Clinical Session Reflection

The topic we focused in the class was about Inpatient Rehabilitation and Post Acute Care in the United States. The presentation was given by Susan Hartman and currently, she is working at HealthSouth Nittany Valley Rehabilitation Hospital, position of Chief Executive Officer . The lecture began with the topic of the continuum of care. I had experienced difficulty with this thought because I trusted that everybody should have to know all about acute care because it’s very vital to know in the HPA field. I didn't know whether I could regard it a privilege. I felt that access to health acute care status was significant, particularly because I also, from a place where health care is hard to find, as well as difficult to pay for services. During the lecture, I came to comprehend that without health acute care, few of us could legitimately appreciate the other fundamental rights. This presentation applies to me, when I was working at health clinic volunteer service in Bhutanese American Organization of Philadelphia.

The dry form is broken down into three stages; Early, Intermediate, and Advanced (National Eye Institute 3). In the Early stage, people have several small or few medium yellow deposits under the retina called drusen. This stage shows no symptoms or vision loss. During the second stage, Intermediate, more medium or even large deposits happen. As this happens, a blurred spot can develop and more light could be needed for reading. Lastly, in the Advanced stage, a breakdown of light-sensitive cells and tissue causes the blurred spot to enlarge and darken. In this latter stage, facial recognition is unlikely unless the person is extremely close. Either form of Macular Degeneration can only be detected by thorough eye exams. The exam should include visual acuity, which measures sight at varied distance intervals. Also, dilation of the eyes will allow an ophthalmologist to check the retina and optic nerve. An instrument called a Tonometer will measure pressure within the eyes (National Eye Institute 6).

The second patient that I assisted in taking care, both thee parents were in the room when I arrived. The mother was holding the infant and was doing her best to try and calm the infant. However, the father was simply sitting in a chair in the room, on his phone, and was not helping the mother. Whenever myself, the nurse, respiratory therapist, or physician entered the room the mother would be the only one to answer and ask questions, while the father was not really paying much attention. In addition, when it came time to administering the nebulizer treatment, the mother was the one who was holding the infant and the mask. Therefore, it was clear that the mother was involved in her sons care, but the father not so much.

At the optometry office, I helped office members organize the patients’ files and to answer the phone. When the office was crowded, I patiently called healthcare insurance to verify their vision care and explained their coverages, assisted them to fill out the check-up form, and had them on a visual field test before the optometrist do the examination for their eyes. After the patient’s eyes had checked, either they want me to help them choosing frames for their glasses or teaching them how to wear the contact lenses.

My clinical instructor and I went to my patient’s room to administer her medication. Before we gave Isosorbide mononitrate we checked her vital sign and BP was 119/ 76 and at 4am BP was 89/46, thus my instructor said we should not give this medication because the BP was low and if we give this medication it is going lower her BP and it is very dangerous for patient since she is getting dialysis. Thus, we held the medication and we notified the primary care provider and the patient’s nurse.

his class will be online ( 21/2 hours) . you will be working according to your clinical groups in order to make it easier for all of you.

Before any eye intervention is carried out, an eye exam must be undertaken by a vision specialist such as an optician, ophthalmologist or optometrist. The eye exam will allow the examiner to determine, diagnose and treat the real cause of the eye problem. Test subjects are often asked to read a chart containing letters and words of different sizes to ascertain the acuity of their sight. Once the test is complete, a special gizmo is often used to prescribe the best glass or contact lenses in order to enhance vision.

There is no shortage of new diagnostic technology at optometry’s disposal. It seems every month a new device is available to enhance our practice and patient care. And with each new device, we will have to ask the same questions: Will it pay for itself? How much does it cost? Can I afford it? Let's face it, the last thing any of us needs is a piece of equipment sitting idle in the corner collecting dust, and along with it our simmering anger at the fact we're paying through the nose for that white elephant.

Eye drops are used to dilate the pupil so that the doctor can see through the eye to examine the shape and color of the optic nerve. By visualizing the optic nerve over time during regular visits ,the doctor monitors and detects loss of optic nerve fibers & progression of glaucoma.

Have a patient hold card at a comfortable distance and read the smallest line possible. He is uncomfortable when he is read smallest line, especially via right eye.

Today I had a patient who told me he has notice that his peripheral vision was decreasing in his right eye. He also said on the Amsler Grid he couldn't see all 4 corners he couldn't see the left side corners. He was also getting a 10-2 white visual field test done today. Which is Screening For Hydroxychloroquine Toxicity.

The patient’s demonstrated good field of vision by matching the examiner’s field of vision with the confrontation test. She states not currently taking any medications for her eyes. She states no surgical history related to her eyes. There is currently no related laboratory data.

So, being in the field of medicine, increasing our awareness is a must, to create a safer environment for the patients. There is a plethora of color vision tests that can be bought, like the Waggoner Computerized Color Vision test which is provided by TestingColorVision.com is a pseudo-isochromatic color vision test that determines the type of CVD. This test can be downloaded on a computer and/or incorporated into a hospital’s learning management system that allows them to easily examine thousands of staff members yearly which is

the patient left eye acuity is 20/15, right eye acuity is 20/15, and the both eyes are 20/15. The patient doesn't use any correction vision.

Throughout the years, we’ve seen the practice of optometry changing drastically, with many businesses moving toward more effective, efficient exam lanes that provide greater benefits for everyone involved, from patients and their families to technicians and doctors themselves.