yes, your thinking is correct. the official nanda diagnosis(es) for a visual or hearing loss or impairment is disturbed sensory perception: (specify as visual, auditory, kinesthetic [movement], gustatory [taste], tactile, olfactory. the related factors, and these are right out of nursing diagnoses: definitions & classification 2005-2006
published by nanda international, page 173, are:
- 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
you can't use macular degeneration as a "related to" factor as it is a medical diagnosis. however, if you break that down into it's symptoms (central vision loss, wavy vertical lines in the middle of the visual field, middle of the visual field appears fuzzy, smudged or empty to the patient, and/or loss of color vision) http://www.fpnotebook.com/eye93.htm
, you can use the symptoms as "defining characteristics", or aeb part of your diagnostic statement. loss of hearing and the inability to hear and see well would be symptoms of altered sensory reception. extreme sensitivity to touch and pain would also be altered sensory reception or altered sensory integration.
with the inability to orient to time i might be inclined to look at other nursing diagnoses because of the cause of this disorientation. i would look at:
- acute confusion
- chronic confusion
- impaired memory
- disturbed thought processes
you would be helped greatly if you have a nursing diagnosis
book to help you out since these list the related factors and defining characteristics that are an integral part of each nursing diagnosis. at least one of the related factors of a nursing diagnosis must be present in order to apply that particular diagnosis to someone. here are two web pages from an online care plan constructor site for the nursing diagnosis disturbed sensory perception for you to look at.
- http://www1.us.elsevierhealth.com/me...ex.cfm?plan=46 - disturbed sensory perception: visual
- http://www1.us.elsevierhealth.com/me...ex.cfm?plan=45 - disturbed sensory perception: auditory
hope that gives you the kick-start you need to complete your assignment.