"Suddenly I see!"
Vision changes associated with cateracts
Cataracts- blurred, cloudy vision
How should the nurse adapt when caring for a patient who is hard of hearing?
do not raise the volume of voice
do not try to act out what you are saying
slow down
use written word (i.e. white boards, printed brochures/pt edu, texting applications, etc.)
Tasks the RN can delegate to the UAP
Unlicensed axillary personel
UAP can not- educate patient (1st time), perform invasive skills/perform nursing interventions, assess/reassess, pass medication, etc
what are interventions considered appropriate across most cultures?
Ask permission before touching patient, take ques on eye contact based on the patient's use of eye contact (do not assume that because they look or are from an ethnicity, that they follow those practices), ask if there are cultural beliefs they would like incorporated into their care
What are examples of assess stage of the nursing process?
Includes: collect information, gather data, understand perceptions,
*be prepared to provide examples for each stage of the nursing process
Vision changes associated with glaucoma
Glaucoma- loss of peripheral vision
*be familiar with all the vision changes associated with the conditions covered
What is the main cause of hearing loss?
exposure to amplified music/noise
What is the purpose of the evaluation phase of the clinical judgement model?
to determine whether or not interventions have been successful in meeting client outcomes
use an agency interpreter (in person if possible)- on an approved electronic translation device if not
use a telephone-based medical interpreter
What role does evidence based practice (EBP)play in nursing?
It is the foundation for everything the nurse does. every treatment, care system, nursing intervention, plan of care MUST be supported by EBP.
Patient education to decrease the damage from glaucoma should include...
increase dark leafy greens, increase vitamin C, E, and A, includ meat in the diet, stop smoking and avoid exposure to secondary smoke
Nursing interventions for a patient with Meniere's Disease
Falls precautions
Dim the lights and sound (stimulation) and allow them to rest
What is interprofessional nursing and what is the benefit of it?
Collaborating with other disciplines allows the healthcare team to construct a holistic plan of care for the patient
A nurse is caring for a patient from a different culture from their own. How should the nurse determine assessment techniques such as distance, touch, eye contact, etc?
Observe the patients non verbal ques and adapt assessment techniques accordingly. ask the patient if still needed.
5 levels of blooms taxonomy? What are question examples for each?
Remember- What are 4 eye conditions covered in class?
Understand- Explain te difference between conductive vs. sensorineural hearing loss.
Apply- A nurse is caring for a patient who doesn't speak English. What should the nurse do before conducting their head to toe assessment?
Analyze- A patient presents with sudden changes in vision. What should the nurse do next?
Evaluate- A nurse is told to delegate a task to the UAP so that they can take a new admission. Which task should the nurse question delegating to the UAP?
What are medications appropriate for a patient with open angle glaucoma to receive?
Miotics, Beta adrenergic blockers, alpha adrenergic agonists
What options are available for patients with decrease earing
hearing aids, cochlear implants (if applicable), ASL, transcription devices
What role do professional organizations such as the ANA, ONS, CCN play in the nursing practice?
Provide up-to-date, evidence-based practices related to specialties in nursing
What is the first step in providing cultural competent care with cultural humility?
assessing 1st for own biases
Provide an example of the therapeutic technique of providing empathy.
Do not assume you know what the patient is going through even if you've been through something similar
Patient education post intraoccular proceedures
avoid anything that raises IOP: bending down from waist, coughing or sneezing,
may be photosensitive: avoid direct sunlight and cover exposed skin
A patient suffers from sensorineural hearing loss. Which device should the nurse recommend the patient ask about?
Cochlear implant- it will not help with conductive hearing loss . it is for sensorineural.
When providing assessments on a patient, how should the nurse prioritize which patient is most critical?
ABCs
Airway
Breathing
Circulation
What are examples of providing culturally competent care?
is it harmful, not incorporated...it is neutral, incorporate...it is beneficial, promote
Provide an example of motivational interviewing.
Its NOT telling the patient what they should or should not do
It involves tapping into the patient's "why" power. What is something that drives them? what is a goal they have esp regarding their health? use that to incorporate your nursing education