NCP

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ASSESSMENT Masakit ang mata ko at lumabo at ngkaron ng parang ulap ang paningin ko as verbalized by the client.

OBJECTIVE:

NURSING DIAGNOSI S Disturbed visual Sensory Perception r/t Altered sensory reception

INFERENCE Increased intraocular pressure inadequate drainage of aqueous humor from the anterior chamber of the eye atrophy of the optic nerve Disturbed visual Sensory

GOAL After 8 hours of nursing intervention the patient will

NURSING INTERVENTION Independent Encourage expression of feelings about loss/possibility of loss of vision

RATIONALE

EVALUATION After 8 hours of nursing intervention the patient were

Participate in therapeutic regimen. Maintain current visual field/acuity with minimal loss

Cloudy pupils Limited vision and Headache

Although early intervention can prevent blindness, patient faces the possibility or may have already experienced partial or complete loss of vision. Although vision loss cannot be restored (even with treatment), further loss can be prevented Reduces safety hazards related to changes in visual fields/loss of vision and papillary accommodation to environmental light

Participated in therapeutic regimen. Maintained current visual field/acuity with minimal loss

Recommend measures to assist patient to manage visual limitations, e.g., reducing clutter, arranging furniture out of travel path; turning head to view subjects; correcting for dim light and problems of night vision

Collaborative Assist with administration of medications as indicated ordered Pilocarpine hydrochloride

Timolol maleate

These directacting topical myotic drugs cause pupillary constriction, facilitating the outflow of aqueous humor and lowering IOP Beta]-blockers decrease formation of aqueous humor without changing pupil size, vision, or accommodation Carbonic anhydrase inhibitors decrease the rate of production of aqueous humor

Acetazolamide

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