Nursing Care Plan - Glaucoma by nursingcrib

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									Student Nurses’ Community NURSING CARE PLAN - Glaucoma ASSESSMENT SUBJECTIVE: “Masakit ang mata ko at napansin ko na lumabo at ngkaron ng parang ulap ang paningin ko” (I am having pain around my eye and I also noticed that my vision is getting blurred and cloudy) as verbalized by the patient DIAGNOSIS Disturbed visual Sensory Perception r/t Altered sensory reception INFERENCE Increased intraocular pressure PLANNING INTERVENTION RATIONALE EVALUATION Goal met, patient has maintained current visual field/acuity without further loss. After 8 hours of Independent nursing intervention the  Ascertain patient will type/degree of inadequate visual loss drainage of  Participate in aqueous humor therapeutic from the regimen. anterior chamber of the  Maintain eye current visual field/acuity  Encourage atrophy of the without expression of optic nerve further loss. feelings about loss/possibility of Disturbed loss of vision visual Sensory


Affects choice of interventions and patient’s future expectations


OBJECTIVE:  Cloudy pupils  Sudden/persistent severe pain or pressure in and around eye(s)  Headache  V/S taken as follows T: 37 ˚C P: 80 R: 18 BP: 110/ 80

Although early intervention can prevent blindness, patient faces the possibility or may have already experienced partial or complete loss of vision. Although vision loss cannot be restored (even with treatment), further loss can be prevented

Student Nurses’ Community  Recommend measures to assist patient to manage visual limitations, e.g., reducing clutter, arranging furniture out of travel path; turning head to view subjects; correcting for dim light and problems of night vision  Reduces safety hazards related to changes in visual fields/loss of vision and papillary accommodati on to environmenta l light

Collaborative Assist with administration of medications as indicated:  Pilocarpine hydrochloride  These directacting topical myotic drugs cause pupillary constriction, facilitating the outflow of aqueous humor and lowering IOP

Student Nurses’ Community  Timolol maleate  Beta]blockers decrease formation of aqueous humor without changing pupil size, vision, or accommodati on




Carbonic anhydrase inhibitors decrease the rate of production of aqueous humor

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