Sensory Perception Disorder Care map

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Data Collection

Primary open-angle glaucoma develops as a result of inadequate drainage of aqueous humor despite further secretion of the fluid. The impaired microcirculation may lead to the development of glaucoma. It also leads to the development of intraocular pressure and mechanical stress, and deformation of the lamina cribrosa affecting the exit of the optic nerve fibers from the eye and causing blindness (Qadir & Shahida, 2020).

Common Labwork/Diagnostics:

1. Intraocular pressure (IOP) measurements to check for any IOP fluctuations.
2. Visual field testing
3. Optic nerve examination

Assessment Data

Subjective

1. Ask the patient about her eyesight and how she
2. Inquire about headaches and discomfort in the eyes.
3. Ask if any of their family members had glaucoma.

Objective assessment:

1. Intraocular pressure (IOP) outcome.
2. Testing for visual field defects
3. Optic nerve changes, such as cupping or discoloration.

Health history assessment:

1. The patient is 68 years old.
2. She is of African American ethnicity.
3. No known family history of glaucoma.
4. No previous use of eye medications or eye drops.

Impaired sensory perception is related to optic nerve damage, visual field loss, and optic nerve damage, as evidenced by the ophthalmologist’s test results.

Nursing Diagnosis 2:

Risk for falls and injury related to loss of clear vision as evidenced by the diagnosis of open-angle glaucoma.

Nursing Diagnosis 3:

Lack of knowledge on glaucoma and eye care as evidenced by the patient lack of knowledge of how to use eye drops and prescribed medication.

Improve the patient’s awareness of the visual environment within two weeks of medication.

 SMART Goal 2:

Reduce the patient’s risk of falls in a day.

SMART Goal 3:

Improve the patient’s knowledge of eye drops and other prescribed medications and his ability to independently administer the medications in two days.

Intervention 1

Objectively assess Miss. Julia’s level of visual impairment.

The rationale for this intervention is that an objective assessment will help understand how much the glaucoma has progressed and her care needs.

Intervention 2:

Develop a visual rehabilitation plan for Ms. Julia Jones in collaboration with the clinic’s nurses and other eye specialists.

The rationale for this intervention is that a collaboratively developed care plan will pool interprofessional knowledge to improve her visual care outcomes as well as her experiences.

Interventions for Goal 2:

Intervention 1

Provide Ms. Julia with a walking aid gadget to support her walking.

The rationale for this intervention is that walking aids such as a walking stick have been found to improve obstacle detection with a significant reduction of falls in visually-impaired persons (Rahman et al., 2020).

Intervention 2

Provide an option for a home caregiver to assist Ms. Julia as her eyesight improves.

The rationale for this intervention is that an abled caregiver will assist the patient in moving about as well as with her medications.

Interventions for Goal 3

Intervention 1

Teach Ms. Julia how to administer the eye drops and other medications and the side effects of each medication.

The rationale for this intervention is to improve the patient’s knowledge of the prescribed medications to improve the efficiency of self-medication.

Intervention 2:

Provide visualized brochures on eye and glaucoma care.

The rationale for this intervention is that the reading materials will improve the patient’s understanding of her condition as well as improve self-care.