Anxiety and Disturbed Sleep Pattern - Nursing Interventions for Heart Failure

Nursing Diagnosis for Heart Failure : Anxiety related to tissue oxygenation disorders, stress due to difficulty in breathing and the knowledge that the heart is not functioning properly.
characterized by; anxiety, fear, worry, stress-related illness, anxiety, anger, irritability.

Goal: The patient does not feel anxious.
with expected outcomes:
  • The patient said that anxiety decreased to a level that can be overcome.
  • The patient demonstrated problem-solving skills and know the feeling.

  • Provide the opportunity for the patient to express feelings.
  • Encourage friends and family to consider patients as before.
  • Tell patient medical programs that have been made to lower the impending attack and increase the stability of the heart.
  • Help the patient a comfortable position to sleep or rest, limit visitors.
  • Collaboration for the administration of sedatives and tranquiliser.

Rationale :
  • Statement of the problem can reduce tension, classify the level of coping and facilitate understanding of feelings.
  • Reassure patients that role in the family and work unchanged.
  • Encourage the patient to control symptoms, improve confidence in the medical program and integrate capabilities in self-perception.
  • Creating an atmosphere that allows the patient to sleep.
  • Help the patient relax until physically able to make adequate coping strategies.

Nursing Diagnosis for Heart Failure : Disturbed Sleep Pattern related to waking up frequently secondary to respiratory disorders (tightness, cough).characterized by; lethargy, insomnia, shortness of breath and coughing during sleep.

Goal: The patient can sleep more comfortably.

Interventions :
  • Raise the head of the bed 20 -30 cm. Chock forearm with a pillow.
  • In patients with orthopnea, the patient is seated on the side of the bed with both feet supported on the seat, head and put on the table bed and lumbosacral vertebrae supported by a pillow.

Rationale :
  • Venous return to the heart is reduced, pulmonary congestion is reduced and the suppression of the liver to the diaphragm is reduced and reducing muscle fatigue shoulder.
  • Reduce difficulty breathing and reduces the flow back to the heart.

Source :