Disturbed sensory perception related to medically imposed restrictions. Sensori-Neuro Notes - NEURO TOPIC: SENSORY IMPAIRMENT Notes - Studocu The patient may not be able to perform activities of daily living as normal if he/she cannot see properly. Refer to community resources (e.g., daycare programs, support groups, drug/alcohol rehabilitation, and mental health treatment programs).These measures are necessary to promote wellness. Thank you for sharing BeAnon, I feel you in so many levels. Menieres disease usually involves only one ear. The client who is affected with sensory deprivation may experience abnormal responses to the few stimuli that the client is exposed to, delusions, hallucinations, apathy, depression, a lack of orientation, lethargy, poor concentration, confusion, memory deficits and somatic complaints. Disturbed Sensory Perception Nursing Diagnosis and Care Plan Ackley and Ladwigs Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning CareWe love this book because of its evidence-based approach to nursing interventions. Medical-surgical nursing: Concepts for interprofessional collaborative care. The sixteenth edition includes the most recent nursing diagnoses and interventions from NANDA-I 2021-2023 and an alphabetized listing of nursing diagnoses covering more than 400 disorders. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Inform the carer or family to speak slowly and clearer to the patient. b) The nurse asks the patient if anything interferes with the functioning of his senses. Encourage the patient to promote sufficient lighting at home. Identify specific conflicts that remain unresolved, and assist the patient to identify possible solutions.Unless these underlying conflicts are resolved, any improvement in coping behaviors must be viewed as only temporary. Only in the Nursing Diagnosis Manual will you find for each diagnosis subjectively and objectively sample clinical applications, prioritized action/interventions with rationales a documentation section, and much more! To reduce the amount of stimuli thereby preventing possible episodes of convulsion which are common in pediatric patients with meningitis. Buy on Amazon, Silvestri, L. A. Often, confusion in older adults is erroneously attributed to aging. 2. Learn about the importance of a comprehensive nursing diagnosis for glaucoma patients and how it can be used to develop effective care plans. Here are three (3) nursing care plans (NCP) and nursing diagnosis for glaucoma: Glaucoma is a condition that damages the optic nerve, which is responsible for transmitting visual information to the brain. St. Louis, MO: Elsevier. Certain medications can have side effects that increase the risk for falls so precautionary measures must also be taken into consideration upon administration. Scribd is the world s largest social reading and publishing site. Consider referral to a physical therapist. Reposition frequently.Patients who lack the ability to feel pain in prolonged positions are at risk for pressure ulcers or poor alignment. disturbed Sensory Perception (specify) may be related to altered sensory reception, transmission, and/or integration (neurological disease or deficit), socially restricted environment (homebound, institutionalized), sleep deprivation, possibly evidenced by changes in usual response to stimuli, change in problem-solving abilities, exaggerated . Occupational therapists and physiotherapists can help the patient gain optimal quality of life by means of creating tailored action plans for improving functionality, as well as providing assistive devices to maintain balance and prevent the occurrence of falls. Bump into things. Assess for underlying cause or condition. Use the pediatric Glasgow coma scale to assess the level of consciousness of the patient. Implementmeasures to assist patients to manage visual limitationssuch asreducing clutter, arranging furniture out of travel path; turning heads to view subjects; correcting for dim light and problems of night vision.Reduces safety hazards related to changes in visual fields or loss of vision and papillary accommodation to environmental light. Nursing Care Plan For Hearing Impairment - bespoke.cityam Current neuropharmacology, 4(3), 175181. Administer medications.NSAIDs, opioids, anti-seizure medications, and tricyclic antidepressants all play a role in relieving neuropathic pain. 9. Active participation of family members promotes consistency and compliance with the treatment plan. Recommended nursing diagnosis and nursing care plan books and resources. Educate the patient about the proper use of assistive devices. Collaborate with an occupational or physical therapist.Therapists provide individualized exercise and rehabilitation for patients experiencing disability or mobility problems caused by peripheral neuropathy. Positive pressure therapy involves the application of pressure in the middle ear. Educate the patient and family regarding the importance of maintaining safety and preventing any injuries. This noise or command