Sleep & Rest

Sleep & Rest

Yen Nguyen arrives at the clinic accompanied by her husband, Nam.  She appears very tired. Nam tells you that she has been sleeping poorly.  ""She worries so much.  She worries about Kim, our grandchild.  She worries about our kids. Now she's worried about my mother.  When we were going through that mammogram scare, she was even worse!  Mrs. Nguyen shrugs her shoulders, I can't help it, and I'm like that. I've always been a worrier.  But it's gotten worse lately.  Now I worry and get so emotional.  I lie in bed thinking about all this stuff and end up in tears.  Then, when I finally get to sleep, I wake up covered with sweat.  I've tried extra soy for hot flashes, melatonin from the health food store, herbal tea, and even Benadryl - but nothing seems to work.  I'm so tired. But when I get up, I have to deal with all these little kids at work.  They're bouncing all over the place and noisy.  I just get so short-tempered with them.  That's not like me I can't take this anymore!""

Clearly Yen has a sleep problem, underline the data that are defining characteristics of a sleep problem.

Which data suggest ideas about the etiologies of Yen's sleep problem?

Determine a 3 part nursing diagnosis for Yen."

Defining Characteristics of a Sleep Problem:

 Tired appearance

 Sleeping poorly

 Extreme concern for family and other pressure sources

 Insomnia arising from worrying all through the night

 Emotional distress (crying)

 This is next to waking up in a cold sweat.

 Carefully, I went through several treatments (soy, melatonin, herbal tea, Benadryl) and none seemed to work.

 Daytime fatigue is another pronounced symptom of chronic fatigue syndrome.

 Hasty and short temper, particularly, at workplace

 Etiologies of Yen’s Sleep Problem:Etiologies of Yen’s Sleep Problem:

 It is marked by excessive worry (on the events or issues which are related to family, health, or life stressors).

 Hormonal modifications (hot flash, sweating during the night)

 Lack of sleep or poor quality sleep can be attributed to several factors, use of some sleep aids such as melatonin, herbal tea and Benadryl is however considered ineffective.

 Stress arising from having to cope with noisy children at the workplace

 3-Part Nursing Diagnosis for Yen:3-Part Nursing Diagnosis for Yen:

 Nursing Diagnosis: Sleep deprivation

 Related To (Etiology): Contamination, obsessions, and anxiety, autonomic arousal, and sleep disturbance.

 As Evidenced By: Lack of sleep, difficulty to stay awake during the day and excessive tiredness, night sweating, use of caffeine and other sleep-inducing products without positive results, mood swings at work