NCP Glaucoma

Saint Paul University Philippines
Tuguegarao City, Cagayan 3500

School of Nursing and Allied Health Sciences
College of Nursing
Center of Excellence for Nursing
PAASCU Level IV Accredited
2nd Semester AY 2022-2023
DISTURBED SENSORY PERCEPTION
Assessment/ Nursing Diagnosis Background Goals and Objectives Intervention and Evaluation
Cues Knowledge rationale
Subjective: Disturbed sensory According to NANDA NOC: Activity NIC: Energy

According to perception related 15th Edition, Tolerance Management
patient, 2010 to altered sensory Glaucoma is a
when he started reception: altered condition that
to feel irritation status of sense damages the optic Goal: Goal:
on his eyes. organ as nerve, which is After 2 days of nursing After 2 days of nursing
Additionally, evidenced by responsible for interventions the patient interventions the patient was
because he progressive loss of transmitting visual will be able to participate able to participate in
works as a visual field information to the in therapeutic regimen therapeutic regimen and was
farmer, sweat brain. As a result, and will be able to allow able to allow expression of
from his eyes is patients with expression of feeling feeling about the loss and
constantly glaucoma may about the loss and possibility of a loss of vision.
absorbed, and experience disturbed possibility of a loss of
he believes this visual sensory vision.
is a perception due to the
contributing altered status of their
factor to the sense organs, the eye,
current and the impaired Short term Objectives: During the health care,
discomfort he transmission of visual Within 3 hour of nursing the nurse will: Short term Objectives:
is experiencing. signals to the brain. interventions, the patient Within 3 hour of nursing
(RN Lessons, 2022) will be able to: interventions:
- The patient
verbalized
of pain on 1. Determine how the 1. Assess patients
College of Nursing
his head. patient’s vision vision. 1. The student nurses was

change so far. To Knowing where the able to compare patient’s
- White have a baseline data. patient vision was vison with regards to the
colored previous to what you sudden change.
halos assess currently so you
around know how much their
lights vision changed from
before.
- Slow
vision 2. Have a knowledge on 2. Educating on
change taking and proper proper eye drop 2. The patient was able to
(blurred administering of eye administration. be knowledgeable on
vision, drops Post-procedure or long how the proper
narrowed term management, administering and taking
vision) patients are frequently eye drops.
on various eye drops.
Objective: It’s essential they
understand thoroughly
- Redness to which drops to
the both administer when, how
eyes to do so appropriately.
They may need
- Cloudy additional intervention
pupils with color-coding
bottles because they
may not be able to
clearly read labels.
Ensure support systems
College of Nursing
are equally aware of

regimen.
3. Know the essence on 3. Educate

having consistent importance of F/U 3. The patient was able to
check-ups with care with know the importance of
healthcare provider. provider. having consistent check-
Compliance is the key, up with the healthcare
patient must follow be providers.
complaint with
treatment regimen to
prevent further
deterioration. Also
immediately report any
new changes that may
happen.
4. Reduce and manage 4. Manage pain. 4. The patient was able to

the pain he is feeling. Patient can have decrease and reduce the
sudden pain, which will pain what he feels.
increase their
intraocular pressure,
making the problem
even worse.
5. Able to deal with
anxiety and pain that 5. The patient was able to
he is going through. 5. Manage anxiety. deal and manage the
College of Nursing
A sudden inability to anxiety and disturbances

see or the new or problems he is feeling
knowledge that you will with regards to his
have a degree of condition.
blindness is upsetting.
Provide as much
education and
emotional support as
possible and if
necessary, administer
medication.
College of Nursing
College of Nursing
College of Nursing
College of Nursing
College of Nursing
College of Nursing
College of Nursing

NCP Glaucoma

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Saint Paul University Philippines

Tuguegarao City, Cagayan 3500

DISTURBED SENSORY PERCEPTION

Subjective: Disturbed sensory According to NANDA NOC: Activity NIC: Energy

his head. patient’s vision vision. 1. The student nurses was

are equally aware of

3. Know the essence on 3. Educate

4. Reduce and manage 4. Manage pain. 4. The patient was able to

A sudden inability to anxiety and disturbances

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