Premium Essay

Dry Macular Degeneration: A Case Study

Submitted By
Words 486
Pages 2
Establish Goals:
For Barbara to be able to function at her highest capacity, despite her age-related changes and dry macular degeneration. Health and illness is individually determined by what is important to the person (Hunter, 2012), which in Barbara’s case is being able to go to the German Association Club and Catholic Church group meetings, and being able to complete Activities of Daily Living (ADL’s); in return increasing her quality of life and independence.

Take action:
Mrs Green’s vision deficit may due to her dry macular degeneration, as well as a number of age-related vision changes including contrast sensitivity changes, distortion and altered central vision (Buschbacher & Kortebein, 2013). In addressing the visual effects of Barbara’s macular degeneration, the nurse may review her medication regime and consider referrals to ophthalmologists and occupational vision therapy. Surgical solutions would not be appropriate for Mrs Green due to her age (Jones & Player, 2011). …show more content…
In ciliary body dysfunction, patients will not be able to read or do other activities requiring accommodation (). () however, advise against a decrease in dose of hydroxychloroquine as retinopathy can unpredictably continue to worsen even after a patient stops the medication therapy. Therefore, a referral to ophthalmologists and occupational vision therapy is the most preferable course of action for Mrs Green. These professionals can also identify appropriate cues to make tasks easier for Barbara, and these techniques can be taught to family members to ensure use when she is in the community (Aragon & Kings,

Similar Documents

Free Essay

Age Related Macular Degeneration

...Age-Related Macular Degeneration By Connie Goldsmith, RN, BSN, MPA Changes in vision occur throughout our lives. Some young people need glasses for driving or watching movies. Others wbo enjoy perfect vision until they reach middle age discover they require reading glasses. Many people must wear bifocals or trifocals to obtain the best vision at every distance. However, these problems are minor irritations compared to the loss of vision caused by a common agerelated disorder. Painlessly and insidiously, age-related macular degeneration (AMD) affects an estimated 10 million Americans.' It's the most common cause of vision loss and blindness in people over 65, and it can affect people at younger ages as well.' The risk of developing AMD steadily increases with age. People in their 50s bave about a 2% chance of developing it, while the risk rises to nearly 30% in those over age 75.^ Every three minutes, another case of AMD is diagnosed in the US.^ Each year, 200,000 people with AMD lose all central vision in one or both eyes.' More people than ever before will be forced to live with AMD as the baby boomer generation continues to grow older. This article reviews the anatomy and function of the normal retina. It also identifies tbe risk factors for AMD and its causes, as well as its diagnosis and treatment. A diagnosis of AMD means a significant decrease in vision, and, in some cases, complete blindness. Because patients face important concerns related to...

Words: 3063 - Pages: 13

Premium Essay

Conditions of the Eye

...Conditions Related to the Eye and Blindness Michael A. Allen Jackson State University Abstract Conditions related to the eye and blindness is very common. There are many disease of the eye. Many of these diseases can cause a lot of harm. There are five main points that will be discussed they are age-related macular degeneration, retinitis pigmentosa, retinopathy, visual impairment in higher learning, and social support for the visually impaired. Macular degeneration often damages central vision and is prevalent in people age 60 and over with rare cases of people fewer than 50. Retinitis Pigmentosa is common among families; it’s not always related to hereditary factors. Retinopathy is a common problem for people with diabetes where retinal blood vessels break down and affect vision. People with visual impairments who are in higher learning are very common now days and accommodations are set up for persons. Social support for people who are visually impaired is key factors to helping those individuals have a normal and productive life. Introduction There are many eye conditions. They are listed as followed. Lazy Eye or Amblyopia is a very common condition. Usually present early in childhood, lazy eye can be corrected if caught early. Learn what you can do to correct this eye condition before it becomes severe. Aphakia is a condition where the lens of the eye is missing. It can greatly decrease your vision acuity and cause other problems if not treated. Astigmatism...

