00095 Insomnia

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00095 Insomnia

Definition of the NANDA label

State in which the person presents a disorganization of the quantity and quality of the hours of sleep that causes discomfort or interferes with the desired lifestyle.

A disruption in amount and quality of sleep that impairs functioning.

Defining characteristics

• Verbal references of feelings of not having rested well or not having enough rest.
• Prolonged wakefulness and insomnia maintained.
• Self-induced deterioration of the normal pattern.
• Decreased ability to be active.
• Waking up three or more times a night.
• Taking more than 30 minutes to fall asleep.
• Morning insomnia.
• Wake up earlier or later than desired.
• Proportional increase in sleep phase.
• Dissatisfaction with sleep.
• Total sleep time less than what is considered normal for the age.
• Proportional decrease in phases III and IV of sleep (hyposensitivity, excessive sleepiness, decreased motivation).
• Proportional decrease in REM sleep (hyperactivity, emotional lability, agitation and thoughtlessness, atypical polysomnographic traces).

Related factors

Environmental

• Noise.
• Strange furniture.
• Ambient temperature and humidity.
• Illumination.
• Excessive stimulation.
• Sleepiness generated by others.
• Interruptions for therapeutic procedures.
• Monitoring or laboratory tests.
• Lack of privacy and sleep control.
• Partner.
• Smells.

Physiological

• Gastroesophageal reflux.
• Nausea.
• Stasis of secretions.
• Short of breath.
• Position.
• Urinary urgency.
• Fever.
• Humidity.
• Body temperature.
• Diet.

Parental

• Emotional support from the mother.
• Interaction of the parent with the child.
• Mother’s sleep-wake pattern.
Psychological
• Daytime activity pattern.
• Repetitive thoughts before sleep.
• Nervous personality.
• Frequent changes in the sleep-wake schedule.
• Circadian asynchrony.
• Continued use of substances to prevent sleep.
• Inadequate sleep hygiene.
• Depression and loneliness.
• Travel across time zones (jet-lag).
• Exposure to daylight and / or darkness.
• Job change; advanced or delayed sleep phase syndrome.
• Loss of a loved one.
• Worry about trying to sleep.
• Fear of insomnia.
• Age-related sleep changes.
• Periodic changes in sex hormones.
• Boredom and fatigue.
• Anxiety.
• Maladaptive conditioned wakefulness.
• Fears.
• Social schedule inconsistent with the chronotype, separation from significant others.

Associated condition

• Hormonal change
• Pharmaceutical agent

NOC

• Wellness.
• Break.
• Dream.
• Energy conservation.

NIC

• Increased coping.
• Encourage sleep.
• Energy management.
• Health education.
• Nutritional management.

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