Interventions
 Obtained a sleep history
including bedtime
routines, history of sleep
problems, changes in
sleep with present illness,
and use of medication and
stimulant.
 Monitor for sleep pattern
disturbances that are
associated with specific
underlying illnesses.
 Observed and obtain
feedback from clients
regarding usual bedtime,
routines, # of hours of
sleep, and environmental
needs.
 Provide measures to take
before bedtime to assist
with sleep. (Quiet time to
allow mind to slow down,
carbohydrate.)
 Provide quiet
environment and comfort
measures (back rub/
straighten sheets).
 Initiate non-
pharmacological
interventions for
insomnia: relaxation
techniques, cognitive and
educational intervention
to address dysfunctional
attitudes about sleep.
 Help the client recognize
that changes in length of
Rationale Criteria for Evaluation Evaluation
 Assessment of sleep behavior and Goal met if:
patterns are important part of any Long term objective
health status examination. (Landis,  After 3 days of nursing
2002) intervention the client will
verbalize sleep enhancement
Short term objective
 After 8 hours of nursing
 High percentage of sleep intervention, the client will:
disturbances are affected by  Wake up less
illnesses. frequently during
night because of
elimination needs
 This determine usual sleep pattern
and sleep problems and provide  Have a quality sleep of
appropriate intervention. atleast 8-9 hours at
night without much
interruptions
 Verbalize plan to
 Simple measures can increase quality implement sleep
of sleep. Carbohydrates cause release promoting routines.
of neurotransmitter serotonin, which
help induce and maintain sleep.
(Somer 1999)
 This provides environment for the
client to relax. (Fundamentals of
Nursing by Taylor)-this soothes and
relaxes the client. (Fundamentals of
Nursing by Taylor)
 Non-pharmacological interventions
can improve sleep efficiency and
continuity and increase satisfaction
with sleep pattern
 Client may not be able to able to