Finals Flashcards
PEC stands for
Primary Eye Care
an integral part of comprehensive eye care
Primary Eye Care
targeted not only towards preventing blindness and visual impairment but also towards providing services to _______________________
redress ocular morbidity
True or false
PEC is a secondline activity, providing care and identifying disease before it becomes a serious medical condition.
False
Components of primary eye care
Eye health education
Symptom identification
Visual acuity measurement
Basic eye examination
Diagnosis
Timely referral
E S V B D T
Primary eye care is the provision of ____________, _____________, ______________ care that meets patients’ eye care needs in a comprehensive and competent manner.
appropriate, accessible, and affordable
TRUE OR FALSE
PEC provides the patient with the second contact for eye care as well as a lifetime of continuing care.
False
13 Primary eye care services include:
- Educating patients about maintaining and promoting healthy vision.
- Performing a comprehensive examination of the visual system.
- Screening for eye diseases and conditions affecting vision that may be asymptomatic.
- Recognizing ocular manifestations of systemic diseases and systemic effects of ocular medications.
- Making a differential diagnosis and definitive diagnosis for any detected abnormalities.
- Performing refractions.
- Fitting and prescribing optical aids, such as glasses and contact lenses.
- Deciding on a treatment plan and treating patients’ eye care needs with appropriate therapies.
- Counseling and educating patients about their eye disease conditions.
- Recognizing and managing local and systemic effects of drug therapy.
11.Determining when to triage patients for more specialized care and referring to specialists as needed and appropriate.
- Coordinating care with other physicians involved in the patient’s overall medical management.
- Performing surgery when necessary.
Medical specialists and other health professionals, who typically don’t have initial contact with patients, provide _________
Secondary care
Examples of secondary care physicians
Cadiologist
Rheumatologist
Urologist
Physical therapist
Respiratory therapist
Speech therapist
Occupational therapist
Another category of secondary care is
Hospital care or acute care
The term covers care as an admitted patient in a hospital, a visit to a hospital ER, attendance in childbirth, medical imaging (radiology) services and care within an intensive care unit.
Hospital care or acute care
necessary treatment for a short period of time for a brief but serious illness, injury or other eye health condition.
Acute care
Examples of conditions that needs acute care
Cataract
Glaucoma
Trachoma
Patients being treated requiring a higher level of care in a hospital may be considered to be in
tertiary care
Physicians and equipment at this level are highly specialized
Tertiary care
Tertiary care services include such areas as
cardiac surgery, cancer treatment and management, burn treatment, plastic surgery, neurosurgery and other complicated treatments or procedures
Fourth level of care
Quaternary Care
A more complex level of tertiary care
Quaternary care
highly specialized and experimental treatments and procedures are considered to be at the _____________ level
Quaternary care
TRUE OR FALSE
Secondary care is specialized consultative health care, usually for in patients
FALSE
Centralized at a major health care complex.
A medical teaching hospitals, eye hospitals or eye centers.
TERTIARY EYE CARE
PHC based on the following principles :
Social equity
Nation-wide coverage
Self-reliance
Inter-sectoral coordination
People’s involvement in the planning and implementation of health programs
SNSIP
proposed a set of PRINCIPLES for primary health care
The 1978 Declaration of Alma-Ata
According to the proposed 1978 Declaration of Alma-Ata, what are the principles of PHC?
- Reflect and evolve considering different conditions
- Address main health problem providing services
- Involve all related sectors and aspects of national and community development, in particular:
- Agriculture
- animal husbandry
- Food
- Industry
- Education
- Housing
- Public works - Promote maximum community and individual self-reliance and participation
- Be sustained by referral systems, leading to the progressive improvement of comprehensive health care
- Rely, at local and referral levels, on health workers to respond to the expressed health needs of the community.
PHC should involve all related sectors and aspects of national and community development, in particular:
Agriculture
animal husbandry
Food
Industry
Education
Housing
Public works
8 essential elements of PHC
Education concerning main health problems
Promotion of food supply and good nutrition
Adequate supply of safe water and basic sanitation
Maternal and child health, and family planning
Immunisation against major infectious diseases
Prevention and control of local endemic diseases
Appropriate treatment of common diseases and injuries
Provision of essential drugs.
Guidelines for PEC
- Conditions to be recognised and treated by a trained primary health care worker
- Conditions to be recognised and referred after treatment has been initiated
- Conditions that should be recognised and referred for treatment
Importance of PHC
- Can head potentially serious problems off at the pass.
- Lowers costs: helps keep people out of emergency rooms, where costs at least four times as much other outpatient care
- Catching and treating problems early - cheaper than treating severe or advanced illness.
- an impairment of the sense of vision
- not the same as an eye disease
- causes may occur at other locations in the optic pathway
VISION DISORDER
MOST COMMON ADULT VISION PROBLEMS
Blurred vision (called refractive errors)
Age-related macular degeneration
Glaucoma
Cataract
Diabetic retinopathy
Most Common Childhood Vision Problems
Blurred vision (called refractive errors)
Crossed eyes (called strabismus)
Lazy eye (called amblyopia)
Nearsightedness
Myopia
Farsightedness
Hyperopia
If you are older than 40 and have trouble reading small print or focusing up close, this is usually due to a condition called
Presbyopia
condition that causes blurred vision, but it is because of the shape of the cornea.
Astigmatism
What are the risk factors for developing EOR?
- family history
- advancing age
- environmental
- occupational
Crossed eyes are also known as
Strabismus
Tropia
Squint
occurs when the eyes do not line up or they are crossed. One eye, however, usually remains straight at any given time.
Crossed eyes
If left untreated, strabismus can cause
Amblyopia
What are the risk factors for strabismus?
Family history of strabismus
Having a significant amount of uncorrected farsightedness (hyperopia)
Disabilities such as Down syndrome and cerebral palsy
Stroke or head injury
Also known as lazy eye
Amblyopia
a result of the brain and the eyes not working together. The brain ignores visual information from one eye, which causes problems with vision development.
Amblyopia
Treatment for amblyopia works well if the condition is found early. If untreated, amblyopia causes__________________________
permanent vision loss.