1.1.1: Obtain relevant history & information

Question 1

Questions to ask px with specific requirement for work/hobby?

Answer 1

What is task?
Distance of task?
What struggling with in particular?
Have they tried any ocular aids?
How have they got on with aids?

Question 2

Questions to ask px with hx of surgery: LASIK, cataract, YAG laser?

Answer 2

How is vision post surgery?
Any HES visits?
Complications?
Discharged?

Question 3

Questions to ask px with hx of HES visit/tx?

Answer 3

What for?
Which eye?
First diagnosed?
Tx/med for it?
When was most recent tx/consultation?
Current progress?
Discharged?

Question 4

Questions to ask px w/ disease?

Answer 4

Type?
Age at diagnosis?
Well controlled?
Controlled with meds or diet?
Last retinal/GP screening date?
Tx - how often? which meds?

Question 5

Questions to ask px taking meds?

Answer 5

Name?
Taken for?
Dosage?

Question 6

Common HBP meds?

Answer 6

Diuretic: furosemide, bendoflumethiazide
Beta-blocker: atenolol, propranolol
ACE inhibitor: enalapril, lisinopril, ramipril
Angiotensin II receptor blocker: candestartan, valsartan
Calcium channel blocker: amlodipine, felodipine
Anticoagulant: warfarin (prevents clots over decreasing BP)

Question 7

Common high cholesterol meds?

Answer 7

Atorvastatin
Simvastatin

Question 8

Common DM meds?

Answer 8

Insulin
Biguanides: metformin
Sulfonylureas: gliclazide

Question 9

Questions to ask in H&S?

Answer 9

RfV?
LEE?
Current specs - type? DVA? NVA?
OH: -any eye conditions - glauc/AMD/cats?
- flashes/floaters/double vision?
- HAs?
- HES? surgery? patching?
Meds: take any regular meds?
GH: - health conditions? DM? HBP?
- allergies?
- smoker?
FGH: DM? HBP?
FOH: glaucoma or AMD?
Lifestyle: - drive? type of license?
- occupation?
- hobbies?
- VDU - hrs, types of screens?