I am assigned do make a Care Plan for a long term facility patient who has a history of Diabetes Mellitus type 2. He is self-sufficient... does all ADL's on his own, walk with a walker d/t his vision is not so great. He has myopia and has recently been diagnosed with nuclear sclerosis cataract. This is the nursing diagnosis I have come up with:
Disturbedsensory perception related to impaired visual reception as evidencedby decreased vision with the need to use corrective lenses to see.
I am just very unsure if this "works" or not. The patient does have glasses, but he claims that he does not wear them all the time. I think the route I am wanting to go has to do with safety. I have my patient goal as being
Maintainsafe optimal functioning within limits of visual impairment
Any suggestions/comments would be very appreciated!
Thank you all for you input. My college did not require us to have this NANDA- 2012-2014 book I keep reading about, but I will probably be investing in one very soon. They required us to have a Nursing Care Plan book that I do not find is much help to me. Esme12-- I am a second semester student and do understand the nursing process. I did end up completely throwing out this ND and came up with one that made much more sense and could definetely be applied to my patients situation. GrnTea-- FYI, I actually found "disturbed sensory perception" on the nanda website... so it wasnt something I pulled out of no where. Thank you
"Disturbed sensory perception" was retired from the list of approved diagnoses in the 2012-2014 edition. The rationale they give for this (pages 490-491) is" "Focus areas within the diagnosis should be separated into individual concepts (i.e., visual sensory perception deficit, auditory sensory perception deficit, etc.), with defining characteristics and related factors specific to each focus clearly identified." Thanks for the opportunity to clarify that.
Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
"Disturbed sensory perception" was retired from the list of approved diagnoses in the 2012-2014 edition. The rationale they give for this (pages 490-491) is" "Focus areas within the diagnosis should be separated into individual concepts (i.e., visual sensory perception deficit, auditory sensory perception deficit, etc.), with defining characteristics and related factors specific to each focus clearly identified." Thanks for the opportunity to clarify that.
That is bizarre
I swear I have it in mine....an both my care plan books. I buy them every time the ND are updated. But yes they need to be divide into visual, auditory, sensory.
Thanks for you discussion above (from last year) concerning sensory perception. It is frustrating the way these nursing diagnoses get changed. I'm pretty sure my Excelsior nursing program still considers disturbed sensory perception a nursing diagnosis, but they do want us to specify what sense is disturbed. E. g. the patient I nurse in Home health as an LVN is a quadriplegic, and he certainly has disturbed or diminished sensory perception. Doesn't he? What are the nursing diagnoses to use for that? I would write it this way: Disturbed sensory perception of the tissue on his buttocks R/T spinal cord injury of C2 with paralysis AEB pressure ulcer on his coccyx. I have questions about this nsg dx even as I write it. What do you think? Perhaps I should be focusing on his tissue perfusion.
nurseprnRN, BSN, RN
1 Article; 5,116 Posts
"Disturbed sensory perception" was retired from the list of approved diagnoses in the 2012-2014 edition. The rationale they give for this (pages 490-491) is" "Focus areas within the diagnosis should be separated into individual concepts (i.e., visual sensory perception deficit, auditory sensory perception deficit, etc.), with defining characteristics and related factors specific to each focus clearly identified." Thanks for the opportunity to clarify that.