Disturbed Sensory Perception

ADS
Disturbed Sensory Perception (specify: visual, auditory, kinesthetic, gustatory, tactile, olfactory)

Change in the amount or patterning of incoming stimuli accompanied by a diminished, exaggerated, distorted, or impaired response to such stimuli

Defining Characteristics:
  • Poor concentration; 
  • auditory distortions; 
  • change in usual response to stimuli; 
  • restlessness; 
  • reported or measured change in sensory acuity; 
  • irritability; 
  • disoriented in time, in place, or with people; 
  • change in problem-solving abilities; 
  • change in behavior pattern; 
  • altered communication patterns; 
  • hallucinations; 
  • visual distortions
Related Factors:
  • Altered sensory perception; 
  • excessive environmental stimuli; 
  • psychological stress; 
  • altered sensory reception, transmission, and/or integration/insufficient environmental stimuli; 
  • biochemical imbalances for sensory distortion (e.g., illusions, hallucinations); 
  • electrolyte imbalance; 
  • biochemical imbalance
NOC Outcomes (Nursing Outcomes Classification)

Suggested NOC Labels
  • Visual
  • Body Image
  • Cognitive Orientation
  • Sensory Function: Vision
  • Vision Compensation Behavior
  • Auditory
  • Cognitive Orientation
  • Communication: Receptive Ability
  • Distorted Thought Control
  • Hearing Compensation Behavior
Client Outcomes
  • Demonstrates understanding by a verbal, written, or signed response
  • Demonstrates relaxed body movements and facial expressions
  • Explains plan to modify lifestyle to accommodate visual or hearing impairment
  • Remains free of physical harm resulting from decreased balance or a loss of vision, hearing, or tactile sensation
  • Maintains contact with appropriate community resources

NIC Interventions (Nursing Interventions Classification)

Suggested NIC Labels
  • Communication Enhancement: Hearing Deficit
  • Cognitive Stimulation
  • Environmental Management

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