ASSESSMENT SUBJECTIVE: Masakit ang mata ko at napansin ko na lumabo at ngkaron ng parang ulap ang paningin ko (I am having pain around

my eye and I also noticed that my vision is getting blurred and cloudy) as verbalized by the patient

DIAGNOSIS Disturbed visual Sensory Perception r/t Altered sensory reception

PLANNING INTERVENTION After 8 hours of Independent nursing intervention the Ascertain patient will type/degree of inadequate visual loss drainage of Participate in aqueous humor therapeutic from the regimen. anterior chamber of the Maintain eye current visual field/acuity Encourage atrophy of the without expression of optic nerve further loss. feelings about loss/possibility of Disturbed loss of vision visual Sensory

INFERENCE Increased intraocular pressure

RATIONALE Affects choice of interventions and patients future expectations

EVALUATION Goal met, patient has maintained current visual field/acuity without further loss.

OBJECTIVE: Cloudy pupils Sudden/persistent severe pain or pressure in and around eye(s) Headache V/S taken as follows T: 37 C P: 80 R: 18 BP: 110/ 80

Recommend measures to assist patient to manage visual limitations, e.g., reducing clutter, arranging

Although early intervention can prevent blindness, patient faces the possibility or may have already experienced partial or complete loss of vision. Although vision loss cannot be restored (even with treatment), further loss can be prevented Reduces safety hazards related to changes in visual fields/loss of vision and papillary

furniture out of travel path; turning head to view subjects; correcting for dim light and problems of night vision Collaborative Assist with administration of medications as indicated: Pilocarpine hydrochloride

accommodation to environmental light

These directacting topical myotic drugs cause pupillary constriction, facilitating the outflow of aqueous humor and lowering IOP

Timolol maleate

Beta]-blockers decrease formation of aqueous humor without changing pupil size, vision, or accommodation

Acetazolamide

Carbonic anhydrase inhibitors decrease the rate of production of aqueous humor