ASSESSMENT NURSING DIAGNOSIS PLANNING
Subjective: Disturbed Sensory Short term goal:
Perception (visual)
The patient verbalizes related to aging ocular The patient will be able to
that she feel anxious changes and use adaptive devices
because of poor reading decreased in visual (eyeglasses) to
condition and she might acuity as evidenced by compensate for visual
take the wrong changes.
difficulty in reading and
medications. visual acuity of 20/30.
The patient will be able to
regain vision to the
maximum possible extent
Objective: with the use of special
 87 years old devices such as
eyeglasses.
 Visual acuity 20/30
The patient’s reading
condition will be enhanced
with the use of
eyeglasses.
Long term goal:
The patient will regain
optimal vision possible
and will adapt to
permanent visual
changes.
IMPLEMENTATION
Independent
1. Assess the patient’s ability to
see and perform activities with
use of Snellen chart.
Dependent
1. Encourage patient to see an
ophthalmologist.
2. Inform about special devices
that can be used.
RATIONALIZATION
Increases awareness of the
problem and identifies
severity to allow for the
establishment of a plan of
care.
Can monitor progressive
visual loss or complications.
Decreases in visual acuity
can increase confusion in the
elderly patient.
Low-vision optical aids are
available to improve the
quality of life in the patient
with good peripheral vision.
EVALUATION
GOAL MET
The patient was able to use adaptive
devices (eyeglasses) to compensate for
visual changes.
The patient was able to regain vision to the
maximum possible extent with the use of
special devices such as eyeglasses.
The patient’s reading condition is
enhanced with the use of eyeglasses.
The patient regained optimal vision
possible and will adapt to permanent visual
changes