00165 Disposition To Improve Sleep

Domain 4: activity/rest
Class 1: sleep/rest
Diagnostic Code: 00165
Nanda label: disposition to improve sleep
Diagnostic focus: sleep
Approved 2002 • Revised 2013 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

The Nanda nursing diagnosis « sleep deprivation ” is defined as: relative, natural and periodic suspension pattern of consciousness to provide rest and maintain the desired lifestyle, which can be reinforced .

Definite characteristics

  • Express desire to improve the sleep-vigilia cycle

Suggestions of use

  • If there are risk factors, risk of sleep pattern, risk of sleep deprivation or insomnia risk should be used.

Suggested alternative diagnostics

  • Insomnia
  • Sleep pattern,
  • disorder

  • Dream, deprivation of

NOC Results

  • Dream: natural periodic suspension of consciousness during which the body recovers

Evaluation objectives and criteria

  • See noc results for sleep diagnosis, deprivation of.

Other examples

The patient will be able to:

  • • Identify measures that improve rest or sleep
  • • Demonstrate physical and psychological well -being
  • • Achieve an adequate dream without using medications s

NIC Interventions

  • Management of the environment: comfort: manipulation of the patient’s environment to provide optimal comfort
  • Sleep improvement: facilitation of regular sleep-vigilia cycles

Nursing Activities


  • • Assess the evidence of sleep improvement
  • • Monitor the patient’s sleep pattern
  • • (NIC) Improvement of sleep: Determine the effects of patient medications on sleep pattern

Patient and family education

  • • (NIC) Improvement of sleep:
    • Indicate the patient to avoid ingesting food and drinks when bedtime, since they can interfere with sleep
    • Instruct the patient and the closest people about the factors (physiological, psychological, lifestyle, frequent changes
    • Of the work schedule, rapid time zone changes, excessively prolonged work schedules and other environmental factors) that alter the sleep pattern

Collaboration activities

  • • Talk to the doctor about the need to review the medication regime when he interferes with the sleep pattern
  • • (NIC) Improvement of sleep: Recommend the use of sleep medications that do not suppress the dream of rapid eye movements (mor)


  • • Avoid strong noise and the use of high lights during night sleep; provide a quiet environment and reduce interruptions
  • • Find a compatible roommate for the patient, if possible
  • • Help the patient identify and anticipate factors that may cause insomnia, such as fear, unsolved problems and conflicts
  • • (NIC) Improvement of sleep:
    • Facilitate the maintenance of the patient’s usual sleep routine, signs and rituals before bedtime, as well as family objects (for example, for children a favorite blanket or toy, rocking them, their pacifier or a story; For adults a book to read), as required
    • Help the patient limit the daytime sleep by offering activities that keep him awake, as required in the home
  • • The above activities are adequate or can be modified for home use

Older people

  • • Recommend a hot bath before going to bed
  • • Advise the patient a limited fluid intake at night
  • • Advise the patient to take the diuretics early in the morning