1. The patient presented with a rapidly developing eye cancer called retinoblastoma that impaired their sensory perception and altered their ability to interpret stimuli.
2. Over 8 hours of nursing interventions focused on helping the patient compensate for their sensory impairments through assessing their abilities, modifying external factors, and using resources effectively.
3. After the interventions, the patient was able to compensate for their sensory impairments and maintain their usual
1. The patient presented with a rapidly developing eye cancer called retinoblastoma that impaired their sensory perception and altered their ability to interpret stimuli.
2. Over 8 hours of nursing interventions focused on helping the patient compensate for their sensory impairments through assessing their abilities, modifying external factors, and using resources effectively.
3. After the interventions, the patient was able to compensate for their sensory impairments and maintain their usual
1. The patient presented with a rapidly developing eye cancer called retinoblastoma that impaired their sensory perception and altered their ability to interpret stimuli.
2. Over 8 hours of nursing interventions focused on helping the patient compensate for their sensory impairments through assessing their abilities, modifying external factors, and using resources effectively.
3. After the interventions, the patient was able to compensate for their sensory impairments and maintain their usual
Objective: DISTURBED Retinoblastoma is Goal: Independent: After 8 hours of
-Eye is opened in SENSORY a rapidly After 8 hours of Assess ability to To obtain an nursing horizontal plane PERCEPTION developing cancer nursing speak, hear, overview of intervention, the related to altered that develops in intervention, the interpret and client’s mental and patient was able to -Cloudy cornea status of sense the cell of the patient will be able respond to simple cognitive status compensate for that measures organ (eyes) retina, the light to compensate for commands. and ability to sensory 10mm x 9mm and secondary to detecting tissue of sensory interpret stimuli. impairments. is edematous retinoblastoma the eye. Therefore impairments. there is a change Evaluate sensory To assess degree -Anterior chamber in the amount or Objectives: awareness: of impairment. is obliterated patterning of -Maintain usual stimulus of incoming stimuli level of cognition hot/cold, -Vitreous cavity going to the eyes. dull/sharp, smell, contains granular -Modify external taste, hearing, and white material factors that location/function contribute to of body parts. -Sclera is alterations in thickened and sensory abilities Determine To note whether fibrotic response to response is -Use resources painful stimuli. appropriate to -Choroid and focal effectively and stimulus, area of sclera are appropriately immediate or diffusely invaded delayed. by tumor Provide means of To promote communication normalization or and promote response to stable stimuli. environment with continuity of care by same personnel as much as possible. And reorient to person, place, time and events, as necessary.
Avoid isolation of To prevent sensory
client, physically or deprivation and emotionally. limit confusion.
Interpret stimuli To assist client to
and offer separate reality feedback. from fantasy and altered perception.
Speak to visually To provide
impaired client auditory during care. stimulation and prevent startle reflex.
Provide tactile Touching is an
stimulation as care important part of is given. caring and a deep psychological need communicating presence.
Provide safety To prevent injury
measures as and complication. needed.
Position doors and To aid in
furniture so they maintaining are out of travel balance. path for client with impaired vision. Collaborative: Collaborate with To achieve and involve other maximal gains in health team function and members in psychosocial well providing being. rehabilitative therapies and stimulating modalities
James M. Clark, Allan Paivio (Auth.), Mark a. McDaniel, Michael Pressley (Eds.)-Imagery and Related Mnemonic Processes_ Theories, Individual Differences, And Applications-Springer-Verlag New York (198