Words: 5661 - Pages: 23

Premium Essay

Once Upon a Time

...[pic] Resolution of the World Health Organization After meeting in Geneva in May 2003 for the Fifty-Sixth World Health Assembly, the WHO outlined its Global Initiative for the Elimination of Avoidable Blindness, or VISION 2020 plan. The WHO urges national governments to: • Set up, not later than 2005, a national VISION 2020 plan, in partnership with the WHO and in collaboration with NGOs and the private sector. • Establish a national coordinating committee for VISION 2020 or a national blindness prevention committee, which may include consumer or patient groups, to develop and implement the plan. • Commence implementation of such plans by 2007 at the latest. • Include effective information systems with standardized indicators and periodic monitoring and evaluation, with the aim of showing a reduction in the magnitude of avoidable blindness by 2010. • Mobilize resources for eliminating avoidable blindness. In turn, the WHO agrees to: • Maintain and strengthen the WHO’s collaboration with governments and all partners of the initiative. • Ensure coordination of the implementation of the VISION 2020 plan, by setting up a monitoring committee grouping all those involved, including national government representatives. • Provide support for strengthening national capability, especially through development of human resources, to coordinate, assess, and prevent avoidable blindness...

Words: 12733 - Pages: 51

Premium Essay

Jackfuit Seeds Coffee

...Health benefits of jackfruit 100 g of edible jackfruit bulbs provide 95 calories. The fruit is made of soft, easily digestible flesh (bulbs) made up of simple sugars like fructose and sucrose that when eaten replenishes energy and revitalizes the body instantly. Jackfruit is rich in dietary fiber, which makes it a good bulk laxative. The fiber content helps protect the colon mucous membrane by binding to and eliminating cancer-causing chemicals from the colon. Fresh fruit has small but significant amounts of vitamin-A, and flavonoid pigments such as carotene-ß, xanthin, lutein and cryptoxanthin-ß. Together, these compounds play vital roles in antioxidant and vision functions. Vitamin A is also required for maintaining integrity of mucusa and skin. Consumption of natural fruits rich in vitamin-A, and carotenes has been found to protect from lung and oral cavity cancers. Jackfruit is a good source of antioxidant vitamin-C, provides about 13.7 mg or 23% of RDA. Consumption of foods rich in vitamin C helps the body develop resistance against infectious agents and scavenge harmful free radicals. It is one of the rare fruits that is rich in B-complex group of vitamins. It contains very good amounts of vitamin B-6 (pyridoxine), niacin, riboflavin, and folic acid. Further, fresh fruit is a good source of potassium, magnesium, manganese, and iron. Potassium is an important component of cell and body fluids that helps controlling heart rate and blood pressure. http://www...

Words: 2775 - Pages: 12

Premium Essay

Diabetes

...| Type 1 Diabetes Mellitus | | | | Type 1 Diabetes Mellitus Diabetes Mellitus (DM) is a metabolic disorder that is rising at an alarming rate across all age groups in the United States and around the world. Because of the surge of new diagnoses of DM, medical journals are referring to this disorder as an epidemic and pandemic. According to Brass (2014), “diabetes kills one individual every six seconds across the globe, and it is expected to rise 55 percent in the next 20 years” (p. 6). The article goes on to state that according to the American Diabetes Association (ADA), “about 26 million individuals in the U.S. or 83 percent of the population have had a diabetes diagnosis (p. 6). Unfortunately this number will only begin to keep climbing and affect future generations to come. Professor Nam Han Cho wrote in a report on diabetes that “if current demographic patterns continue, more than 592 million people (worldwide) will be affected with diabetes within a generation” (Brass, 2014, p.7). Diabetes can be divided up into four categories including the following: Type 1 DM, Type 2 DM, gestational diabetes, and pre-diabetes. This paper will discuss the aspects of Type 1 diabetes. Information from the article Primary and secondary prevention of Type 1 diabetes was obtained from the Wiley Online Library database using the search terms diabetes type 1, and prevention. The Wiley Online Library database was also used to obtain information from the article titled...

Words: 2346 - Pages: 10

Premium Essay

Alcohol Abuse in Teenagers

...ACTIVITIES RELATED TO NUTRITION & GASTRO INTESTINAL (GIT) SYSTEM. This section relates to activities on introduction to GIT. You are expected to consult the recommended physiology textbooks in your module study guide and the online textbook to gain adequate knowledge on these topics. Activity 1 Identify the anatomical structure of the GIT? * Mouth * Pharynx * Oesophagus * Stomach * Small intestine * Large intestine 1.2 – Explain the functions of the features identify in activity 1.1? * Mouth: Food begins its journey through digestive system in the mouth; inside the mouth are many organs that aid in the digestion of food –the tongue, teeth, and salivary glands. Teeth chop food into small pieces, which are moistened by saliva before the tongue and other muscles push the food into the pharynx. * Pharynx: the throat; a tube that starts at the internal nares and runs partway down the neck where it opens into the oesophagus posteriorly and the larynx anteriorly. It functions as a passage way for both the digestive and respiratory systems. The pharynx receives the food after being swallowed and pushes it to the oesophagus. * Oesophagus: The hollow muscular tube that connects the pharynx and the stomach. The oesophagus contracts to produce wavelike motions, it receives food from the mouth when you...

