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Disturbed Sensory Perception

The document outlines a nursing assessment, diagnosis, plan, rationale and evaluation for a client with Parkinson's disease exhibiting sensory impairments. The short-term goals are for the client to identify external factors affecting their senses after 7 hours of intervention and compensate for sensory impairments after 2 days. The long-term goal is for the client's sensory impairments to be compensated for after 2 days of nursing intervention. Evaluations will be conducted to monitor progress towards these goals.

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Jashtine Jingco
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1K views3 pages

Disturbed Sensory Perception

The document outlines a nursing assessment, diagnosis, plan, rationale and evaluation for a client with Parkinson's disease exhibiting sensory impairments. The short-term goals are for the client to identify external factors affecting their senses after 7 hours of intervention and compensate for sensory impairments after 2 days. The long-term goal is for the client's sensory impairments to be compensated for after 2 days of nursing intervention. Evaluations will be conducted to monitor progress towards these goals.

Uploaded by

Jashtine Jingco
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Scientific Nursing

Assessment Diagnosis Planning Rationale Evaluation


Explanation Interventions
OBJECTIVE: Disturbed sensory Parkinson’s SHORT-TERM: INDEPENDENT: SHORT-TERM:
- Hyposmia perception related disease occurs - After 7 hours of - Assess the ability - To obtain an - After 7 hours
- to altered sensory when the nursing to speak, hear, overview of od nursing
Decreased reception as neurons in an intervention, the interpret, and client’s mental intervention,
level of the evidenced by area of brain client will be respond to simple and cognitive the client shall
sense of decreased level of which are able to identify commands. status and have identified
touch senses secondary responsible for external factors ability to external factors
- to Parkinson’s movement that contribute interpret that contribute
Hypogeusia disease become to alterations in stimuli. to alterations in
- impaired. This sensory abilities. sensory
Decreased also causes - Evaluate sensory - To assess abilities.
level of the deficiency in awareness; degree of
sense of cortical sensory stimulus of hot impairment.
hearing integration which and cold, dull or LONG-TERM:
leads to LONG-TERM: sharp; smell, taste, - After 2 days of
sensorimotor - After 2 days of visual acuity, and nursing
abnormalities. nursing hearing; gait, intervention,
intervention, the mobility; location the client shall
client will be and function of have
able to body parts. compensated
compensate for for sensory
sensory - Determine - To note impairments.
impairments. response to whether
painful stimuli. response is
appropriate to
stimulus,
immediate or
delayed.
- Provide means of - To promote
communication normalization
and promote or response to
stable stimuli.
environment with
continuity of care
by same personnel
as much as
possible.

- Avoid isolating - To prevent


client, physically sensory
and emotionally. deprivation and
limit confusion.

- Interpret stimuli - To assist client


and offer to separate
feedback. reality from
fantasy and
altered
perception.

- Provide tactile - Touching is an


stimulation as care important part
is given. of caring and a
deep
psychological
need
communicating
presence.
- Provide safety - To prevent
measures as injury and
needed. complication.

- Ambulate with - To enhance


assistance and balance.
devices.

INTERDEPENDENT:
- Collaborate with - To achieve
and involve other maximal gains
health team in function and
members in psychosocial
providing well-being.
rehabilitative
therapies and
stimulating
modalities.

Assessment Diagnosis Scientific Explanation Planning Nursing Interventions Rationale Evaluation OBJECTIVE: - Hyposmia - Decr
- Provide means of communication and promote stable environment with continuity of care by same personnel as much as po
- Provide safety measures as needed. - Ambulate with assistance and devices. INTERDEPENDENT: - Collaborate with and in

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