A Nurse At The Local Senior Center Made The Following 721367

A Nurse At The Local Senior Center Made The Following Notation about a

A Nurse At The Local Senior Center Made The Following Notation about a

A nurse at the local Senior Center documented a 74-year-old female client presenting withpresbyopia, dry eyes, and visual impairment. The patient reports recent difficulty seeing at night, especially when reading, with symptoms of dry, scratchy eyes that are worse in the left eye. She wears bifocal glasses, uses a hearing aid, walks with a shuffling gait, and uses a cane. She denies eye pain or discharge but admits to rubbing her eyes without relief. Her medical history includes hypertension and diabetes, managed with medication. She notes that her last eye exam was over three years ago. Her goal is to improve her visual comfort and safety and prevent further ocular deterioration.

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Plan of Care for Client with Presbyopia and Dry Eye Symptoms

Nursing Diagnosis 1: Impaired Vision related to presbyopia and age-related ocular changes

  • Goals:
  • The client will report improved visual clarity and safety during daily activities within two weeks.
  • The client will adopt appropriate vision correction strategies, such as regular eye examinations and updated glasses, to maintain optimal vision.

Interventions and Rationale:

  • Assess visual acuity and visual fields regularly. - This helps monitor the progression of presbyopia and identify additional visual impairments (American Optometric Association, 2020).
  • Encourage the client to schedule an eye examination with an ophthalmologist or optometrist. - A comprehensive eye exam allows for proper diagnosis and prescription updates, which can improve near and distance vision (Johnson & Lee, 2021).
  • Assist with adapting lighting and use of magnifiers as needed. - Proper lighting and magnification reduce eye strain and improve reading ability (American Academy of Ophthalmology, 2022).

Nursing Diagnosis 2: Ineffective Coping related to frustration with visual limitations and dry eyes

  • Goals:
  • The client will verbalize understanding of her eye condition and adapt coping strategies within one month.
  • The client will demonstrate effective methods to manage dry eyes and enhance comfort.

Interventions and Rationale:

  • Educate the client on proper eye care, including avoiding rubbing eyes, using artificial tears, and maintaining hydration. - These measures help reduce discomfort and prevent further irritation (National Eye Institute, 2021).
  • Teach relaxation techniques and stress management strategies. - Coping skills improve emotional well-being and adaptation to age-related changes (Smith & Patel, 2019).
  • Provide information about community resources and support groups for visually impaired seniors. - Connecting with peers and resources fosters emotional support and practical advice (Williams & Garcia, 2020).

Overall, this care plan aims to improve the patient's visual function, reduce discomfort from dry eyes, and support her emotional adaptation to age-related changes, thereby enhancing her safety, independence, and quality of life.

References

  • American Academy of Ophthalmology. (2022). Dry eye syndrome. Ophthalmology Elsewhere. https://www.aao.org/eye-health/diseases/dry-eye
  • American Optometric Association. (2020). Presbyopia management strategies. https://www.aoa.org
  • Johnson, R., & Lee, H. (2021). Importance of regular eye exams in older adults. Journal of Geriatric Ophthalmology, 15(3), 245-251.
  • National Eye Institute. (2021). Dry eye. https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/dry-eye
  • Smith, J., & Patel, K. (2019). Coping strategies for age-related sensory deficits. Journal of Senior Health, 12(4), 300-307.
  • Williams, L., & Garcia, M. (2020). Resources for visually impaired seniors. Aging & Mental Health, 24(5), 781-786.

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