Definition:
A state in which an individual experiences a change in the amount or
patterning of incoming stimuli, accompaned by a diminished , exaggerated,
distorted, or impaired response to such stimuli
1. Your initials (required):
2. Defining Characteristics - check those that apply to your client:
None- high
risk diagnosis
auditory distortions
visual distortions
change in sense of taste
change in sense of smell
decreased or absent sensation (specify body part)
altered communication
patterns
change in response to usual stimuli
measured change in sensory acuity
3. Related Factors- check those that apply to your client:
sensory organ
alteration
neurological impairment
fluid and electrolyte imbalance
impaired oxygen transport
stress
surgery
medications
4. Goal (ultimate, long term)
5. Outcome Criteria (short term)
6. Evaluation: Was the outcome criteria met?
Yes- Give
Evidence:
No- Explain
how you would change the plan:
7A. Interventions
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7B. Rationale for each intervention
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