Hearing & vision changes Flashcards

1
Q

Legal blindness

A
  • Best correction in better eye of 20/200 or less

- Visual field of 20 degrees or less

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2
Q

Visula impariment

A
  • Best correction of better eye to 20/40 or less
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3
Q

Low vision

A
  • Impairment interferes with ability that can’t be cured with correction but could be managed
  • Ex: DM retinopathy
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4
Q

Presbyopia

A

IMpariment in near vision due to age

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5
Q

Age related macular degeneration

A
  • Loss of central vision and acuity
  • Wet vs dry-
  • Leading cause of visual loss in older adults
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6
Q

Age related macular degeneration- Tx

A
  • Referral to low vision clinic

- Anti-vascular endothelial growth factor

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7
Q

Cataracts- Eti

A
  • Clouding of lens due to aging
  • Steroid exposure
  • Loss of contrast and visual acuity
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8
Q

Cataracts- Tx

A

Phacoemulsification- break down lens

- Extra-capsular therapy

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9
Q

Glaucoma- Eti

A
  • Group of diseases that damage optic nerve
  • Posterior chamber
  • Painless
  • Assessed through tonometry
  • Change in peripheral vision
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10
Q

Glaucoma- Tx

A
  • Medications (beta blockers), not curable

-

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11
Q

Conductive hearing loss

A
  • Ear canal, drum and middle ear
  • 5% of hearing loss
  • Trauma and disease
  • Constant fluid in outer ear is sign of tumor- refer
  • Loss of sound conduction to inner ear
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12
Q

Sensorineural hearing loss

A
  • Inner ear
  • 95% of hearing loss
  • Aging, noise, exposure, disease and genetics
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13
Q

Conductive hearing loss- Outer ear - Etiologies

A
  • Cerumen (dryer)
  • Hair
  • Squamous cell carcinoma
  • Collapsed canal
  • Pruritus
  • Otitis externa
  • Dermatitis
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14
Q

Conductive hearing loss- middle ear - Etiologies

A
  • Thinner, less vascular TM
  • Tumors! Trauma!
  • Otosclerosis
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15
Q

Inner ear-

A
Sensory presbycusis:
- Orgon of corti, due to loss of hair cells
Neural presbycusis:
- Loss of spiral ganglion cells
Progressive and slow process
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16
Q

Sudden sensorineural hearing loss

A
  • Sudden loss in one or both ears
  • dizziness & tinnitus
  • Unknown etiology
  • Treat with steroids, time sensitive to return to full fxn
17
Q

Effective communication

A
  • Have persons attention
  • Dont shout
  • Avoid hands, food, gum in mouth
  • Maintain eye contact
  • Allow extra time in clinic
  • Write it down
  • Do not talk to caregiver if at all possible