LESSON PLAN

ON

SENSORY
DEPRIVATION
SUBMITTED TO: SUBMITTED BY:

SUBMITTED ON:

LESSON PLAN PROFILE

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Name of the student :

Subject : Advanced Nursing Practice

Topic : SENSORY DEPRIVATION

Group of students :

Number of students :

Place : College of Nursing, PIMS

Date :

Time & duration : 1 hour

Method of teaching : Lecture cum discussion

A.v.aids : Pamphlet, Chart, Handout, PPT, OHP, Leaflet, White board

Name of evaluator

Signature of the student: signature of the faculty:

Objectives:
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 General objectives:

At the end of the class, the students will be able to acquire the knowledge on Sensory deprivation

and develop desirable attitude and skills towards teaching sensory deprivation.

Specific objectives:

The students will be able to:

- Explain RAS (Reticular Activating system) and its function

- define sensory deprivation
- explain the effect of decreased sensory input in brain function
- List down the factors affecting sensory function
- List down the factors placing patients at high risk for sensory deprivatio
- List down the clinical changes in patient with sensory deprivation
- Enlist patients those who are in risk of sensory deprivation
- List down the possible nursing diagnosis for the patient with sensory deprivation
- Enlist the Needs and problems of the patients with sensory deprivation
- Enlist the possible nursing interventions sensory deprivation

SPECIFIC TEACHERS LEARNERS AV

TIME CONTENT EVALUATION
OBJECTIVES ACTIVITY ACTIVITY AIDS

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 L
2 mins Introduction E
Nightingale believed that variety in the C
environment was a critical aspect affecting T

the patient’s recovery. She discussed the U

R
need for changes in color and form,
E
including bringing the patient brightly
colored flowers or plants. “she also C
2 mins advocated rotating 10 or 12 paintings and U Slide
M Listening,
engravings each day, week or month to
participating
provide variety for the patient.”
D in discussion

I and taking
Explain RAS RAS is the functional system of brain. It is a notes Explain RAS (Reticular
S
(Reticular phylogenetically primitive network of small Activating system) and its
C
Activating neurons that extend throughout the brain function ?
U
2 mins system) and its
stem and into the spinal cord. It controls vital S
function Slide
functions like breathing, HR, BP, level of S
I
consciousness and others.
O
RAS in the brain stem is responsible
N

TIME SPECIFIC CONTENT TEACHERS LEARNERS AV EVALUATION

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 OBJECTIVES ACTIVITY ACTIVITY AIDS
5 mins for arousal mechanism. There are two L

components in it Reticular Excitatory Area E Slide

C
(REA), and the Reticular Inhibitory Area
T
The students (RIA). The REA is responsible for stimulus U
will be able to arousal and wakefulness. R
define the Definition E Define the sensory
sensory Sensory Deprivation is a decrease in or lack of deprivation?
deprivation meaningful stimuli. It results when a person C Listening,
experiences decreased sensory input or output that is U participating
5 mins
monotonous, unpattern or meaningless. M in discussion
and taking
The students OHP
D notes
will be able to
With decreased sensory input, the RAS is no I
explain the effect Effect of decreased sensory
longer able to project a normal level of activation to S
of decreased input in brain function
the cerebral cortex of the brain. Due to which the C
sensory input in
individual becomes acutely aware of the remaining U
brain function
stimuli around him or her and may hallucinate S
simply to maintain an optimal level of arousal. S
I
O
N

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 SPECIFIC TEACHERS LEARNERS AV
TIME CONTENT EVALUATION
OBJECTIVES ACTIVITY ACTIVITY AIDS
List down the L Slide
Factors affecting sensory function:
factors affecting E Enlist the factors affecting
 Developmental stage
sensory function C sensory function?
 Culture
T
 Stress
U
 Medication and illness
R
 Lifestyle and personality E
List down the
factors placing Factors placing patients at high risk for sensory C Listening, List down the factors placing
patients at high deprivation: U participating patients at high risk for sensory
risk for sensory  Patients those unable to process M in discussion deprivation?
deprivation environmental stimuli like
and taking
 Patient with spinal cord injury/ brain damage D notes
 Those who are confused or disoriented I
 Medications affecting CNS S
Perceptional response: Inaccurate perception of C
stimuli, imbalanced equilibrium and body U
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 coordination. This ranges from mild distortions like S
day dreaming to large distortions like hallucination. S
Cognitive response: Decreased attention span and I
inability to control thought process. Patient exhibit O
difficulty in memory, problem solving, and task N
performance.
Emotional resonse: Apathy, anxiety, fear,
depression and rapid mood changes

List down the Clinical Manifestation

clinical changes
in patient with  Physical behavior: Excessive yawning,
sensory
drowsiness ,sleeping
deprivation
 Escape behavior: Eating, exercising,
List down the clinical changes
sleeping,running away from deprived
in patient with sensory
environment deprivation?
 Cognitive behavior changes: Decreased
attention span, difficulty concentrating,
decreased problem solving, impaired
memory, periodic disorientstion, general
confusion or nocturnal confusion
 Perceptual changes: Preoccupation with
somatic complaints, such as palpitation,
hallucination or delusion
 Affective behavior: Crying, annoyance over

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 small matter, depression, apathy, emotional
liability

