Interdisciplinary Care Plan for Sleep Apnea

Interdisciplinary Care Plan for Sleep Apnea

Category / Primary Body System

• Respiratory System

Problem

• Sleep Apnea

Goal

• Resident will sleep for 6 to 8 hours per night for 30 days.

Plan/Approach

1. Monitoring and Assessment

   • Observe respiratory status regularly
   • During apneic episodes, observe resident’s color and assess level of consciousness
   • Monitor and assess for any change in mental status

2. Interventions During Apneic Episodes

   • Stimulate the resident during apneic episodes to resume normal breathing
   • Reposition the resident every 2 hours and as needed

3. Diagnostic and Treatment Measures

   • Conduct sleep studies as ordered
   • Administer medications as ordered

4. Environment and Lifestyle Modifications

   • Provide a calm and restful environment to promote sleep
   • Assess and address causative factors such as medications, diagnosis, obesity, and lung disease
   • Encourage and assist with weight management if obesity is a factor

5. Psychological Support

   • Provide psychological support as needed

6. Documentation and Communication

   • Document the resident’s response to treatment and any changes in condition

Rationale

1. Monitoring and Assessment

   • Continuous monitoring of respiratory status and mental changes ensures early detection of complications, allowing for prompt intervention.

2. Interventions During Apneic Episodes

   • Stimulating the resident during apneic episodes helps restore normal breathing patterns and prevent hypoxia.
   • Regular repositioning can reduce the risk of pressure ulcers and improve respiratory function.

3. Diagnostic and Treatment Measures

   • Sleep studies help diagnose the severity of sleep apnea and guide treatment decisions.
   • Medications may be prescribed to manage underlying conditions or improve sleep quality.

4. Environment and Lifestyle Modifications

   • A calm environment promotes better sleep quality, reducing the frequency and severity of apneic episodes.
   • Addressing causative factors and encouraging healthy lifestyle changes can improve overall health and reduce sleep apnea symptoms.

5. Psychological Support

   • Providing psychological support helps address anxiety and stress, which can negatively impact sleep quality.

6. Documentation and Communication

   • Accurate documentation ensures continuity of care and helps track the effectiveness of the care plan, allowing for adjustments as needed.

Actions

1. Monitoring and Assessment

   • Observe and document the resident’s respiratory status every shift.
   • During apneic episodes, immediately assess the resident’s color and level of consciousness, stimulating as needed.
   • Regularly assess and document any changes in mental status.

2. Interventions During Apneic Episodes

   • Stimulate the resident by gently shaking or calling their name during apneic episodes.
   • Reposition the resident every 2 hours and as needed to ensure comfort and optimal respiratory function.

3. Diagnostic and Treatment Measures

   • Schedule and conduct sleep studies as ordered by the physician.
   • Administer prescribed medications, monitoring for effectiveness and any side effects.

4. Environment and Lifestyle Modifications

   • Ensure the resident’s sleeping environment is quiet, dark, and comfortable.
   • Assess for and address any factors contributing to sleep apnea, including medication side effects, underlying diagnoses, obesity, and lung disease.
   • Provide or refer the resident to weight management resources if obesity is a contributing factor.

5. Psychological Support

   • Offer psychological support through counseling or support groups as needed.
   • Provide a listening ear and emotional support to address any concerns related to sleep apnea.

6. Documentation and Communication

   • Document the resident’s response to treatment, including any changes in respiratory status, mental status, and overall sleep quality.
   • Communicate any significant findings or changes to the healthcare team promptly.