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Visual impairment > The role of eyecare professionals in low vision > Flashcards

The role of eyecare professionals in low vision Flashcards

1
Q

What is the definition of a low vision service?

A

Taken from ‘Recommended Standards for Low vision standards’:
A Low Vision Service is a rehabilitative or habilitative process which provides a range of services for people with low vision to enable them to make best use of their eyesight and visual function to achieve maximum potential

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2
Q

What three things do we consider in Low vision services?

A

-not just about the prescribing of gls and/or magnifiers
-need to consider the use of multi dislplincary teams/ multi disciplinary agencies (eg mac society and social services)
-deal with the whole person: include impairment but also how this limits everyday activities, disability and interaction with society

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3
Q

What is a multidisciplinary team?

A

Where more than occupation is involved: eg teachers, nurses, optoms, eyecare liaison officers

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4
Q

what 11 things can be provided by the low vision service?

A

-referral for diagnosis and surgical treatment
-referral to low vision services (HES) but also for: low vision aids, best optical correction, assessment of functional vision - example measuring visual acuity, reading speed, contrast sensitivity etc
-referrals and reminders for annual eye exams
-info about eye condition
-Registration as SSI or SI
-Info about services eg info on mac society
-assessment of Needs and understanding limitations
-emotional support+ counselling referral
-Provision of daily living and mobility aids and training (home, school and work environments)
-Changes to the environment- be it at work or from school
-Continued Support throughout whole journey from the start

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5
Q

what are the 16 components of the low vision service (may not need to know this it was an included diagram in the lecture)

A

-educational support
-employment services
-national charities
-local voluntary society
-social care needs
-optometric care
-Ophthalmological care
-sensory substitution strategies
-access to computers/IT
-Resource centre
-low vision training
-low vision aids
-visual function assessment
-explanation and information
-social/leisure/interest groups
-emotional support

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6
Q

how does the low vision service help with emotional support?

A

via counselling+ structured therapy

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7
Q

how does the low vision service help with visual function assessment?

A

-VA, contrast sensitivity and reading performance, visual fields, colour vision

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8
Q

how does the low vision service help with low vision aids?

A

-prisms, optical aids: magnifiers+telescopes,electronic vision enhancement, non-optical aids, lighting

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9
Q

how does the low vision service provide low vision training?

A

-eccentric viewing, head and eye scanning for field loss,use of complex aids

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10
Q

what resources can the low vision service provide?

A
  • gadgets for ADL
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11
Q

what sensory subsititution does the low vision provide help with?

A
  • BRAILLE, orientation / mobility training, ADL (activities of daily living)
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12
Q

what Opthalmological care can the low vision service help to provide?

A
  • DIAGNOSIS, TX AND MONITORING, ocular IMAGING, SI or SSI registration
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13
Q

what optometric care can the low vision service help to provide?

A

-refracton, dispensing of specs

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14
Q

what social care can the low vision service help to provide?

A
  • home environment, selfcare , benefits
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14
Q

what employment help is the low vision service able to help with?

A
  • access to work schemes
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15
Q

what educational help is the low vision service able to help with?

A

-apecial/mainstream provision

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16
Q

where do we find low vision services in the UK?

A

-mainly HES (65%)
-Social services Department (6%)
-voluntary organisations (eg : Low Vision clinics- RNIB) (10%)
-Optometry practices (15%)- mainly in Wales
-Specialist Teachers (3%)
-University Eye Clinics (1%)- low vision clinics at city sight

17
Q

What is the typical low vision pathway for an adult?

A

High street optom-GP- Hosp LV Clinic- Social services
ANOTHER ROUTE:
GP- HES LV clinic-social services

18
Q

what is a disadvantage of the typical low vision pathways available for adults?

A

waiting lists for LV clinic + Social services tend to be long (even upto 4-6 months)

19
Q

who are the ONLY group of people that can certify a person as SSI Or SI?

A

Consultant Ophthalmologists

20
Q

what can Optometrists do while px is waiting for referral into LV services?

A

as waiting time can be long- refer to charity- eg macular society or rnib helpline, or any other local charity

21
Q

What is the Typical Low vision pathway for a child?

A

GP-Child Development Unit (paediatrician, educational psychologist, physiotherapist, occupational therapist, social worker)-Other appropriate sources of help

22
Q

what service can help a child with low vision?

A

SENCO

23
Q

What is the Statement of Needs?

A

given to child so that they can be referred quickly into LV clinic- examples of child work and teacher can be bought along

24
Q

why are low vision services/pathways so important?

