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NCP for Elderly with Disturbed Sensory Perception (Visual)

Nursing Care Plan

Impaired visual acuity caused by :
  • Presbiop.
  • Abnormalities of the eye lens (eye lens reflections less).
  • Cloudiness in the lens (cataract).
  • Elevated pressure in the eye (glaucoma).
  • Inflammation of the optic nerve.

Vision Changes in Elderly

Morphological changes :
  • Decrease in fat tissue around the eyes.
  • Decreased tissue elasticity and tone.
  • The decline in the strength of the eye muscles.
  • Decreased sharpness of the cornea.
  • Degeneration in the sclera, pupil and iris.
  • Increased frequency of occurrence of the disease process.
  • Increased density and rigidity of the lens.
  • Slowing the process information from the central nervous system.

Physiological changes :
  • Decreased vision at close range.
  • Decreased eye movement coordination.
  • Distortion shadow.
  • View of blue and red.
  • Compromised night vision.
  • Decreased sharpness recognize green, blue and purple.
  • Difficulty recognizing moving objects.

Assessment
  • Pupil size decreases.
  • The use of glasses.
  • Double vision.
  • Pain in the eye, such as glaucoma and cataracts.
  • Eye redness.
  • Complain of discomfort in bright light (blinding).
  • Difficulty threading a needle.
  • Request to read a sentence.
  • Difficulty / dependence in activities of daily fulfillment (shower, to the toilet, eating, urination / defecation, as well as move).
  • Vision.

The Possibility of Nursing Diagnosis
  1. Disturbed Sensory Perception ( Visual )
  2. Risk for injury : falls .
  3. Impaired physical mobility .
  4. Knowledge Deficit.
  5. Anxiety.

Intervention
  1. Assess cause of visual impairment.
  2. Make sure the object is seen within the visual field.
  3. Give more time to focus on something.
  4. Clear eyes , if any dirt using a wet cotton wool and clean.
  5. Collaboration for the use of visual aids such as eyeglasses and medical treatment for cataracts.
  6. Provide adequate lighting.
  7. Avoid the blinding light.
  8. Posts bold and great for marking / provision of written information.
  9. Check periodically eye health.
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