Sensory Impairment Care Plan
To be kept with Nursing Core Notes at the foot of patient’s Patient label here
bed if vision or hearing problems identified.
Assessment
To be completed by nurse in discussed with patient / carer
Note that patients commonly have BOTH sight and hearing loss, especially if they are older.
Visual impairment Hearing impairment or deafness
Blindness or partial sight? Hearing abilities
Has no useful vision Moderate hearing impairment - requires clear
Has limited vision speech
Type of visual impairment Significant hearing impairment
Requires hearing aid and clear speech
Central vision impairment
Poor facial recognition Major hearing impairment
Peripheral (side) vision impairment Unable to hear speech
Increased risk of falls Deaf and blind
Generalised visual impairment No useful vision and unable to hear speech.
This will require specialist advice about
Glasses communication and assessing needs:
Does not use glasses Contact Sense 0300 330 9256.
Some impairments not helped by glasses
Hearing aids / communication methods
Requires glasses for reading
Does not use hearing aids
Requires glasses for distance vision
Uses hearing aid in left ear
Visual abilities
Uses hearing aid in right ear
Cannot read regular print (Consent forms etc)
Cannot identify presence & role of staff at 3 m Uses hearing aids in both ears
Cannot facially identify staff members at 3 m Uses BSL (British Sign Language)
Cannot facially identify staff members at 1 m Uses other sign language
Is troubled by too much light Uses Deaf/ Blind Manual Alphabet
Consider alternative bed location, e.g. away i.e. communication spelt out on patient’s palm
from windows
For emergency deafness or deafblindness
Eating and drinking interpreters contact National Registers of
Cannot eat independently Communication Professionals www.nrcpd.org.uk
Cannot take own medication
Cannot pour own water / locate beaker
Level of independence
Cannot locate and switch on / off own light
Cannot locate and use assistance call button
Cannot find way to toilet independently
Does patient consent to Vision Impairment or Hearing Impairment symbol placed above bed? Yes No
Now complete the first section overleaf “THIS PATIENT IS ASSESSED AS . . .” based on this assessment.
Sensory Impairment - Care Plan docx.docx © Richard Cox / Seeing Sense 2016 Revised 08 January 2018
Sensory Impairment Daily check
This patient is assessed as Partially Sighted Blind Hearing Impaired Deaf (see details overleaf)
Date Time Can the patient . . . Patient Visual Comments Sign
asked impairment
Locate Insert Locate Understand Locate Locate Feed
about any or hearing
glasses? hearing call clear drinks? food? self?
other sight impairment
aids? button? speech?
or hearing symbol visible
needs? above bed?
Sensory Impairment - Care Plan docx.docx Page 2 of 2 Revised 08 January 2018