Question

Create a care plan for a patient with visually impaired problem related to a history of diabetes: - Make sure you include all the phases of the nursing process - Provide a brief discharge planning - Give some teaching examples correlating with the teaching plan (e.g. Visual impairment). - Provide NANDA nursing diagnosis only. - Provide appropriate definition for the following terminology: - Vision acuity - Glaucoma - Retinal detachment - Macular deterioration - Cataracts - Explained the treatment of glaucoma.

Answer 1

Assessment	Nursing Diagnosis	Planning	Nursing intervention	Rationale	Evaluation
Subjective data ; patients complaints “Iam not able to perform any activities.” objective data ; patient seems difficult to perform activities himself.	Risk for injury related to visual impairment	Patient will be free of injury and will be able to perform activities himself.	-Assess patient for degree of visual impairment -inform patient regarding special devices that can be used -Ensure room environment is safe with adequate lighting’s -keep patient call bell within easy reach	-To identity the severity of problem -Low vision optical aids can be used to improve the vision -To reduce risk for injury For easy assistance whenever patient needs	By applying all these intervention patient will be able to perform his activities and reduce risk for injury.

DISCHARGE PLANNING

-instruct family members regarding patient condition in detail

-Educate about the medications to be given to the patient -

-Patient room should be with adequate lighting’s to avoid injury

-Help patient while climbing stairs

- Avoid slippery chapels

-Patient should wear sunglasses to avoid glare

- If patient has any complications please contact to the hospital immediately.

TERMINOLOGY;

1)visual acuity : it refers to the clarity of vision

2)Glaucoma : it is a complex disease that cause damage to optic nerve that leads to progressive, irreversible vision loss.

3)Retinal detachment: This is a condition in which retina separates from the layer underneath.

4)macular deterioration: it is a leading cause of severe irreversible vision loss in people age over 60 .

5)cataract :it is the clouding of the normally clear lens of the eye leads to decreased vision .

Treatment of Glaucoma ;

Treatment of Glaucoma includes medications , surgery ( laser surgery)and eye drops