This website uses cookies to ensure you have the best experience. Learn more

Patient Profile Essay

1527 words - 7 pages

A 62 year old female is taking medication to treat her acute angle closure glaucoma disorder. Two months ago, the Dr. prescribed to Ms. Smith timolol maleate (Beta adrenergic blocking agent) to treat the symptoms of glaucoma. While she had taken the medication, her intraocular pressure (IOP) was controlled. One evening, the patient arrived to the eye care unit with a serious frontal headache, blurred vision, and eye pain. After the nurse assessed Ms. Smith visual field, she charted that the patient was not able to read 20 feet from the Snellen chart and her eyes were very sensitive to the light. The physician evaluation demonstrated that the patient had an elevated sign of intraocular ...view middle of the document...

At the same time, the nurse stresses that ending the medication can increase the risk of blindness and an overdose can also increase the side effects causing serious adverse effects such as, bradycardia and hypotension.

Drug Card

Generic Name: timolol maleate Brand Name: Timoptic
Drug Class: is a beta adrenergic blocking agent
Indication: indicated in the treatment of elevated intraocular pressure in patients with ocular hypertension, acute angle glaucoma and open-angle glaucoma. It reduces elevated intra ocular pressure (IOP).
Mechanism of Action: timolol is a beta- adrenergic blocking agent. Like other beta-adrenergic blocking agents, it mainly blocks the action of the sympathetic (adrenergic) nervous system. Timolol causes a reduction of the pressure within the eye. This effect is thought to be caused by a reduction in the production of the liquid (aqueous humor) in the eye. The reduction in intraocular pressure reduces the risk of damage to the optic nerve and loss of vision in patients with glaucoma.
Common Adverse Reactions: conjuntival irritation, eye pain, and lacrimation.
Serious or Life Threatening Adverse Reaction: Bradycardia, hypotension, hypertension, cerebral ischemia, cardiac failure, worsening of angina pectoris, palpitation, cardiac arrest, pulmonary edema, edema, claudication, confusion hallucinations, memory loss, anaphylaxis.
Nursing Considerations: administer eye drops properly to minimize systemic absorption; advised the patient not to breast feed while taking this drug without consulting physician; do not stop taking timolol unless instructed to do so by a health care provider. Assess pulse rate and BP at regularly and more often in patients with severe heart disease. (Cynthia, 2013)

Nursing Process

The nursing process allows the nurse to identify and diagnose the health status of the patient and creates a route of action in order to address and solve the patient health’s problems. This ongoing process has well-organized sequences for the different steps that will lead the nurse to get the best nursing practices. These steps are: assessment, nursing diagnosis, planning, intervention, and evaluation. (Willihnganz Michelle, 2013)
The first phase of the nursing process is the assessment. It is where the nurse will collect all the data related with the patient’s health history. When Ms. Smith was admitted to the eye care unit of the hospital, the nurse performed the first phase of the nursing process. Ms. Smith’s nurse obtained:
• The vital sings including pulse, temperature and breathing were normal, BP was 140/85.
• Patient had family history associate with her acute angle glaucoma
• The nurse observed redness, drainage in her eyes, fixed pupils and cloudy cornea
• The patient didn’t have any type of eye injury
• The patient stated “ I have severe frontal headache, blurred vision, and eye pain”
• Patient was experiencing...

Find Another Essay On Patient Profile

Identifying a Researchable Problem: Open Visitations in ICU Oksana Bjorlie Walden University Essentials of Evidence-Based Practice NURS 6052 Dr.

926 words - 4 pages and promote a more favorable hormonal profile (Berti, Ferdinande, Moons, 2007). Among medical teams in ICU there is a conviction of opposition to opening the unit and allowing the presence of family members at the bedside. The reasons for their convictions are: • Possible increased risk for infections to patient and visitors. • Interference with the patient’s care. • Increase in patient’s and family’s/friend’s stress levels. • Violation of

Take a Minute to Think Before You Post

1376 words - 6 pages though people believe that their social networking profile is private due to their privacy settings, they still need to be careful. Businesses have fired employees and colleges have chosen not to accept students as the result of their social networking profiles. In today’s world people have become way to comfortable using social networking sites. People will post comments online that they would not say in person. The crude, foul, and vulgar


2630 words - 11 pages ACUTE NURSING CARE REPORT OF AN ADULT PATIENT WITH SEVERE OBESITY, SCHEDULED TO UNDERGO BARIATRIC SURGERY Introduction Mrs Raw’ah Amsah Daher, a 46-year-old female patient admitted into the Gastroenterology unit to prepare for her elected bariatric surgery tomorrow morning, as a treatment for her Type II Diabetes. Her BMI is 53.3 kg/m2 (Height 170cm and weight 154 kg). After discussing various surgical options with the Clinical Nurse Specialist

