Zcmiraflores,rn,mn

 Altered sensory perception problems

include:

 Vision
 Hearing
 Thought processes
 Rick for injury/ falls
 Altered sensation isolation and
not able to socialize
 Isolation leads to client
experiencing:
a. boredom
b. have shorter attention span
c. experience difficulty in
coherent thinking
d. emotional distress
experience by those with
loss of vision
e. depression and increased t
thought of suicide among
elderly ( age-related
macular degeneration)
 1. more time spent with the
client to ensure that self
acre needs and safety are Undiagnosed
visual and
meet (difficulty performing hearing
impairments
daily task) leads
unresolved
conflict
between
 2. observant of their client and
clients to identify if they caregivers

suffer from altered sense of

vision or hearing
A client has
impaired vision if:
there is a decreased
or lacking in the
ability to see

 Mightbe brought by
common disorders
or other diseases
 1.decreasing sensitivity
to light
- decrease in the size of
the pupil and increase in
lens thickness limit the
amount of light that can
enter the eye
 2. increase sensitivity to
glare

-opacity of the lens a

dissipates the light that
enters the eyes which
explains the glare that is
commonly felt by older
people
 3.decrease in
adaptability to changes
in light

- The cones of the eye

become slower in
reacting to light, thus
decrease in the
adaptability of the eye to
changes in light
 4. Altered colored vision

-lens become yellowish as

one ages and filter out
colors of short wavelength
such as violet, blue green

-older persons can see

better objects that are
yellow, orange or red
 5. Presbropyia or farsightedness

 Problem with accommodation

 The ability to focus clearly and

quickly on objects at various
distances

 Due to: decrease lens elasticity

and increasing opacity of the
lens
 1. CATARACTS

  most common caused of

adult blindness

 Due to clouding or opacity of

the normally clear, crystalline
lens
 2. GLAUCOMA

-blockage in the
drainage of aqueous
humor (fluid in the
anterior chamber of
the eye)
Pathophysiology:

Aqueous fluid is absorbed by the venous

circulation if not

Increased production of this fluid leading to

its failure to be reabsorbed

INCREASING IOP

Degeneration and cupping of the optic

nerve, atrophy of the optic nerve head,
narrowing of the visual field

Leads to insiduous chronic condition “THIEF

IN THE NIGHT” sudden loss of vision
without symptoms
 3. SENILE MACULAR
DEGENERATION

 -results from decreased Results in

blood supply, accumulation declined
of waste products and central visual
tissue atrophy acuity that
daily tasks
 FACTORS: A. genetic requiring
inheritance close vision
B. systemic and hard to
disease perform
C. nutritional ..PERIPHERAL
factors vision is
retained
 4. DIABETIC RETINOPATHY

 One of the most common

complications of diabetes
 Blood flow to the retina is
diminished retinal degeneration

 The longer the client has had

diabetes the greater the risk

 Among diabetic clients: common to

see some reddened areas on the
sclera hemorrhagic event is
occurring
BLINDNESS