Page 528 - Documents for the COPC of BS Nursing Program

CAGAYAN STATE UNIVERSITY 16
NCM 116

h. Slit-Lamp Exam and physical History of Present Illness:
i. Amsler Grid assessment ES, a 58-year-old male,
j. Perimetry Testing  Formulate presents to the emergency
3. Nursing Diagnosis appropriate department complaining of
4. Planning of Nursing Care nursing diagnosis sudden onset of severe pain in
for Clients with Alteration for clients with his right eye that started about
in Visual Function Alteration in eye 6 hours ago. He describes the
a. Low Vision and and ear function pain as throbbing and intense,
Blindness  Plan, Implement worsening with exposure to
b. Glaucoma and Evaluate light. He also reports blurred
c. Cataracts Appropriate vision and seeing halos
d. Refraction Errors Nursing around lights. ES mentions
e. Corneal Disorders Interventions that the symptoms began after
f. Retinal Disorders needed by clients spending several hours
i. Retinal with eye, ear and working on his computer in a
Detachme balance problems dimly lit room.
nt
ii. Retinal Past Medical History:
Vascular
Disorders  Hypertension,
iii. Macular controlled with
Degenerati medication
on  Type 2 Diabetes
g. Orbital and Ocular Mellitus, managed with
Trauma diet and oral
5. Implementation of hypoglycemics
Common Ophthalmic
Modalities Family and Social History:
a. Phacoemulsificati
on  Father had a history of
b. LASIK chronic glaucoma
c. Phakic Intraocular  Non-smoker
Lenses  Consumes alcohol
d. Scleral Buckling occasionally

F-ODI-2056
Revision No. 07 January 31, 2024