NANDA Nursing Diagnosis Definition: Change in the amount or patterning of incoming stimuli accompanied by a diminished, exaggerated, distorted, or impaired response to such stimuli
Defining Characteristics: Poor concentration, auditory distortions, change in usual response to stimuli, restlessness, reported or measured change in sensory acuity, irritability, disoriented in time, in place, or with people; change in problem-solving abilities; change in behavior pattern; altered communication patterns; hallucinations; visual distortions
NOC Outcomes
- Body Image
- Cognitive Orientation
- Sensory Function: Vision
- Vision Compensation Behavior
- Cognitive Orientation
- Communication: Receptive Ability
- Distorted Thought Control
- Hearing Compensation Behavio
Client Outcomes
- Demonstrates understanding by a verbal, written, or signed response
- Demonstrates relaxed body movements and facial expressions
- Explains plan to modify lifestyle to accommodate visual or hearing impairment
- Remains free of physical harm resulting from decreased balance or a loss of vision, hearing, or tactile sensation
- Maintains contact with appropriate community resources
NIC Interventions
- Communication Enhancement: Hearing Deficit
- Cognitive Stimulation
- Environmental Management
Nursing Interventions and Rationales
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