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Chapter 38 Sensory Perception
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Sensory Process Sensory reception Sensory perception
Receiving stimuli or data Sensory perception Conscious organization and translation of data into meaningful information
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Sensory Process Stimulus Receptor Impulse conduction Perception
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Factors Influencing Sensory Function
Developmental stage Culture Level of stress Medications and illness Lifestyle and personality
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Sensory Alterations Sensory deprivation Sensory overload
Sensory deficits
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Assessment of Sensory-Perceptual Function
Nursing history Mental status examination Physical examination Identification of clients at risk Client’s environment Social support network
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NANDA Nursing Diagnoses
Disturbed Sensory Perception (Specify: Visual, Auditory, Kinesthetic, Gustatory, Tactile, Olfactory) Acute Confusion Chronic Confusion Impaired Memory
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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
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Implementing Promoting healthy sensory function Impaired vision
Impaired hearing Impaired olfactory Impaired tactile
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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
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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
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Box 38-4 Preventing Sensory Overload
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Box 38-5 Preventing Sensory Deprivation
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The Confused Client Acute confusion (delirium)
Chronic confusion (dementia) Promoting a therapeutic environment Box pg. 1015
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QUESTIONS????
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