NAME: Jan Christian Dayto YR/SEC: BSN III-A

DATE: September 3, 2011 AREA: Guiwan Health Center CLINICAL INSTRUCTOR: John Leofel Narvaez, RN

NURSING CARE PLAN Assessment Subjective Cues:

Meron akong glaucoma. Minsan nahihirapan akong tumingin dahil dito as verbalized by the client.

Objective of Care
At the end of 1 hour nursing intervention, the client will verbalize understanding on the importance of the disease process and treatment regimen. 1.

Nursing Intervention
Ascertain type/degree of visual loss 1.

Rationale
Changes in BP may indicate changes in patient status requiring prompt attention 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 Reduces safety hazards related to changes in visual fields/loss of vision and papillary accommodation to environmental light

Implementation

Evaluation

2.

Encourage expression of feelings about loss/ possibility loss of vision

2.

Objective Cues:
Age: Cloudy pupils 3. Recommend measures to assist patient to manage visual limitations, like arranging furniture out of travel path, turning head to view subjects, correcting for dim light and problems of night vision 3.

Nursing Diagnosis:
Glaucoma Disturbed visual sensory perception R/T Altered sensory reception