distracts the individual from the undesirable thinking that often precedes undesirable emotions or behaviors. Nursing diagnoses handbook: An evidence-based guide to planning care. Advise that it is best for the patient to have someone with him/her at all times. To establish a baseline assessment of retinitis in terms of vision capacity. Phantosmia can be temporary or permanent, it can be constant or intermittent and it can be characterized with pleasant scents such as roses as well as unpleasant noxious odors. Nursing Diagnosis: Disturbed Sensory Perception: Visual - Blogger For example, the affected person may feel insects crawling on their skin or the client may feel another person touching their body when, in fact, that is not occurring. This will determine the effectiveness of the treatment or progression of symptoms. Create a daily routine for the patient, as consistent as possible. She received her RN license in 1997. 1)Limit oral hygiene to one time a day. Using a hearing aid on the affected ear can help the patient cope with hearing problems. Nursing Care Plans Related to Peripheral Neuropathy Disturbed Sensory Perception (Touch) The patient experiences alterations in nerve signaling, causing a diminished, distorted, or impaired response to stimuli. Assist the patient and SO develop a plan of care when problems are progressive/long-term.Advanced planning addressing home care, transportation, assistance with care activities, support and respite for caregivers, enhance management of patients in a home setting. PDF Visual Diagnosis And Care Of The Patient With Special Needs Diagnosis At times the signs and symptoms of a sensory and perceptual loss occur at a specific time, in a particular place, and when the client is exposed to other stimuli in the environment and, at other times, the signs and symptoms of a sensory and perceptual loss occur regardless of the time, place and stimuli. Maintain an environment that is free from unnecessary noise and ensure that the lights are dim. Please read our disclaimer. Anti-angiogenic drugs stop the body from forming new blood vessels in the eye and the leaking of fluids in the retina. Nursing Care Planning & Goals Main Article: 8 Cerebrovascular Accident (Stroke) Nursing Care Plans The goals for the patient may include: Improve cerebral tissue perfusion. Again, supportive therapy is provided for clients affected with gustatory hallucinations. Instruct the patient to repeat the given information about his/her condition. St. Louis, MO: Elsevier. Awareness of possible debilitating symptoms may help the patient and significant others prepare for possible struggles that they may encounter. PLEASE NOTE: The contents of this website are for informational purposes only. Sensory Processing Disorder: Causes, Symptoms, and Treatment - WebMD SEE Psychosocial IntegrityPractice Test Questions. However, if this is left untreated the following complications may arise: Peripheral neuropathy is usually diagnosed during a routine check-up due to the variability of the symptoms. This encourages the patients active participation and reduces muscle stiffness and tension. Provide sedation, and analgesics as necessary.Acute glaucoma attack is associated with sudden pain, which can precipitate anxiety and agitation, further elevating IOP. 4. Assist in identifying ongoing treatment needs/rehabilitation programs for the individual.This measure is important to maintain gains and continue progress if able. 3. distortion of central vision; Straight lines appear distorted; objects appearing smaller or larger than normal; Distortion of vision noted on grid Implement methods to prevent unintentional injury.Cool, moist compresses can relieve itching rather than scratching. Educate the patient about self-care management. Instruct on a Transcutaneous Electrical Nerve Stimulator.A TENS unit can be applied to the site of pain where an electrical current stimulates the nerves to reduce pain and muscle spasms. In addition to medications, the client affected with auditory command hallucinations can benefit from a number of combined therapies including crisis and coping strategy education, psychotherapy, and cognitive behavioral therapy. Administer pain medication as ordered. The patient will be able to maintain balance upon standing and walking. Many chemotherapy drugs can cause damage to the peripheral nerves of the hands and feet. Sensory overload occurs when the person gets more stimulation than they are able to manage and process; and sensory deprivation occurs when the client does not get enough sensory stimulation to sustain the person in a state of balance. Nursing Care Plan Meningitis - Risk Factor & Five Meningitis - RN speak Assess the hearing ability of the patient. Assessment using approved grading systems such as CTCAE also helps the nurse determine the level of care that the patient requires, such as referral to occupational therapy/physiotherapy (OT/PT) service or pain specialist. This will provide a clear and detailed picture of the patients condition