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Case Study: Sensory Changes in Older People: Chelsey Mae D. Rafael / Aubrey Rose A.Vidon BSN 3Y1 - 2
Case Study: Sensory Changes in Older People: Chelsey Mae D. Rafael / Aubrey Rose A.Vidon BSN 3Y1 - 2
VIDON
BSN 3Y1 - 2
Guidelines:
1.2 Taste
1.3 Smell
1.4 Hearing
1.5 Vision
2.1 General Observation
2.2 Interview
2.3 Physical Assessment
4. Include photo documentation. (Be sure to obtain the consent of the person)
“Nakita ko na mapula pula yung mata nya tapos napansin ko din na tuling sya pag nakatingin sya sakin
hindi ganung naka deretso yung tingin nya tapos magalaw yung mata niya”
Ask questions such as the following to disclose the presence of sensory problems:
“Ulap ulap yung paningin nya hirap sya makakita lalo na pang malayo ulap ulap nalang nakikita nya”
2. “Are your eye glasses as useful to you as they were when you first obtained them?”
“Hindi ganung kalinaw ang kanyang mga mat kumukurap kuris din yung mata nya madalas hindi spa
makatitig ng maayos”
4. “Do you ever see spots floating across your eyes? How often does this happen and how large and
numerous are the spots?”
“Oo, naranasan na nya yun ang kumukurap yung mata nya madalas”
“Hindi”
7. “Do you have difficulty with vision at night, in dimly lit areas, or in bright areas?”
“Mas hirap sya makakita sa gabi dahil narin sa kalabuan nags kanyang mga mata at napansin ko din na
duling sya kaya mast hirap sya makakita”
9. “Have you noticed any change in your ability to hear? Please describe.”
10. “Are certain sounds more difficult for you to hear than others?”
11. “Do you ever experience pain, itching ringing or a sense of fullness in your ears?”
“Minsan daw nangangati at minsan din daw may parang may umuugong”
12. “Do you ears accumulate a lot of wax? How do you manage this?”
“Wala naman.”
PHYSICAL EXAMINATION:
EYES
1. Inspect the eye.
“Nagluluha, hindi ko naman nakitaan na nagluluha yung mata niya”
Color:
“Napansin ko na namumula yung mata niya”
Abnormalities:
“Oo kase hindi maganda yung galaw ng mata nya at isa pa duling sya kaya ganun na hirap sa pagkita”
Eye bags:
“Normal lang siguro na meron sila nun kase matamda na lumalawlaw na yung mga balat nila”
Abnormal movement:
“Napansin ko lag magalaw din yung mata niya”
EARS:
Cerum color: NO
Ear Drum: NO
Lesion: NO
Mrs. S has recently been admitted to an assisted living community. At 75 – year-old retired nurse, she is
able to function and independently perform most activities of daily living; however, she has experienced
some minor injuries as a result of bumping into furniture in her room. Once, she tripped then walking
from her dark bedroom to the brightly lighted bathroom during the night. Mrs. S is frustrated and claims
she never had this problem in her home.
1. What can be done to prevent vision and hearing losses with aging?
If you have to shout over the noise around you, it's loud enough to damage your hearing. Sounds from
motorcycles, concert speakers, power tools like saws and drills, earphones, and more are all loud
enough to make a difference.
Be a Quiet Enforcer
Think about buying appliances and devices that have low noise ratings.
Sometimes you can't avoid the blare of an ambulance siren or the jackhammer on your street corner.
But it's best to limit the amount of time you're around them. Noise-induced hearing loss is a result of the
loudness of sounds and how long you hear them.