A 62 year old female is taking medication to treat her acute angle closure glaucoma disorder. Two months ago, the Dr. prescribed to Ms. Smith timolol maleate (Beta adrenergic blocking agent) to treat the symptoms of glaucoma. While she had taken the medication, her intraocular pressure (IOP) was controlled. One evening, the patient arrived to the eye care unit with a serious frontal headache, blurred vision, and eye pain. After the nurse assessed Ms. Smith visual field, she charted that the patient was not able to read 20 feet from the Snellen chart and her eyes were very sensitive to the light. The physician evaluation demonstrated that the patient had an elevated sign of intraocular pressure. Ms. Smith stated “two weeks ago I stopped the medication because the medication was not helping me instead; my eyes were watery and irritated.” In addition, the patient told the Dr. that before she stopped the use of the medication she was administering to herself 2 drops of 0.25% solution in each eye twice daily. The Dr.’s order was for 1 drop of 0.25% solution of timolol daily. (Jackson, 2012)
Ms. Smith described to the nurse that the Dr. believed that the intraocular pressure has risen since she has stopped her medication. Also, the Dr. enlightened her that she was not following the indications for the prescribed amount of medication. Ms. Smith mentioned that she had stopped the medication because the medication was worsening the symptoms of glaucoma. The nurse asked the patient if has there been an increased in tearing and discharge from her eyes after applying the medication. The patient said that that was the reason why she discontinued the medication.
Ms. Smith’s nurse explained her that lacrimation and conjuntival irritation are th...
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...r such as, tremors, sweating, palpitations and restlessness. Lab test can be done to check the patient’s levels of blood glucose. (Willihnganz Michelle, 2013)
The medications prescribed to Ms. Smith when she was admitted to the hospital are working. The symptoms have been reduced:
• The production of aqueous liquid has been lowered down by the application of beta blockers eye drops; as a result, the intraocular pressure is normal, thus preventing possible damages to the optic nerve that may cause vision loss.
• On the pain scale from 0 to 10 the patient has rated her pain on number 3 that correspond to mild pain. Analgesics have decreased Ms. Smith eye pain significantly.
• The nausea and vomiting have stopped.
The prompt interventions of the care providers have successfully improve the symptoms of the patient averting any potential damage to Ms. Smith eye vision.
Jack’s case is an example of medical negligence. The physician that prescribed the prescription should have done a full physical and medical exam on the patient. Jack’s physician failed to ask if he was allergic to any medication. Before prescribing any medication one of the first questions should be what or if they are allergic to anything. Jack faced several health complications such as difficult breathing, turning red, and falling to the floor. He went into anaphylactic shock due to the fatal allergic reaction. The last encounter with Sulfa, Jack developed a rash due to the allergic reaction. Health professionals are required to undergo training
Ms. Smith says “that she has been experiencing painful abdominal cramps and has had frequent loose bowel movements about 3 per day.."
Glaucoma is a common and important health problem. It is one of the leading causes of blindness in Western Society (Hoskins & Kass, 1989). It is responsible for ten percent of all blindness in the United States and continues to be the second or third most common cause of blindness in the world (Bunce, Fraser, & Wormald, 1999). It is estimated that two million people in the United States have been diagnosed as having glaucoma. Glaucoma is known to affect about two percent of Caucasians beginning at the age of 40 with an increasing risk for those over the age of 60. This risk is especially high if a member of the family has glaucoma or diabetes. Further, there is a higher risk of a glaucoma diagnosis for African Americans over the age of 40.
reduces eye pressure and blood flow to the optic nerve in Glaucoma patients.(4) This conclusive
It is evident that Lisa is subjected to medication and hospitalization for her treatment. However, this method of treatment was not effective for her, because despite her being hospitalized for the last eight years; she still does not take her medicine. Since for those eight years no significant changes have been made following her diagnosis, another mode of treatment would be advisable. I would recommend the self-help strategies. Although many healthcare providers overlook this treatment method, it seems to be very
...amount of pain) is a great teaching tool for the patient who is able to self-report (Nevius & D’Arcy, 2008). This will put the patient and nurse on the same level of understanding regarding the patient’s pain. The patient should also be aware of the added information included with the pain scale: quality, duration, and location of the pain. During patient teaching, it should be noted that obtaining a zero out of ten on the pain scale is not always attainable after a painful procedure. A realistic pain management goal can be set by the patient for his pain level each day.
