Promoting Psychosocial Health Flashcards
give meaning to events in the environment
sensory stimuli
sensory process two components
reception and perception
is the process of receiving stimuli
sensory reception
What are the external stimuli?
Visual
Auditory
Olfactory
tactile
Gustatory (can be internal)
What are the internal stimuli?
Kinesthetic
stereognosis
Visceral
refers to awareness of the position and movement of body parts
kinesthetic
the ability to perceive and understand an object through touch by its size, shape, and texture
stereognosis
refers to any large organ within the body
visceral
involves the conscious organization and translation of the data or stimuli into meaningful information.
sensory perception
involves the conscious organization and translation of the data or stimuli into meaningful information.
sensory perception
Four aspects of sensory process
stimulus
receptor
impulse conduction
perception
is the term used to describe the state in which a person is in optimal arousal
sensoristasis
is the term used to describe the state in which a person is in optimal arousal
REA
is the ability to perceive internal and external stimuli, and to respond appropriately through thought and action.
awareness
What are the different states of awareness
full conciousness
disoriented
confused
somnolent
semicomatose
coma
What are the different factors affecting sensory function?
developmental stage
culture
stress
medications
illness
lifestyle and personality
is a lack of culturally assistive, supportive, or facilitative acts.
cultural deprivation
is generally thought of as a decrease in or lack of meaningful stimuli.
sensory deprivation
generally occurs when a person is unable to process or manage the amount or intensity of sensory stimuli.
sensory overload
Three factors contribute to sensory overload
increased quantity and quality of internal stimuli
increased quantity and quality of external stimuli
inability to disregard stimuli selectively
is impaired reception, perception, or both, of one or more of the senses.
sensory deficit
Nursing assessment of sensory-perceptual functioning includes six components
- nursing history
- mental status examination
- physical examination
- identification of clients at risk
- the client’s environment
- client’s social support network
During the mental health status you should include the following
level of consciousness
orientation
memory
attention span
What instruments should you use for the physical examination
snellen chart
weber and Rhinne tuning fork
Olfactory sense
Gustatory sense
Nonstimulating environments include those
severely restrict physical activity
limit social contact with family and friends
Assessing the social support network of the client includes
whether the client lives alone
who visits and when
any signs indicating social deprivation
abrupt onset of reversible disturbances of consciousness, attention, cognition, and perception that develop over a short period of time
acute confusion
irreversible, long-standing, and/or progressive deterioration of intellect and personality characterized by decreased ability to interpret environmental stimuli; decreased capacity for intellectual thought processes; and manifested by disturbances of memory, orientation, and behavior
chronic confusion
inability to remember or recall bits of information or behavior skills
impaired memory
at risk for alterations in consciousness, attention, cognition, and perception that develops over a short time period
risk for acute confusion
related to sensory-perception disturbance (declining visual abilities)
impaired home maintenance
related to sensory-perception disturbance (specify).
impaired verbal communication
Example of impaired verbal communication
altered LOC
hearing impairment
sensory overload
sensory deprivation
related to sensory-perception disturbance (altered tactile sensation)
Risk for Impaired Skin Integrity
Risk for Injury includes
Visual impairment
Reduced Tactile sensation to neurologic or circulatory alterations
decreased sense of smell
hearing impairment
decreased kinesthetic sense
Social Isolation related to sensory-perception disturbance (specify). For example:
impaired vision
impaired hearing
The Early Hearing Detection and Intervention (EHDI) Tracking and Surveillance System goals have been established by the Centers for Disease Control and Prevention (CDC) (2014).
The seven goals are:
Goal 1: All newborns will be screened for hearing loss before 1month of age.
Goal 2: All infants who screen positive will require a diagnostic audiologic examination before the age of 3 months.
Goal 3: All infants identified with hearing loss will receive early intervention services prior to age 36 months.
Goal 4: Infants with late, progressive, or acquired hearing loss will be identified early.
Goal 5: Infants with hearing loss will have a primary care provider who will collaborate and coordinate care with the EHDI Tracking and Surveillance System at the CDC.
Goal 6: Each state is responsible for completing the EHDI Tracking and Surveillance System.
