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Tuesday, September 10, 2013

Nursing Care Plan for Glaucoma - 5 Nursing Diagnosis

Glaucoma is a disease of the optic nerve can cause visual field abnormalities and can end up with permanent total blindness.

Cause

Mainly due to high eye pressure (normal value: 10-22 mmHg)

Risk Factors

  • Age over 40 years.
  • Families who have suffered from glaucoma.
  • History of trauma to the eye.
  • Myopia (nearsightedness)
  • Hypermetropia (farsightedness)
  • Have systemic disease (diabetes, heart disease)
  • The use of drugs (steroids)
  • Cataracts.
Symptom

Chronic glaucoma :
  • Nerve damage occurs slowly.
  • Painless.
  • Narrowing the field of vision is not realized.
  • Permanent blindness.
  • Commonly called thief of sight.

Acute glaucoma
  • Due to the sudden eye pressure high.
  • Severe headache.
  • Nausea vomiting
  • Red eye
  • Blurred vision
  • Rainbow appear when viewing the lights.
  • If not promptly treated, it will cause blindness.

Congenital glaucoma
  • In infants or children
  • Very rare
  • Congenital abnormality
  • Eyeball bigger than normal
  • Cornea is not clear
  • Watery eyes
  • Afraid to see the light

Complication

Blindness occurs that can not be cured but can be prevented.

Prevention
  • Regular eye examinations, especially over the age of 40 years.
  • Regular control for patients with glaucoma.

Treatment
  • Lowering drugs eye pressure, is used regularly and continuously to prevent further damage to the optic nerve.
  • Surgery or laser to create a new channel in order to decrease eye pressure.


5 Nursing Diagnosis for Glaucoma
  1. Disturbed Sensory Perception
  2. Anxiety
  3. Acute pain
  4. Disturbed Body Image
  5. Self-care Deficit

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