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Bradley Brown
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Decks in this class (27)
1.1.3 Identifies and responds appropriately to patients’ fears, anxieties and concerns about their visual welfare.
Identify what element is patient ...,
Cataract explanation 2,
If patient is unsure about referr...
9
cards
1.2.5 Communicates effectively with any other appropriate person involved in the care of the patient.
In h s ask 1,
Advise 2,
If child has cv defect 3
6
cards
3.1.5 Investigates the visual fields of patients with all standards of acuity and analyses and interprets the results.
Record for Patient with reduced vision was reviewed at V2 and is satisfactory. Had difficulty describing field plots and relating to visual pathway today. Please practice with supervisors and we will assess with further FP
22
cards
4.1.1 Identifies anomalies in a prescription and implements the appropriate course of action.
Not achieved at V2. To be e-assessed at V4 using CS. Make sure you consider induced prism in multifocals when revising.
9
cards
4.1.5 Dispenses a range of lens forms to include complex lenses, multifocals and high corrections, and advises on their application to specific patients’ needs.
Multi focal record seen but not yet discussed. High Rx record seen - I will look at it again. We got stuck as we were unable to explain why accurate centration is important on high index. Also the Rx had prism, and understanding of prism was limited. Paediatric record has been reviewed and is Ok. Be prepared to discuss the effect of blank size on children’s dispensing ( particularly plus).Not re-addressed today. Please make sure the dispenses in your logbook are traceable.
8
cards
4.2.1 Advises on the use of and dispenses simple low vision aids including simple hand and stand magnifiers, typoscopes and handheld telescopes.
PR was OK but knowledge about VA/ Magnification/ appropriate choice of mags was not. Please do the College Low Vision Certificate and upload it with next visit prep. We will ask a further short CS
1
cards
4.2.2 Understands the application of complex low vision aids
Unable to suggest practical solutions for TV. Please see action plan for 4.2.1. We will re-assess..
1
cards
5.1.1.Chooses, fits and orders soft lenses.
We need to see the PR. Please note that assessment of fit on the AC today was not accurate, so I would suggest you get a supervisor to check your next two fits to ensure agreement and provides a WT.
14
cards
5.1.3 Chooses, fits and orders rigid lenses.
Material 1,
Lens design 2,
Spec rx allows us to choose bvp 3
14
cards
5.2.1. Manages the aftercare of patients wearing soft lenses.
DO and Record 1 OK. Please provide a new APR for a patient with a problem which you have addressed.
21
cards
5.2.2. Manages the aftercare of patients wearing rigid gas permeable contact lenses.
Routine aftercare 1,
Two step 2,
Other cleaning tips 3
17
cards
5.3.1. Chooses and manages the fitting of toric contact lenses
This is almost complete. We need to see the review appointment.
7
cards
5.3.2. Chooses, fits and manages the correction of presbyopic patients.
Choosing multifocal spherical cl 1,
1 simultaneous design most mfs 2,
2 segmented translating 3
8
cards
5.3.3. Understands the techniques used in the fitting of complex contact lenses and advises patients requiring complex correction.
Correcting high anisometropia ame...,
Aphakia 2,
Keratoconus 3
18
cards
6.1.4. Identifies external pathology and offers appropriate advice to patients not requiring referral.
Pending 2nd episode and images.
16
cards
6.1.5. Recognises common ocular abnormalities and refers when appropriate.
Not quite complete. We need to have a satisfactory glaucoma episode.
36
cards
6.1.7 Manages patients presenting with red eye/s.
3 red flag symptoms 1,
Questions 2,
From an examination point of view...
23
cards
6.1.8. Evaluates glaucoma risk factors to detect glaucoma and refer accordingly.
Although the patient was a suitable referral, the case was not well presented with limited understanding of disc changes in glaucoma and of the associated field defects. Have a look at the GONE project. More revision and a new record please.
30
cards
6.1.10 Recognises, evaluates and manages diabetic eye disease and refers accordingly.
See Visit 2. We are only needing to discuss images.
21
cards
6.1.13 Recognises ocular manifestations of systemic disease.
Hypertension 1,
Hypertensive retinopathy grading ...,
Crao brao 3
30
cards
6.1.14 Assesses signs and symptoms of neurological significance.
General symptom of neurological c...,
Tests to do for neurological 2,
Optic nerve dysfunction expect 3
36
cards
6.1.15 Recognises adverse ocular reactions to medication.
Antidepressants 1,
Betablockers 2,
Post menopausal 3
16
cards
7.1.4 Understands the techniques of the assessment of infants.
History 1,
Cardiff cards 2,
Kay pictures 3
18
cards
7.1.6. Understands the special examination needs of patients with learning and other disabilities.
PR (physical disability) was OK. For cognitive disability I tried to discuss the needs of a patient with dementia but you hadnt considered this. We will re-assess with a CS around learning disability or dementia.
8
cards
8.1.2. Understands the management of a patient with an anomaly of binocular vision.
This is almost complete. I have reviewed the PR. Consider the meaning of ARC and suppression and when, as an optometrist, an understanding of the sensory status might be helpful - and how you would assess it. I will discuss this alongside 'adult with heterotropia' at V4.
15
cards
8.1.6 Manages children presenting with an anomaly of binocular vision.
Fully accommodative sot 1,
Partially accommodative sot 2,
Heterophoria problems at near 3
14
cards
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