Nursing Care Plan for Insomia

Assessment Diagnosis Inference Planning Interventions Rationale Evaluation

Subjective:
Patient verbalizes I
cant sleep at night. I
dont feel well-
rested.

Objectives:
Dark shadows
under the eyes
Appears tired in
the morning
Lack of energy in
the morning

Insomnia related to
metabolic disease as
evidenced by look of
tiredness and lack of
energy in the
morning

biological, physical,
psychological, and
environmental
factors

prolonged period of
stress

Development of
conditioned arousal
to stimuli that would
normally be
associated with sleep

repeated difficulty
with sleep initiation,
maintenance,
consolidation
(insomnia)

After 1 week of
nursing interventions,
patient will be able
to:
develop an
uninterrupted
sleep pattern 5 to
8 hours per night
report feelings of
being rejuvenated
after sleep
establish an
effective sleep
routine

Independent
Identify
circumstances
that interrupt
sleep

Limit fluid intake
in the evening


Encourage
participation in
regular exercise
program during
daytime

Develop
behavioral
program for


To prevent sleep
disturbance because
of interruptions

To reduce need for
night time
elimination/ sleep
disruption

To release energy.
However, exercise in
bedtime may
stimulate rather than
relax the body

For effective sleep
promotion


After 1 week of
nursing interventions,
goal met. Patient
was able to practice
relaxation techniques
before bedtime to
promote sleep and is
involved in daily
activities thus
inducing sleep during
night time. He/she
also verbalizes
feeling rejuvenated
after a good nights
sleep and establish
an effective sleep
routine.

look of tiredness and
lack of energy in the
morning
insomnia (not
napping in
bedtime,
establishing
routine bedtime
and arising, and
not reading or
watching TV in
bed)

Develop a sleep
relaxation
program with
client (e.g., self-
hypnosis,
progressive
muscle
relaxation,
imagery)

Dependent:
Administer
medications as
ordered 1 hour
before sleep (
such as Iterax
10mg)







Employing both
physical and mental
relaxation can help
minimize anxiety and
promote sleep.




To relieve discomfort
and take maximum
advantage of
sedative effect