without confusing the patient. Would you please explain?)These techniques reveal to the patient how he or she is being perceived by others, while the responsibility for not understanding is accepted by the nurse. Peripheral neuropathy is commonly misdiagnosed and overlooked, affecting more than 20 million people in the U.S. Educate the patient for the need to monitor and report any visual disturbances or other sensory changes. Cognition/thinking often improves with treatment/correction of medical/psychiatric problems. Be consistent in setting expectations, enforcing rules, and so forth.Clear, consistent limits provide a secure structure for the patient. Inspect the skin each shift.Changes in color, turgor, and vascularity, along with redness, excoriation, or ecchymosis, indicate poor circulation and early breakdown that may lead to decubitus formation and infection. 5. Review laboratory values for abnormalities such as metabolic alkalosis, hypokalemia, anemia, elevated ammonia levels, and signs of infection.Monitoring laboratory values aids in identifying contributing factors. Provide for adequate rest, sleep, and daytime naps. The following are the therapeutic nursing interventions for Disturbed Thought Processes: 1. Hammi C, Yeung B. Neuropathy. This free nursing care plan and diagnosis example is for the following condition Impaired Verbal Communication related to aphasia deaf Her nursing career has led her through many different specialties including inpatient acute care, hospice, home health, case management, travel nursing, and telehealth, but her passion lies in educating through writing for other healthcare professionals and the general public. Your diagnosis might include: Impaired social interaction Disturbed auditory and/or visual sensory perception Disturbed thought processing Impaired verbal communication Defensive coping Interrupted family processes Creating a Schizophrenia nursing care plan depth perception the ability to recognize depth or the relative distances to different objects in space. Includes step-by-step instructions showing how to implement care and evaluate outcomes, and help you build skills in diagnostic reasoning and critical thinking. The patient will be able to adapt skills to cope with sensory disturbances while the treatment is ongoing. Thought disturbance interventions for disorders that result from organic brain syndrome, dementia including Alzheimer's disease, delirium and psychiatric symptomatology include the: Tactile or kinesthetic sensory deficits can be addressed with the assessment and monitoring of vulnerable bodily parts such as the feet and lower extremities of clients who are affected with diabetic neuropathy and exposed bodily areas that can be subjected to frost bite, both of which may not be perceived when the client's sensory functioning is impaired. Nursing diagnosis: Application to clinical practice. Administer medications for vertigo and nausea. Some of the defining characteristics of impaired and disturbed sensory and perceptual alterations include the client's changes in terms of behavior, problem solving, sensory sharpness and acuity, and decision making which can lead to the client's restlessness, a lack of orientation, confusion, altered communication, poor concentration, hallucinations, and a lack of focus and attention. Timolol is beta blocker (not carbonic anhydrase inhibitor) pilocarpic is cholinergic which contracts the iris (not beta blocker) and acetazolamide is carbonic anhydrase inhibitor. Im happy to hear you want make it to a Nurse educator and be a better professor, that those who just know it all. This information is intended to be nursing education and should not be used as a substitute for professional diagnosis and treatment. A psychologist can guide the patient to process feelings of helplessness and hopelessness. McGraw Hill. Assess dietary intake/nutritional status.This helps in identifying contributing factors. Sensory neuropathy affects balance and coordination. Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client CareIdentify interventions to plan, individualize, and document care for more than 800 diseases and disorders. Ackley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M. R., & Zanotti, M. (2020). Inform the patient and family that while there is no current cure for the hearing loss, there are effective interventions to reduce vertigo and help the client cope with communication problems. Promote excellence in nursing by enabling future and current nurses with the education and employment resources they need to succeed. The patient will perform activities of daily living safely. Interview SO or caregiver to determine the patients usual thinking ability, changes in behavior, length of time the problem has existed, and other pertinent information.This is to provide a baseline for comparison. Proper use of these devices prevents injury to the patient. (10th ed.). Disturbed Sensory Perception Interventions 1. