Visual Impairment 6 Coping With Vision Loss

Question 1

What emotional effect would VI pxs experience?

Answer 1

Worry
Identity 
Frustration 
Isolation
Embarrassment

Question 2

What visual effect would VI pxs go though?

Answer 2

Reduced high contrast sensitivity
Reduced contrast sensitivity
Central field loss
Peripheral field loss

Question 3

What conditions may reduce contrast sensitivity?

Answer 3

Glaucoma
Cataracts
Retinitis pigementosa

Question 4

What 4 aspects of the vision maybe effected or experienced in VL?

Answer 4

Glare
Colour vision
Dark adaption
Light adaption

Question 5

What is the kubler Ross 1970 load model?

Answer 5

Denial
Grief
Anger 
Bargaining 
Reactive depression 
Acceptance

Question 6

What is the Thurston 2010 transition to blindness model?

Answer 6

Stage 1- dx and shock
Stage 2- hiding sight liss 
Stage 3- enforced change to lifestyle 
Stage 4- accepting rehab
Stage 5- acceptance

Question 7

What are the key sxs to depression?

Answer 7

Persistent sadness
Low mood
Marked loss of interest of pleasure

Question 8

What is the minimum amount of time a VI px experience sxs before being considered depression

Answer 8

2/52…. although its not about duration

Question 9

What is the purpose of VTA?

Answer 9

Determine minimum visual standard required for task

Evaluate small changes can improve comfort and efficacy

Question 10

What different aspects are checked in VTA?

Answer 10

Working distance 
Size of detail 
Size of working areas
Head movement 
Movement of task 
Direction of gaze 
BV Stereopsis 
Potential risks
Colour vision
VF
Visibility 
Lighting

Question 11

What can be used to check what VA is required when measuring detail size?

Answer 11

Nomogram

Question 12

What factors influence LVA success

Answer 12

Px motivation
Personality 
Peer support 
Pxs age
Time elapsed since onset
Social factors 
Medical conditions

Question 13

What factors effect rehab?

Answer 13

VA
VF
Colour vision

Question 14

What is involved in a training and follow up appointment?

Answer 14

Training needed for LCA:
D or N
On/off switch+battery change 
Which specs worn
Hold position mag to source

Question 15

What training or discussion takes place when using near aids?

Answer 15

Confirm tasks
Confirm fixation
Discuss LVA
Check current performance
Feedback given by px (15-20 sessions maybe required (2-3/52))
Verbal written instructions
Next visit- 2-3 weeks after 1st receiving LVA

Question 16

What aspects are discussed in distance LVA training but not in near LVA?

Answer 16

Localisation- locating 
Focusing- placed various dist
Spotting- localise and focus
Tracing- follow line 
Tracking- object moving 
Scanning- sweep VF

Question 17

How long till the follow up appointment?

Answer 17

2-3 weeks

Question 18

What are the common problems for problems when using the LVA?

Answer 18

VA deterioration
LVA used suboptimally
LVA used for other tasks

Question 19

How long is the long term follow up?

Answer 19

6/12- 1 yr

Question 20

What other support is available that they cam make use of?

Answer 20

Mobility training
Daily living task
Communication 
Social services rehab workers
ECLO
Support groups
Guide dogs

Question 21

What is the most common visual hallucinations found in VI pxs?

Answer 21

Charles Bonnet syndrome

Question 22

What associated factors are linked with CBS?

Answer 22

Living alone
Poor health 
Auditory loss
Bilateral VL
Dim lighting 
Assoc c AMD

Question 23

What is the criteria for CBS?

Answer 23

1. Acquired VI
2. Complex visual hallucinations
3. Absence of neurogical/psychiatric disease
4. Absence of hallucinations in other modalities
5. Presented insight cognition and intellectual function

Question 24

What 2 questions are asked if CBS is suspected?

Answer 24

Anything unusual about vision

…follow up c…. pxs often see know that they are not there