Sensory Perception Flashcards
What are the factors effecting sensory functin o
Dev stage Culture Stress Meds illness Lifestyle
What are the factors that alter behavior o
sensory deprivation
sensory overload
sensory deficit
What are the clinical manifestations of sensory deprivation
excessive yawning, drowsiness, sleeping
decreased attention span
impaired memory
What are the clinical manifestations of sensory overload
complaints of fatigue/sleeplessness
irritability
anxiety
increased muscle tension
What are the clinical manifestations of sensory deficit
turning to one side to hear
deafness
blindness
What does the assessment assess
nursing history mental status exam physical exam ID of clients at risk the client environment and social network
What are some data collected in the nursing history
LOC
memory
attention span
What data is collected int he physical examination
the 5 senses and how well they are working
Clients at risk may be clients who
have pain
brain damage
impaired senses
have mobility restrictions
What is the nurse assessing in the environment
quantity, quality, and type of stimuli
What are some things the nurse can change in the environment to prevent deprivation or overload
roommates electronic devices number of visitors clocks and calenders reading material
What should the nurse assess in social support networks
whether the client lives alone
who visits and when
signs of withdrawl
signs of dependence
What are some common nursing diagnoses
acute confusion
chronic confusion
impaired memory
risk for acute confusion
What are some common etiologies of sensory probs
impaired home maintenance impaired verbal communication risk for impaired skin integrity risk for injury social isolation
What are the usual goals for patients with sensory perception alterations
prevent injury
maintain the functioning of existing senses
develop effective communication machanisms
prevent sensory overload/deprivation
