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32 Cards in this Set
- Front
- Back
sensory reception
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the process of receiving stimuli or data. these stimuli are either external or internal to the body
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visual
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(sight) external stimuli
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auditory
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(hearing) external stimuli
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olfactory
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(smell) external stimuli
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tactile
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(touch) external stimuli
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gustatory
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(taste) external stimuli. can also be internal
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kinesthetic
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internal stimuli; refers to awareness of the position and movement of body parts. for example, a person walking is aware of which leg is forward
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stereognosis
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ability to perceive and understand an object through touch by its size, shape, and texture. for example, a person holding a tennis ball is aware of its size, roung shape, and soft surface without seeing it.
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visceral
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internal stimuli; refers to any large organ within the body. ______ organs may produce stimuli that make a person aware of them (e.g., a full stomach)
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sensory perception
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involvesthe conscious organization and translation of the dara or stimuli into meaningful information
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sensoristasis
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term used to describe when a person is in optimal arousal; people have their own zone of optimum arousal, the level at which the person feels comfortable.
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awareness
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the ability to perceive environmental stimuli and body reactions and to respond appropriately through thought and action
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sensory deprivation
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generally thought of as a decrease in or lack of meaningful stimuli. when a person experiences sensory deprivation, the balance in the reticular activating system is disturbed. The RAS is unable to maintain normal stimulation to the cerebral cortex. because of this reduced stimulation a person becomes more acutely aware of the remainting stimuli and often perceives these in a distorted manner. thus the person often experiences alterations in perception, cognition, and emotion.
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sensory overload
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generally occurs when a person is unable to process or manage the amount or intensity of sensory stimuli.
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three factors that contribute to sensory overload
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1. increased quantity or quality of internal stimuli, such as pain, dyspnea, anxiety
2. increased quantity or quality of external stimuli, such as a noisy health care setting, intrusive diagnostic studies, contacts with many strangers 3. inability to disregard stimuli selectively, mayhaps as a result of nervous system disturbances or medications that stimulate the arousal mechanism |
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sensory deficit
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impaired reception, perception, or both, of one or more of the senses. blindness and deafness are sensory deficits. when only one sense is affected, other senses may becomes more acute to compensate for the loss
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cultural deprivation
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or cultural care deprivation; a lack of culturally assistive, supportive, or facilitative acts.
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factors affecting sensory function
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1 developmental stage
2 culture 3 stress 4 medications and illness 5 lifestyle and personality |
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developmental stage
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perception of sensation is critical to the intellectual, social, and physical development of infants and children. adults have many learned responses to sensory cues. the sudden loss or impairment of any sense, therefore, has a profound effect on both the child and the adult.
normal physiologic changes in older adults put them at higher risk for altered sensory function. the diminishing of sensory perception that may coem with chronic disease or aging is generally gradual. |
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culture
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an individuals cultureoften determiens the amount of stimulation that a person considers usual or "normal." a sudden change in cultural surroundings experienced by immigrants or visitors to a new country, especially where there are differences in language, dress, and cultural behaviors, may aslo result in sensory overload or culture shock
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stress
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during times of increased ctress, people may find their senses already overloaded and thus seek to decrease sensory stimulation
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medications and illness
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certain meds can alter an individual's awareness of environmental stimuli.
certain diseases, such as atherosclerosis, restrict bolood flow to the receptor organs and the brain, thereby decreasing awareness and slowing responses |
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lifestyle and personality
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lifestyle influences the quality and quantity of stimulation to which an individual is accustomed.
peoples' personalities also differ in terms of quantity and quality of stimuli with which they are comfortable. Some people delight in constantly changing stimuli and excitement, whereas others prefer a more structured life with few changes |
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acute confusion (delirium)
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different from chronic confusion (dementia). is has an abrubt onset and a cause which when treated, reverses the confusion.
dementia is often called chronic confusion with sumptoms that are gradual and irreversible |
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acute confusion (delirium)
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different from chronic confusion (dementia). is has an abrubt onset and a cause which when treated, reverses the confusion.
dementia is often called chronic confusion with sumptoms that are gradual and irreversible |
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Diagnosing
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disturbed sensory perception
acute confusion chronic confusion impaired memory |
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disturbed sensory perception
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(specify: visual, auditory, kinesthetic, gustatory, tactile, olfactory) chang in the amount or patterning of incoming stimuli accomplanied by a diminished, exaggerated, distorted, or impaired response to such stimuli. this diagnostic label is used to describe clients whose perception has been altered by physiologic factors such as pain, sleep deprivation, immobility, and excessive or decreased meaningful environmental stimuli
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acute confusion
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abrupt onset of a cluster of global, transient changes and disturbances in attention, cognition, psuchomotor activity level of consciousness, and/or sleep/wake cycle
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chronic confusion
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irreversible, lond-standing, and/or progressive deteriortaion of intellect and personality characterized by descresed abnility to interpret environmental stimuli; and decreased capacity for intellectual thought processes; and manigested by disturbances of memory, orientation, and behavior
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impaired memory
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inability to remember or recall bits of information or behavior skills. impaired memory may be attributed to pathophysiological or situational caused that are either temporary or permanent
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Planning:
overall outcome criteria for clients with sensory-perception alterations |
prevent injury,
maintain the function of existing senses, develop an effective communication mechanism, prevent sensory overload or deprivation, reduce social isolation, perform activities of daily living independently and safely |
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nursing interventions for clients with sensory-perception alterations
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cognitive stimulation,
communication enhancement:hearing deficit, communication enhancement: visual deficit, nutrition management, environmental management, fall prevention, body mechanics promotion, peripheral sensation management, emotional support, surveillance: safety |