CMS Sensory Assignment
Answer each ques6on along with the ra6onales for each answer
Name:
Age-Related Macular Degenera6on
Pa6ent Profile P.J. is a 74-year-old woman who has been seen mul7ple 7mes in the past with a complex medical history. Most recently, she was discharged 1 month ago a@er a 14-day stay for gangrenous open cholecystectomy. The gangrene extended into the common bile duct, and she had a bile leak postopera7vely. On this visit to the emergency department, she is repor7ng diminished vision in her le@ eye for the past seven days. She is currently taking the following medica7ons:
• Valsartan 160 mg/25 mg PO daily
• Amitriptyline 25 mg PO daily
• Aspirin 81 mg PO daily
• Alprazolam 0.25 mg every 6 hours as needed for anxiety
Subjec6ve Data • States her vision has become “fuzzy and distorted” in the le@ eye • States, “I survived that horrid ordeal with my gallbladder, and now I have trouble with my
vision.” • Never married; has a good support system with friends and caretakers
CMS Sensory Assignment Help Objec6ve Data Physical Examina.on • Blood pressure 119/79, pulse 82, temperature 97.7°F, respira7ons 16 • Alert and oriented to person, place, and 7me • Diminished breath sounds bilateral lower lobes posteriorly • Oxygen satura7on 96% on room air
Discussion Ques6ons 1. Name six poten7al causes of P.J.’s blurry vision.
2. What addi7onal health history informa7on would you obtain from P.J.?
3. What will you include in P.J.’s focused assessment?
CMS Sensory Assignment Case Study Progress
A consult is sent to the on-call ophthalmologist. The ini7al examina7on results show a scar in the central area (macula), sugges7ng age-related macular degenera7on (AMD). The ophthalmologist feels at this point that the treatment should be aimed at preven7ng further vision loss and schedules P.J. for photodynamic therapy.
4. What are the early signs of AMD?
5. What tests can be done to determine if P.J. has AMD?
6. What risk factors are associated with AMD?
7. What diet related teaching will you provide P.J.?
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