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. Encourage activities of daily living with physical therapy. There must have been a mix up when creating the table. Note nonverbal cues of pain.Some patients cannot express pain verbally, and nonverbal cues like crying, agitation, or restlessness may be used to assess pain. NURSING DIAGNOSIS Disturbed Sensory Perception Sensory Overload related to change in environment and hearing loss as Read our guide immediately! Assess the patients current knowledge and understanding of his/her condition. The patient experiences alterations in nerve signaling, causing a diminished, distorted, or impaired response to stimuli. Disturbed Sensory High High 1 because this is the problem that makes client to. Note the characteristic, duration, or relieving factor associated. A study by AREDS shows some benefits if foods containing vitamins C, E, beta-carotene, zinc, and copper are introduced to the patients diet. Ch. 31: Sensory Perception Flashcards | Quizlet GCS is a universal method of assessing the level of consciousness, which includes the measurement of the persons sensory, verbal, and motor cues. 5. She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. Chemotherapy-induced peripheral neuropathy can be a constant reminder of cancer and treatment, which can result to anxiety, depression, and ineffective coping. Buy on Amazon, Gulanick, M., & Myers, J. L. (2017). Use touch cautiously, particularly if thoughts reveal ideas of persecution.Patients who are suspicious may perceive touch as threatening and may respond with aggression. For example, visual disturbances including low vision can present risks, signs and symptoms during the nighttime hours, auditory deficits may be more profound within an environment that is filled with noise and other disruptive stimuli, and virtually all sensory and perceptual disorders will be further amplified in a strange and unfamiliar environment, such as a hospital room, that is not familiar to the hospitalized person. As a nurse, you will also make nursing diagnoses that will inform your care plan. To facilitate early detection and management of disturbed sensory perception. Thats why the NLN espouses the Spirit of Inquiry. Cancer treatment can take a long time which can result in anxiety, depression, and non-compliance with the treatment plan. Use an approved chemotherapy assessment grading system during each chemotherapy session. Disturbed Thought Processes - Nursing Diagnosis & Care Plan 2. Assess reports and descriptions of pain.Neuropathic pain can affect only one nerve or many nerves. Implement measures to assist patients to manage visual limitations such as reducing clutter, arranging furniture out of travel path; turning heads to view subjects; correcting for dim light and problems of night vision. Of these areas where the meninges run, only the neck is highly mobile. Learn how your comment data is processed. a) The nurse asks the patient if he is bored, and if so, why. The patient will verbalize understanding of the disease process. Nurses can also assist in managing underlying causes and educating patients on treatment modalities. Intracranial (Cerebral) Aneurysm Nursing Care Management: Study Guide Assessment of the patients peripheral neuropathy will help in determining the level of care that the patient needs. 24. Clients with auditory deficits can better cope with this deficit when the nurse and other health care providers: In addition to other concerns relating to sensory perception, nurses must also be aware of the fact that many clients, particularly those who are hospitalized in a strange environment, can be adversely affected with sensory overload and sensory deprivation. Here are some factors that may be related to Disturbed Thought Processes: Disturbed Thought Processes are characterized by the following signs and symptoms: The following are the common goals and expected outcomes for Disturbed Thought Processes: 1. Nursing Care Plan Definition Is a condition marked by high intraocular pressure (IOP) that damages the optic nerve. Schedule activities and treatments with rest periods in between. Disturbed sensory perception- Diabetes Mellitus Nursing goals/ desired outcomes For Risk of disturbed Perception. She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. Advise to wear sunglasses when out and about. Present reality concisely and briefly and do not challenge illogical thinking. 2. Stress the importance of meticulous compliance with prescribed drug therapy:To prevent an increase in IOP, resulting in disk changes and loss of vision. 3)Assess for sores or open areas in the mouth. (2020). Prepare for surgical intervention as indicated: Recommended nursing diagnosis and nursing care plan books and resources. For more information, check out our privacy policy. Schizophrenia Nursing Diagnosis & Care Plan | NurseTogether I completely understand. Thanks sir for your easily understandable nursing care plan of Glaucoma. [Updated 2022 Oct 15]. For example, the client may tell the health care professional that they hear "voices" in their head that are telling them to do one thing or another and a nurse may observe the client talking to themselves and appearing to be preoccupied by some stimulus that is not visible or apparent to the nurse. PTS: 1 DIF: Cognitive Level: Analyze (Analysis) REF: Page 421 (Table 22-5 . Determinethe type and degree of visual loss.Affects the choice of interventions and the patients future expectations. The increased pressure causes atrophy of the optic nerve and, if untreated, blindness. 