Nursing Care of Cataract with Acute Phacomorphic Glaucoma Complication in Hearing Loss Patients: 2 Case Studies
Keywords:
Phacomorphic Glaucoma, Cataract, Cataract Nursing CareAbstract
Acute phacomorphic glaucoma from puffy eye lens is a complication of cataract in which the disease is not treated in a timely manner and resulting in eye lens swelling, increased thickness, and pushing an iris to the angle closure. These further affect an anterior chamber of the iris shallow, causing an obstruction of the eyeball fluid and high level of intraocular pressure. The secondary angle-closure glaucoma is an urgent situation. If the patients are not treated in time, they are at higher risk for vision loss. However, the key treatment of cataract with glaucoma complication is to control an intraocular pressure and eliminate the cataract by surgery. Another concern is about patient’s hearing loss because most of the cataract patients are elderly. Hearing loss is a hearing impairment in which different from normal, have various levels, and directly affects effective communication between staff and patient during the treatment and after surgery. This effective communication helps the patients to understand in treatment processes and how to take care themselves properly in order to reduce any other adverse effects.
Our study focuses on nursing cataract patients with complication from phacomorphic glaucoma from puffy eye lens and lose hearing at Eye Clinic, Takuapa Hospital, Phang Nga Province during November 2018 to 2019 by using nursing recording tools, patient medical record, comparative analysis of demographic characteristics and symptoms. Our results showed that similar methods of nursing cataract patients with and without complication is nursing before and after cataract operation. Moreover the differences of nursing complication patients is to give concise information about complications, which covers all important things such as causes, treatment, and adverse effects from medicine. To those patients with different degree of hearing loss, the nursing was similar. However, message delivery required more time in patient with higher degree of hearing loss.
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