Nursing Care Plan for Ms. Julia Jones with Glaucoma

QUESTION

Ms. Julia Jones, a 68-year old African American woman, has just been diagnosed with primary open-angle glaucoma. Her ophthalmologist has explained the pathophysiology of the disease to her and is trying to select the best treatment option for her. You are the nurse working with the ophthalmologist, and Ms. Jones has asked you about the eye drops the doctor has recommended. Mrs. Jones’s physician has recommended Combigan, one drop in the right eye every 12 hours. Your client has never administered eye drops and she does not know anything about the medication her ophthalmologist has prescribed. She is interested in how the medication works, the side effects, how it is administered, and why it is so important in the treatment of her glaucoma.

Develop a nursing care plan using template directly after these instructions to address Ms. Julia Jones concerns.

For this assignment, include the following: assessment and data collection (including disease process, common labwork/diagnostics, subjective, objective, and health history data), three NANDA-I approved nursing diagnosis, one SMART goal for each nursing diagnosis, and two nursing interventions with rationale for each SMART goal for a client with a sensory perception disorder (glaucoma).

– Please include (intext) citations and direct links

ANSWER

Nursing Care Plan for Ms. Julia Jones with Glaucoma

Assessment and Data Collection

Disease Process: Glaucoma is a group of eye diseases that damages the optic nerve, leading to vision loss. The primary open-angle glaucoma (POAG) that Ms. Jones has is characterized by gradual vision loss due to increased intraocular pressure.
Common Labwork/Diagnostics: Intraocular pressure measurement, visual field testing, and optic nerve imaging.
Subjective Data:Ms. Jones reports difficulty with peripheral vision, eye discomfort, and halos around lights.
Objective Data: Decreased peripheral vision, increased intraocular pressure, cupping of the optic disc.

Health History Data

Ms. Jones has a family history of glaucoma and is at an increased risk due to her age and ethnicity. She has no known allergies and is taking no other medications.

NANDA-I Approved Nursing Diagnose

Impaired Visual Sensation related to increased intraocular pressure as evidenced by decreased peripheral vision and cupping of optic disc.
Anxiety related to new diagnosis of glaucoma and potential impact on daily life.
Deficient Knowledge related to lack of familiarity with Combigan eye drops and the importance of glaucoma treatment.

SMART Goals

Impaired Visual Sensation
SMART Goal: By the end of the week, the patient will verbalize understanding of the progression of glaucoma, the role of increased intraocular pressure, and the importance of adhering to prescribed medication.
Rationale: Educating the patient about the disease process and its relation to intraocular pressure will enhance her understanding of the treatment rationale.

Anxiety
SMART Goal: Within three days, the patient will express decreased anxiety levels, identify coping strategies, and demonstrate relaxation techniques.
Rationale: Addressing the patient’s anxiety will improve her overall emotional well-being and ability to cope with the challenges of her diagnosis.

Deficient Knowledge
SMART Goal:Within two weeks, the patient will correctly demonstrate the proper technique for administering Combigan eye drops and verbalize understanding of potential side effects and the importance of adherence.
Rationale: Educating the patient about medication administration and potential side effects will empower her to manage her condition effectively.

Nursing Interventions with Rationale

Impaired Visual Sensation
Intervention: Provide education on glaucoma, explaining how increased intraocular pressure damages the optic nerve and leads to vision loss.
Rationale: Providing knowledge about the disease process will help the patient understand the significance of adhering to treatment.

Anxiety
Intervention: Teach relaxation techniques such as deep breathing and mindfulness exercises.
Rationale: Teaching relaxation techniques will empower the patient to manage anxiety, improving her emotional well-being.

Deficient Knowledge
Intervention: Demonstrate and guide Ms. Jones through the proper technique for administering Combigan eye drops.
Rationale: Ensuring the patient knows how to administer her medication correctly will enhance treatment efficacy and improve her sense of control.

In conclusion, developing a nursing care plan for Ms. Julia Jones involves assessing her health history, diagnosing her nursing needs, setting SMART goals, and implementing appropriate nursing interventions. Addressing her concerns about the medication, its administration, and its importance in glaucoma treatment will contribute to her overall well-being and management of the condition.