Vision Loss in Older Adults: Nursing Assessment and Care Management

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Springer Publishing is happy to note the use of this title in the Nursing Education of America CEU classes!

This helpful and practical book provides an overview of vision problems in the older adult, ranging from retinopathies and age-related macular degeneration to cataracts and diabetic retinopathy. The contributions outline the prevention, assessment, and management of the major causes of vision loss, supplying nurses with information about the psychological and social impact of vision loss on the older adult and their families. The chapters further discuss resources and assistive devices for those affected and conclude with a look at innovations in the treatment of conditions contributing to vision loss in the older adult population.

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Product Details

  • ISBN-13: 9780826102188
  • Publisher: Springer Publishing Company, Incorporated
  • Publication date: 9/18/2006
  • Edition description: New Edition
  • Pages: 232
  • Product dimensions: 6.04 (w) x 8.98 (h) x 0.49 (d)

Meet the Author

Susan Crocker Houde, PhD, APRN, BC, is Professor and Director of the Master's and Certificate Programs in Nursing at the University of Massachusetts, Lowell and is Associate Director of the Division of Aging of the Center for Health and Disease Research. Dr. Houde is certified as an adult nurse practitioner for ANCC. She is also a Section Editor for Public Policy for the Journal of Gerontological Nursing and serves as a reviewer for several journals and professional organizations. She has published numerous articles and papers on issues related to aging and nursing care of the older adult. She is a member of the Gerontological Society of America and the National Organization of Nurse Practitioners Faculties, where she serves on the Educational Standards and Guidelines Committee. Dr. Houde is a Research Scholar of the Hartford Institute of Geriatric Nursing.

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Table of Contents



• Vision Loss in the Older Adult: An Introduction, Susan Crocker Houde

Impact of Vision Loss

Ocular and Visual Changes with Aging

Causes of Age-Related Vision Loss

• Age-related macular degeneration

The Role of the Professional Nurse: An Overview
• Age-Related Macular Degeneration, Ruth Remington


• Risk Factors



Medical Management

• Antioxidant and Zinc Supplements
• Laser Phooagulation
• Photodynamic Therapy
• Procedures under Investigation

• Cataracts, Pat Gillett, Kate Goldblum, and Joyce Powers


Pathophysiology and Etiology

Signs and Symptoms


• Minimum evaluation
• Additional evaluation

Medical and Surgical Management

• General considerations
• Medical management
• Surgical management

• Glaucoma, Arlene McGrory


• Intraocular Pressure
• Optic Neuropathy
• Visual Field Defects

Pathophysiology and Risk Factors

• Open-Angle Glaucoma
• Angle-Closure Glaucoma

Signs and Symptoms of Glaucoma

Early Detection of Glaucoma

• Focused Health History in an Older Adult with Glaucoma
• Eye Examination for the Detection of Glaucoma

Referral to an Ophthalmologist

Medical Management

Laser Procedures

Surgical Management

Nurse's role in treatment
• Retinopathies, Judy Pentedemos


• Diabetic Retinopathy
• Hypertensive Retinopathy


Diabetic Retinopathy

• Pathophysiology of Diabetic Retinopathy
• Assessing for Diabetic Retinopathy
• Classification of Diabetic Retinopathy

Hypertensive Retinopathy

• Pathophysiology of Hypertensive Retinopathy
• Assessing for Hypertensive Retinopathy

Diagnostic Testing for Retinopathies

Management of Retinopathies

• Diabetes Management
• Hypertension Management

Surgical Interventions

• Panretinal Phooagulation, Focal Phooagulation, Vitrectomy

• Prevention of Age-related Vision Loss, Susan Crocker Houde

Prevention of Diabetic Retinopathy

Prevention of Cataracts

• Sunlight Exposure
• Cigarette Smoking
• Antioxidants

Prevention of Age-related Macular Degeneration

• Antioxidants
• Cigarette Smoking
• Sunlight Exposure
• Fats, Cholesterol, and Fish Intake
• Statins and Aspirin Therapy

Prevention of Glaucoma

• Psychological and Social Impact of Age-Related Vision Loss, Karen Devereaus Melillo

Psychological Impact

Experience of Vision Loss

Social Impact of Age-Related Vision Loss

Successful Aging and Quality of Life with Vision Loss
• Nursing Care of Older Adults with Age-related Vision Loss, Pamela Z. Cacchione

Vision Assessment

• Vision Health History
• Assessment of Visual Acuity
• Assessment of Contrast Sensitivity
• Assessment of Fields of Vision

Nursing Models of Care for the Visually Impaired

• Nagi Disablement Process Model
• The Sensory Enhancement Model
• Individualized Sensory Enhancement for the Elderly (I-SEE)

Nursing Care of Eye Emergencies

• Retinal Detachment
• Acute Angle-Closure Glaucoma
• Temporal Arteritis
• Cataract Surgery Complications

Nursing Care by Setting

• Home Care
• Out Patient Clinic
• Acute Care
• Long-Term Care

Care Planning for the Visually Impaired Older Adult
• Case Study

• Meet Ms. V
• Dual Sensory Impairment
• Interdisciplinary Care

Preventing Disability and Dire Outcomes of Low Vision in Older Adults
• Supporting Families of Older Adults with Age-related Vision Loss, Catherine S. Sackett and Betsy Campochiaro

How Impaired Vision Affects Daily Life

Emotions and Vision loss

Why Should the Family be Part of the Treatment Team?

How Can the Family Help?

• The Scope of the Problem
• Intervention Planning
• Independence Needs
• Socialization Needs
• Finances
• Safety Issues
• Cooking
• Cleaning

The Health of the Family- the Process of Family Evaluation

• Identifying the Caregiver
• The invisible Caregivers: Children

Effects of Caregiving on Health and Well-Being

• Emotional stress
• Anxiety
• Multiple Roles
• Depression

What Helps Family Members?

• Positive Aspects of Caregiving
• Support Groups

Seeking Support Effectively

• Informal Help

Formal Help

• Provider Support
• Respite Care
• Occupational Therapy
• Transportation

• Assistive Devices and Resources for Older Adults with Age-Related Vision Loss, Betsy Campochiaro and Catherine Sackett

Low Vision Rehabilitation

What is Low Vision?

The Referral Process

The Rehabilitation Team

The Low Vision Assessment and Plan

Aids and Techniques

• Sighted Guide
• Canes and Guide Dogs
• Optical Aids

Non-Optical Aids

The Nurses Role in Education and Support

• Future Directions in the Care of Older Adults with Age-Related Vision Loss, Kate Goldblum, Pat Gillett, and Joyce Powers

Age-Related Macular Degeneration

• Recent Developments in Treatment
• Therapeutic Options for the Future
• Nursing Implications


• Recent Developments in Treatment
• Therapeutic Options for the Future
• Nursing Implications


• Recent Developments in Treatment
• Therapeutic Options for the Future
• Nursing Implications

Diabetic Retinopathy

• Recent Developments in Treatment
• Therapeutic Options for the Future
• Nursing Implications


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