Create 3 nursing diagnosis with nursing intervention and expected outcome using the case scenarios as guide....

Create 3 nursing diagnosis with nursing intervention and expected outcome using the case scenarios as guide.

A 45-year old man presents with difficulty falling asleep and staying asleep. The problem started

after the death of his sister 2 months ago. He is unable to sleep until at least an hour after going to bed.

He has no previous sleep problems. A general practitioner he consulted had prescribed low dose anti-

depressant as sedation but Mr. Tan was unable to tolerate the drowsiness and dry mouth caused by

medication. He consumes 4 cups of coffee during the day ad lately takes alcohol at night to aid sleep.

The patient wife has noted that his legs jerk occasionally during sleep though Mr. Tan is not aware of

these movements

Solutions

Expert Solution

Mr. Tan is taking 4 cups of coffee. Coffee contains caffeine. If Mr. Tan is drinking coffee 6 hours before bedtime it can affect to his sleep. Another thing which we have to take in consideration is that his legs jerk occasionally during sleep. This kind of problem is related to the restless legs syndrome in which there is uncomfortable sensation in legs which interrupts patient's sleep.

Mr. Tan has Insomnia. Insomnia is a sleep disorder due to which person is unable to fall asleep or stay asleep. Insomnia may be chronic due to which patient may get addicted to the drugs or alcohol.

There are so many factors responsible for insomnia but in case of Mr. Tan, it is a result of stress and anxiety. As his sister died 2 months ago. May be she was too much close to Mr. Tan and his insomnia is started exactly after the death of his sister.

Nursing intervention must include the study of sleep pattern of Mr.Tan according to that nursing assessment can be done. Nurse must educate Mr. Tan to avoid coffee and alcohol before bedtime. Educate him to take proper diet and fluid. Some therapeutic activities can reduce the stress. Promote Mr. Tan to do activities due to which his stress is get reduced and some physical activity and exercise will help him to get tired and fall asleep. Antihistamine drugs are also helpful to fall asleep. If he is unable to asleep, encourage him to listen some silent music or to read a book before going to bed.

Expected outcome is improvement in sleep pattern and he will feel relaxed and free of stress and anxiety.

Nightingale answered 1 year ago

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