Nursing 101 SKILLS FINAL EXAM Guide. Module 7 Glaucoma: Increased ocular pressure: Cupping and atrophy of optic disc. Symptoms • Headache or brow pain
... [Show More] • Nausea and vomiting • Colored halos around lights • Sudden blurred vision with decreased light perception Cataract: Clouding and blurring of lens, Opacity makes it difficult to see retina. Requires transplantation of the cornea to improve quality of life Macular degeneration (AMD): Deterioration of the macula-central vision • Central vision declines, and patients describe mild blurring and distortion at first • Highest risk for development of age-related Smokers, hypertension, female, short, family history, long-term diet poor in carotene and vit E. Nursing Focus on the Older Adult: Promote Independent Living in Patients With Impaired Vision • Drugs • • Having a neighbor, relative, friend, or visiting nurse visit once a week to measure the proper drugs for each day may be helpful. • • If the patient is to take drugs more than once each day, it is helpful to use a container of a different shape (with a lid) each time. For example, if the patient is to take drugs at 9 AM, 1 PM, and 9 PM, the 9 AM drugs would be placed in a round container, the 1 PM drugs in a square container, and the 9 PM drugs in a triangular container. • • It is helpful to place each day's drug containers in a separate box with raised letters on the side of the box spelling out the day. • • “Talking clocks” are available for the patient with low vision. • • Some drug boxes have alarms that can be set for different times. • Communication • • Telephones with large, raised block numbers may be helpful. The best models are those with black numbers on a white phone or white numbers on a black phone. • • Telephones that have a programmable automatic dialing feature (“speed dial”) are very helpful. Programmed numbers should include those for the fire department, police, relatives, friends, neighbors, and 911. • Safety • • It is best to leave furniture the way the patient wants it and not move it. • • Throw rugs are best eliminated. • • Appliance cords should be short and kept out of walkways. • • Lounge-style chairs with built-in footrests are preferable to footstools. • • [Show Less]