NCP for Cataracts - Disturbed Sensory Perception : Visual

Nursing Care Plan for Cataracts

Cataract is the medical term for each state turbidity occurs in the eye lens that can occur as a result of hydration (adding liquid lens), the lens protein denaturation, or can also be a result of both. Usually on both eyes and walked progressive. Cataracts cause the patient can not see clearly because of the cloudy lens is difficult light reaches the retina and will produce a blurred shadow on the retina. The number and shape of the eye lens opacities in each may vary.

Causes of Cataracts

• Aging (Senile Cataracts): Most cataracts occur due to degenerative process or the age of a person. The average age of a cataract is at age 60 years and older.
• Trauma: Eye injury can be informed of all ages such as a hard blow, puncture objects, clipped, high heat, and chemicals can damage the eye and the lens is called cataract traumatic circumstances.
• Other eye diseases (uveitis)
• Systemic disease (Diabetes Mellitus).
• Congenital defects.

Cataract is diagnosed mainly by subjective symptoms. Clients reported a decrease in visual acuity and glare as well as some degree of functional impairment caused by loss of vision. Objective findings usually include condensation so that the retina would not be visible with the ophthalmoscope.

Cataracts usually develop gradually over the years and when the cataract has greatly deteriorated more powerful lens would not be able to improve vision. Common symptoms of cataracts include:

• Vision is not clear, as there is a fog blocking objects.
• Sensitive to light.
• Can see the double in one eye (diplopia).
• Require bright lighting to be able to read.
• Eyepiece turned into opaque like milk glass.

Impaired vision can be:

• Difficulty seeing at night.
• See the circle around the light or feel dazzle.
• Decreased visual acuity (even in daylight).
• Frequent sight in one eye.
• Sometimes cataract lens causing swelling and increased pressure in the eye (glaucoma), which can cause pain.

Nursing Diagnosis : Disturbed Sensory Perception : Visual related to disorders of sensory reception / status sensory organs.

Goal:

• Improving visual acuity within the limits of individual situations, recognize sensory disturbances and compensate for changes.

Expected outcomes:

• Know the sensory disturbances and compensate for changes.
• Identify / fix potential hazards in the environment.

Nursing Interventions :

1. Determine the visual acuity, and note whether one or two eyes are involved. Observe signs of disorientation.
Rational: The discovery and early treatment of complications can reduce the risk of further damage.

2. Orient the client to the environment.
Rationale: Improving safety and mobility in the environment.

3. Notice of blurred vision and eye irritation, which can occur when using eye drops.
Rational: strong light causes discomfort after use eye drops dilator.

4. Place the items needed / call bell within reach position / positions that are not operated.
Rational: Communications addressed can be more readily accepted by the obvious.