Chapter 38 Sensory Perception

Sensory Process Sensory reception Sensory perception Receiving stimuli or data Sensory perception Conscious organization and translation of data into meaningful information

Sensory Process Stimulus Receptor Impulse conduction Perception

Factors Influencing Sensory Function Developmental stage Culture Level of stress Medications and illness Lifestyle and personality

Sensory Alterations Sensory deprivation Sensory overload Sensory deficits

Assessment of Sensory-Perceptual Function Nursing history Mental status examination Physical examination Identification of clients at risk Client’s environment Social support network

NANDA Nursing Diagnoses Disturbed Sensory Perception (Specify: Visual, Auditory, Kinesthetic, Gustatory, Tactile, Olfactory) Acute Confusion Chronic Confusion Impaired Memory

Outcome Criteria Prevent injury Maintain the function of existing senses Develop an effective communication mechanism Prevent sensory overload or deprivation Reduce social isolation Perform activities of daily living independently and safely

Implementing Promoting healthy sensory function Impaired vision Impaired hearing Impaired olfactory Impaired tactile

Group Work You are caring for a client with sensory alteration. Will this deficit affect your nursing care? How? What can you do to provide optimal nursing care to this client? What teaching should be done regarding safety at home? The sensory alterations are Impaired vision, hearing, olfactory, tactile

Manage Acute Sensory Impairments Encourage use of sensory aids Promote the use of other senses Communicate effectively Ensure client safety Prevention of sensory overload/deprivation

Box 38-4 Preventing Sensory Overload 12

Box 38-5 Preventing Sensory Deprivation 13

The Confused Client Acute confusion (delirium) Chronic confusion (dementia) Promoting a therapeutic environment Box 38-6 pg. 917

QUESTIONS????