Module 07 Assignment: Sensory Perception Disorder Care Map

Module 07 Assignment Sensory Perception Disordercare Mappurpose Of T

Identify the importance of client compliance with a treatment regimen to prevent a permanent disability. Describe the purpose of the treatment regimen in preventing complications of the disease process. Develop a nursing care plan for a client with a sensory perception disorder, including assessment and data collection, three NANDA-I approved nursing diagnoses, SMART goals for each diagnosis, and two nursing interventions with rationale for each diagnosis. Support your plan with at least two scholarly sources, citing in APA format.

Paper For Above instruction

Sensory perception disorders, such as visual impairments like glaucoma, significantly impact individuals' quality of life and require comprehensive nursing care to prevent progression and facilitate optimal functioning. Proper understanding of the disease process, associated diagnostics, and interventions is crucial in ensuring effective management. This paper explores the case of Ms. Julia Jones, a 68-year-old woman diagnosed with primary open-angle glaucoma, detailing assessment, diagnoses, goals, and interventions aligned with best nursing practices, supported by scholarly literature.

Assessment and Data Collection

Glaucoma, particularly primary open-angle glaucoma (POAG), is a chronic optic neuropathy characterized by progressive peripheral vision loss due to retinal nerve fiber layer damage, often associated with increased intraocular pressure (IOP) (Weinreb et al., 2014). The pathophysiology involves obstruction of aqueous humor outflow at the trabecular meshwork, leading to IOP elevation, which damages the optic nerve. Diagnostic workup includes tonometry to measure IOP, gonioscopy to examine anterior chamber angle, optical coherence tomography (OCT) to assess retinal nerve fiber layer, and visual field testing (Kotov et al., 2020). Subjectively, patients may report halos around lights, blurred vision, or no symptoms in early stages. Objective data includes elevated IOP readings, optic disc cupping, and visual field deficits. Ms. Jones’s health history should include familial ocular history, hypertension, diabetes, and medication adherence patterns. Objective examination reveals increased IOP, optic nerve changes, and peripheral vision deficits.

NANDA-I Approved Nursing Diagnoses

• Risk for Injury related to impaired peripheral vision secondary to glaucoma as evidenced by patient's difficulty seeing objects on the periphery.
• Impaired Self-Ccare Deficit related to visual impairment as evidenced by Ms. Jones’s unfamiliarity with eye drop administration.
• Anxiety related to new diagnosis of glaucoma and concern about vision loss as evidenced by verbal expressions of worry and uncertainty about treatment.

SMART Goals for Each Nursing Diagnosis

1. Risk for Injury: Ms. Jones will demonstrate safe mobility techniques and maintain a clutter-free environment within 48 hours of education, reducing her risk of falls and injury.
2. Impaired Self-Care Deficit: Within three days, Ms. Jones will correctly demonstrate the proper technique for administering eye drops with minimal assistance.
3. Anxiety: Ms. Jones will verbalize understanding of her condition and treatment plan, expressing decreased anxiety levels within one week.

Interventions and Rationale

Risk for Injury

1. Intervention: Educate Ms. Jones on environmental modifications to prevent falls, such as removing loose rugs and installing grab bars in the bathroom. Rationale: Modifying the environment reduces trip hazards and enhances safety, especially given her peripheral vision impairment (American Geriatrics Society, 2019).
2. Intervention: Encourage the use of mobility aids and provide cane/training as needed. Rationale: Assistive devices increase stability and confidence while ambulating, decreasing fall risk.

Impaired Self-Care Deficit

1. Intervention: Demonstrate proper eye drop instillation technique and supervise Ms. Jones performing the task until competent. Rationale: Ensuring correct administration improves medication efficacy and minimizes systemic absorption or injury.
2. Intervention: Teach Ms. Jones about medication schedules, storage, and potential side effects. Rationale: Education promotes adherence and early recognition of adverse effects, crucial for chronic glaucoma management.

Anxiety

1. Intervention: Provide patient-centered education on glaucoma, treatment importance, and prognosis to clarify misconceptions. Rationale: Increased knowledge reduces uncertainty and alleviates anxiety (Kumar et al., 2019).
2. Intervention: Offer emotional support and encourage Ms. Jones to express feelings, possibly referring to counseling if needed. Rationale: Emotional support helps in coping with chronic disease diagnosis and enhances overall well-being.

Conclusion

Effective nursing care for clients with sensory perception disorders like glaucoma hinges on comprehensive assessment, precise diagnoses, and targeted interventions. Education about medication use, safety measures, and emotional support are vital components that enhance client compliance, prevent complications, and improve quality of life. Utilizing evidence-based practices ensures that nursing interventions are both effective and tailored to individual needs, ultimately reducing the risk of permanent disability and promoting health outcomes.

References

• American Geriatrics Society. (2019). Geriatric neurology and ophthalmology safety guidelines. Journal of Geriatric Care, 45(3), 225-234.
• Kotov, S. V., et al. (2020). Advances in diagnosis and management of glaucoma. Ophthalmic Research, 64(2), 85–94.
• Kumar, A., et al. (2019). Patient education and emotional support in chronic disease management. Journal of Nursing Practice & Research, 18(4), 123-130.
• Weinreb, R. N., et al. (2014). The pathophysiology and management of glaucoma. Nature Reviews Ophthalmology, 11(11), 732-743.
• Schwartz, B., et al. (2018). Pharmacological management of glaucoma. Clinical Ophthalmology, 12, 271-280.
• Kim, D., et al. (2021). Visual field testing in glaucoma diagnosis. Journal of Ophthalmic Technologies, 16(3), 45-52.
• Gordon, M. O., et al. (2019). Essential diagnostics in glaucoma. American Journal of Ophthalmology, 207, 23-30.
• Johnson, R. & Adams, A. (2017). Patient safety and environmental modifications. Nursing & Health Sciences, 19(2), 174-180.
• Singh, K., et al. (2022). Nursing interventions in visual impairment management. International Nursing Review, 69(1), 76-84.
• Lee, A., et al. (2020). Enhancing medication adherence in ophthalmic therapy. Journal of Clinical Nursing, 29(21-22), 4144-4154.