Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

3F: Low Vision Final > Delivery Of Low Vision Care Outside Of The Office > Flashcards

Delivery Of Low Vision Care Outside Of The Office Flashcards

1
Q

KY school for the blind outreach h

A
  • school aged kids with known visual impairments
  • 12 clinics throughout the state
  • purpose is to determine whether an individual with low vision can benefit from optical and non optical devices, as well as adaptive techniques, to enhance visual functioning
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

In patient consultations for vision rehab on the go

A
  • traumatic brain injury patients of all ages
  • vision is potentially interfering with other therapies
  • purpose: determines if any devices or adaptive techniques can improve the patient’s independence and visual functioning
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Visual impairment

A

Vision is not correctable with glasses or CL
-WHO designates classifications of visual impairment based on VA
Legally blind: 20/200 or less and/or visual field 20 degrees or less
-blindness does not equal NLP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

KSB outreach clinics; process

A
  • referral by TVI
  • functional visual observations
  • eye examination within the past year
  • patient is scheduled to closest clinic in proximity
  • TVI and often parents are present at evaluations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

KSB outreach clinics common conditions

A 
RP
ROP
Achromatopsia
Albinism 
Aniridia
Coloboma 
Nystagmus 
Optic atrophy
Optic nerve hypoplasia 
Stargardts 
Functional loss
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Pediatric low vision exam

A

Detailed history
Functional assessment
Device calculation and demonstration
Assessment and plan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Pediatric low vision history

A
  • CC
  • parent concerns
  • teacher concerns
  • previous LV exam and/or devices (specifical low vision goals)
  • ocular history
  • past medical history
  • social history
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Functional assessment of ped low vision

A 
VA
Continuous text 
VF
Contrast
color vision 
Ret/refract
Pupils 
EOM
Binocularity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

VA for peds in low vision

A

Distance
-snellen, feinbloom, lea shapes, numbers

Near
-letters, lea shapes, children’s books, numbers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Continuous text for peds low vision

A

MNRead
3rd grade text

Can use to calculate mag
Typically correlates somewhat with single letter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

VF for peds low vision

A

Confrontations
Arc perimeter
-typically no provided in referral info
-important functional component, O/M needed?
-confrontations: finger count, grossly measured

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Contrast for peds low vision

A

MARS perceptrix
Numbers
Hiding Heidi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Color vision for low vision peds

A 
Ishihara 
HRR
D-15
-arrange by hue
-determine type and severity of color deficiency 
Objects
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Refractive error in kids

A
  • glasses may or may not be new
  • over ret
  • trial frame refraction
  • typically prescribe if functional improvement
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Near device assessment

A
  • bifocal
  • miscoscope/half eyes
  • HH magnifiers
  • dome/stand magnifiers
  • large print
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Distance device assessment low vision peds

A

Monocular
Placement in classroom
Smart board technology

17
Q

Assessment and plan for low vision peds

A 
What were initial functional goals
What recommendations can be made
-devices
-placement in classroom
-lighting considerations
-audio formats
-vision breaks
-other service: OT, O/M

Reports, reports, reports
-consider who report is going to

18
Q

In patient consultations: process

A

TBI diagnosis
-includes brain tumor, elective surgery, stroke, TBI/multi truama

Referral by rehab physician, OT, PT
Functional visual observations
Consultations provided weekly
OT and often family are prestn at evals

19
Q

Common conditions at inpatient consultations

A

TBI

  • stroke
  • concussion
  • blast injuries
  • post surgical
  • trauma

Sequela of TBI

  • double vision (CN palsy)
  • hemianopsia
  • variable scotomas (blind spots)
  • processing deficits
20
Q

TBI exam

A

Detailed history
Functional assessment
Ocular health assessment
Assessment and plan

21
Q

TBI history

A 
CC
Occupational therapist concerns or observations 
Ocular history
Past medical history
History of current injury
Social history
22
Q

Foundational assessment fo TBI

A 
VA
VF
Color vision
Ret/refract
Binocularity
Ocular health
23
Q

Distance VA for TBI

A

Snellen, feinbloom, lea shapes, lea paddles, OKN

24
Q

Near VA for TBI

A

Letters, lea shapes

25
Q

Visual fields for TBI

A

Confrontation
-finger counter, test for extinction, grossly measures

Tests of neglect

  • line bisection
  • clock dial
26
Q

Refractive error and TBI

A
  • patients do not always remember if they wore glasses or CL. Look at their eyeball
  • sometimes broken/lost in accident
  • many presbyopes not using reading glasses
  • trial frame refraction. History guides me
27
Q

Binocular vision assessment for TBI

A 
CT
-longstanding vs new onset eye turn 
Maddox rod
W4D
-VF loss consideration
Saccades and pursuits 
EOM
-CN palsy?
Fresnel prism placement 
Patching
28
Q

Ocular health assessment in TBI

A 
Consider patients history and what you would expect 
Common findgins
-unremarkable
-DR
-optic neruopathy (ION, TON)
-glaucoma 
-ARMD
-POHS
29
Q

Assessment for TBI patients

A
  • is there a true visual impatient? Permanent or temp
  • diagnosis
  • further testing needed
30
Q

Plan for TBI exam

A 
Available treatment
-OMD consult needed?
-glasses helpful?
-follow up appointments scheduled
Immediate interventions 
-scanning/tracking training 
-VT
-yoke prism 
-fresnel prism 
-patching 
-medications
31
Q

Things to consider when delivering bad news

A

Severity of news

  • temporary or permanent impairment
  • treatment available
  • impact on ADLS: driving, vocation, mobility, etc

Patient overall wellbeing

  • memory or cognitive deficits
  • family/friend support
  • current emotional state

Seven stages of grief

32
Q

Severity of bad news

A
  • is the visual impairment new
  • what the VI preventable
  • were other impairments/injuries sustained?
  • are there any treatment options?
  • peds vs adults
  • driving
33
Q

Patients overall well being and delivering bad news

A

Expressed depression or mood disorder
-history or medication list can clue you in
Presentation
-tearful, happy, uncertain
Low vision equality of life tests (LVQOL)
Depression screeners
Patient living situations
Is someone with patient at appointment? Fam/friend, how are they interacting

34
Q

Seven stages of grief

A
  1. Shock and denial
  2. Pain and guilt
  3. Anger and bargaining
  4. Depression, reflection, and loneliness
  5. The turn
  6. Reconstruction and walking through
  7. Acceptance
35
Q

Tips on delivering bad news

A
  • validate the patients feelings
  • offer solution to address the bad news (support groups, counseling, referral to PCP OT psychiatris, community resources; financial assistance, KYOB, vocational rehab)
  • keep other providers informed
  • consider timing of delivery
  • consider optometric oath

3F: Low Vision Final (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions