A pressure-care plan and interrupted sleep

Setting: A hospital ward

A patient is upset that the individual positioning plan interrupts sleep. The nurse can explore the experience and ask the responsible team to review comfort and timing; no replacement schedule is supplied.

Task

Explore the concern behind the opening: "Every time I fall asleep, someone wakes me. I cannot keep doing this."
Clarify the specific barrier and acknowledge its effect on the patient.
Explain the supplied next steps and respond to this possible question: "Can you promise nobody will wake me at all tonight?"
Check the patient can distinguish what is agreed from what needs confirmation.

A pressure-care plan and interrupted sleep supplied plan

A patient is upset that the individual positioning plan interrupts sleep. The nurse can explore the experience and ask the responsible team to review comfort and timing; no replacement schedule is supplied.
The nurse can discuss reducing avoidable light and conversation during planned care, subject to the ward's safe working arrangements.
The responsible team can review the patient's individual positioning plan and comfort concerns; the nurse does not invent a new interval.
Do not advise skipping planned care or supply a generic repositioning schedule.
We can discuss using less light and avoiding unnecessary conversation during planned care, while still allowing staff to work safely.
Your current individual plan includes supported position changes and checking comfort afterwards. The responsible team needs to review any change to that schedule; I can raise how long you remain awake and how uncomfortable it feels.

Fictional exam scenario only. Supplied arrangements are not medical guidance for a real patient..