Learning Center Articles

Nursing assessment – Cataracts

Nursing assessment

  • Visual acuity
  • Psychosocial impact of visual disability
  • Level of knowledge of disease
  • Comfort and ability to comply with postoperative treatment

Nursing diagnosis

  • Self-care deficits related to visual deficit
  • Anxiety related to lack of knowledge about the surgical and postoperative experience

Planning

  • Preoperative goals
    • Make informed decisions regarding therapeutic options
    • Experience minimal anxiety
  • Postoperative goals
    • Understand and comply with postoperative therapy
    • Maintain level of comfort
    • Remain free of infection and other complications

Implementation

  • Health Promotion
    • Wear sunglasses
    • Avoid unnecessary radiation
    • Ensure adequate antioxidant vitamins (e.g., vitamins C and E)
    • Ensure good nutrition
  • Acute Care
    • Teach about disease process and treatment options
    • Administer medication
    • Inform those with patch that they will not have depth perception
    • Teach signs and symptoms of infection
  • Ambulatory Care
    • Activity restrictions
    • Medications
    • Follow-up visits
    • Signs and symptoms of possible complications

Evaluation

  • Have improved vision
  • Be better able to take care of self
  • Have minimal to no pain
  • Be optimistic about expected outcomes

Gerontologic considerations

  • Tend to the special needs of the older adult
    • Sensitivity to self-esteem
    • Promote independence
    • Provide support and encouragement
    • Address safety issues