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Joe works shift work at the local tire plant. He works 12–hour shifts in blocks of...

Joe works shift work at the local tire plant. He works 12–hour shifts in blocks of 6 weeks dayshift and 6 weeks nightshift. He complains of fatigue and “foggy thinking” because he has trouble falling asleep and staying asleep. He denies using sleep aids, alcohol, or street drugs. He states, “I have no idea how to improve my sleep. I have tried sleeping in bed and in the recliner. The hardest time to sleep is during the day.” Which stage of behavior health change is Joe in? What are 3 nursing interventions a nurse could recommend to improve sleep? How could the nurse support Joe in making changes?

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Answer #1

joe is in the 3rd stage og behaviour health change ie preparation for action. In this stage joe accepts the fact that their behaviour is problematic and he is considering what to do.

nursing interventions to improve sleep:

1. avoid large meals shortly before bedtime.

2. avoid stimulants such as caffeine after mid afternoon

3. get regular exercise early in the day

                 The nurse can support joe in making changes by encouraging him to establish a routine when going to bed to ease the transitioin from wakefulness to sleep.

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