You are on page 1of 5

SUBMITTED TO: MRS.

ASHDEL ARTES
Submitted by: Fajardo, Nicole Francis Y

CATARACT NCP

Assessmen
t
Objective:
Myopia
Presence
of cataract
Visual
distortions
Subjective:
I stopped
driving at
night
because of
the glare
of
oncoming
headlights

Diagnosi
s
Disturbe
d
sensory
percepti
on:
visual
related
to poor
visual
acuity
seconda
ry to
cataract

Inference

Planning

Intervention

Rationale

A
cataract
is a lens
opacity
that
diminishe
s visual
acuity.
After age
40, the
lens that
is
normally
clear
begins to
have illdefined
densities.
Oxidative
damage
to the
proteins
that are
found in
the lens
reduces
the
solubility
and
ultimatel
y results
in
insoluble
opacities

After 8
hours of
holistic
nursing
interven
tion the
patient
will be
able to
regain
optimal
vision
possible

Assess
patients
ability to
see and
perform
activities

Provides
baseline for
determinatio
n of changes
affecting the
patients
visual acuity

Encourage
patient to
see
ophthalmol
ogist at
least yearly
Provide
sufficient
lighting

Provide
lighting that
avoids glare
on surfaces
of walls

Provide
night light

Prepare
patient for
cataract
surgery

Provide
large print
objects and
visual aids

Monitor
progressive
visual loss or
complication

Elderly
patients
need twice
as much
light for
close task
Elderly
patients are
more
sensitive to
glare

Elderly
patients
require
longer
accommodat
ion time to
changes in
light
Provides
knowledge
to the
patient

Evaluatio
n
After 8
hours of
holistic
nursing
interventi
on the
patient
was able
to regain
optimal
vision
possible

Assists
patient to
see larger
print, and
promotes
sense of
independenc
e

Assessme
nt
Objective
Presence
of
cataract
Changes
in vision
Inability
to
tolerate
glare

Diagnosis

Inference

Planning

Risk for
injury
related to
decrease
d visual
acuity
secondar
y to
catract

The
classic
symptoms
of cataract
are
painless,
with initial
blurring of
vision,
advancing
to loss of
sight.
Photophob
ia and
night
blindness
are
frequently
noted.
Vision is
also
complicat
ed by
difficulty
seeing in
bright
light and
glare
because
the
cataract
distributes
light in a
refractory

After 8
hours of
holistic
nursing
care the
patient
will be
free of
injury

Interventio
n
Assess
patient for
degree of
visual
impairment

Ensure
room is
safe with
adequate
lighting
and
furniture
moved
towards
the wall
Remove
rugs and
other
unnecessar
y things on
the floor
Keep
patients
glasses
and call
bell within
reach

Rationale
Increases
awareness
of problem,
and
identifies
severity

Provides a
safe
environme
nt to
reduce
potential
for injury

Rugs make
it prone for
slipping

Provides for
assistance
for patient
and
optimal
visual
acuity

Evaluatio
n
After 8
hours of
holistic
nursing
interventi
on the
client was
free of
injury

fashion,
with a
clear halo
encircling
lights

Instruct
patient/SO
regarding
need for
maintainin
g safe
environme
nt

Reduced
visual
acuity puts
patient at
risk

Instruct
patient/fam
ily
regarding
safe
lighting

Enhances
visual
discriminati
on

Advice
patient to
wear
sunglasses
Assessmen
t
Objective:
Difficulty
concentrati
ng
Excessive
sweating
Poor eye
contact
Decreased
energy
Subjective:
Karon na
gyod ko
operehan?
Ma okay ra
kaha ko
dai?

Diagnos
is
Anxiety
related
to
upcomi
ng
surgery

To reduce
glare

Inference

Planning

Intervention

Rationale

Anxiety is
an
emotion
characteri
zed by an
unpleasant
state of
inner
turmoil,
often
accompani
ed by
nervous
behaviour,
such as
pacing
back and
forth,
somatic
complaints
, and
rumination
. It is the
subjectivel
y

After 5
minutes
of holistic
nursing
interventi
on the
patient
will be
able to
lessen
anxiety

Identify fear
levels that
may
necessitate
postponem
ent of
surgery

Persistent
anxiety
result in
excessive
stress
reaction,
potentiatin
g risk of
adverse
reaction to
procedure

Inform
patient or
SO of
nurses
intraoperati
ve
advocate
role
Validate
source of
fear.

Develops
trust and
rapport,
decreasing
anxiety
Identifying
fear helps
patient
deal
realisticall
y with it.

Evaluatio
n
After 8
hours of
holistic
nursing
interventi
on the
patient
verbalize
d that he
felt less
anxious

unpleasant
feelings of
dread over
anticipate
d events,
such as
the feeling
of
imminent
death

Provide
factual
information
Note
expressions
of distress
and
helplessnes
s

Control
external
stimuli

Introduce
OR staff

Tell patient
that drapes
will be used

Patient
may
already be
grieving
for loss
represente
d by
surgical
procedure
Extraneou
s noises
may
accelerate
anxiety
Establishe
s rapport
and
psychologi
cal
comfort
Reduces
concerns
that the
patient
may see
operation

You might also like