A

-many people unaware of them
- many people don’t get help they need
stats on lecture

25
Q

what was the 2003 proposed pathway (Department of Health)

A

patient referred to low visions service(leaflet or letter of referral)-patient attends lvs-px has follow ups as and when (this can be done over phone)

26
Q

what was the 2018 proposed pathway for low vision?

A

1) referral:GP, HES OR self-referral
2)diagnosis: via consultant opthalmologist- CVI= SSI or SI
3)Early intervention: advice info and emotional support via eyecare laision officer or vision support service
4)registration+ assessment
5)early intervention- VI rehab programme
6)assessment of eligible need- community care assessment
7)social care support
8)independent living with full choice+control

27
Q

two limitations of 2018 proposed pathway for low vision

A

may not occur everywhere
longer waiting times

28
Q

7 benefits of having a low vision pathway

A

-reduce unnecessary referrals to the HES LV service
-reduce px anxiety and increase capacity within the overburdened hospital clinic
-more cost effective service if being treated in primary care
-high quality low vision assessment, information and clinical support
-can be given low vision aids (LVAs), daily living aids and follow-up in a community setting in a convenient location for them
-provide accredited theoretical training which supports the pathway
-less overburdened services= more frequent apts

29
Q

one disadv of low vision service in UK compared to Wales

A

-can’’t give free nhs low vision aids in community setting in uk, wales you can

30
Q

Welsh Low Vision Scheme

A

-Accredited Optometrists provide the service in the community
-Accreditation via Cardiff University
-No charge for the appointment.
-LVA are issued free of cost on loan
-Vision passport
-Referral via self referral, GP/Optometrist/Social Services/Community Services/Ophthalmologist

31
Q

what is a Welsh Vision passport?

A

Vision passport-all info about px, and all the different aids that have been dispensed to the px, and advice to px

32
Q

What groups of ppl are involved in The Low vision, habilitation and rehabilitation service team ?

A

Carers- there are 2 types
Dispensing Opticians
General Practitioners to hes,
Occupational Therapists
Ophthalmic Nurses- may be eyecare laision officer- bridge between hosp and social services- can dispense lva’s in hes liek DO’s- no refraction unless under ophthalmologist
Ophthalmologists
Optometrists
Orthoptists
Rehabilitation Workers/Officers-work in social services- sensory team- proide help in community and home setting- give orientation adn mobility training, also prvide training for electornic lva’s
Social Workers- mainly through rehab workers
Eye Care Liaison Officers (ECLOs)- bridge between hes and social care- can signpost to mac society
Specialist Teachers
-trained for children with VI

33
Q

what are the 2 types of carers in low vision services

A

Informal carer- family and friends of px with visual impairment- just VI pxs, or paid carers- these are formal carers- tend to be for ppl with disabilities alongside VI

34
Q

can Optoms every decide if someone is SI or SSI?

A

in some hospitals can decide whether someone is SI or SSI-cvi form preseigned by consultant

35
Q

what is Vision 2020 (UK)?

A

Group with objectives to minimise VI in the UK

36
Q

What were the objectives of Vision 2020 (uk)?

A

-To prevent avoidable blindness
-To improve the quality of services to vision impaired people
-To improve the training available to professionals providing advice and services
-To improve communication between organisations within the VI Sector
-To improve the availability of information to vision impaired people
-To ensure that the voices of the vision impaired are heard when planning services and their opinions sought on key issues affecting their lives
-To raise public awareness of the issues and problems relating to sight loss

37
Q

were all the objectives of Vision 2020 UK met?

A

nope

38
Q

list some VI related charities/key contacts we should be aware of

A

Charities- eg esme’s umbrella- charles bonnet’s syndrome,
the macula society,
retina uk
Glaucoma uk
Blind in business- young ppl- also in touch with access to work
Social Services Department-sensory service team? Rehab officers fo rVI?
Local HES-lv clinic? Where to refer px?
RNIB
Macular Society
Local Charities-Sutton vision, croydon vision-loads of local sight loss charities–eg training for elctronic lva’s, activities
Guide Dogs for Blind- list of services in local areas

39
Q

List some models of VI services elsewhere in world

A

Sweden- referred to lv centres- free even electronic lva’s
Spain-charity mainly deals with
Netherlands - referred to lv centres- free even electronic lva’s
United States of America
-private duh

40
Q

not a q there are some case study qs in slide 21 to do…

A

so go do them

Visual impairment (8 decks)

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