Disturbed Sensory Perception May be related to Altered sensory reception, transmission, integration (neurological trauma or deficit) Psychological stress (narrowed perceptual fields caused by anxiety) Possibly evidenced by Disorientation to time, place, person Change in behavior pattern/usual response to stimuli; exaggerated emotional responses Disturbed sensory perception- Diabetes Mellitus Nursing goals/ desired outcomes For Risk of disturbed Perception. Learn how your comment data is processed. She has authored hundreds of courses for healthcare professionals including nurses, she serves as a nurse consultant for healthcare facilities and private corporations, she is also an approved provider of continuing education for nurses and other disciplines and has also served as a member of the American Nurses Associations task force on competency and education for the nursing team members. Desired Outcome: The patient will verbalize being able to cope with peripheral neuropathy and retain optimal quality of life while chemotherapy is ongoing. Using a hearing aid on the affected ear can help the patient cope with hearing problems. Schedule structured activities and rest periods.This provides stimulation while reducing fatigue. Provide the client with their assistive devices such as a hearing aid, Speak slowly while sitting at the client's eye level and clearly pronouncing words to facilitate lip reading, Use written, rather than oral, communication when indicated, Eliminate all extraneous environmental noises and distractions when communicating with the client, Utilize the services of an American Sign Language interpreter when indicated, Intoxication with illicit drugs and/or alcohol, An extremely high fever and/or dehydration, Severe physical disorders such as renal failure, hepatic failure, and AIDS, Brain disorders such as traumatic brain injuries, brain tumors and structural defects, Blindness which can be accompanied with the visual hallucinations secondary to Bonnet's syndrome, Deafness that can be accompanied with auditory hallucinations secondary to Anton's syndrome. Care Plan Toni Newman Nursing 2202 01/22/2021 Nursing Diagnosis Goal/Outcome Nursing Interventions Rationales Disturbed Sensory Perception associated with Transient Ischemic Attack Identifies significant other(s) Identifies current place Patient will demonstrate stable vital signs and absence of signs of increased ICP. Menieres disease may cause moderate to severe episodes of vertigo, which can also trigger nausea and vomiting. Identify problems related to aging that are remediable and assist the patient to seek appropriate assistance/access resources.These encourage problem-solving to improve conditions rather than accept the status quo. Nursing Care Plan 1.21.2009 NCP Nursing Diagnosis: Disturbed Sensory Perception: Auditory Hearing Loss; Hearing Impaired; Deafness Nursing Diagnosis: Disturbed Sensory Perception: Auditory Hearing Loss; Hearing Impaired; Deafness NOC Outcomes (Nursing Outcomes Classification) Suggested NOC Labels * Hearing Compensation Behavior Recommended nursing diagnosis and nursing care plan books and resources. Provide diversional activities such as guided imagery. Educate the patient and significant others about warning signs and symptoms to report. For more information, check out our privacy policy. GCS is a universal method of assessing the level of consciousness, which includes the measurement of the persons sensory, verbal, and motor cues. Nursing Diagnosis. Remove the client from chaotic environments. To reduce anxiety of the patient and caregiver. (2020). Related to. The patient will be able to move both feet and toes without difficulties and absence of contractures. Family members can keep patients safe by checking the water temperature before bathing and food or cooking temperature to prevent burns.

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