Anxiety related to Cataract Surgery Pre-operative

Nursing Diagnosis and Interventions for Cataract

A cataract is a clouding of the lens in the eye that affects vision. It is the most common cause of blindness and is conventionally treated with surgery. Most cataracts are related to aging. Cataracts are very common in older people.

Those with cataracts commonly experience difficulty in appreciating colors and changes in contrast, driving, reading, recognizing faces, and coping with glare from bright lights.

4 Types of cataract

1. Congenital cataract. Some babies are born with cataracts or develop them in childhood, often in both eyes. These cataracts may be so small that they do not affect vision. If they do, the lenses may need to be removed.
2. Traumatic cataract. Cataracts can develop after an eye injury, sometimes years later.
3. Secondary cataract. Cataracts can form after surgery for other eye problems, such as glaucoma. Cataracts also can develop in people who have other health problems, such as diabetes. Cataracts are sometimes linked to steroid use.
4. Radiation cataract. Cataracts can develop after exposure to some types of radiation.

Signs and symptoms of Cataract

• Clouded, blurred or dim vision
• Seeing "halos" around lights
• Fading or yellowing of colors
• Increasing difficulty with vision at night
• Frequent changes in eyeglass or contact lens prescription
• Sensitivity to light and glare
• Double vision in a single eye

Nursing Diagnosis and Interventions for Cataract

Anxiety related to Deficient Knowledge and information cataract surgery pre-operative

Goal: Anxiety decreased after nursing action.

Outcomes:
The patient calm and relaxed.
Can reveal the cause of anxiety.
Being able to control the anxiety.
Can explain about the surgery.


Interventions:

1. Assess the patient's level of anxiety, measuring vital signs.
2. Provide the necessary patient information prior to surgery.
3. Provide relaxation techniques and mental suport involving religious elements.
4. Give the patient the opportunity to express his feelings before the surgery.
5. Encourage management to use relaxation techniques, visualization, and breathing deeply.


Rational:

1. Possible increase in blood pressure and pulse rate accompanied by shallow and irregular breathing showed anxiety manifestations in patients.
2. Adequate information and good delivery will change the perception and mindset of the patient.
3. Patient is able to control the emotions and anxiety levels, by trying some regular breathing techniques,
4. Calm soul that affect the level of emotion and anxiety.
4. Increase relaxation and coping may lower IOP (intra-ocular pressure).