Maintain an environment that is free from unnecessary noise and ensure that the lights are dim. Assessment of the child’s level of consciousness can help determine the extent of damage due to meningitis. GCS is a universal method of assessing the level of consciousness, which includes the measurement of the person’s sensory, verbal, and motor cues. Use the pediatric Glasgow coma scale to assess the level of consciousness of the patient. Nursing Interventions for Disturbed Sensory Perception Nursing Diagnosis: Disturbed Sensory Perception related to cerebral edema and increased intracranial pressure secondary to meningitis as evidenced by lack of orientation to time, person, and place and decreased level of consciousnessĭesired Outcome: The child will regain normal sensorium, orientation, and level of consciousness. A psychologist can guide the patient to process feelings of helplessness and hopelessness. Dose adjustments or treatment changes can help reverse peripheral neuropathy as well.Ĭhemotherapy-induced peripheral neuropathy can be a constant reminder of cancer and treatment, which can result to anxiety, depression, and ineffective coping. Mild peripheral neuropathy due to chemotherapy is usually reversible after a few months following its completion. Inform the patient and caregiver that chemotherapy-induced neuropathy may be reversible if proper actions to manage it are done in a timely manner. Many chemotherapy drugs can cause damage to the peripheral nerves of the hands and feet. For safety purposes, the patient will need someone to assist him/her in doing activities of daily living, such as bathing, cooking, and mobilizing.Īdvise the patient to pay special attention to foot and hand care. Patients with chemotherapy-induced peripheral neuropathy are at high risk for falls and injuries such as burns. Advise that it is best for the patient to have someone with him/her at all times. Occupational therapists and physiotherapists can help the patient gain optimal quality of life by means of creating tailored action plans for improving functionality, as well as providing assistive devices to maintain balance and prevent the occurrence of falls.Įducate the patient and family regarding the importance of maintaining safety and preventing any injuries. Assessment using approved grading systems such as CTCAE also helps the nurse determine the level of care that the patient requires, such as referral to occupational therapy/physiotherapy (OT/PT) service or pain specialist. It is important to check any worsening or improvement of peripheral neuropathy prior to giving any chemotherapy drugs as it can determine the appropriate course of action whether to continue the treatment at the current dose/s, hold or postpone the treatment, change the doses, or stop/change the chemotherapy regimen altogether. Use the hospital’s approved chemotherapy assessment grading system to assess the patient’s peripheral neuropathy prior to the start of each chemotherapy session. Nursing Diagnosis: Disturbed Sensory Perception (Tactile) related to peripheral neuropathy secondary to ongoing chemotherapy as evidenced by tingling sensations on the fingertips and toes, numbness of the fingers at times, dropping objects when holding them, occasional pain on the fingertips, inability to drive due to occasional loss of feeling the feet on the pedalsĭesired Outcome: The patient will verbalize being able to cope with peripheral neuropathy and retain optimal quality of life while chemotherapy is ongoing. Disturbed Sensory Perception Nursing Care Plan 3Ĭhemotherapy-induced Peripheral Neuropathy Meniere’s disease may cause moderate to severe episodes of vertigo, which can also trigger nausea and vomiting. To monitor if the hearing loss is worsening and if there is a need for further investigation and change of hearing aid.Īdminister medications for vertigo and nausea.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |