Components of Sensory
What sense refers to sight?
What is VISUAL/VISION
Alert, oriented to person/place/time; understands written and spoken words/stimuli refers to what level of arousal?
Full Consciousness
Confusion can occur in any age, but is most commonly seen in what age group?
What is older adults
Thought of as a decrease in or lack of meaningful stimuli
What is sensory deprivation
An older adult in the hospital is having trouble sleeping with periods of confusion during waking hours. What is the client experiencing?
What is disrupted sleep cycle likely because of the new (possibly noisy environment)
What sense refers to auditory?
What is hearing
Extreme drowsiness, but will respond to stimuli
What is Somnolent
Has an abrupt onset, a cause, and when treated reverses the confusion.
What is delirium
Generally occurs when a person is unable to process or manage the amount or intensity of sensory stimuli
What is sensory overload
Symptoms of sensory overload
Sleeplessness, Anxiety, Racing thoughts, fatigue, irritability, periods of disorientation, muscle tension
What sense refers to olfactory?
What is smell
No response to verbal stimuli
What is a coma
Has symptoms that are gradual and irreversible
what is dementia (EX: Alzheimers)
Impaired reception, perception, or both of one or more senses
What is Sensory deficit
What drugs cause ototoxicity?
Aspirin
Lasix
Aminoglycosides
Chemotherapy Medications
What sense refers to the awareness of the awareness of position and movement of body parts?
What is kinesthetic
Can be aroused by extreme or repeated stimuli?
What is Semicomatose
When you are caring for a dementia patient, what interventions should you implement to decrease confusion?
Eliminate Noise
Provide adequate sleep
Keep glasses and hearing aids IN REACH
Provide clear and concise explanations for treatments
Keep familiar items around
Remain calm
What types stimuli should the nurse consider when assessing a clients environment for sensory deprivation?
Electronic devices
Clock or calendar
Reading material
Roommates/Visitors
Four aspects of the sensory process?
Stimuli
Receptor
Impulse conduction
Perception
What sense is related to stereognosis?
What is Touch/Tactile
What is the difference between disoriented and confused?
Disoriented-Not oriented to Person/place/time
Confused-reduced awareness/judgement; poor memory
What types of medications increase the risk of delirium?
What is anticholinergics, narcotics, and sedatives
What types of healthcare environmental stimuli should the nurse consider for sensory overload?
bright lights
noise
frequency of assessment/procedures
visitors
if you have a visually impaired client and you are helping them with ambulation, how far ahead of them should you walk?
Walk 1 foot in front of the client.