Words: 3033 - Pages: 13

Free Essay

Senior Nutrition

...Definition Senior nutrition addresses the special dietary requirements of the elderly. Although wise food choices and a balanced diet are essential for older adults to maintain a healthy lifestyle and to promote longevity, there are various obstacles that prevent or limit seniors from practicing and benefiting from good eating habits. Such obstacles include loneliness, depression, economic concerns, lack of cooking skills or desire to cook, inadequate nutritional knowledge, reduced capacity to absorb and utilize nutrients, oral/dental problems and difficulty in chewing, loss of appetite, and eating/nutrient complications due to the use of various medications. In addition, older adults need certain vitamins and nutrients to aid in the maintenance of their health. Description Healthy eating and regular physical activity are necessary to maintain good health at any age. However, older persons, especially after the age of 50, often experience various obstacles that prevent them from following healthy diets. They experience reductions in metabolism (the rate at which the body burns energy) and changes in physiology that significantly affect their nutritional needs. The metabolic rate of an individual can decline as much as 30% over the lifetime, and lean muscle mass can decrease by as much as 25%, accompanied by an increase in body fat. These changes often require the use of lower calorie diets as well as changes in nutritional intake. Therefore, changes in habits, including...

Words: 3441 - Pages: 14

Premium Essay

Nclex Notes

...Darren & Jenny’s Nursing Study Guide Darren & Jenny Nursing Study Guide Nursing Formulas and Conversions Drugs and Dosage Formulas and Conversions Volume 60 minims = 1 dram = 5cc = 1tsp 4 drams = 0.5 ounces = 1tbsp 8 drams = 1 ounce 16 ounces = 1pt. 32 ounces = 1qt. Weight 60 grains = 1dram 8 drams = 1 ounce 12 ounces = 1 lb. (apothecaries') Household 1tsp = 1tsp = 3tsp = 1tbsp = Household 1tsp=5cc 3tsp=1tbsp 1tbsp=0.5oz or 15cc 2tbsp=1oz or 30cc 1pt.=16oz or 480cc 1qt=32oz or 960cc 1/60 grain=1mg 15 grains=1g 2.2 lbs.=1kg Apothecary 1 dram 60 gtts (drops) 0.5 ounce 0.5 ounce Metric 5cc=1tsp 15cc=1tbsp 30cc=2tbsp(1oz) 1cc=16minims Apothecary 1fl.dram=4cc 4drams=0.5oz 8drams=2tbsp(1oz) 16minims=1cc 500cc=0.5L or 1pt. 1000cc=1L or 1qt. Temp. Conversion C= F-32/1.8 F= 1.8*C-32 2 Darren & Jenny Nursing Study Guide NOTES CARDIOVASCULAR Arterial Ulcer – Pale, deep base, surrounded by tissue that is cool with trophic changes such as dry, soluble skin and loss of hair. Cause by ischemia from inadequate arterial blood supply of oxygen and nutrients . Venous stasis Ulcer – Dark, red base, surrounded by skin that is brown in color with edema. Caused by the accumulation of waste products of metabolism that are not cleared due to venous congestion. Stage I Ulcer – Reddened area with intact skin surface. Management of DVT – Bed rest, limb elevation , relief of discomfort with warm, moist, heat and analgesics (Tylenol, not narcotics) prn. Ambulation is contraindicated...

