MANUEL S.

ENVERGA UNIVERSITY FOUNDATION

COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES
DEPARTMENT OF NURSING
LUCENA CITY
_____________________________________________________________________________________

COA1 LECTURE
FINALS LEARNING ACTIVITY 7

NAME: _________________________ DATE: _______________

YEAR AND COURSE: _______________

DIRECTION: Read the story scenario below and answer the following questions related to the
topic of Sensory Impairments in the Older Adult.

Case Scenario

Mrs. Booker has recently been diagnosed with ARMD. She is distressed to feel she is going
blind and there is nothing she can do about it. She expresses these frustrations to the nurse
and asks for help.

QUESTION NO. 1.

What should the nurse’s response be? Explain.

The nurse must explain about the occurrence of ARMD and how it is common among
older adult and Mrs. B should not be alarmed about it. Also, Mrs. Booker must be informed
about the new therapies that will help her condition which are: Photodynamic therapy that
seals leaking blood vessels in the eye using laser; Antioxidant vitamins and zinc that impedes
ARMD progress. The patient must also be informed about the medications that can improve
the treatment of her condition which includes: Ranibimuzab (Lacentis) which can improved
vision; Bevacizumab (Avastin) for treatment of ARMD; Eylea treatment for wet ARMD;
Pegabtanib that targets endothelial growth factors. Low vision aids like implantable telescopes
has its special lenses and electronic systems that enhances the vision of the ARMD patients.
Lastly, the nurse must encourage Mrs. Booker with all the option that provide plenty of scope
for her recovery.

QUESTION NO. 2.

What initial adaptations need to be made early in the disease

process? Discuss.

Adaptations can help Mr. Booker who is blind or visually impaired move safely
and efficiently through her environment. Her need for adaptations to the
environment depends on visual impairment and any additional disabilities. It is
important to understand each visual diagnosis and the implications with regard
to functional vision to make the appropriate adaptations in order to maximize the
student's use of vision. She will need adjustments to the lighting to minimize the
negative impact of visual impairment. She should have familiarization of the places,
person, and location of things around her and modification of her environment for her to easily
adapt on her condition when it already occurs.

QUESTION NO. 3.

Are there any things that Mrs.Booker can do now to help modify her environment for this
progressive vision loss? What would those things be? Explain each.
This type of impaired vision can make it more difficult to navigate her home and complete
everyday tasks. Many useful adaptations are as simple as installing a brighter light bulb,
replacing sheer curtains with mini-blinds to cut down on glare, or marking the edges of steps
with brightly colored tape or paint to make them easier to see. Common tripping hazards
include area rugs, electrical cords, footstools, and any items that may block even a small part
of footpath. These should be removed to ensure walking surfaces and pathways promote safe
movement and prevent falls. Install railings and handholds. Every stairway needs to have a
railing on at least one side, and installing them on both sides increases safety. Additionally,
grab rails or handholds can be strategically placed in any area of the home that’s tricky to
maneuver. These simple modifications can also help Mrs. Booker to prevent falls in her home.

QUESTION NO. 4.

To which resources should the nurse refer Mrs. Booker for further information and support?
Discuss.

The nurse should refer Mrs. Booker to an ophthalmologist for expert prescription and
therapies.