Sensory Alterations
The three components of any sensory experience
What is Reception, Perception, and Reaction?
Physiological signs that a person may be experiencing pain?
Tachycardia, hypertension, tachypnea OR bradypnea, diaphoretic
How often should someone be repositioned?
What is Q2 hours?
Assessing a patient for sensory alteration should include?
A patient's mental status, physical assessment, survey of environmental hazards, social support, medication use, and communication ability?
Most common way to rate pain in adults?
What is 0-10 pain scale?
The type of sensory alteration occurs when a person has difficulty receiving or perceiving stimuli
What is Sensory deficit?
Lasts longer than 6 months
Chronic Pain
CNO is the....? And responsible for what?
College of Nurses of Ontario and is responsible protect the public by ensuring safe nursing practices
Ways to promote a client's safety in their home when they have an olfactory sensory alteration
Working smoke and carbon monoxide detectors with batteries available
Non-verbal assessments for pain include?
Watching for facial expressions, agitation, and guarding of an area
When external stimuli are meaningless or deficient
What is Sensory deprivation?
Factors that can affect pain
Age, gender, genetics, spiritual influences, cultural influences, medication use, etc
A method to prevent transmission of pathogens from one individual to another?
IPAC methods
Promoting a client's decreased visual abilities
Ensure glasses are clean and worn, provide large print font, use of magnifier, picture boards, etc
Common pain assessment tool
What is OPQRSTUV?
Excessive stimulation
What is sensory overload?
Chronic pain caused by nerve damage or miscommunication of pathways
Neuropathic pain
Informed consent includes what?
Providing information of the benefits and risks of an intervention to a client to make a decision
Reducing loneliness in aging adults with sensory alteration includes:
Spending time with the person in silence or conversation, being present with them
Other words/phrases to use instead of asking about "pain"?
Any discomfort? Any aches? Anything feeling different?
The factors affecting sensory function
Age, meaningful stimuli, amount of stimuli, social interaction, environmental factors, and cultural factors
Common non-pharmacological pain management therapies
Therapeutic touch, meditation, prayer, repositioning, distraction, music, etc
How do you erase an error in your documentation?
A single line through the notation
A nursing intervention for those with sensory alteration(s)
Establishing a safe environment
Actual injury or damage to our body