NursingDiagnosisExpectedOutcomeNursing Intervention Evaluation Discharge Instruction
Alteredsensoryperception(visual) relatedto alteredsensoryreception dueto cataractAfter 16hours ofnursingintervention,the patientwill be able torecognizeandcompensatefor sensoryimpairments.
To assess causative/contributing factorsand degree of impairment:
Identify client with condition that can affectsensing, interpreting, and communicating stimuli(e.g., cataract).
Review results of laboratory tests (e.g., serumelectrolytes, chemical profile, ABGs, serum druglevels).
Assist with/review diagnostic studies andsensory /motor neurological testing.
Monitor drug regimen
to identify medicationswith effects or drug interactions that maycause /exacerbate sensory/ perceptualproblems.
Assess ability to speak, hear, interpret andrespond to simple commands
to obtain an
overview of client’s mental/cognitive
statusand ability to interpret stimuli
Evaluate sensory awareness:eapeciallystimulus of visual acuity and hearing; gait/mobility
Observe for behavioral responses (e.g.,illusions/hallucinations, delusions, withdrawal,hostility, crying, inappropriate affect, confusion /disorientation).
s perception of problem /changes in activities of daily living. Listen to and
respect client’s expressions of
deprivation andtake these into consideration in planning care.Goal met.The patientwas able toidentify waytocompensatewith visualimpairments.
MedicationsEnvironmental ModificationsTeachingsHome InstructionsOutpatient Follow upDrug InteractionsSocial Support