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A short presentation on what to look for in the older patient. Whats normal and what isn't.

A short presentation on what to look for in the older patient. Whats normal and what isn't.

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  • Just by looking at someone you can often tell by the look in their eyes how their day is going. If they are tired, sick, angry, sad, happy, or joyful it is all there in plain sight! From the beginning of time, the eyes have been recognized as having great power and meaning – a symbol of greatness, a symbol of greed, and even protection. The eyes, like the genitalia, are considered important in developing a sense of identity. How often have you heard the correlation of the punishment of blinding someone for the crime of lust?
  • According to the U.S. Census of 2000 the Older population is expected to grow tremendously. Here I have broken it down just for the State of Louisiana for you to see.

Eye see you Eye see you Presentation Transcript

  • EYE SEE YOU
    Traci Boudreaux, Student Nurse
    L.E. Fletcher Technical Community College
    Med- Surge I March 25, 2011
  • It is often said that the eyes are the windows to someone’s soul…but some believe that the eyes are a map of the human body.
    Our every emotion and even sickness can be discerned by our eyes!
    Most of the sensory input to the brain is through the eyes (Swartz).
    Greek mythology recognized the importance of the eye and has many representations.
    Age-old link between the genitalia and the eye.
    They provide so much visible information, yet the eyes are mostly ignored until they become problematic.
  • Louisiana’s Population of those 60+, according to the U.S. Census
    View slide
  • What does this mean for us?
    Considering that nearly twenty percent or over 800,000 of Louisiana’s population is currently over the age of 60 (and that number is expected to climb) we should be aware of what to look for in our patients’ eyes that can clue us in on the best care to provide!
    According to Dr. David Quillen , one in every three people over age 65 has an eye condition that may cause vision loss.
    Based on this, what do we need to be aware of?
    Common eye disorders
    Common eye diseases
    Normal signs associated with the aging process.
    View slide
  • Anatomy of the Human Eye
    Credit astro1.panet.utoledo.edu/~lsa_color/17_eyO.htm
  • Normal Age – Related Eye Changes
    Smaller and less responsive pupil
    Presbyopia – loss of focusing power
    Yellowing of the lens.
    Drooping of the eye lids
    Drying/tearing of the eyes
    Arcussenilis
    Picture taken from eyerounds.org
  • Vision- threatening Eye Disorders.
    CATARACT – an opacity of the lens.
    MACULAR DEGENERATION- blurred vision due to the cellular breakdown of the macula
    GLAUCOMA- fluid pressure within the eye causes damage to the optic nerve
    Cataract picture from healthbase.com
    Narrow-angle glaucoma picture from www.drtomcampbell.com
  • Questions to ask
    • An accurate and thorough family history, medical history, and list of medications.
    • Many medications can cause adverse effects on the eyes.
    The major symptoms of eye disease:
    loss of vision
    Eye pain
    Diplopia
    Tearing or dryness
    Discharge
    Redness
    • Did the loss of vision occur suddenly?
    • Is the eye painful?
    • Did the pain occur suddenly?
    • Can you describe the pain?
    • Does the light bother the eye?
    • Do you have headaches?
    • Do you have pain when you blink?
    • Do you have the sensation of something in the eye?
    • Do you have pain with the movement of the eye?
    • Do you have pain over the brow?
  • Signs & Symptoms and their associated causes..
    Corneal abrasions cause pain with blinking
    Acute narrow-angle glaucoma is commonly the cause of headaches and eye pain.
    Brow pain or temporal pain can be a sign of temporal arteritis (chronic inflammation of the arteries of the head).
    Pain with blinking can be caused by corneal abrasions or with foreign bodies in the eye.
    Redness has many causes: trauma, infection, allergies, and increased pressure within the eye (as in glaucoma).
    Eye pain and red eye may be an indication of narrow-angle glaucoma
  • All it takes is a few minutes…
    Look
    Note any abnormalities in shape, color, or responsiveness.
    Ask
    Ask the patient about pain, redness, headaches, double vision, blurry vision, or loss of vision.
    Medications
    Record a thorough list of all medications.
    Remember that sometimes the onset of symptoms is so gradual that the patient may not even realize there is a problem.
  • Works Cited
    (n.d.). Retrieved March 23, 2011, from Iris Diagnosis: http://www.irisdiagnosis.org/new/index.html
    Census, U. (n.d.). Administration on Aging. Retrieved March 24, 2011, from Dpeartment of Health & Human Services: http://www.aoa.gov/AoARoot/Aging_Statistics/future_growth/future_growth.aspx
    Rockwell, K. (n.d.). Eye Disorders in the Elderly. Retrieved March 24, 2011, from LiveStrong: http://www.livestrong.com/article/131806-eye-disorders-elderly/
    Swartz, M. H. (2010). The Eye. In M. H. Swartz, Textbook of Physical Diagnosis (pp. 212-293). Philadelphia: Saunders Elsevier.