5: Perception/Cognition

Domain 5
Perception/Cognition














































































DOMAIN 5. PERCEPTION/COGNITION
The human information processing system including attention, orientation, sensation, perception, cognition, and communication.
Class 1. Attention
Mental readiness to notice or observe
Code Diagnosis Page
00123 Unilateral neglect 251
Class 2. Orientation
Awareness of time, place, and person
None at this time
Class 3. Sensation/perception
Receiving information through the senses of touch, taste, smell, vision, hearing, and kinesthesia, and the comprehension of sensory data resulting in naming, associating, and/or pattern recognition
None at this time
Class 4. Cognition
Use of memory, learning, thinking, problem-solving, abstraction, judgment, insight, intellectual capacity, calculation, and language
Code Diagnosis Page
00128 Acute confusion 252
00173 Risk for acute confusion 253
00129 Chronic confusion 254
00251 Labile emotional control 255
00222 Ineffective impulse control 256
00126 Deficient knowledge 257
00161 Readiness for enhanced knowledge 258
00131 Impaired memory 259
Class 5. Communication
Sending and receiving verbal and nonverbal information
Code Diagnosis Page
00157 Readiness for enhanced communication 260
00051 Impaired verbal communication 261

Domain 5. Perception/Cognition      Class 1.Attention


00123


Unilateral neglect


(1986, 2006; LOE 2.1)


Defining Characteristics



  • Alteration in safety behavior on neglected side
  • Disturbance of sound lateralization
  • Failure to dress neglected side
  • Failure to eat food from portion of plate on neglected side
  • Failure to groom neglected side
  • Failure to move eyes in the neglected hemisphere
  • Failure to move head in the neglected hemisphere
  • Failure to move limbs in the neglected hemisphere
  • Failure to move trunk in the neglected hemisphere
  • Failure to notice people approaching from the neglected side
  • Hemianopsia
  • Impaired performance on line cancellation, line bisection, and target cancellation tests
  • Left hemiplegia from cerebrovascular accident
  • Marked deviation of the eyes to stimuli on the non-neglected side
  • Marked deviation of the trunk to stimuli on the non-neglected side
  • Omission of drawing on the neglected side
  • Perseveration
  • Representational neglect (e.g., distortion of drawing on the neglected side)
  • Substitution of letters to form alternative words when reading
  • Transfer of pain sensation to the non-neglected side
  • Unaware of positioning of neglected limb
  • Unilateral visuospatial neglect
  • Use of vertical half of page only when writing

Related Factors



  • Brain injury (e.g., cerebrovascular impairment, neurological illness, trauma, tumor)

Original literature support available at www.nanda.org


Domain 5. Perception/Cognition      Class 4. Cognition


00128


Acute confusion


(1994, 2006; LOE 2.1)


Defining Characteristics



  • Agitation
  • Alteration in cognitive functioning
  • Alteration in level of consciousness
  • Alteration in psychomotor functioning
  • Hallucinations
  • Inability to initiate goal-directed behavior
  • Inability to initiate purposeful behavior
  • Insufficient follow-through with goal-directed behavior
  • Insufficient follow-through with purposeful behavior
  • Misperception
  • Restlessness

Related Factors



  • Age ≥ 60 years
  • Alteration in sleep-wake cycle
  • Delirium
  • Dementia
  • Substance abuse

Original literature support available at www.nanda.org


Domain 5. Perception/Cognition      Class 4. Cognition


00173


Risk for acute confusion


(2006, 2013; LOE 2.2)

Mar 21, 2017 | Posted by in NURSING | Comments Off on 5: Perception/Cognition

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