Create a care plan for a patient with visually impaired problem related to a history of diabetes: – Make sure you include all the phases of the nursing process – Provide a brief discharge planning – Give some teaching examples correlating with the teaching plan (e.g. Visual impairment). – Provide NANDA nursing diagnosis only. – Provide appropriate definition for the following terminology: – Vision acuity – Glaucoma – Retinal detachment – Macular deterioration – Cataracts – Explained the treatment of glaucoma.

Care Plan for a Patient with Visually Impaired Problem Related to a History of Diabetes

The nursing process is a systematic approach to providing patient care that consists of five phases: assessment, diagnosis, planning, implementation, and evaluation. This care plan will follow the nursing process to address the visually impaired problem in a patient with a history of diabetes.

Assessment:
– Obtain a detailed medical history, including the duration and treatment of diabetes.
– Assess visual acuity and perform a thorough eye examination.
– Identify any specific complications or comorbidities related to diabetes, such as retinopathy or diabetic macular edema.
– Evaluate the patient’s ability to perform activities of daily living (ADLs) independently.
– Assess the patient’s emotional well-being and ability to cope with the visual impairment.

Nursing Diagnosis:
Impaired Vision related to complications of diabetes as evidenced by decreased visual acuity.

Planning:
1. Goal: Improve visual functioning and enhance the patient’s independence in ADLs.
– Assess the patient’s visual acuity regularly and monitor for any changes or deterioration.
– Provide appropriate education and resources to promote the patient’s understanding and management of the visual impairment.
– Collaborate with the interdisciplinary team to develop a comprehensive plan for managing the patient’s diabetes and visual impairment.

2. Goal: Ensure the patient’s safety and prevent injury secondary to visual impairment.
– Assess the patient’s home environment for potential hazards and make necessary modifications.
– Educate the patient on fall prevention strategies, such as removing clutter and using assistive devices.
– Encourage the patient to wear appropriate prescription eyeglasses and/or contact lenses if needed.

3. Goal: Promote psychosocial well-being and emotional support for the patient.
– Encourage the patient to attend support groups or counseling services for individuals with visual impairment or diabetes.
– Offer emotional support, empathy, and active listening to the patient throughout the care process.
– Collaborate with the patient and family on identifying coping mechanisms and resources for emotional support.

Implementation:
Interventions for the patient with impaired vision related to a history of diabetes may include:

1. Provide visual aids and adaptations:
– Teach the patient techniques for maximizing remaining vision, such as using large-print materials and magnifying devices.
– Assist the patient in obtaining appropriate assistive devices, such as talking watches or canes.
– Educate the patient on the use of adaptive technology, such as screen reading software or voice-activated devices.

2. Educate the patient on diabetes management:
– Review the importance of maintaining glycemic control and adhering to prescribed medications.
– Teach the patient to self-monitor blood glucose levels and interpret results independently.
– Provide instructions on diabetic meal planning, including carbohydrate counting and mindful eating.

3. Encourage regular eye examinations and screenings:
– Stress the significance of routine eye exams to detect and manage any visual changes or complications associated with diabetes.
– Collaborate with ophthalmologists and optometrists to schedule timely examinations for the patient.
– Educate the patient on the signs and symptoms of various eye conditions related to diabetes, such as glaucoma, retinopathy, macular edema, and cataracts.

Evaluation:
– Monitor the patient’s visual acuity and assess for improvements or any further decline.
– Evaluate the patient’s ability to perform ADLs independently and safely.
– Assess the patient’s understanding and compliance with diabetes management strategies and visual impairment interventions.

Discharge Planning:
1. Refer the patient to appropriate support services:
– Provide the patient with contact information for local organizations or support groups that specialize in assisting visually impaired individuals.
– Collaborate with social workers or case managers to ensure the patient’s access to community resources, such as transportation services or vocational rehabilitation programs.

2. Coordinate follow-up care and appointments:
– Schedule regular follow-up visits with ophthalmologists or optometrists to monitor visual acuity and manage any eye-related complications.
– Provide the patient with a written plan outlining the recommended timeline for repeat eye examinations.

In conclusion, a comprehensive care plan for a patient with visually impaired problems related to a history of diabetes involves thorough assessment, diagnosis, planning, implementation, and evaluation. By addressing the patient’s specific needs related to visual impairment, diabetes management, and psychosocial support, healthcare professionals can promote the patient’s independence, safety, and overall well-being in their daily lives.