2.“Idaho eye center”. Modern guides for eye care. ( Pocatello, Id.) 2002 3.Howard Bedrossian, M.D. “The Eye” A Clinical and Basic Science Book. (Blackwell scientific publications. LTD., Oxford, England.) 1958
Cassel, Gary, et al. The Eye Book: A Complete Guide to Eye Disorders and Health. The John Hopkins University Press: Baltimore & London. 1998. (pp. 3-15)
Cataracts is the most common eye conditions and with today’s medical advances, it can be easily treated with surgery. Commonly, cataracts are due to old age but there are other factors than can contribute to its manifestation.
Treatment depends on signs and severity of disease. These treatments include artificial tears, surgery, glucocorticoids, immunomodulators and prisms. Artificial tears can be used for corneal exposure and associated dryness. In severe lid retraction, eyelid surgery can be considered. Orbital congestion and optic neuropathy can be treated by high dose glucocorticoids. Steroid-sparring agents and additional immunomodulators (cyclosporine, azathioprine) are also used. Sometimes, surgical decompression of the orbit is necessary to prevent severe exophthalmos and optic nerve compression. If patients have diplopia secondary to muscle enlargement and fibrosis, prisms and then strabismus surgery are needed after the inflammatory response is controlled. Eyelid surgery is suggested in patients that have severe exposure due to a fibrotic levator
I have a better understanding of beneficial and adverse effects of drugs. I know about the signs and symptoms from adverse effects of each drug and from drug to drug interaction. An example of this is the interaction between hydrochlorothiazide and digoxin. During exercise, the intensity should be slow and easy and the use of Borg RPE scale as a way of measuring physical activity intensity level is important because the patient's heart rate may not rise in proportion to intensity of the exercise. 444Knowing how can you best prescribe exercise, its proper recommendations and considerations to safely perform the exercise is paramount during such situations. It made me think critically to arrive at the reason and the best plan of action to solve the
A recent study found that in any given year, over 7% of all contact lens wearers experience an ocular complaint that is serious or bothersome enough to warrant a visit to their optometrist. The list of potential problems is long, and while many of the complaints are relatively minor, a few are potentially sight-threatening (see Table).
My decision to study Optometry degree stemmed from my affection for biology and my willingness to provide help to others. My passion was further heightened when experiencing how optometrists worked in clearing an obstruction in my grandmothers eye which saved her from losing her eyesight. During the period of heartache I began researching her condition and was fascinated by the extent of details and procedures in optometry. I have since been keeping up with new procedures available in the world of optometry and wish to further research new methods to help people suffering due to their eyesight.
This simple, none invasive procedure is able to provide individuals with a cheaper opportunity than surgery or for those who do not wish to have surgery (Barrett, 2009). The more vision therapy is used, the more well-known this therapy will become and perhaps one day children and adults alike may not be misdiagnosed with a disease they do not possess (Boden and Brodeur, 1999). Although there are two major types of vision therapy, each session will differ between optometrists and ophthalmologists, but nevertheless the benefits will remain the same. These lasting benefits will have a tremendous impact in the daily lives of anyone who completes the therapy (Vision Therapy FAQ). Finally, if it was not for vision therapy’s use of physical as well as mental exercises, human’s poor vision would interfere with daily tasks and society could not function as efficiently as it does now (Krebs, W. and Krebs, P.,
We need to do everything we can to protect our eyesight. It is crucial that we guard our eyesight with the resources we have available. Prevention and education are key factors to maintaining healthy eyesight. Visiting the eye doctor regularly, recognizing risk factors, and preventative eye care will help lengthen eyesight; rather than prematurely shorten it. This is my evaluation of the importance of an eye exam through my first hand experience, focusing specifically on glaucoma tests during eye exams, and how tests contribute to long-term vision.