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Maximising Health In Day Case Cataract Patients

4358 words - 17 pages

It is the intention of this assignment to explore the nurse's role in maximising health in patients undergoing day case cataract surgery by providing them with information and educating about the surgery to reduce any fears and anxiety about the procedure.My placement area is an ophthalmic ward as it is a day case ward for elective eye surgery I am limited in the choice of client groups as patient contact time is limited to a few hours at most after which they are referred to out patients where we don't see them. So I have decided to focus upon the pre-operative assessment of cataract patients because this comprises of a large proportion of the workload in my placement area. This is supported by "Vafidis (1998)" who maintains that cataract surgery comprises of up to 75% of the operating workload in ophthalmic units.I intend to discuss ways of maximising health by looking at the effects of anxiety upon the patient's ability to listen and assimilate information given during the pre-operative assessment. Ways in which patient anxiety and stress can be reduced will be focused upon. The ophthalmic nurses' skill and specialist knowledge will be recognised in preparing the ophthalmic patient for their operation and the giving of a clear explanation of the procedure and post-operative care of the eye.Firstly I shall identify what a cataract is and provide a brief overview of how cataract surgery has evolved due to refined surgical techniques, modern anaesthesia and attempts to improve the cataract service. As a result the length of stay in hospital has greatly reduced, where day case cataract extraction performed under local anaesthetic can provide a cost effective quality service.A cataract is the name given to any opacity in the lens, not necessarily with any effect on vision "Brown, (1999)". "Vernon and Whittaker (1995)" identify that treatment is aimed at improving the patients quality of vision, as each persons symptoms will depend on the density, position and size of the opacities within the lens. "Gardner (1999)" dispels misconceptions of the myth that cataract surgery is left until the cataract is "ripe" or "mature", maintaining the operation is carried out when the cataract interferes with the persons daily life. However late referrals via some GPs continue, which could be due to lack of knowledge.Day case surgery in Britain has been increasing following strong encouragement by the "Bevan report (1989)", which supported the concept of day case surgery provision as a cost effective way of treatment. This was due to medical staff reductions and reductions in doctors working hours made possible by the increasing use of local anaesthesia.In 1990 The Audit Commission examined the development of day case surgery provision in the UK and audited twenty common procedures. As a result the Commission Identified the financial gains of day case surgery for the National Health Service, and many new day case surgery units were formed. Cataract surgical...

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