Implementation of care for Sleep pattern disturbance

• Be sensitive to the factors that affect a patient’s sleep • Instituting a nighttime sleep protocol where patients are untouched but still closely monitored from 1 to 5 AM is one way to eliminate hourly disturbances to the patient. • Assess patient's usual sleep patterns • Minimize effects of an underlying disease process as much as possible (e.g., reduce fever, eliminate pain, and minimize metabolic disturbances) • Avoid medications that disturb sleep patterns • Consult with providers to continue behavioral medications as appropriate • Mimic patients' usual bedtime routine as much as possible • Minimize environmental impact on sleep as much as possible