Nursing Malpractice

991 words - 4 pages following paper is about a specific nursing malpractice incident published by The Washington Nurse and will describe the situation, the safety measures that were broken, and recommendations that could have improved quality and patient safety. It started out as a typical influenza case that had gone on too long without medical help. A 23-year-old woman with no significant medical history came to the emergency room after having flu like symptoms

Clinical reminders

1008 words - 5 pages ophthalmologist office. A serious of tests will be performed on the eyes to check the blood vessels, retina, pupils, sclera, and sight. This exam is to monitor if the diabetes is causing blindness. Lipid measurement for cholesterol is used to measure high density lipoproteins and low density lipoproteins in a patient. A lipid measurement or lipid profile can be ordered routinely or with a physical. Lipid measurements are also ordered to monitor the

diabetes and cardiovascular disease

1436 words - 6 pages need for diabetes medication” (Rredmer,2013). There have been many studies done to find ways to reduce the risks involved with diabetes and cardiovascular disease. From all of the evidence so far diet and exercise are the best option to help improve patient outcomes. “There is convincing evidence from epidemiological and pathophysiological studies that hyperglycemia has a detrimental effect on cardiovascular risk profile in its own right. It is

The future of Pharmacy

959 words - 4 pages future, for the most part is here. We are already automating medications through machines, using software which keeps a patients profile in hospitals, pharmacies and clinics. We are already connecting the patient to specific databases, within the health care services. But as with all professions we need the human connection. Insurance companies are now offering pharmacists additional monies for working directly with the patients. This helps keep

Behavioral Science and Dentistry

1777 words - 7 pages As pointed out by many [1-4], orthodontic treatment involves much more than the knowledge and experience required for biomechanical movement of teeth. A successful clinical outcome with a satisfied patient also requires inherent and acquired psychosocial knowledge and interpersonal skills essential for managing the interactions among patients, clinicians, office staff, and other health professional colleagues. With few exceptions, the

The nurses role in the positioning of the patient perioperatively under general anaesthetic

1703 words - 7 pages "Careful patient positioning is an art and a science that affects patient safety and outcomes" (Gruendemann and Fernsebner 1995, p.388). This statement could not be truer but in the age of advancing medicine and technology basic nursing skills such as perioperative patient positioning are gaining more emphasis from nurses as the medical profession disregards their importance. In this dissertation, the author will re-emphasise the significance of

Article Summary

1211 words - 5 pages checking compulsions is similar to that for non-patient controls. This means that the stopping problem in OCD is specific to the symptom profile of the patients. Individuals with OCD feel compelled to perform certain security-related behaviors repeatedly, such as washing their hands or checking that the door is locked. People without OCD would also do the same in the presence of a stimuli suggesting danger, or even do it twice to be sure

Legalizing Euthanasia

1008 words - 4 pages Legalizing Euthanasia "Whose life is it, anyway?" A Plea stated by the late Sue Rodrigues. Rogrigues, a high-profile, terminally-ill resident of British Columbia, Canada, suffered from a terminally ill disease (Robinson, 2001). She was helped to commit suicide by a physician in violation of Canadian law. Many people, like Rodrigues, want to be in control of their final days. Terminally ill patients have a terminal disease and do not

Similar Essays

Peptic Ulcer Disease Essay

831 words - 4 pages management is recommended for ulcers that fail to heal after 12-16 months of treatments and the procedures include pyloroplasy, anrectomy or vagotomy. Assessment begins with the initial meeting of the client asking the patient to describe any symptoms they may be experiencing at the time such as pain or burning sensations. Gathering a patient profile and asking questions such as what their diet consist of and prior history or drug and/or alcohol

Collection And Documentation Of Health History

1430 words - 6 pages / her health. For example if a patient holds a high profile position, maybe the stress of the job is the major cause of the disease etc. • Present disease: this part describes the current health problem of the patient and why he or she wants to seek the health care • History of present disease: this part provides the detail of the current health problem like how the problem started, what are the symptoms, what makes it worse or better, what are

Behaviorist Description Of Depression Essay

571 words - 3 pages self-deprecating automatic thoughts. It is the therapist's responsibility to assess the most effective treatment based on the patient's individual profile. The specific therapeutic approach must be tailored to the patent's needs and capabilities. If the patient requires guidance to change maladaptive thinking, then a plan to simply change behavior is doomed to fail.The behaviorist perspective can also be interpreted as placing responsibility for

Improving Handoff Communication Essay

856 words - 4 pages report, to include: Report is objective, concise, and relevant… Report elements include (where applicable): Pertinent information such as patient demographic data, safe/security issues, unusual occurrences, discharge planning issues. Identification of significant changes, observations, or findings. Medication stats/PRNS profile and effectiveness, time given. Patient changes and observations in measurable terms (eg, pain scale). Family needs