Words: 7141 - Pages: 29

Premium Essay

Notes

...Darren & Jenny’s Nursing Study Guide Darren & Jenny Nursing Study Guide Nursing Formulas and Conversions Drugs and Dosage Formulas and Conversions Volume 60 minims = 1 dram = 5cc = 1tsp 4 drams = 0.5 ounces = 1tbsp 8 drams = 1 ounce 16 ounces = 1pt. 32 ounces = 1qt. Weight 60 grains = 1dram 8 drams = 1 ounce 12 ounces = 1 lb. (apothecaries') Household 1tsp = 1tsp = 3tsp = 1tbsp = Household 1tsp=5cc 3tsp=1tbsp 1tbsp=0.5oz or 15cc 2tbsp=1oz or 30cc 1pt.=16oz or 480cc 1qt=32oz or 960cc 1/60 grain=1mg 15 grains=1g 2.2 lbs.=1kg Apothecary 1 dram 60 gtts (drops) 0.5 ounce 0.5 ounce Metric 5cc=1tsp 15cc=1tbsp 30cc=2tbsp(1oz) 1cc=16minims Apothecary 1fl.dram=4cc 4drams=0.5oz 8drams=2tbsp(1oz) 16minims=1cc 500cc=0.5L or 1pt. 1000cc=1L or 1qt. Temp. Conversion C= F-32/1.8 F= 1.8*C-32 2 Darren & Jenny Nursing Study Guide NOTES CARDIOVASCULAR Arterial Ulcer – Pale, deep base, surrounded by tissue that is cool with trophic changes such as dry, soluble skin and loss of hair. Cause by ischemia from inadequate arterial blood supply of oxygen and nutrients . Venous stasis Ulcer – Dark, red base, surrounded by skin that is brown in color with edema. Caused by the accumulation of waste products of metabolism that are not cleared due to venous congestion. Stage I Ulcer – Reddened area with intact skin surface. Management of DVT – Bed rest, limb elevation , relief of discomfort with warm, moist, heat and analgesics (Tylenol, not narcotics) prn. Ambulation is contraindicated...

Words: 7141 - Pages: 29

Free Essay

Medical Surgical Nursing

...publisher. No patent liability is assumed with respect to the use of the information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and author assume no responsibility for errors or omissions. Nor is any liability assumed for damages resulting from the use of the information contained herein. ISBN-13:978-0-7897-2706-9 ISBN-10: 0-7897-3706-x Library of Congress Cataloging-in-Publication Data Rinehart, Wilda. NCLEX-PN exam cram / Wilda Rinehart, Diann Sloan, Clara Hurd. -- 2nd ed. p. cm. ISBN 978-0-7897-3706-9 (pbk. w/cd) 1. Practical nursing--Examinations, questions, etc. 2. Nursing--Examinations, questions, etc. 3. National Council Licensure Examination for Practical/Vocational Nurses--Study guides. I. Sloan, Diann. II. Hurd, Clara. III. Title. RT62.R55 2008 610.73'076--dc22 2008000133 Printed in the United States of America First Printing: February 2008 Trademarks All terms mentioned in this book that are known to be trademarks or service marks have been appropriately capitalized. Pearson Education cannot attest to the accuracy of this information. Use of a term in this book should not be regarded as affecting the validity of any trademark or service mark. Warning and Disclaimer Every effort has been made to make this book as complete and as accurate as possible, but no warranty or fitness is implied. The information provided is on an “as is” basis. The...

Words: 177674 - Pages: 711

Free Essay

Samfle

...Don't discard banana peels; they are valuable as plant fertilizer. Bananas are packed with nutrients, and that includes their peels. Though you won't want to eat them yourself, your plants benefit from the nutrients as the peels decay. Plants need nutrients need to thrive. Nitrogen, phosphorus and potassium are required in the highest amounts, and nutrients such as calcium, manganese, sodium and sulfur are necessary in lower amounts. While various levels of these nutrients occur naturally, some soils can use a boost. Adding banana peels around prized plants is a widespread gardening practice that can improve your soil. Sponsored Link Expat Health Insurance Free Quotes Instantly Online Save Now on Best Cover for Expats www.nowcompare.com​/​Expats ------------------------------------------------- Potassium Dried banana peels are 42 percent potassium, more than most other organic substances, such as manure at 0.5 percent, wood ash at 10 percent and cantaloupe rinds at 12 percent. Potassium promotes the movement of water and nutrients between cells. It also strengthens stems and protects plants from disease. Because the plant is healthier, it might flower more. After the plant blooms, potassium can improve the quality and size of any fruit or nuts. ------------------------------------------------- Phosphorus Banana peels are 3.25 percent phosphorus, one of the other major nutrients that plants need to grow. Phosphorus helps rooting, improves winter hardiness and speeds...

