A study to assess the effectiveness of sleep hygiene measures and relaxation therapy on sleep quality and stress level among residents of an old age home. Background: Holistic nursing should be an aspiration for all nurses, as it helps patients feel acknowledged, valued, and appreciated. Holistic nursing care most needed for old age people. Specially those who are residents at old age home. The focus is low good health throughout life can help older men and women lead full and productive lives and resource for their families and communities. Sleep and stress is the most common problem for the old age people.so that guided imagery relaxation therapy is effective one for older adult. Aim: The objectives of the study were*Assess the sleep quality and stress level among residents of an old age home. *Evaluate the sleep quality and stress level after sleep hygiene measures and relaxation therapy among residents of an old age home. *Associate the selected demographic variables with sleep and stress level among residents of an old age home. Method: This pre experimental study was conducted between old age people. samples were selected using convenient sampling method. A Pittsburgh sleep quality analysis scale and perceived stress scale was used to assess the knowledge. Results: samples (n=60) The Paired “t” test value was 14.84 and. the p-value is p<0.001**. This shows that was a highly significant difference between pretest and post test scores of sleep hygiene measures. The Paired “t” test value was 17.99 and. the p-value is p<0.001**. This shows that there was a highly significant difference between pretest and post test scores of relaxation therapy on stress level among older adult. Conclusion: The findings obtained in this study analyzed data for Sleep hygiene program and relaxation therapy is an important tool for improving the sleep quality and stress level among elderly people.