Case Study, Chapter 63, Assessment and Management of Patients With Eye and Visio
ID: 237928 • Letter: C
Question
Case Study, Chapter 63, Assessment and Management of Patients With Eye and Vision Disorders 1. Ellie Lee, a 74-year-old patient, is admitted to the hospital in the same-day surgery unit for nasal surgery. The patient is legally blind. The patient was diagnosed with a genetic disease, recessive retinitis pigmentosa (RP), which results in degeneration of the photoreceptor cells. A patient with RP has a progressive loss of visual acuity, progressive night blindness, and progressive loss of peripheral vision. The patient's best corrected visual acuity is currently 20/200 with a visual field restriction of 12 degrees. The patient bumps into objects in the room and gets disoriented as to the location of the bathroom or the door to the hallway. (Learning Objectives 3 and 7) - a. What strategies should the nurse provide to help the client with low vision become oriented with the hospital room environment and to maintain as much independence with mobility as possible? What nursing considerations should the nurse make when providing perioperative care? b. Optional Activity: A Web site that provides simulations of various vision disorders is Lighthouse International: http://www.lighthouse.org/medical/eye-disorders. 2. Betsy Waters, an 82-year-old patient, had right-eye cataract surgery and implant of an intraocular lens. The nurse provides discharge instructions; special wraparound sunglasses; a padded, metal eye protector for bedtime; and a prescribed antibiotic, corticosteroid, and NSAID eye drops. (Learning Objectives 4 and 6) a. What discharge instructions should the nurse provide? b. What instructions should the nurse provide on applying eye drops?Explanation / Answer
1 Ans) An awareness and understanding of the concept of individual needs and how best to address them are also essential.
Physiological needs,safety needs, belonging needs, esteem needs, self actualisation needs,...Nurses who have a knowledge and understanding of ocular pathology and the nature of visual impairment may be able to provide the effective communication and care management skills required to meet the special needs of patients who have visual impairment, their families and significant others.
2 Ans)
1. Leave the eye patch in place
2. For 24 hrs, limit your activity to sitting in a chair, resting in bed, and walking to the bathroom.
3. Do not rub your eye
4. You can wear your glasses
5. Do not lift more than 5 pounds.
6. Do not strain
7. Do not sleep on the side of your body that was operated on.
8. Take your eyedrops.
9. Take acetaminophen as needed for pain or itiching.
10. DO NOT take aspirin or drugs containing aspirin
11. Report any pain that is unrelieved , redness around the eye, nausea or vomiting.
12. Wear eye shield to protect your eye.