2 Nursing Diagnosis 2 goals for each Nursing Diagnosis Interventions with rationales    Include  in-text citations with 3-4 references

Module 8 medsurgolderadult | Nursing homework help

Nursing Diagnosis 1: Impaired Vision related to aging, uncorrected refractive error, and dry eyes as evidenced by difficulty seeing at night, using a magnifying glass to read, and complaints of dry, scratchy eyes.

Goals:

1. Improve the client’s vision and eye health by identifying and treating any underlying eye conditions, such as cataracts, macular degeneration, or dry eye syndrome.
2. Enhance the client’s ability to manage her vision loss and adapt to her changing needs by providing education, resources, and support.

Interventions with rationales:

1. Perform a comprehensive eye examination, including a visual acuity test, intraocular pressure measurement, dilated fundus exam, and assessment of ocular surface and tear film. This will help to identify any underlying eye diseases or conditions that may be contributing to the client’s visual impairment and dry eye symptoms (American Academy of Ophthalmology, 2020).
2. Recommend appropriate interventions for any diagnosed eye conditions, such as cataract surgery, intravitreal injections, or topical lubricants for dry eyes. This will help to improve the client’s vision, comfort, and quality of life (American Optometric Association, 2021).
3. Provide education on strategies for managing vision loss, such as using adaptive devices, maximizing lighting, and organizing her environment. This will help the client to remain independent and engaged in her activities of daily living (National Eye Institute, 2021).
4. Refer the client to community resources, such as low vision clinics, support groups, or transportation services, as needed. This will help the client to access additional assistance and services to manage her vision loss and maintain her independence (American Academy of Ophthalmology, 2020).

Nursing Diagnosis 2: Risk for Falls related to age-related changes in gait and balance, visual impairment, and use of a cane.

Goals:

1. Reduce the client’s risk of falls by identifying and addressing modifiable risk factors, such as environmental hazards, footwear, and medication side effects.
2. Enhance the client’s safety and mobility by providing education, resources, and assistive devices.

Interventions with rationales:

1. Conduct a fall risk assessment, including an evaluation of the client’s gait, balance, strength, and proprioception. This will help to identify any deficits or impairments that may increase the client’s risk of falls (Centers for Disease Control and Prevention, 2019).
2. Identify and address environmental hazards in the client’s home, such as loose rugs, poor lighting, and cluttered pathways. This will help to create a safer environment for the client to navigate (American Geriatrics Society, 2019).
3. Review the client’s medications for potential side effects that may increase the risk of falls, such as sedatives, antihypertensives, and diuretics. Collaborate with the client’s healthcare provider to adjust medication regimens as needed (American Geriatrics Society, 2019).
4. Provide education on fall prevention strategies, such as maintaining regular physical activity, wearing appropriate footwear, and using assistive devices such as a walker or a cane. This will help to improve the client’s balance, gait, and overall safety (Centers for Disease Control and Prevention, 2019).
5. Recommend the use of assistive devices, such as a walker or a cane, to support the client’s balance and mobility. This will help to reduce the client’s risk of falls and enhance her ability to remain independent (American Geriatrics Society, 2019).

References:

American Academy of Ophthalmology. (2020). Preferred practice pattern guidelines: Comprehensive adult medical eye evaluation. https://www.aao.org/preferred-pr