Sensory - EYE
Happens with aging of the eye
Decreased elasticity of the lens
Difficulty with peripheral vision
Decrease pupil size
Difficulty with night vision
Sensitivity to glare
Clearer: yellow, orange, red hues
Distorted depth perception
Decreased lacrimal secrections
Talking to a patient with aging ears
With the patient you will need to talk with a lower voice pitch.
Recommendation for having eye examinations
18-64 years every 2 years, younger than 64 at risk for eye disease every 1 to 2 years, 65 or older every year.
Should be considered with fluorescein angiography
Assess patient allergies
Urine may be bright green or orange up to 2 days
Auditory acuity tests
Whisper voice test, Rinne, Weber test are used for auditory acuity.
General education regarding conjunctivitis
Good hand hygiene, avoid touching eye,
Patient education for eye safety
Use safety measures to prevent injury (wear safety goggles, position computer screen appropriately, follow optometrist instructions for appropriate use of contact lenses).
Interventions when talking to someone with hearing impairment
When working with a hearing-impaired person be sure to reduce the background noise (tv, radio, etc.), speak face to face so they can read lips if needed, my need to have assistive devices available (hearing amplifiers, telephone amplifiers, sign language), talk slowly to aid in understanding.
Patient education regarding refractive disorders.
Patients with refractive disorders will need corrective lenses to see clearly.
Patient education about Glaucoma
They need to understand that the use of eye drops will be lifelong (they cannot stop using them)
Walk with them to prevent falls
Restrict sodium and fluids
Medications:
Nicotinic acid (niacin): for vasodilation
Antihistamines: reduce assist with the inflammation
Antiemetics
Tranquilizer and sedatives to assist with calming the client so they can rest and control the vertigo, nausea, and vomiting
Diuretic to pull the fluid off
Signs and symptoms of macular degeneration
Decrease in central vision
Blurred vision and distortion
Signs and symptoms of retinal detachment
Flashes of light, floaters or black spots, increased blurred vision, curtain being drawn, loss of a portion of visual field, painless
Nursing dx for Otitis Externa
What would be a good nursing dx for this patient due to pain? State decreased or absent pain, give a lower pain rating.
Otosclerosis causes this
the development of new bone formation in irregular areas resulting in the fixation of the bones