2023 Registered Nursing.org All Rights Reserved | About | Privacy | Terms | Contact Us. This is a nursing care plan for risk for injury related to impaired sensory . 6. Sensory and Perceptual Alterations: NCLEX-RN - Registered nursing She got her bachelors of science in nursing with Excelsior College, a part of the New York State University and immediately upon graduation she began graduate school at Adelphi University on Long Island, New York. Relationship of vision, hearing and balance to developmental milestones and healthy aging. 1. This will help determine progress or continuous impairment before it becomes more disabling and irreversible. One day I will be the nursing prof who is different and treats everyone with empathy, compassion, and respect. 2. Older children can be asked questions if there is muffling or absence of sounds in one ear. 2. Refrain from forcing activities and communications.Patients may feel threatened and may withdraw or rebel. This helps prevent any complication such as brain damage. Prepare for surgery.Pressure from tumors, pinched nerves, or injuries can be relieved by alleviating the pressure on the nerves through surgical intervention. The client will maintain the current visual field/acuity without further loss. Get nursing diagnosis for schizophrenia with 6 nursing caring plans. Educate the patient and significant others using visualization materials such as structural models, images, or videos about the use of an assistive device. Nursing Diagnosis: Deficient Knowledge related to a new health diagnosis secondary to diabetic neuropathy as evidenced by frequent questioning. 21. A trained physical therapist can provide safe and proper training with the progression of activities as tolerated. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. Alene Burke RN, MSN is a nationally recognized nursing educator. Glaucoma orIncreased intraocular pressure(IOP) is the result of inadequate drainage of aqueous humor from the anterior chamber of the eye. Its not that easy to just switch instructors. Harrisons principles of internal medicine. Chemotherapy-induced Peripheral Neuropathy, Nursing Diagnosis: Disturbed Sensory Perception (Tactile) related to peripheral neuropathy secondary to ongoing chemotherapy as evidenced by tingling sensations on the fingertips and toes, numbness of the fingers at times, dropping objects when holding them, occasional pain on the fingertips, inability to drive due to occasional loss of feeling the feet on the pedals. This prevents contractures and peripheral nerve damage. Motor symptoms caused by peripheral neuropathy include: Sensory symptoms caused by peripheral neuropathy include: Autonomic symptoms caused by peripheral neuropathy include: Neurological exams, blood tests, electromyography (EMG), and imaging tests can assess and diagnose peripheral neuropathy or detect underlying causes of peripheral neuropathy. It is essential to always accompany the patient to prevent injuries. St. Louis, MO: Elsevier. If outcomes are not achieved, the nurse and client, and support people if appropriate, need to explore the reasons before modifying the care plan. Chronic open-angle glaucoma is the most common type, accounting for 90% of all glaucoma cases. Patient will demonstrate strategies to manage pain. Nursing diagnoses handbook: An evidence-based guide to planning care. Contractures may cause a limited range of motion and less sensation. As based on these individual, time, place and other stimuli variations among patients and these factors, nurses must assess the clients affected with sensory and perceptual disorders and plan care according. Sir, not all professors act alike. Instruct on topical medications.Capsaicin cream and lidocaine patches can be purchased over-the-counter to relieve pain without systemic side effects. Peripheral neuropathy is a condition affecting the peripheral nervous system or the network of nerves beyond the central nervous system (brain and spinal cord). This will help the nurse plan an appropriate approach and treatment plan based on the degree of injury to the affected part. These command hallucinations can be assessed with both subjective and objective data. Depression causes impaired thinking in older adults more frequently than dementia. She has worked in Medical-Surgical, Telemetry, ICU and the ER. Patients are at higher risk of developing wounds or experiencing injuries due to the impairment of a protective sensation. Elevation prevents edema formation, make sure to change positions frequently. All-in-One Nursing Care Planning Resource E-Book: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health, Nursing Care Plans (NCP): Ultimate Guide and Database, Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing, 7 Eating Disorders: Anorexia & Bulimia Nervosa Nursing Care Plans, Altered sensory reception: altered status of sense organ. Clues of visual difficulty: rubbing eyes, squinting, H/A, learning difficulty 3. Trained OT and PT professionals can provide coping strategies and skills to adapt and improve functions. 