ATI - Sensory Perception - 45 Flashcards
Contributing factors to sensory perception deficits include
vision loss
conductive hearing loss
sensorineural hearing loss
Types of vision loss
presbyopia cataracts glaucoma diabetic retinophathy macular degeneration infection inflammation injury brain tumor
Types of conductive hearing loss
obstruction wax accumulation typanic membrane perforation ear infections ostosclerosis
Types of sensorineural hearing loss
exposure to loud noises
ototoxic medications
aging
acoustic neuroma
General sensory perception nursing care
check the communication deficits, and adjust care accordingly
collect equipment necessary to care for any assistive devices clients have (corrective lenses, hearing aids). Make sure these devices are available for use.
Make every effort to communicate with clients who have sensoriperceptual losses because they tend to withdraw from interactions with others.
Equipment used for nursing care of sensory perception
assistive devices
orientation tools (clocks, calendars)
radio, television, cd/dvd player, digitial audio player
large-print materials
Nursing considerations for sensory perception
keep clients safe and free from injury
*make sure the call light is easily accessible
*orient clients to the room
*keep furniture clear from the path tot he bathroom
*keep personal items within reach
*place the bed in its lowest position
*make sure IV poles, drainage tubes, and bags are easy to maneuver
Learn clients’ preferred method of communication, and make accomidations
Nursing considerations for clients who have hearing loss
sit and face the clients
avoid convering your mouth while speaking
encourage the use of hearing devices
speak slowly and clearly
DO NOT SHOUT
try lowering vocal pitch before increasing volume
use brief sentences with simple words
write down what clients do not understand
minimize background noise
ask for a sign-language interpreter if necessary
Nursing considerations for clients who have vision loss
call clients by name before approaching to avoid startling them
identify yourself
stay within clients’ visual field if they have a partial loss
give specific information about the location of items or areas of the building
explain interventions before touching clients
before leaving, inform clients of our departure
carefully appraise clients’ clothing and suggest changes if soiled or torn
make a radio, tv, cd player, or digital audio player available
describe the arrangement of the food on the tray before leaving the room
Nursing considerations for clients who have aphasia
Great clients and call them by name
make sure only one person speaks at a time
speak clearly and slowly using short sentences and simple words
do not shout
pause between statements to allow time for clients to understand
check for comprehension
tell clients when you do not understand them
ask questions that require simple answers
reinforce verbal with nonverbal communication (gestures, body language)
allow plenty of time for clients to respond
use methods speech therapists implement, such as a picture chart to improve communication
acknowledge any frustration in communicating
Nursing considerations for clients who are disoriented
call clients by name and identify yourself
maintain eye contact at eye level
use brief, simple sentences
ask only one question at a time
allow plenty of time for clients to respond
give directions one step at a time
avoid lengthy conversations
provide for adequate sleep and pain management
encourage clients to verbalize feelings about sensoriperceptual loss
orient clients to time, person, place, and situation
keep a clock in the room
post a calendar, or write the date where it is visible
provide and use assistive devices
provide care clients cannot perform (reading menus, opening containers)
Nursing considerations for interprofessional care
determine which assistive devices clients need and plan for their procurement
consult with rehabilitation therapists for restorative potential
refer clients to community-based support groups and organizations for additional resources.
In the home environment ____ ways to reduce hazards at home
teach
