain.

    Original Description:

    as

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    The patient reported being tired due to constant pain. The nursing diagnosis was disturbed sleep pattern related to pain, with the patient reporting irritability and a pain scale of 7/10. The scientific explanation discussed how NSAIDs, acid, and pepsin can damage the mucosal barrier and cause inflammation, pain, and further sleep disturbances. The planning section discussed implementing relaxation techniques like music to promote sleep, as well as providing sedatives. The short-term outcome was that after 6 hours of nursing intervention, the patient was able to identify ways to promote sleep and had reduced irritability and pain.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    825 views3 pages

    NCP Sleep Pattern

    Uploaded by

    RA Balaoing
    The patient reported being tired due to constant pain. The nursing diagnosis was disturbed sleep pattern related to pain, with the patient reporting irritability and a pain scale of 7/10. The scientific explanation discussed how NSAIDs, acid, and pepsin can damage the mucosal barrier and cause inflammation, pain, and further sleep disturbances. The planning section discussed implementing relaxation techniques like music to promote sleep, as well as providing sedatives. The short-term outcome was that after 6 hours of nursing intervention, the patient was able to identify ways to promote sleep and had reduced irritability and pain.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    Assessment Subjective Cues: kulang na ako sa tulog dahil laging may sumasakit sakin as verbalized by the patient

    Nursing Diagnosis Disturbed Sleep Pattern related to pain as evidenced by irritable and pain scale 7/10

    Scientific Explanation
    Use of NSAID | Disruption of mucosal barrier | Activation of pepsinogen | Back diffusion of acid and pepsin | Cellular disruption and inflammation | Damaged mucosa | Activation of histamine | Vasodilation and increased capillary permeability | Further damage | pain | Irritable | Pain Scale of 7/10 | Disturbed sleep

    Planning

    Implementation

    Scientific Rationale 1. External stimuli interfere with going to sleep and increases awakenings. EBP: How pleasant sounds promote and annoying sounds impede health: a cognitive approach. 2013 Apr 8; Andringa TC, Lanser JJ. This theoretical paper addresses the cognitive functions via which quiet and in general pleasurable sounds promote and annoying sounds impede health. http://www.ncbi.nlm.nih.gov/ pubmed/23567255 2. Prevents disruption of established pattern and promotes comfort and relaxation before sleep. EBP: Basic biology of sleep. 2012 Apr;56(2):319-30 Harrington J, Lee-Chiong T. Widespread changes in

    Evaluation Discharge Outcome: Upon discharge the client was able to: - Had absence of irritability - Reestablish and maintain normal sleep pattern

    Discharge outcome: Independent: Upon discharge the 1. Ensure environment is client will be able quiet and has a to: comfortable - Have absence temperature by of irritability providing fan, etc - Reestablish and maintain 2. External stimuli normal sleep interfere with pattern going to sleep and increases awakenings. Short-term 3. Provide outcome: backrubs, music, After 6 hours of and other nursing intervention relaxation the client will be techniques able to: Collaborative: 1. Give - Identify ways to sedatives, promote sleep hypnotics as indicated

    Objective Cues: - Irritable - Inability to concentrate. - Irritability - Pain Scale 7/10 - Facial Grimace

    Short-term Outcome: After 6 hours of nursing intervention the client was able to: - Identified ways to promote sleep

    Pattern

    physiologic processes occur during sleep, and these changes may influence the presentation and severity of specific medical disorders. http://www.ncbi.nlm.nih.gov/ pubmed/22480805 3. Promotes relaxation before sleep and reduces anxiety and tension. EBP: [Music therapy, a partner in patient care]. 2012 Oct;(184):39-40. Mtayer S. Long time the preserve of psychiatry, music therapy is today used in general care. At Necker University Children's Hospital in Paris, it forms part of the treatment of multifactorial pain, with the collaboration of nursing teams. http://www.ncbi.nlm.nih.gov/ pubmed/23092083 1. To promote sleep EBP: Sleep and antidepressant treatment. 2012;18(36):5802-17.

    Wichniak A, Wierzbicka A, Jernajczyk W. One exception is doxepin, which has been approved for the treatment of insomnia characterized by difficulties in maintaining sleep. http://www.ncbi.nlm.nih.gov/ pubmed/22681161

    You might also like