2. 8. This technique is used to distract the patient from the pain. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. Provide safety. It leads to a wide range of manifestations such as hallucinations, delusions, disorganized speech, and cognitive impairment. Proper positioning prevents contractures while promoting a functional movement of the extremities and joints. The following diagnostic tests that can be done are: Treatment of peripheral neuropathy is focused on the correction of the present condition and control of symptoms associated which includes: Nursing Diagnosis: Disturbed Sensory Perception related to peripheral neuropathy secondary to ongoing chemotherapy as evidenced by tingling sensation and numbness. Again, the treatment of the underlying disorder is indicated as well as supportive medications and therapy. Neuropathy can affect one nerve (mononeuropathy), or two or more nerves (polyneuropathies, which is the most common type). Intervention #1. Avoid vague or evasive remarks.Delusional patients are extremely sensitive about others and can recognize insincerity. Encourage the patient to participate in resocialization activities/groups when available.This is to maximize the level of function. All trademarks are the property of their respective trademark holders. Nursing Diagnosis: Risk for Impaired Skin Integrity. Assist with treatment for underlying problems, such as anorexia, brain injury/increased intracranial pressure, sleep disorders, and biochemical imbalances.Cognition/thinking often improves with treatment/correction of medical/psychiatric problems. Disclosure: Included below are affiliate links from Amazon at no additional cost from you. 7 New Disturbed sensory perception - nursingcareplanhelp.com Based on a standardized scale, the patient will report no pain or decreased pain intensity. Itis a condition that causes damage to your eyes optic nerve and gets worse over time. In: StatPearls [Internet]. FOR SENSORY PERCEPTION DISTURBANCE hearing loss as evidenced by NURSING SAMPLE CARE PLAN FOR SENSORY. 23. Sensory and Perceptual Alterations: NCLEX-RN, Identifying the Time, Place, and Stimuli Surrounding the Appearance of Symptoms, Assisting the Client to Develop Strategies for Dealing with Sensory and Thought Disturbances, Providing Care for a Client Experiencing Visual, Auditory or Cognitive Distortions, Providing Care in a Nonthreatening and Nonjudgmental Manner, Adult Gerontology Nurse Practitioner Programs (AGNP), Womens Health Nurse Practitioner Programs, Advanced Practice Registered Nurse (APRN), Chemical and Other Dependencies/Substance Abuse Disorders, Cultural Awareness and Influences on Health, Religious and Spiritual Influences on Health, Psychosocial IntegrityPractice Test Questions, Identify time, place, and stimuli surrounding the appearance of symptoms, Assist client to develop strategies for dealing with sensory and thought disturbances, Provide care for a client experiencing visual, auditory or cognitive distortions (e.g., hallucinations), Provide care in a nonthreatening and nonjudgmental manner, Provision of safety using, for example, falls risk protocols for those at risk for falls and keeping dangerous cleaning chemicals in a secure and safe place, Anticipation of the client's needs and then addressing them, Provision of an environment that is not loaded with extraneous stimuli, Reorientation of the client to time, place and person as often as necessary, Explaining procedures to the client in a manner that they can understand while using assistive devices and aids such as pictures and gestures that can be helpful to facilitate the client's understanding, Maintaining as much consistency in terms of the client's routines and those that provide nursing care to them, Managing hallucinations with a medication such as a dopamine antagonist, Using close ended questions that require a simple yes or no answer when necessary, Communicating with the client at eye level and will maintaining eye contact, Communicate with low vision clients at eye level and within the client's functioning field of vision, Insure that the client with low vision has and uses corrective lenses, including eyeglasses, and other devices such as magnifiers, Greet the client by name and introduce oneself when entering the client's space, Use Braille and large print materials for low vision clients, Maintain a clutter free and organized client environment, Provide the client with details about the locations items within the client's immediate and extended environment.