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Insomnia NCLEX Review and Nursing Care Plans Insomnia is defined as the inability to obtain or stay asleep. This can also cause the affected individual to wake up too early and have trouble falling back to sleep. However, when the individual affected by insomnia wakes up, his or her body may still be in a state of exhaustion. If insomnia remains unmanaged, it can negatively affect a person’s well-being, general performance, and overall quality of life. Signs and Symptoms of Insomnia
Causes of InsomniaInsomnia may be the primary issue, or it may also be a secondary problem. It can be treated by addressing the underlying cause, although it can linger for years depending on the severity. Common causes of insomnia are as follows: Unsatisfactory or inadequate sleeping habits. Some examples of having a poor sleeping routine are:
Excessive consumption of food late in the evening. Even while it’s acceptable to have a small snack or meal before going to bed, consuming copious amounts can make it difficult to fall asleep. Following overconsumption of meals, many people suffer from heartburn. As a result, sleep is impeded. Travel or inconsistent work commitments. Circadian rhythms serve as a kind of internal clock, regulating processes like metabolism, body temperature, and most of all, the person’s sleep-wake cycles. If the circadian rhythm is thrown off (due to jet lags, inconsistent shifts, working early or late hours), this can cause insomnia. Stress. Sleep deprivation and insomnia can be increased by persistent worrying about certain events or the days ahead. Employment, work, school, family, income, and health-related problems contribute to stress and anxiety. When faced with a stressful situation, such as a traumatic event, the death of a family member or a close friend, illness, divorce, being fired, or losing one’s job, insomnia may set in. Consumption of alcohol, caffeine, and nicotine. These are stimulants that can disrupt sleep and keep one awake. Medical conditions such as gastroesophageal reflux disease, overactive thyroid, Parkinson’s disease, and Alzheimer’s disease. Mental and behavioral health issues. Depression is often accompanied by insomnia. Stress and anxiety can also lead to insomnia. It can also be a symptom of mental health conditions such as bipolar disorder. With age, the prevalence of insomnia increases. The following are causes of age-related insomnia:
Risk Factors of Insomnia
Diagnosis of Insomnia
Treatment for InsomniaOne of the most effective strategies to achieve a decent night’s sleep is to correct bad sleeping habits and address any underlying health issues that may be causing insomnia in the first place.
Insomnia Nursing DiagnosisInsomnia Nursing Care Plan 1Nursing Diagnosis: Disturbed Sleep Pattern related to a disturbance in the environment and physiologic element, secondary to insomnia, as evidenced by daytime sleepiness, verbalized difficulty of falling asleep, poor quality of sleep, and reduced level of functioning. Desired Outcome: The patient will be able to get and maintain a good night’s sleep.
Insomnia Nursing Care Plan 2Nursing Diagnosis: Fatigue related to the inability to replenish sufficient energy, secondary to insomnia, as evidenced by reports of exhaustion, difficulty to carry out normal daily activities, lethargy, and increased sleep needs. Desired Outcomes:
Insomnia Nursing Care Plan 3Nursing Diagnosis: Anxiety related to change in one’s state of health or environment, secondary to insomnia, as evidenced by increased stress, apprehension, tension, sympathetic stimulation, restlessness, impaired concentration, and preoccupation. Desired Outcomes:
Insomnia Nursing Care Plan 4Nursing Diagnosis: Risk for Injury related to daytime sleepiness, secondary to insomnia, as evidenced by ineffective motor function, difficulty maintaining balance, decreased muscle and eye-hand coordination Desired Outcome: The patient will not sustain injury and will be free from harm.
Insomnia Nursing Care Plan 5Nursing Diagnosis: Disturbed Thought Processes related to chronic shift in the normal sleep cycle, secondary to insomnia, as evidenced by reduced attention span, difficulty concentrating, lack of clarity, and reduced cognitive capacity. Desired Outcomes:
Nursing ReferencesAckley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M. R., & Zanotti, M. (2020). Nursing diagnoses handbook: An evidence-based guide to planning care. St. Louis, MO: Elsevier. Buy on Amazon Gulanick, M., & Myers, J. L. (2022). Nursing care plans: Diagnoses, interventions, & outcomes. St. Louis, MO: Elsevier. Buy on Amazon Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2018). Medical-surgical nursing: Concepts for interprofessional collaborative care. St. Louis, MO: Elsevier. Buy on Amazon Silvestri, L. A. (2020). Saunders comprehensive review for the NCLEX-RN examination. St. Louis, MO: Elsevier. Buy on Amazon Please enable JavaScript Disclaimer:Please follow your facilities guidelines, policies, and procedures.The medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. This information is intended to be nursing education and should not be used as a substitute for professional diagnosis and treatment. |