Dx: Disturbed sensory perception

Assessment Diagnosis Analysis Planning Intervention Rationale Evaluation

Subjective: Disturbed Etiological After 2 hours of Independent: - Thin wash After 2 hours of
"Hindi ko kayo auditory factor nursing - Instruct the cloths and fingers nursing
masyadong marinig sa sensory | intervention, the patient in using are best for intervention, the
kanang tenga ko, pwede perception V client will be able safe techniques cleaning the client was able to:
related to ear Accumulated to: for cleaning
bang sa palakasan ng ears. Cotton
discomfort material that - To verbalize ears. - To verbalize
pagsasalita niyo?" secondary to damage the understandin g
Tipped understanding
as verbalized by the presbycusis innerear about the health - Teach some applicators about the health
patient. | teaching done. non-verbal should be teaching done.
V gestures. avoided to
Objective: Loss of hair - To demonstrate prevent injury to - To demonstrate
- Irritability in the cells important some nonverbal Interdependent the eardrum. some nonverbal
ear altered for hearing gestures. : Instruct a gestures.
hearing | patient to have a - Teaching of
V - Interpret verbal routine non-verbal - Interpret verbal
- Impaired Progressive and nonverbal examination by gestures will help and nonverbal
hearing loss messages. an audiologist. messages.
communication. the patient
Provide Health
understand the Goal met
- Shouts when teaching to the words others will
talking family and utter.
peers:
- Does not look - Exams will be
when called - Reduce or the best source
minimize to check for the
- Always out of environmental status of the
focus when talked noise when auditory senses.
to communicating.
- So that patient
- Face patients
in good light and
doesn’t have to
keep hands compete with the
away from the noise to be
mouth or heard.
anything that will
tend to cover - This will
the mouth(e.g. enhance the
handkerchiefs ). patient’s use of
 lip-reading, facial
- Speak slowly. expression and
gesturing.
- Use simple
short language
-This will help the
and sentences.
client to further
- Avoid understand
shouting. clearly the words
uttered.
Assessment Diagnosis Analysis Planning Intervention Rationale Evaluation