After the psychosocial assessment, the nurse identifies that John's primary problem on the psychosocial assessment is sleep and rest, as he reports waking up at night from pain. Byers, Lichstein, and Thorn (2016) state that sleep disorders are common in people with chronic pain, while approximately 53% to 88% of patients experience symptoms of insomnia. ACEBAC (2012) suggests that lack of sleep can cause increased perception of pain, which in turn disrupts sleep. This indicates that pain perception and sleep influence each other, creating a vicious circle. The community nurse's goal would be to improve John's sleep quality, so some nursing interventions need to be undertaken. Because the sleep disturbance could likely be caused by John's pain, the nurse can also provide medication information about diazepam PRN and pain medications and report this condition to the pharmacist. Secondly, there are various psychosocial therapies as non-pharmacological interventions recommended by Park (2012), for example cognitive behavioral therapy, hypnosis, relaxation, guided imagery, grief support group and education program to pain. Andrews, Strong, Meredith, and D'Arrigo (2014) argue that current materials suggest relaxation therapy and cognitive-behavioral therapy
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