An 18-year old college student suffers from sleep disturbances because of the change in the environment. A college student living far from home experiences much stress because he is responsible for self-care. The causes of sleep difficulties include use of stimulants, stress related to change in lifestyle, poor sleep hygiene and learning demands (Altevogt & Colten, 2006). In most cases, teenagers suffer from chronic sleep disorder. In this case, the goal of the care plan is to help the eighteen-year-old get adequate sleep. The nurse educates the patients on how to attain sleep hygiene. The patient is put on behavioral therapy to treat the disorder. He is advices to avoid activities that increase arousal before bedtime, for example, excessive caffeine, stimulating games and movies (Mattice, Brooks & Lee-Chiong, 2012). A 53-year-old menopausal woman will likely suffer from insomnia sleep disorder. The lack of sleep is caused by mood disorders, incidents of obstructive sleep apnea and pain disorders. In addition, sleep is disrupted by hot flashes, movement disorders, and inadequate sleep hygiene. The plan of care is HRT therapeutic intervention. The treatment consists of medroxyprogesterone and oral conjugate equine estrogen (Attarian & Viola-Saltzman, 2013). The 58-year old patient could be suffering from insomnia. In most cases, patients suffering from insomnia complain of fatigue. In addition, people with insomnia suffer from daytime impairments and trouble in performing simple tasks. Moreover,
the individuals have poor memory and concentration (Manber & Carney, 2015).