Eye Examination and Disease (Essay Sample)

Eye Examination and Disease
Name
Institution
Introduction
The eye is undoubtedly one of the vital organs for not only the humans but to the Animal kingdom as a whole. The human eye is eminently important as it acts as an organ of vision thereby giving one a chance to view the immediate environment, and most exciting, the surrounding world at large. Besides that, the eye plays the crucial role in helping the human body to do its tasks with coordination. Without a healthy eye, then majority of people would forever remain hapless due to the fact of being unable to see the aesthetic environs of the world. It is with this profound reason that regular eye checkup should be intrinsically included in any man’s schedule. People should consider mandatory to visit eye specialists at least once in a year for routine examination even when things seem satisfactory (Carpenito, 2009). The routine checkup is essential in ensuring sustainable eyesight. This essay gives credible information pertaining to the health condition of Jessica, who experienced a decrease in vision in the left eyesight. It covers the medication process of the 32-year-old mathematics teacher, life history, nursing care and teaching plan among other elements.
Comprehensive history and physical examination
Imperatively, the process of accessing a patient to ascertain the cause of a health condition involves comprehensive history taking and physical examination. This entails detailed acquisition of necessary data from the patient that is later followed by an ophthalmologist’s interpretation (Carpenito, 2009). The historical data is taken systematically through organized interview where the relevant health practitioner who then makes Medicare prescription is involved.
Jessica has joined the league of many patients with visionary complications that exposes them to severe risks in life. The teacher who had a sound eye until lately had to make a visit to the eye doctor. The ophthalmologist was able to get some of the vital data necessary for the next few stages of examining Jessica’s eyes through a comprehensive history taking. The doctor was acknowledged that the sudden visionary decrease in Jessica’s left eye began during the morning hours of that day and had progressively worsened over the past few hours. Her visionary problem did not commence after an injury or trauma. The doctor also found out that Jessica had some blurring of her vision during the previous months, and the blurredness of her vision became apparent when she was able to get in a cool air-conditioned surrounding. The doctor also acquainted with the information that Jessica had been experiencing some level of pain when she moved her eyes, but experienced no pain when resting.
Jessica disclosed the information when the doctor sought to know whether she had experienced some level of pain earlier in life. Nevertheless, she does not tear or experience redness, including being in close contact with any chemicals. She also denies of having any fever, night sweats, fatigue, neck pain, chest pain, abdominal pain, dysuria, vaginal discharge, polyuria, polydipsia and polyphagia.
After the comprehensive history taking was done, and data taken, physical examination was thereafter done in order to identify what might be the cause of the sudden decrease in vision in Jessica’s left eye. According to the physical examination done, the patient (Jessica) was alert but anxious. Her blood pressure was found to be 135/85 mm Hg with HR recording 64bpm. Jessica’s visual acuity was found to be 20/200 in the left eye while the right eye recorded an acuity of 20/30 (Wolper, 2004). Her sclera was found to be white with conjunctivae being clear. However, she was unable to assess visual fields on the left side while she was able to access visual fields in the right eye. Her left eye was also not able to respond to light while it did in the right eye. Jessica’s optic disc was also found to be swollen whilst her mental status was found to be oriented x 3. Her cranial nerves were found to be intact ranging from I – XII. The patient was put under medical care after the examination.
The physical findings to help determine a presumptive nursing diagnosis
Some of the physical findings that assist in determining a likely diagnosis include the presence or absence of pain, local retinal detachment, vitreous hemorrhage caused by diabetic trauma, refractive errors, age-related macular degeneration, presence of cataracts among many other physical findings (Wolper, 2004). Some of the physical findings in Jessica’s eye that assisted in determining a presumptive diagnosis included the fact that one of Jessica’s parents had hypertension, the fact that she had often experienced pain, the sudden decrease in vision in the left eye and the fact that she had experienced blurring of her vision a month ago.
Nursing Care Plan and teaching plan
Nursing care plans provide direction for individualized care of the patient
An example of a nursing care plan for the patient; Jessica
Knowledge deficit:
Code status: Full code
Allergies: No known allergies
Jessica is a 32-year-old mother of four who presented herself to the ER complaining of sudden decrease of vision in her left eye. Her decrease of vision in her left eye began early in the morning, and the situation worsened with every passing hou...