Question

you are caring for a patient who is scheduled to undergo surgery for cataracts. The patient is 78 years old and lives alone on a third floor walk up with no elevator.

1. What safety issues with your address when teaching this patient?

2. What if she's place the patient at increased risk for injury?

Sarah schulman is a 40-year-old woman with severe, persistent asthma. In addition to receiving by monthly immunotherapy, she takes an inhaled corticosteroid with the long acting beta agonist and an antihistamine daily. Each year she has four or five a cute exacerbations of asthma that usually require a taper of oral prednisone.

1. What are Ms. Schulman's risk factors for glaucoma?

2. What patient teaching should you provide Ms. schulman to reduce her risk of developing glaucoma?

Answer 1

Cataract

1.The safety  issues to address when teaching the patient are

• The risk for fall when climbing the stairs
• The use of eye medications post surgery due to age ,cognitive issues because of age
• Aseptic techniques or importance of hand hygiene prior of eye drop instillation
• The follow up visit post surgery

2.If the patient is placed at increased risk for injury then there are high chance for poor prognosis after surgery, infection ,slow round healing ,decreased vision or no vision improvement ,fear and anxiety to patient to get medical help in future

Asthma

1.The major risk factor for glaucoma is the use of corticosteroid

2.The patient teaching to reduce her rusk for getting glaucoma

• To keep asthmatic symptoms under control so that steroids can be avoided
• Encourage to do regular physical exercise ,lung exercise to enhance breathing
• Weight maintaining to normal
• Regular eye check up to identify any problems earlier and treat at the earliest
• Encourage to wear eye glasses so that dust and foreign particles does not come in contact with eye.