Previous medical history, was taken to determine the patient's primary problem, such as difficulty reading, blurred vision, burning sensation in the eyes, wet eyes, double vision, spots behind the eyes, or the loss of a solitary vision area (scotoma, myopia, hyperopia). Nurses must determine whether the problem is confined to one or two eyes and how long the patient has been suffering from this disorder.
Also it is important to explore the state, or common ocular status of the patient.
- Does he wear glasses contact lenses?
- Where they were last assessed?
- Is the patient received regular care of an ophthalmologist?
- When was the last eye exam?
- Is eye pressure measured?
- Does the patient have difficulty seeing (focus) at a distance near or far?
- Are there complaints in reading or watching television? How to distinguish the color problem, or a problem with the lateral or peripheral vision?
- Does the patient have an eye injury or eye infection? If yes, when?
- What eye problems found in the patient's family?
History eye disorders are obviously very important.
- What was the last of disease suffered by the patient?
- Strabismus, amblyopia, injury?
- Glaucoma, cataracts, injury or trauma to the eye, refractive errors are corrected or uncorrected, and how the shape of the correction?
- Are there any diabetes, hypertension, thyroid disorders, sexually transmitted disorders, allergies, cardiovascular disease and collagen, neurologic condition?
- Is there a family history of eye disorders in first-degree or grandparents?
Patient's understanding and management of eye care should be examined to identify misconceptions or misinformation can be corrected from the beginning.
Nursing Diagnosis for Eye Disorders
Based on assessment data, primary nursing diagnosis of patients may include:
- Pain (acute / chronic) related to the injury, inflammation, increased IOP, or surgical intervention.
- Fear and anxiety related to visual impairment and loss of autonomy.
- Disturbed Sensory perception (visual) related to ocular trauma, inflammation, infection, tumors, structural disease, or degeneration of the photosensitive cells.
- Knowledge deficit related to impaired vision.
- Social isolation related to the limited ability to participate in diversion activities and social activities secondary to impaired vision.