Ledford she prefers to be called Jan began her career in ophthalmic assisting inshe had very little idea of what to expect.
Diabetes Past Medical History Many systemic medical problems affect the eyes. These are three common medical problems which are relevant to the eye.
Causes decreased vision via drusen Diabetes Causes decreased vision via glucose entering the lens and neovascularization in advanced cases.
Asthma Causes nothing… It is good to know if the patient is going to be an a bet a blocker. If a patient with asthma is on Albuterol and a beta blocker then that patient can have a bronchospasm.
For Diabetes ask how long the patient has been diabetic, if their sugar is controlled, if there vision is stable, and what their last blood sugar reading was. Relevant autoimmune diseases include rheumatoid arthritis and lupus. Rheumatoid Arthritis causes dry eyes. Patients with lupus may be on plaquenil and need to have their macula evaluated.
Premature babies who have received oxygen therapy at birth have a higher chance of retinopathy. Medications Medications can cause ocular problems such as plaquenil, which may cause damage to the macula.
Steroids are also used to treat conditions such as rheumatoid arthritis, but cause cataracts. Some medications pose potential problems before surgery such as aspirin which thins the blood.
Some medication give you a hint on the patients past ocular history and indicate a current condition such as a patient taking lumigan being taken for glaucoma.
Eye care providers prescribe vitamins for patients with macular degeneration. Be sure to indicate what vitamins the patient is taking Some patients know that they are on a class of medications, but not the name of the medication. This is common with diuretics.
A diuretic causes more fluid to leave the bloodstream. This causes the blood pressure to drop. Diuretics are not the only medications used to treat hypertension. Beta blockers are also used to treat hypertension. An analgesic is a medication used for pain relief. Sulfa is an analgesic.
Diamox, a sulfa containing drug, is sometimes used to control glaucoma.
I have seen many patients allergic to sulfa. If a patients mentions that a certain medication made them break in a rash you may consider recording that medication as an allergy. Before getting cataract surgery male patients should be asked if they are taking sildenafil citrate aka male enhancement.
These kind of medication make the iris floppy and difficult to perform cataract surgery on. If glasses are being prescribed you need to know what their occupation is.
Do they work on a computer? Are they at risk for eye injury? These type of questions help the ophthalmologist prescribe the correct glasses for the patient.A Practical Guide to Clinical Medicine Obtaining an accurate history is the critical first step in determining the etiology of a patient's problem.
A large percentage of the time, you will actually be able to make a diagnosis based on the history alone. This may be difficult depending on where the interview is taking place. The. Assess patient’s risk and risk-taking behaviors with a thorough history Assess patient’s perception of risk for STIs, HIV Guide patient toward appropriate prevention strategies using a harm reduction approach (see next slide), based on.
For example, if a patient has a history of a seizure disorder, the nurse will need to assess the patient for anti-epileptic medication use and the risk for a seizure being triggered before, during, or .
A Guide to Taking a Patient's History Name: Institution: A Guide to Taking a Patient's History Introduction This paper is an examination of the article, A Guide to Taking a Patient's History written by Hilary Lloyd and Stephen Craig.
– Listening to the patient – A practical guide to self report questionnaires in clinical care. Arthritis Rheum.
;42 (9): Used by permission. ‘A guide to taking a patient’s history’: Journal Article Review Essay ‘A guide to taking a patient’s history’ is an article published in the Nursing Standard Journal, volume 22, issue 13, dated December 5, , written by Hillary Lloyd and Stephen Craig - ‘A guide to taking a patient’s history’: Journal Article Review Essay introduction.