Assignment: Adult Health
Chapter 63: Assessment & Management of Patients with Eye & Vision Disorders
Conditions to Know: Glaucoma, Cataracts, Retinal Detachment, Macular Degeneration, Conjunctivitis, Eye trauma
1. Know the basic structures & functions of the eye - lens, pupil, iris, cornea, conjunctiva, retina, and sclera
2. Questions to ask patients regarding issues with the eyes/vision - Chart 63-1
3. Snellen Chart is used to assess visual acuity - 20/20 is considered perfect vision (patient can read line 20 of chart while standing 20 feet away) - this is tested in each eye
• What are some of the most common causes of blindness?
• What is responsible for the damage to the optic nerve in patients diagnosed with glaucoma?
• Glaucoma can lead to what primary complication if not treated properly?
• What are the differences between open-angle & closed-angle glaucoma?
• What are the primary signs & symptoms of glaucoma?
• What are the primary treatment goals for patients with glaucoma?
• What is the first line treatment of glaucoma? What medication teaching points would you want to include in your patient education?
• What are some common risk factors for the development of cataracts? See Chart 63-7.
• What are the primary signs & symptoms of cataracts?
• The most common treatment for cataracts is outpatient surgery, in which the lens affected by the cataract is replaced with a man-made one. Explain the pre and post-operative nursing management & education that is needed for patients undergoing cataract surgery. See Chart 63-8.
• Retinal detachment is considered a medical emergency. What happens during retinal detachment?
• What are some symptoms of retinal detachment?
• Macular degeneration is the most common cause of vision loss in people > 60 years old. What is macular degeneration?
• What are some risk factors for dry macular degeneration?
• What are some signs and symptoms of macular degeneration?
• Nursing management for patients diagnosed with macular degeneration focus on safety & supportive measures. What are some accommodations we should make or educate patients on regarding how to help improve their vision & ADLs when they have this condition?
• Conjunctivitis is also called "pink eye". What are the different types of conjunctivitis and what are some symptoms of this condition? Are any of these types considered contagious?
• What are some teaching points to include when educating a patient diagnosed with viral conjunctivitis? See Chart 63-11.
• Explain the emergency nursing treatment needed when a patient presents with eye trauma.
Chapter 64: Assessment & Management of Patients with Hearing & Balance Disorders Conditions to Know: Hearing loss, Otitis Media, Meniere Disease, Otic Medications
• What are some risk factors for hearing loss? See Chart 64-3.
• What are some early signs and symptoms of hearing loss?
• What are some guidelines to follow when caring for hearing impaired patients? See Chart 64-5.
• What is acute otitis media?
• What are some of the clinical manifestations of acute otitis media?
• What are treatment options for acute otitis media?
• What is Meniere disease & what are the common clinical manifestations of this condition?
• Describe the nursing & medical management needed in caring for a patient with Meniere disease. Include patient education needed for various medications. See Chart 64-8.
• What are some teaching points to include for patients experiencing vertigo?
• What are some examples of ototoxic medications that can cause tinnitus or hearing loss?
Format your assignment according to the give formatting requirements:
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• The response also includes a cover page containing the student's name, the title of the assignment, the course title, and the date. The cover page is not included in the required page length.
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