Disturbed Sensory Perception (visual) related to Glaucoma

Nursing Care Plan for Glaucoma - Nursing Diagnosis : Disturbed Sensory Perception (visual)

Glaucoma is a group of eye disorders leading to progressive damage to the optic nerve, and is characterized by loss of nerve tissue resulting in loss of vision. The optic nerve is a bundle of about one million individual nerve fibers and transmits the visual signals from the eye to the brain. The most common form of glaucoma, primary open-angle glaucoma, is associated with an increase in the fluid pressure inside the eye. This increase in pressure may cause progressive damage to the optic nerve and loss of nerve fibers. Vision loss may result. Advanced glaucoma may even cause blindness. Not everyone with high eye pressure will develop glaucoma, and many people with normal eye pressure will develop glaucoma. When the pressure inside an eye is too high for that particular optic nerve, whatever that pressure measurement may be, glaucoma will develop.

Glaucoma is the leading cause of blindness among Hispanics.

There are many types of glaucoma and many theories about the causes of glaucoma. The exact cause is unknown. Although the disease is usually associated with an increase in the fluid pressure inside the eye, other theories include lack of adequate blood supply to the nerve.

Disturbed Sensory Perception

Disturbed Sensory Perception (specify: visual, auditory, kinesthetic, gustatory, tactile, olfactory)

Change in the amount or patterning of incoming stimuli accompanied by a diminished, exaggerated, distorted, or impaired response to such stimuli

Defining Characteristics:

• Poor concentration;
• auditory distortions;
• change in usual response to stimuli;
• restlessness;
• reported or measured change in sensory acuity;
• irritability;
• disoriented in time, in place, or with people;
• change in problem-solving abilities;
• change in behavior pattern;
• altered communication patterns;
• hallucinations;
• visual distortions

Nursing Diagnosis for Glaucoma : Disturbed Sensory Perception (visual) related to impaired sensory reception: impaired organ status.

Goal: The use of optimum vision.

Outcomes:

• Maintain visual acuity field without further loss.

Nursing Interventions :


1. Make sure the degree or type of vision loss.
R /: Affect and the patient's expectations of future intervention options.

2. Encourage the patient to express feelings of loss / likely loss of vision.
R /: While early intervention to prevent blindness, patients face the possibility of experience or experience partial or total vision loss. Although vision loss has occurred can not be repaired (although with treatment), deprived of further preventable.

3. Show giving eye drops, droplets counting example, follow a schedule, not one dose.
R /: Controlling IOP, prevent further vision loss.