Enlist patients
Patients at risk
those who are in
risk of sensory  Long term institutionalized patients
deprivation
 Patients with communicable diseases
 Bed ridden patients Enlist patients those who are in
risk of sensory deprivation?
 Patient with sensory alterations like impaired
vision/hearing
 Patient who are depressed
 Disturbed nervous system
 Patient with different culture
SPECIFIC TEACHERS LEARNERS AV
TIME CONTENT EVALUATION
OBJECTIVES ACTIVITY ACTIVITY AIDS
Nursing diagnosis: L
 Disturbed sensory Perception ( visual, E
List down the
possible nursing auditory etc…) C List down the possible nursing
diagnosis for the diagnosis for the patient with
 Risk for injury related to sensory T
5 mins patient with sensory deprivation?
sensory perceptual disturbances U
deprivation
 Impaired home maintainance related R
sensory perception disturbances E

 Risk for impaired skin integrity ( tactile

Listening,
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 C participating
U in discussion
stmulation) M and taking
 Impaired verbal communication related notes
to altered level of consciousness, other D
sensory deprivation I Slide
 Self care deficit related to visual S
impairment, inability to perceive body C
part or spatial relationship U
 Social isolation related to impaired S
social interaction, impaired S
hearing/vision I
O
N
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Needs and problems of the patients with
Enlist the Needs L Enlist the Needs and problems
and problems of sensory deprivation of the patients with sensory
the patients with E deprivation?
sensory  Safety
C
deprivation
 Communication enhancement T
 Hearing deficit U

 Visual deficit R
E
 Nutrition management
Listening,

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  Environmental management C participating
U in discussion
 Fall prevention
M and taking
 Body mechanics promotion
notes
 Peripheral sensational management D

 Emotional support I
S
Nursing Intervention
6 mins C Flunnel
Enlist the  Antenatal mother Screening for graph
U
possible nursing
interventions
rubella and syphyllis S Enlist the possible nursing
sensory  Early screening for sensory perception S interventions sensory
deprivation deprivation?
deficit I
O
 Provide appropriate sensory input
N
 Regular health checkup
 Adjusting environmental stimuli
similar to ordinary life stimuli
 Preventing sensory overload ( dark
glasses / eye shield for visual stimuli,
ear plug for auditory,)
 Encourage the use of sensory aids to
support residual sensory function
 Promote use of other senses

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  Ensure client safety
 Orient patient to surrounding
environment
 Provide stimuli according to their need
eg; tactile stimulation- different
texture, touch and rubs
Olfactory stimuli- oral hygiene, care
of dentures, food of different taste,
texture, temperature and smell of food
served
Viusual stimuli- colourful cards,
pictures , flowers

SPECIFIC TEACHERS LEARNERS AV

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
5 mins

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10 mins

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L
E
C
T
U
R
E
Listening,

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 C participating
U in discussion
M and taking
notes
D
I
S
C
U
S
S
I
O
N
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L
E
C
T
U
R
E
Listening,

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 C participating
U in discussion
M and taking
notes
D
I
S
C
U
S
S
I
O
N
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L
E
C
T
U
R
E
Listening,
Pamph
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 C participating
U in discussion
M and taking
notes
D
I
S
-let
5 mins C
U
S
S
I
O
N
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L
E
C
T
U
R
E

C Listening,

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 U participating
M in discussion
and taking
D notes
I
S
C
U
S
S
I
O
N

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L
E
5 mins
C
T
U Pamph
-let
R
E

C Listening,

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 U participating
M in discussion
and taking
D notes
I
S
C
U
S
S
I
O
N

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L
3 mins Slide
E
C
T
U
R
E

C Listening,

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 U participating
M in discussion
and taking
D notes
I
S
C
U
S
S
I
O
N

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L
E Slide
3 mins
C
T
U
R
E

C Listening,

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 U participating
M in discussion
and taking
D notes
I
S
C
U
S
S
I
O
N

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SUMMARY: In this lecture we discussed about sensory perception, RAS and its function, sensory deprivation definition, factors
affecting sensory perception, patients at risk of sensory deprivation, ill effects, Needs and problems of patients with sensory
deprivation, nursing diagnosis and nursing intervention for patients with different sensory deprivation.

Conclusion: Sensory perception is one of the vital function of the body system. Any deficit or overload can affect the daily living
activity of an individual. In addition to it also alters one’s level of dependency and self- esteem. Thus it is necessary to protect and
maintain its normal function as much as possible.

Assignment

Enumerate preventive measures of different sensory deprivation.

Post evaluation

1. Define is sensory deprivation?

2. What are the factors affecting sensory deprivation?
3. What are possible nursing intervention of patient with sensory deprivation?

Bibliography:

Book reference

1. B. T. Basavanthappa, “Nursing Education”, 2nd edition, 2009, Jaypee Brothers, Medical Publishers, New Delhi, page no.
513-515.

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 2. Shrestha. R., A Textbook of Educational Science in Nursing, 1st edition, vidhyarthi pustak bhandar, bhotahity, kathmandu,
page no. 96-100.
3. R Sudha, “Text book of Nursing Education Principles and Concepts”, 1st edition,2013,Jaypee Brothers, Medical
Publishers, New Delhi, page no.

Net reference

1. http://www.slideshare.net/LouisGrauer/sensory deprivation - 15797490

2. http://www.slideshare.net/tjcarter/what-is- sensory deprivation? from_action=save
3. http://www.slideshare.net/jashya/ sensory deprivation - 13753232?from_action=save

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Thank you…

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