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Developed a nursing care plan for a patient with a hearing impairment disability affecting speech development....

Developed a nursing care plan for a patient with a hearing impairment disability affecting speech development. Make sure all the steps of the nursing process are included (Assessment, diagnosis, planning, implementation, and evaluation)

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Ans) Assessment: Confusion, disorientation to place, person

Restless & withdrawn

Nursing diagnosis:

Disturbed Sensory Perception (Sensory Overload) related to change in environment, and hearing loss (as evidenced by disorientation to time and place; restlessness; and altered
behavior)

Planning: The client will be able to demonstrate appropriate Communication techniques.

Nursing interventions & Rationale:

- Provide a consistent physical environment and a daily routine - Routine eliminates the element of surprise, overstimulation, and
further confusion.

- Provide access to familiar objects, when possible - reduces confusion.

- Provide a low-stimulation environment -
disorientation may be increased by overstimulation.

- Provide for adequate rest, sleep, and daytime naps - Reduces overstimulation and fatigue, which may be contributing factors to confusion.

- Use a calm and unhurried approach when interacting - Promotes communication that enhances the person’s sense of
dignity.

- Speak to the client in a slow, distinct manner with appropriate volume- The client who has difficulty hearing will be better able to lip read
and comprehend speech.

- Facilitate hearing aids- Hearing can be enhanced if the volume is appropriate and the
hearing aid is consistently used.

- Listen actively- Effective listening is essential in a nurse–client relationship.
Poor listening skills can undermine trust and block therapeutic communication.

Evaluation: The client is able to communicate actively through appropriate Communication techniques.

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