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
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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
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Interventions During Apneic Episodes
- Stimulate the resident during apneic episodes to resume normal breathing
- Reposition the resident every 2 hours and as needed
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Diagnostic and Treatment Measures
- Conduct sleep studies as ordered
- Administer medications as ordered
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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
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Psychological Support
- Provide psychological support as needed
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Documentation and Communication
- Document the resident’s response to treatment and any changes in condition
Rationale
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Monitoring and Assessment
- Continuous monitoring of respiratory status and mental changes ensures early detection of complications, allowing for prompt intervention.
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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.
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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.
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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.
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Psychological Support
- Providing psychological support helps address anxiety and stress, which can negatively impact sleep quality.
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Documentation and Communication
- Accurate documentation ensures continuity of care and helps track the effectiveness of the care plan, allowing for adjustments as needed.
Actions
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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.
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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.
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Diagnostic and Treatment Measures
- Schedule and conduct sleep studies as ordered by the physician.
- Administer prescribed medications, monitoring for effectiveness and any side effects.
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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.
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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.
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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.
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