![]() Alcohol produces drowsiness and may facilitate the onset of sleep but interferes with REM sleep.Ģ. This may interfere with the patient’s ability to relax and fall asleep. Coffee, tea, chocolate, and colas which contain caffeine stimulate the nervous system. Having full meals just before bedtime may produce gastrointestinal upset and hinder sleep onset. Educate the patient on the proper food and fluid intake such as avoiding heavy meals, alcohol, caffeine, or smoking before bedtime. The following are the therapeutic nursing interventions for Insomnia nursing care plan:ġ. Observe and evaluate the timing or effects of medications that can affect sleep.įollowing medication schedules that require a lot of attention may affect the sleeping pattern of the patient, especially in the hospital setting. This data will determine the appropriate therapy.ĥ. The patient may have insights about the existing problems (e.g., anxiety or fear about a certain situation in life). Evaluate the patient’s knowledge of the cause of sleep problems and potential relief measures to facilitate treatment. The patient’s perception of insomnia may differ from objective evaluation.Ĥ. Note physical or psychological circumstances that hinder sleep such as noise, pain, discomfort, urinary frequency, fear, and anxiety. This provides baseline data for the evaluation of insomnia.ģ. Take down notes on the number of hours the patient is asleep. Take note of observations of sleep-wake behaviors. Information about this topic provides baseline data for evaluating means to improve the patient’s sleep.Ģ. Determine patterns of sleep in the past in a normal environment: amount, bedtime routines, depth, length, positions, aids, and other interfering factors.Įach individual has different patterns of sleep. Insomnia must be addressed in the best way possible to stop it from becoming a chronic problem.ġ. ![]() This assessment may further assist in identifying changes that may lead to a diagnosis of insomnia or troubled sleep patterns that require action by nursing staff.
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