In this regard, the complaints of the patient must be meticulously explored through obtaining a complete ophthalmic history, careful assessment of the patient's eyes and performing a relevant diagnostic procedure like the slit-lamp examination.
As regarded above, obtaining a complete ophthalmic history, careful assessment of the patient's eyes and performing a relevant diagnostic procedure like the slit-lamp examination are essential aspects in making a sound judgment on the patient's case.
According to Vader & Krouse (2001), an ophthalmic history encompasses the obtainment and utilization of the client's demographic data, current clinical manifestations, past health history or past medical history (PMH), psychosocial history and lifestyle, and family health history. These facts are deemed vital and important because they can certainly assist the health providers to have an accurate evaluation and understanding about the patient's condition.
Demographic data, particularly the age and s...
On the other hand, clinical manifestations, or signs and symptoms, such as loss of vision and glare must be suggestive of a particular visual disturbance like glaucoma or refractive errors. So, it is also important to take note of these manifestations as well as the complaints of the patients for further assessment and evaluation. Further, the patient's past medical history (PMH) can also provide valuable facts in relation to the ocular manifestations. For instance, the presence of ocular disorders is commonly seen in persons who have existing diabetes mellitus and thyroid diseases. In addition, histories of allergies to medications and substances that can precipitate ocular reactions or eye irritations are also investigated to determine how these factors affect the client's ocular/ophthalmic health. Moreover, psychosocial history and lifestyle, including the patient's occupation and daily activities, can also aid in the assessment as they provide information about the predisposing factors related to the patient's condition such as exposure to substances that can irritate the eyes and other practices that affect ocular health. In this way, as a student nurse, it is important to ask the client about his/her recreational activities and occupational history, and whether the client wears glasses to protect his/her eyes or not, in order to establish relevant facts (Potter & Perry, 2001). In the same manner, family history provides data on the likelihood of having eye disorders that are hereditary, or genetic, which can run through generations. These familial disorders include strabismus and refractive errors such as myopia, or