Nursing care plan of Elderly Cataract patients with Surgery and co-morbidities: cases study

Abstract

Cataracts are from the opaque lens which makes it unclear to see, amblyopia, or blinded if not receive the treatment with intraocular lens surgery. This study aims to provide comprehensive, holistic care. To plan nursing and continuing care at home and to compare nursing of Cataract patients undergoing intraocular lens implantation with comorbidities who have the limitation of caring for themselves. Data were collected from 2 cases which are received treatment in the Song Private wards 2, Khon Kaen Hospital by symptom observation, questionnaires, condition assessment, physical examination, history of illness, treatment history laboratory results, and medical treatment. As a result, the first case is diagnosed that the patient, who has comorbidities such as diabetes, high blood pressure, and high blood fat has a cataract on the right eye and underwent an intraocular lens implant surgery. The patient does not have much time to take care of themselves because of life in an urban area and has to take care husband which Alzheimer’s disease. In the second case, the patient is also diagnosed with a cataract on the right eye and underwent an intraocular lens implant surgery. The patient has comorbidities such as diabetes. Background of the patient, the patient lives in a rural area and the patient does not have much time to take care of themselves, because the patient has to take care of an aphasia grandson. For nursing, before and after surgery for intraocular lens implantation with comorbidities and comprehensive medical care are not different. Except the first study case requires more nursing at risk of high intraocular pressure due to a slight swelling of the cornea after surgery and hospitalized after cataract surgery by providing nursing in accordance with the nursing process and applying comprehensive nursing theory Distribution planning using DMETHOD principles. Patients and relatives relieved anxiety. They admit for surgery and cooperate in medical treatment. Patients are safe from complications. Both are able to return to life in their community along with receiving care and assistance from their communities and network health. The patients are able to take care of themselves and are under their care properly.