00096 Sleep Deprivation

Domain 4: activity/rest
Class 1: sleep/rest
Diagnostic Code: 00096
Nanda label: sleep deprivation
Diagnostic focus: sleep
approved 1998 • Revised 2017

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « sleep deprivation ” is defined as: prolonged periods of time without a relative, natural and periodic suspension pattern of consciousness, which provides rest.

Definite characteristics

  • ATTACTION OF ATTENTION
  • Anxiety
  • Apathy
  • Aggression
  • Confusion
  • Decreased functional capacity
  • Sopor
  • Express distress
  • Fatigue
  • Passenger nystagmus
  • Hallucinations
  • Increased pain sensitivity
  • Irritable mood
  • lethargy
  • Prolongation of reaction time
  • Psychomotor agitation
  • Transitory paranoia
  • Tremors

Related factors

  • Changes in sleep -related sleep stages
  • Average daily physical activity is lower than recommended according to sex and age
  • DISCONFORT
  • ATRACIONES OF THE ENVIRONMENT
  • Overestimulator environment
  • Confusion at the last hours of the day
  • Non-repairing sleep-vigilia
  • Night terrors
  • Speaambulism
  • Circadian asynchrony maintained
  • Persistence of an adequate sleep hygiene

Risk population

  • People with family paralysis of sleep

Associated problems

  • Problems with periodic limb movements
  • Central Idiopathic Nervous Hypersomnolence
  • narcolepsia
  • Neurocognitive disorder
  • Nightmares
  • Sleep apnea
  • Night enuresis
  • Painful erections during sleep
  • Therapeutic regime

Suggestions of use

Suggested alternative diagnostics

  • Activity, intolerance to
  • Acute confusion
  • Fatigue
  • Insomnia
  • Sleep pattern,
  • disorder

NOC Results

  • Severity of the symptom: intensity of the negative changes perceived in physical, emotional and social functioning
  • Acute confusion level: severity of alteration in consciousness and cognition for a short period
  • Dream: natural periodic suspension of consciousness during which the body recovers

Evaluation objectives and criteria

  • • Show sleep, as manifested by the following indicators (specify from 1 to 5: severely, substantially, moderately, slightly or not compromised):
    • Sensation of rejuvenation after sleep
    • Sleep pattern and quality
    • Sleep routine
    • Observed sleep hours
    • I wake up at adequate moments
  • Other examples

    The patient will be able to:

    • • Express relief of sleep deprivation symptoms (for example, confusion, anxiety, daytime sleepiness, perceptual disorders and tiredness)
    • • Identify and take measures that improve rest or sleep
    • • Identify the factors that contribute to sleep deprivation (for example, pain, inadequate daytime activity)

    NIC Interventions

    • Energy management: Regulation of energy use to treat or prevent fatigue and optimize functions
    • Medication management: facilitation of safe and effective use of drugs with and without recipe
    • Delirium management: Provision of a therapeutic and safe environment for a patient who is in a state of acute confusion
    • mood management: provision of security, stability, recovery and maintenance, for a patient who abnormally experiences a depressed or elevated mood
    • Sleep improvement: facilitation of regular sleep-vigilia cycles
    • Reality orientation: Promotion of the patient’s consciousness of his personal identity, time and environment „«

    Nursing Activities

    • See nursing activities for insomnia and sleep, disposition to improve the.

    Valuations

    • • Evaluate sleep deprivation symptoms, such as acute confusion, agitation, anxiety, perceptual disorders, slow reactions and irritability
    Patient education

    • • Instruct about the physiological and safety consequences of sleep apnea
    • • Instruct the patient and family members about the factors that interfere with sleep (such as stress, chaotic lifestyle, work shift, ambient temperature too high or very low)

    Collaboration activities

    • • Consult the doctor about the need to review the medication regime, in case it interferes with the dream
    • • Consult the doctor about the use of sleeping medications that do not suppress the dream of rapid eye movements (mor)
    • • Channel to the patient, as required, to treat serious sleep deprivation symptoms (such as acute confusion, agitation or anxiety)

    Others

    • • Treat sleep deprivation symptoms, as required (for example, anxiety, restlessness, transient paranoia, inability to concentrate); These symptoms vary in each patient

    At home

      • • Instruct patients who need to learn how to use continuous air pressure machines (CPAP)