Module 10: Sensory Alterations Flashcards
This comes from many sources inside the body and outside particularly through the senses involving visual auditory tactile olfactory and gustatory.
Stimulation
This is a sense that enables a person to be aware of the position and movement of the body parts without seeing them.
Kinesthetic
This is a sense that allows a person to recognize the size shape and texture of an object.
Stereognosis
This allows a person to learn about the environment and are necessary for functioning and normal development.
Meaningful Stimuli
What should the nurse do when the sensory function of an individual is impaired or altered?
When the patient’s sensory function is altered, the nurse should use clinical judgement to understand if he can relate to or function within the external environment
This continually receives thousands of stimuli from sensory nerve organs, relays the information to get a meaningful response.
Nervous system
(Sensory input or stimuli - Sensory Organs to Immediate Reaction)
What are the components of sensory experience?
(1) Reception (receptor)
(2) Perception (awareness)
(3) Reaction
This sensory function is delineated to transmit the pattern of light.
Visual
This sensory function is delineated to transmit the pattern of sounds.
Auditory
This is defined as the deficit in the normal function of sensory reception and perception for both hearing and visual acuity.
Sensory Deficit
This pertains to the gradual decline in the ability of the lens to accommodate or focus on close objects.
Presbyopia
This pertains to the cloudy or opaque areas in part of the lens or the entire lens that interfere with passage of light through lens.
Cataract
This pertains to the problems that result from prolonged computer tablet e reader and cellphone use.
Computer vision syndrome or digital eyestrain
This condition pertains to where the tear glands produce few tears hence resulting to itching burning or even reduced vision.
Dry eyes
This condition pertains to the slow and progressive increase or accrual of intraocular pressure.
Glaucoma
What is the normal intraocular pressure in the eyes?
10 to 21 mmHg
This condition pertains to the pathological changes that occur in the blood vessels of the retina.
Diabetic Retinopathy
This condition pertains to where the macula (a part of the retina) looses its ability to function efficiently.
Macular Degeneration
This sensory hearing deficit pertains to the common or generic progressive hearing disorder among older adults.
Presbycusis
This sensory hearing deficit pertains to the buildup or accrual of earwax in the external auditory canal.
Cerumen accumulation
This sensory hearing deficit pertains to the common condition usually resulting from vestibular dysfunction.
Dizziness and Disequilibrium
This sensory deficit pertains to the decrease in salivary production that leads to thicker mucus or dry mouth.
Xerostomia
This pertains to reduced sensory input and the elimination of patterns or meaning from input (exposure to strange environment and restrictive environments) that produce monotony and boredom.
Sensory Deprivation (Touchy and Jett, 2022)
What are the effects of sensory deprivation?
(1) Reduced capacity to learn
(2) Disorientation and confusion
(3) Inability to think or problem solve
(4) Bizarre thinking
(5) Poor task performance
(6) Increased need for socializations due to altered mechanisms of attention
(7) Boredom and emotional lability
(8) Depression and Restlessness
(9) Increased anxiety
(10) Increased need for physical stimulation
(11) Changes in visual or motor coordination
(12) Reduced color perception
(13) Less tactile accuracy
(14) Changes to perceive size and shape
(15) Changes in spatial and time management
This pertains to the excessive sensory stimulation that prevents the brain from responding appropriately or ignoring certain stimuli.
Sensory Overload
What are the factors affecting sensory function?
(1) Age
(2) Meaningful Stimuli
(3) Amount of stimuli
(4) Cultural Factors
(5) Social Interaction
(6) Environmental Factors
This condition pertains to varies degrees of inability to speak interpret and understand language.
Aphasia
This condition pertains to the inability to name common objects or express simple ideas in words and writing.
Expressive Aphasia
This condition pertains to the inability to understand written and spoken language.
Receptive Aphasia
This condition pertains to the inability to understand language and communicate orally.
Global Aphasia
What should the nurse assess under sensory alterations?
(1) Sensory Alterations History
(2) People at risk
(3) Through the patient’s eyes
(4) Mental Status
(5) Physical Assessment
(6) Ability to perform self care
(7) Health promotion habits
(8) Environmental Factors
(9) Communication Methods
(10) Social Support and use of assistive devices
(10) Other factors eg tobramycin (ototoxic)
What are other plausible diagnosis under sensory alterations?
(1) Impaired physical mobility
(2) Bathing self care deficit
(3) Situational low self esteem
(4) Risk for falls
(5) Social isolation
How should the nurse plan under sensory alterations during her nursing care plan?
(1) Select strategies to assist the patient in remaining functional in the home
(2) Adapt therapies depending on whether sensory deficit is short or long term
(3) Involve the family in helping the patient adjust to limitations
(4) Refer appropriately HCP and/or community agency
How should the nurse implement under health promotion during her nursing care plan?
(1) Screening
(2) Preventative measures
(3) Use of assistive devices
(4) Promoting a positive stimulation
This condition pertains to overt sensitivity to tactile stimulation
Hyperesthesia
How should the nurse evaluate under health promotion during her nursing care plan?
(1) Evaluate whether care measures maintain or improve a patient’s ability to interact and function with the environment
(2) Reassess signs and symptoms of sensory alteration
(3) Determine the patient’s ability to remain functional within the home or health care environment
(4) Ask the patient to demonstrate or explain newly learned self-care skill
