CUES

SUBJECTIVE:
Owa halos ako
it tulog dahil
gatinangis ang
onga. As
verbalized by
the client.
OBJECTIVE:
BP=130/80
Presence of
eye bags
Appears
exhausted
Easily
irritated

NURSING
DIAGNOSIS

OBJECTIVES

Sleep-pattern
disturbance
related to
discomfort,
parenting
activities and
anxiety.

General Objective:
To promote physical
comfort, activity and rest.

NURSING
INTERVENTION
INDEPENDENT
Assess vital signs especially
blood pressure

RATIONALE

>Elevated blood pressure is

commonly observed among
clients with sleep
disturbances

Specific Objectives:
After 1 hour of nursing
intervention the client will
be able to:

Report improve sleep

Report increased
sense of well being
and feeling rested

Verbalize comfort

Utilize appropriate
techniques to
promote sleep

Identify presence of factors

known to interfere with
sleep (new baby)

>Sleep problems can arise

from internal and external
factors and may require
assessment over time

Assess usual sleep patterns

and compare with current
sleep disturbance

>To ascertain intensity and

duration of the problem

Listen to reports of sleep

quality and response from
lack of good sleep

>Helps clarify perceptions of

sleep quality and her
response to inadequate
sleep

Encourage verbalization of
feelings about parenting
and her discomforts

>To serve as an outlet of

stress and promote
emotional relief

Encourage to drink a glass

of warm milk before
sleeping
Encourage usual bed time
routines like warm bath
and brushing of teeth.
Encourage scheduling of
tasks

>milk contains Tryptophan

which promotes sleep and
relaxation
>To promote relaxation and
comfort.
>Scheduling of chores
enables mother to have
organized flow of activities
and allocate time for sleep.

EVALUATION

After 1 hour of
nursing
interventions
Goals met as
evidenced by:

Report of
improved
sleep

Report of
feeling
rested

Verbalized
comfort

Applied
appropriate
techniques
to promote
sleep like
drinking
milk, taking
warm bath
and
listening to
calm music.

 Remind to avoid drinking

carbonated and caffeinated
drinks like coffee and cola

>Such drinks acts as CNS

stimulants hence preventing
a person from sleeping

Advice to listen to slow

music or watch calming TV
programs

> To promote relaxation

Advice to sleep whenever

her baby sleeps.

> To promote comfortable

rest periods and regain
strength.

Emphasize to the family the

importance of emotional
support

>Postpartum mothers are in

a period of adjusting and
coping up with new
responsibilities hence
support system from the
family is strongly
recommended

COLLABORATIVE
Refer to the Dietician for
recommendations about
vitamin rich foods to be
included in the meal
Recommend to attend
support groups and
counselling about parenting

> Vitamin rich foods are

important to strengthen
immunity which can be
affected by inadequate
sleep
> to assist in adapting of
new role and acquire more
knowledge about parenting