Sensory Perception Disorder Care Map
Disturbed Sensory Perception is a NANDA nursing diagnosis that refers to a change in response to stimuli, which can be either weaker or stronger.
In addition, the client’s response to incoming stimuli may be impaired or distorted, as in the case of schizophrenia or other psychiatric disorders. This could include one or more of the six human senses: visual, gustatory, auditory, olfactory, tactile, and kinesthetic.
Identifying Disturbed Sensory Perception Characteristics
The following characteristics may distinguish Disturbed Sensory Perception:
alterations in the patient’s behavioral patterns, alterations in mental acuity and sensory sharpness
problems with critical thinking or decision making
inability to concentrate
a failure to pay attention to people, time, place, and stimuli
Disturbed Sensory Perception-Related Factors
Numerous risk factors can be linked to changes in how a person perceives sensory cues. These could include:
Aging Environment – Sensory perception disturbances may be related to a specific time, place, or people around the patient (e.g., night blindness, noisy and disruptive places, staying in a hospital, or crowded places)
Imbalances in electrolytes
Congenital conditions (e.g., born blind or deaf)
Chronic illnesses (e.g., diabetes mellitus and dementia)
Treatment (e.g., chemotherapy or radiotherapy) (e.g., chemotherapy or radiotherapy)
Sensory Perception Impairment Diagnosis of Nursing
Sensory Perception Impairment Plan 1 of Nursing Care
Nursing Disturbed Sensory Perception (Visual) caused by a damaged retina, as evidenced by verbal complaints of vision problems such as blurry or distorted vision and inability to see properly at night, as well as the inability to drive at dusk or see in dim places.
The patient will regain optimal vision while learning to cope with and accept permanent vision changes.
Sensory Perception Disorder Care Map
Purpose of the Assignment
1. Identify the importance of client compliance with a treatment regimen to prevent a permanent disability.
2. Describe the purpose of the treatment regimen in preventing complications of the disease process.
· Strategies for safe, effective multidimensional nursing practice when providing care for clients experiencing sensory and perception disorders.
Ms. Julia Jones, a 68-year-old African American woman, has just been diagnosed with primary open-angle glaucoma. Her ophthalmologist has explained the pathophysiology of the disease to her and is trying to select the best treatment option for her. You are the nurse working with the ophthalmologist, and Ms. Jones has asked you about the eye drops the doctor has recommended. Mrs. Jones’s physician has recommended Combigan, one drop in the right eye every 12 hours. Your client has never administered eye drops, and she does not know anything about the medication her ophthalmologist has prescribed. She is interested in how the medication works, the side effects, how it is administered, and why it is so important in treating her glaucoma.
Develop a nursing care plan using a template directly after these instructions to address Ms. Julia Jones’s concerns.
For this assignment, include the following: assessment and data collection (including disease process, common labwork/diagnostics, subjective, objective, and health history data), three NANDA-I approved nursing diagnoses, one SMART goal for each nursing diagnosis, and two nursing interventions with rationale for each SMART goal for a client with a musculoskeletal disorder.
Use at least two scholarly sources to support your care map. Be sure to cite your sources in-text and on a reference page using APA format.