Question

Critical thinking exercise page 1913 #1

You are making a home visit to a 75-year-old male who has a long history of diabetes and complains that recently he is having trouble with his vision.

A) Describe what priority assessment data you would focus on obtaining during your initial visit.

B) What are your priorities of care of this patient with low vision? How would your priorities change if the man were blind?

Critical thinking exercise page 1913 #3

A 56 -year-old patient reports to you that he has been diagnosed with glaucoma but it is “no big deal” since his vision is fine. Although prescribed ophthalmic medications to treat glaucoma he has not been self-administering them.

A) What is the strength of the evidence that prescriptive medications are useful in preventing glaucoma related complications?

B) Identify the risk he is taking by not adhering to his prescribed regimen.

C) Describe how you would educate him to gain his adherence to his prescribed regimen.

Answer 1

A.at first vist we should take the history of his disease condition..how long he has been effected with diabete?.is he taking any medication or insulin? Which diet habit he is following?is he follow the doctors instruction on diabetes?is he doing regular follow up vist?is he checking his blood sugar level every day.if we get answer for thses question we can understand that why he has this problem.so in first assessment collect information regarding his disease condition as mentioned above.

B.check that how much he can do his daily living activities.if he is bind help him on daily needs.advise him to remove all furnitures from his path in home which cause injuries .if he is blind we need to remove such things to avoid falling.tell him to follow importance of followi g doctors instruction on diabetes otherwise it may lead to complete vission loss as it destroys blood vessels in retins.if he is blind take him to the hospita to check the reson for his bindness and provide healthcare facilities.