Week 2 - Assessment and Planning Flashcards
What does the assessment part of SOAP attain to?
- we take all the information collected in subjective and objective to formulate a conclusion
What does the planning part of SOAP attain to?
Using the conclusion you gained in the assessment to create a plan and course of action to best serve the patient
What aspects does the assessment refer to? 7
- Diagnosis
- Etiologies
- Differential diagnosis
- Risk factors
- New prognosis
- Overall prognosis of patient goals
- Reasoning and justification behind your findings
What aspects does the plan refer to? 3
- Addressing patient concerns
- Plan for follow up with patient
- What was discussed with the patient
If the patient has a diagnosed condition we need to weigh the advanatages and disadvantages of different contact lens indications and contraindications before making a decision? T/F
TRUE
What are some conditions we need stop and consider if cls are contrindications or adaptions need to made? 5
-dry eye
-diabetes
-allergy
-blepharitis
-keratoconus
We need to understand what could be causing the diagnosed conditions (etiologies) so we can manage the contact lenses better.
What are some etiolodies (causes) for dry eye? 4
- Contact lens complications
- Meibomian gland syndrome
- Incomplete blink
- Dusty/dirty work environments
Is dry eye a contraindication to contact lenses?
No it is indicated
- give solutions to px to manage dry eye
Is diabetes a contraindication to contact lenses?
No it is indicated - monitor more frequently
What are some etiolodies (causes) for blepharitis? 3
- Poor CL hygiene
- Meibomian gland syndrome
- Rosacea
What should we assess when checking if a patient is compliant or non compliant? 3
-px has the cognition to be compliant withcaring for the lenses (smart enough)
-have they got the dexterity to insert and remove cls
-has the willingness to follow modality schedule
Are contact lenses indicated for a patient who suffers from allergies?
Yes - if they are having an acute allergy attack they should not wear them but it is not a reason to not give them cls in general.
Are contact lenses indicated for a patient who suffers from blepharitis?
No they are contraindicated due to infection.
Are contact lenses indicated for a px who suffers from keratoconus?
Yes - they will be in speciality lens like RGP or scleral.
We decide during the teach process if the px is compliant/noncompliant. T/F
TRUE - but keep assessing throughtout the entire process
Assess the contraindications/inidcations and compliance/non-compliance is part of assessing the ………………..
risk factors. Deciding if they are a good cls candidate.
How should the room be set up for a contact lens teach? 4
-private
-well lit room
-well ventilated
-free from interruptions
What should you explain to the patient when planning the next steps? 4
-explain the importance of compliance
-setting wearing schedule
-set follow up schedule
-discuss adaptive and pathologic conditions
What are the 3 S’s we warn patients about?
swimming
showering
sleeping
How many days should be included in a wear schedule for a soft contact lenses?
6 days
Day 1 - 4 hours
Day 2 - 5 hours
Day 3 - 6 hours
Day 4 - 7 hours
Day 5 - 8 hours
Day 6 - 10 hours
How many days should be included in a wear schedule for an RGP lens?
8 days
Day 1 - 2 hours
Day 2 - 3 hours
Day 3 - 4 hours
Day 4 - 5 hours
Day 5 - 6 hours
Day 6 - 7 hours
Day 7 - 8 hours
Day 8 - 10 hours
If there is discomfort in the hours a patient should repeat that day during the wear schedule. If it persists they should cointact the CLs fitter. T/F
TRUE
What time frame is considered for early aftercare ?
first 3 months - part of the initial lens fitting.
What time frame is considered for late aftercare ?
6 months or more - annual progress or assessment of cls effect on corneal shape.
