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    NCP Senal

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    Jeyser T. Gamutia
    1) The patient, a 30-year-old male diagnosed with a retropharyngeal abscess, is experiencing disturbed sleep patterns due to hyperthermia and round-the-clock health interventions. 2) The nursing diagnosis is disturbed sleep pattern related to hyperthermia. Short term goals are to alleviate discomfort and achieve optimal sleep within 8 hours. 3) Planned interventions include repositioning the patient comfortably, providing comfort measures, a quiet environment, warm baths before sleep, and encouraging the patient to express concerns when unable to sleep.

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    NCP Senal

    Uploaded by

    Jeyser T. Gamutia
    142 views2 pages
    1) The patient, a 30-year-old male diagnosed with a retropharyngeal abscess, is experiencing disturbed sleep patterns due to hyperthermia and round-the-clock health interventions. 2) The nursing diagnosis is disturbed sleep pattern related to hyperthermia. Short term goals are to alleviate discomfort and achieve optimal sleep within 8 hours. 3) Planned interventions include repositioning the patient comfortably, providing comfort measures, a quiet environment, warm baths before sleep, and encouraging the patient to express concerns when unable to sleep.

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    1) The patient, a 30-year-old male diagnosed with a retropharyngeal abscess, is experiencing disturbed sleep patterns due to hyperthermia and round-the-clock health interventions. 2) The nursing diagnosis is disturbed sleep pattern related to hyperthermia. Short term goals are to alleviate discomfort and achieve optimal sleep within 8 hours. 3) Planned interventions include repositioning the patient comfortably, providing comfort measures, a quiet environment, warm baths before sleep, and encouraging the patient to express concerns when unable to sleep.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    142 views2 pages

    NCP Senal

    Uploaded by

    Jeyser T. Gamutia
    1) The patient, a 30-year-old male diagnosed with a retropharyngeal abscess, is experiencing disturbed sleep patterns due to hyperthermia and round-the-clock health interventions. 2) The nursing diagnosis is disturbed sleep pattern related to hyperthermia. Short term goals are to alleviate discomfort and achieve optimal sleep within 8 hours. 3) Planned interventions include repositioning the patient comfortably, providing comfort measures, a quiet environment, warm baths before sleep, and encouraging the patient to express concerns when unable to sleep.

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    © All Rights Reserved
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    of 2

    Student Nurse: Jeyser T.

    Gamutia BN4B Patient: JM Age: 30 y/o Diagnosis: Retropharyngeal Abscess June 20, 2018

    ASSESSMENT NURSING INFERENCE DESIRED INTERVENTIONS RATIONALE EVALUATION


    DIAGNOSIS OUTCOMES
    Short Term Independent
    Objective: Disturbed Sleep Precipitating Factors: After 8 hrs of nursing 1) To alleviate
     Client appears Pattern r/t  Round the clock intervention, the client 1) Position client in a discomfort
    to be fatigued hyperthermia. health care will be able to: comfortable position
    and worn- interventions
    looking with DEFINITION:  Noisy ward 1)Report decreased
    noted Time-limited feeling of discomfort
    drowsiness. disruption of as manifested by
     Client tends to sleep (natural verbalizing feeling of 2) Provide comfort 2) To distract attent
    sleep most of periodic SYMPHATETIC comfort. measures (touch, qui ion onpain, redu
    the time suspension of NERVOUS SYSTEM: et environment, dim ce tension andto
    during the consciousness).  Decreased REM light, light music) promotenonphar
    day. macological pai
     V/S REFERENCES:  Increased nmanagement
    T= 39.1 North American Norepinephrrine
    P= Nursing
    R= 20 Diagnosis  Decreased
    BP= 110/60 Association serotonin 3) Provide a quiet and 3) To help in provi
    peaceful ding
    Subjective: https://nurseslab  Impaired environment better sleep/rest
     Client s.com/10- processing of during sleep periods
    verbalized: ileostomy- information in the
    “Wala ko colostomy- brain. 2)Achieve optimal
    mayo katulog, nursing-care- amount of sleep
    ma’am. Gina plans/ as evidenced by rested
     Decreased
    tugnawan ko.” appearance,
    oscillations of the
    verbalization 4) Encourage the client 4) Verbalizing con
    brain.
    of feeling rested, and to express concerns cerns may
    Strengths: improvement in sleep when unable to sleep promote
     Strong family pattern. relaxation
    support  Disturbed Sleep
    Student Nurse: Jeyser T. Gamutia BN4B Patient: JM Age: 30 y/o Diagnosis: Retropharyngeal Abscess June 20, 2018

     Compliant to Pattern
    medications.
    5) Provide a warm bath 5) Vasodilation of
    before the client the veins
    Weaknesses: goes to sleep. provide a sleepy
     Low financial lazy
    means effect, causing
    the client to
    fall right to sleep

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