Assessment Diagnosis Planning Intervention
Subjective: Risk for rupture related Short term goal:
to decreased
After 3 hours or nursing
permeability of the
intervention we will be able
Objective: abdominal aortic artery
to assess the presence of
risk factors known to
interfere with his sleep
INFERENCE:
Long term goal:
After 3 days of nursing
intervention client will
return to his usual sleep
pattern
Rationale Evaluation
Independent: Was able to
identified factors
Position client in a To alleviate discomfort
affecting his sleep
comfortable position
pattern
Provide comfort
To distract attention on
measures (touch, quiet,
pain, reduce, tension, and
environment, dim light,
to promote no
music)
pharmacological pain Patient verbalized
management that he was able to
somehow recover his
normal sleep pattern.
To assess sleep pattern To provide comparative
baseline
Provide a quiet and
peaceful environment To help in providing better
during sleep periods sleep/rest
Encourage the client to Verbalizing concern may
express concerns when promote relaxation
unable to sleep
Provide a warm bath Vasodilation of the veins
before the client goes to provide a sleepy, lazy
sleep effect, causing, the client to
fall right to sleep

Dependent:
To induce sleep
Administer prescribed
sedative as ordered

Collaborative:

Refer to sleep specialist as To promote wellness.

indicated for specific
intervention and or
therapies including
biofeedback.