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https://download.lww.com/docucare/assets/assignment_attachments/8cb6672b-b166-4cfa-bf91-4416012ea537/sleep_and_rest_concept_map.pdf

This is the Sleep & Rest Concept Map Template Link. 

Risk Factors, Signs & Symptoms ,Potential Complications

SLEEP DISORDER: _____________________ Pathophysiology (Definition/etiology/prognosis) 

 

Nursing Diagnosis (NANDA-I) (1-2 listed) 

 Potential Outcome (1-2 Listed)

  Nursing Interventions (3-5 listed)

 

Patient presents to the office for a visit regarding his wife’s concerns about his sleeping. According to the wife, the patient stops breathing when he is sleeping. The patient was asked about his sleep habits: Patient reports that he snores and is loud enough to wake his wife, he is fatigued during the day, and has a choking feeling upon waking up. He states he falls asleep watching TV at night. He gets up to go to bed and says he sleeps but wakes up with a headache and is not refreshed. His wife states he thrashes in his sleep , snores, and snorts so she wakes him up because it scares her. The patient was educated about his risk for obstructive sleep apnea as he is male, over 50 years old, is on a blood pressure medication, and his neck circumference was measured at 48cm. Height is 5’10” and weight is 283. Patient was educated about his risks and provider was up asked to speak with patient about testing.

Signed By: Jane Richards , Registered Nurse

8/8/2022 13:57
Blood Pressure   136/86
Heart Rate 84 
Respiratory Rate 18 
SpO2 97 
Oxygen Delivery Room AIR 
Temperature 97.6
Route oral 
Weight  283
Method patient statement 
Glucose Level (mg/dL) 105

Patient is alo 63 years old. 

This is his current Medication List. 

metoprolol tartrate

100mg Oral (PO)

Active Scheduled q12h 8/8/2022 13:57   Simon Aarons, MD, Primary Care Physician 8/8/2022 13:57 Pharmacy

lisinopril

10mg Oral (PO)

Active Scheduled q24h 8/8/2022 13:57   Simon Aarons, MD, Primary Care Physician 8/8/2022 13:57 Pharmacy

atorvastatin calcium

40mg Oral (PO)

Active Scheduled q24h 8/8/2022 13:57   Simon Aarons, MD, Primary Care Physician 8/8/2022 13:57 Pharmacy

metFORMIN hydrochloride

1000mg Oral (PO)

               
SCIENCE
HEALTH SCIENCE
NURSING
NURSING 255

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