Disturbed Sensory (Auditory) Perception Harvard Case Solution & Analysis

CLINICAL ISSUES:

Poor hygiene.

Distressed.

Agitated (Nervous).

During interview, patient occasionally would speak to the voices.

Distracted in daily routine.

Did not take medication for a month.

Doesn’t socialize.

RISK:Disturbed Sensory Perception: Auditory.

Nursing Interventions

Rationale to Nursing Interventions

•        Gathering with the client each day for about 30minutes.

•        Observe all the minor to major happenings, how he is behaving, sitting, his body language and his response towards the questions.

•        Communicate acceptance to boost the patient’s courage of sharing of the content.

•        Check ifhis current condition causes a risk of self-harm or not?

•        Teaching patient to control hallucinations by himself, i.e. by randomly singing to self, asking the voices to go by putting earphones in.

Therapeutic Relationship:

A condition, when there are false hearings and poor eye contact of client with nurse is already present, it is really hard to constitute a therapeutic relationship. Likewise, there are some hurdles reported in the mentioned interview. The patient is young and depressive, impaired in attentiveness while focusing on the surroundings rather than the questions. The nurse had difficulty to get proper attention of the client and her proceedings to find and then, to interpret.

·        His behaviour was very anxious, perplexed, and nervous and time and location oriented.(Nursing Care Plan Listing, 2013)

As reported in the interview, the patient is using medications for the disturbed auditory sensation, the nurse should have accepted the patient’s abnormality as a normal thing and should have let him understand that it’s not a problem but a common thing and when he will feel comfortable in the situation, the rest of the interview should have been conducted. Mental relaxation and comfort zone makes the therapeutic relationship better for both the parties.