Words: 6902 - Pages: 28

Premium Essay

Miss

...Unit 4: Development through the life stages Unit 4: Development through the life stages Name: Fatimah Al_Asadi Teacher name: Ms John What is this unit about? This unit enables learners to gain understanding of the different life stages and how people grow and develop. It requires learners to reflect on the importance of a variety of factors and major life events on the development of individuals, and to consider the nature-nurture debate. This unit will also allow learners to gain an insight into the aging process and to understand both positive and negative perspectives of ageing. Learning outcomes: * Understand human growth and development through the life stages. * Understand how life factors and events may influence the development of the individual. * Understand physical changes and psychological perspectives in relation to ageing. P1: Describe the physical, intellectual, emotional and social development through the life stages. The main life stages of human development are: * Conception * Pregnancy and birth. * Infancy * Childhood * Adolescence * Adulthood * Later adulthood. The holistic development of an individual involves them developing physically, intellectually, emotionally and socially. All humans go through the following things: * Growth: an increase in some measured quantity, such as height or weight. * Development: complex changes including an increase in skills...

Words: 10187 - Pages: 41

Premium Essay

Chapter 4 Managing Marketing Information to Gain Customer Insights

...Part 1: Defining Marketing and the Marketing Process (Chapters 1–2) Part 2: Understanding the Marketplace and Consumers (Chapters 3–6) Part 3: Designing a Customer-Driven Strategy and Mix (Chapters 7–17) Part 4: Extending Marketing (Chapters 18–20) 4 Marketing Information to Gain Managing Customer Insights Chapter Preview In this chapter, we continue our exploration of how marketers gain insights into consumers and the marketplace. We look at how companies develop and manage information about important marketplace elements: customers, competitors, products, and marketing programs. To succeed in today’s marketplace, companies must know how to turn mountains of marketing information into fresh customer insights that will help them deliver greater value to customers. Let’s start with a good story about marketing research and customer insights in action at P&G, one of the world’s largest and most re- spected marketing companies. P&G makes and markets a who’s who list of consumer megabrands, including the likes of Tide, Crest, Bounty, Charmin, Puffs, Pampers, Pringles, Gillette, Dawn, Ivory, Febreze, Swiffer, Olay, Cover Girl, Pantene, Scope, NyQuil, Duracell, and dozens more. The company’s stated purpose is to provide products that “improve the lives of the world’s consumers.” P&G’s brands really do create value for consumers by solving their problems. But to build meaningful relationships with customers, you first have to understand them and how...

Words: 26161 - Pages: 105

Free Essay

Neuro Sensory

...Nursing 122 Fundamentals of Neuro-Sensory nursing --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- Review major structures and functions of both central and peripheral nervous system. (Carolyn Jarvis, Physical Examination and Health Assessment, 3rd ed., pages 688-692 Structure and function of the CNS and PNS --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- Potter and Perry, Fundamentals of nursing (8th), Chapter 16 p. 210-211 Types of Data --There are two primary sources of data: subjective and objective. Subjective data are your patients’ verbal descriptions of their health problems. Only patients provide subjective data. For example, Mr. Jacobs's report of incision pain and his expression of concern about whether the pain means that he will not be able to go home as soon as he hoped are subjective findings. Subjective data usually include feelings, perceptions, and self-report of symptoms. Only patients provide subjective data relevant to their health condition. The data sometimes reflect physiological changes, which you further explore through objective data collection. --Objective data are observations or measurements...

Words: 23163 - Pages: 93

Premium Essay

Exsm

...Dear nutrition student, Thank you for inquiring about my RD/DTR study guide. And yes, there is no catch, the study guide is COMPLETELY FREE! All I ask for is some feedback. So feel free to shoot me any questions/comments! A little background: This study guide is the culmination of years of my own research. And after careful thought, I put into the study guide what I feel are the most important concepts you need to know for the RD/DTR exam. If you notice, I spent much time teaching you in detail the concepts you need to know, not just “spitting” you questions with little or no explanation. I believe this is important. I know you might be thinking “oh, how am I going to absorb and learn all this material?” I say, just read and answer the questions at your own pace. Simply test yourself and of course take some breaks along the way. Just take it one concept at a time. After you have mastered one concept, then move on to the next. I know if you study whole-heartedly what I have outlined in this study guide, you are sure to pass! GOOD LUCK! YOU CAN DO IT! ϑ Your nutrition friend, -Jonathan Brown, B.S, DTR THE “NO FLUFF” RD/DTR STUDY GUIDE *Updated as of July 2011 The “NO FLUFF” RD/DTR STUDY GUIDE Tips for taking the RD/DTR exam 1. PERIODICALLY CHECK THE CLOCK TO MAKE SURE YOU’RE GOOD ON TIME! If you wish, get a basic digital watch with a timer for...

Words: 20721 - Pages: 83