Diagnosis And Treatment Of Nursing Essay

Her procedure was performed by a physician in an outside department rather than the oncology advance practice providers. As a result, the physician performing the procedure did not have personal knowledge of the test required and was dependent on our providers to communicate this information. Had her procedure been performed at the bedside, the team would have likely been performed in the afternoon. This may have prompted further communication of the need of this test during bedside round with the attending or a second advance practice provider who would have likely done the

It is up to you to get the results of your procedure. Ask your health care provider, or the department that is doing the procedure, when your results will be ready.

On 6/15/17 Mr. Barta contacted me. He has decided to go with the surgery. He has called Dr.

Trabeculectomy can be the first choice for the control of intractable ocular hypertension. Pars plana vitrectomy aims to decrease the IOP by removing intravitreal triamcinolone crystals, but this method should be limited to eyes in which maximal anti-glaucomatous medication fails to control IOP, and eyes that would receive additional benefit from this surgery.(48)

Coats’ disease is an idiopathic condition characterized by retinal vascular telangiectasia and exudative retinopathy mostly affective young males unilaterally (1). The spectrum of Coats’ disease manifests from mild to severe visual disturbance. An unusual presentation is with a macular hole and only few case reports of this rare association exist (2)(3)(4)(5). In addition surgical treatment of macular hole associated with Coats’ disease has only been described once by Wong et al in 2012 (5). We are reporting a unique case, of macular hole in adult onset Coats’ disease (6)(7), which was successfully managed with pars plana vitrectomy(PPV) and microscope integrated Optical Coherence Tomography (MI-OCT) assisted internal limiting membrane (ILM) peeling to ensure hole closure. Though Wong et al reported on closure of macular hole, they reported delayed hole closure and poor results with conventional management. This case report highlights a better approach to achieve early macular hole closure with better functional outcome in patients of Coats disease.

< 0.05) at the third year afer the operation. At the end o the third year, BSCVA was decreased 2 lines in one eye (4 %). Afer 1 month 48% (12 o 25 eyes) gained 1 line or more o BSCVA, afer 1 year 64% (16 o 25 eyes) gained 1 line or more o BSCVA, afer 2 year 72% (18 o 25 eyes) gained 1 line or more

This prospective randomized controlled clinical trial was conducted from September 2012 to November 2013 and included patients who underwent microincision cataract surgery (MICS) at the Hospital Virgen de los Lirios. The study recruited 60 eyes of 41 patients. Eligible patients were those aged 65 to 80 with senile cataract and no other concomitant disease that would prevent a postoperative best corrected visual acuity (BCVA) of 20/40 or better. Exclusion criteria included history of ocular surgery or trauma, corneal disease, glaucoma, uveitis, vitreous opacities, retinopathy or visual pathway defects. Other exclusion criteria were current treatment with systemic steroids, immunosuppressants, anticoagulants or prostaglandin analogue eye drops. Patients with intraoperative complications or extended surgical time were also excluded.

movement (Fig 1). The next BBB scoring, day 7 post-operation, for the 2 mL/kg Saline

Have there been any recent advances in the post-operative management of the selected procedure? Why?

However, the article notes the importance of patient education when it comes to strabismus surgery. Being upfront with the possible outcomes (functional, motor, cosmesis and unsuccessful) allows the patient to understand and be prepared in the event of needing further treatment. The author suggests a future controlled clinical trial testing the outcome of pre- and post- operative VT in aiding surgery results. It is important to have the clinical research to back up what is quickly becoming the standard of care, and likely will have greater impact than understanding how surgery alone may help

Cataract extraction surgery is considering when posterior polar cataracts become visually significant either lead to amblyopia or when they cause glare, However, as the abnormal lens fibers can become adherent to the central posterior capsule, and the capsule around the plaque is often weakened. There is a high risk of posterior capsular tear and possible nucleus drop during surgery. (6)

The rest of the body skin is intact with good turgor and does not shows signs of dehydration. Normal warmth skin temperature. Intact skin at the surgical site without sings of infection or impaired wound healing.

The frequency of endophthalmitis and of retinal detachment was also assumed to not be specific to type of treatment received; instead, these episodes were assumed to be associated with the actual administration of the intravitreal injection. The total chronic DME population in the FAME trials (FAc implant and BSC treatment groups combined) received 1,557 intravitreal injections. Furthermore, there were 16 retinal detachment and 3 endophthalmitis events within the chronic DME population, generating an incidence of 1.03% for retinal detachment and 0.19% for endophthalmitis per intravitreal injection (Table 4).

A 6-year-old male underwent an initial eye examination for evaluation of hyperpigmentation of both eyes at 1 year of age. He was diagnosed with benign conjunctival melanosis. He was also diagnosed with an increased cup-to-disc ratio and mildly elevated intraocular pressures in each eye. Intraocular pressure was maintained in the mid-teens bilaterally on topical glaucoma monotherapy. At 4 years of age, he relocated. When he was 5-years-old, he underwent bilateral glaucoma shunt placement elsewhere The operative reports and glaucoma drainage implant (GDI) specifics were not obtainable. No prior or subsequent ocular surgeries were performed. He returned to our care after 2 years. His eye pressures were controlled without glaucoma medications. There were GDIs in the superotemporal quadrant of each eye. In the right eye, there was corneal edema in the superotemporal quadrant extending to the pupillary margin and a 3 millimeter central subcapsular cataract. The shunt tube extended into the anterior chamber approximately 2 millimeters (Figure 1A). The anterior portion of the tube retracted posterior and was barely visible in the anterior chamber with adduction of the eye (Figure 1B). Upon abduction, the tip of the tube travelled up to 6 mm towards the 4:00 position (Figure 2A) (Video). Intermittently, the tip of the tube would dive posterior to the iris at the 4:00 position to touch the lens (Figure 2B).

Methods: After IRB approval, 49 patients who underwent right TKA were prospectively evaluated. All patients underwent a preoperative BRT assessment, and then were tested again at 2, 4 and 6 weeks post-op. At each testing each patient where