Sleep pattern disturbance
related to unfamiliar environment, frequent assessments and treatments, decreased physical activity, fear, anxiety, and inability to assume usual sleep position associated with orthopnea.
|The client will attain optimal amounts of sleep (see Care Plan on Immobility, Diagnosis 10, for outcome criteria).|
|Nursing Actions and Selected Purposes/Rationales|
- Refer to Care Plan on Immobility, Diagnosis 10, for measures related to assessment and promotion of sleep.
- Implement additional measures to promote sleep:
- perform actions to improve respiratory status (see Diagnosis 2, action b) in order to relieve dyspnea
- if client has orthopnea, assist him/her to assume a position that facilitates breathing (e.g. head of bed elevated with arms supported on pillows, resting forward on overbed table with good pillow support, sitting in chair)
- maintain oxygen therapy during sleep if indicated
- perform actions to reduce fear and anxiety (see Diagnosis 10, action b)
- increase activity as allowed and tolerated during the day and early evening.