NCP - Blurred Vision

 Javier, Darryl O. BSN311-Group 42

ASSESS MENT

NURSI NG

INFERENCE

GOAL

DIAGNOSIS

Subjective: “kelangan ko lagi ng may kasama, lalo na pag naglalakad. Malabo na kasi ang paningin ko.” as verbalized by the patient

Objective: BP: 120/70  T: 36.2 PR: 74 RR: 17

Risk for falls related to present eye condition specifically blurring of  the left eye due to aging process.

NURSING

RATIONALE

EVALUATION

INTERVETION

A cataract is a clouding that develops in the crystalline lens of the eye or in its envelope, varying in degree from slight to complete opacity and obstructing the passage of light. Cataracts typically progress slowly to cause vision loss and are potentially blinding if  untreated.  The condition usually affects both the eyes, but almost always one eye is affected earlier than the other. A senile cataract, occurring in the aged, is

After the 8 hour shift, the client will be able to demonstrate behavior and lifestyle to reduce the risk factor and the client will be able to establish safety measures.

Assess mood,  To evaluate coping abilities client’s and cognitive personality status in styles relation to the client’s present condition

Monitor vital signs and also the health condition of  the patient

Assist the client and provide information regarding present eye condition and risk that accompany it

 To determine physiologic factors that could also affect the risk for accidents (falls).

 To enhance awareness of  the client regarding her present condition

After 8 hours of care goals met. Patient was able to establish safety measures.