Care for Older Adults With Visual and Hearing

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  • 7/26/2019 Care for Older Adults With Visual and Hearing

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    CARE FOR OLDERADULTS WITH VISUAL

    AND HEARING

    ER Group

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    VISION

    30% of tho! o"!r #$! & h#"! o'! (!"!( of ")u#()'p#)r'!*t

    Implication of Vision Change:I*#+)()t, to r!#- '!-).#t)o* (#+!(

    D)/.u(t, *#")$#t)*$ t#)r of .ur+D)/.u(t, -r)")*$

    Cro)*$ tr!!t

    R!-u.! #+)()t, to r!'#)* )*-!p!*-!*t

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    DISEASES THAT ALTERVISION SEEN MOREFRE!ENTL" AS #EO#LEA$E:C#t#r#.t .(ou-)*$ of (!*1 p#)*(!M#.u(#r D!$!*!r#t)o* 'ot .o''o* .#u! of (!$#( +()*

    G(#u.o'# )*.r!#!- IOP

    D)#+!t). R!t)*op#th, !*- or$#* -#'#$!1 u*.o*tro((!- D

    H,p!rt!*)"! R!t)*op#th, !*- or$#* -#'#$!1 u*.o*troHPN

    T!'por#( Art!r)t) #uto)''u*!1 u--!* "))o* (o

    D!t#.h!- R!t)*# .urt#)* .o')*$ -o2* #.ro "))o*

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    CASE ON CATARACT

    A &4,!#r4o(- '#* pr!!*t .o'p(#)*)*$ of gene%all&'ec%ease' (ision#*- 'i)c*lt& '%i(ing #t *)$ht -ugla%efro' o*.o')*$ h!#-()$ht5 H! -!.r)+! h#")*$t%o*+le %ea'ing the small p%int o* h) t!(!"))o*.r!!*5 H! ) h!#(th, #*- h# *o h)tor, of #*, oth!r

    pro+(!'5 H) +!t .orr!.t!- ")u#( #.u)t, ) *ot!- to 607&0 )* th! r)$ht !,! #*- 60780 )* th! (!ft !,!5 O*!9#')*#t)o*: # &ello,ish opaci-cation of the lensth! (!ft !,! ) *ot!-5 O* ophth#('o.op,: th! %e' %e.)* th! (!ft !,! ) o+.ur!- .!*tr#((,: #*- th! -!t#)( offu*-u #r! )*-)t)*.t5 No oth!r #+*or'#()t)! #r! fou*

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    INTERVENTIONS

    C#t#r#.t *!!- to +! r!'o"!- o*(, 2h!* "))o* (o )*t!rf!2)th !"!r,-#, #.t)")t)!: u.h # -r)")*$: r!#-)*$: or 2#t.h)

    Ph#.o!'u();.#t)o* '#(( )*.))o* o* .or*!#: oft!* #*- up (!*

    E9tr#.#pu(#r ur$!r, (o*$!r )*.))o*: r!'o"! .(ou-, .o(!* )* o*! p)!.!

    Aft!r th! *#tur#( (!* h# +!!* r!'o"!-: )t ) oft!* r!p(#.!-#rt);.)#( (!* .#((!- #* )*tr#o.u(#r (!* =IOL>5

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    INTERVENTIONS

    E*ur! #-!?u#t! ()$ht)*$: !#, r!#.h for .#(( +!((: #**opr!!*.! #*- #+!*.!

    E*.our#$! 2!#r)*$ of pr!.r)+!- !,! $(#!

    A! for )*.r!#)*$ -)/.u(t, 2#(

    h#*-5

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    INTERVENTIONS

    R!")!2 '!-).#t)o* p#rt).u(#r(, -ru$ to -ru$ )*t!r#.t)o=)5!5 $(#u.o'# .o*tro( -ru$>

    R!f!r p#t)!*t 2)th )'p#)r!- 'o+)()t, for (o2 "))o* #*-r!h#+)()t#t)o* !r").!1 p#t)!*t 2ho '!!t th! .r)t!r)# fo

    (!$#( +()*-*! hou(- +! o!r!- r!f!rr#( to #$!*.)! th.#* #)t th!' )* o+t#)*)*$ f!-!r#( #)t#*.!5

    I*t!$r#t! p#t)!*t f#')(, )*to th! p(#* of .#r!

    R!f!r p#t)!*t to !r").! th#t #)t )* p!rfor')*$ #.t)"of -#)(, ()")*$: )f *!!-!-5

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    HEARING

    H!#r)*$ (o ) th! 3r-(!#-)*$ .hro*). .o*-)t)o* #!.t)*$#-u(t o"!r & ,!#r of #$!5

    Changes common in ol'e% a'*lts:

    Pr!+,.u) (o of h)$h fr!?u!*.,: !*or)*!ur#( h!#

    Co*-u.t)"! h!#r)*$ (o .!ru'!* )'p#.t)o*: ruptur!-!#r-ru': ot)t) '!-)#: oto.(!ro)

    S!*or)*!ur#( h!#r)*$ (o h!r!-)t#r,: )*f!.t)o*: otot-ru$: .#r-)o"#.u(#r .o*-)t)o*: tr#u'#: M!*)!r! -)!

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    IMPLICATIONS OF HEARINGCHANGESI'p#)r #+)()t, to .o''u*).#t! 2)th oth!r

    A-- to o.)#( )o(#t)o*

    L!#- to -!pr!)o* or (o2 !(f !t!!'

    U*#+(! to h!#r )*tru.t)o* =)5!5 ho2 to t#

    U*#+(! to h!#r pho*! or -oor+!(( r)*$)*$

    U*#+(! to h!#r 2h!* !'!r$!*., )tu#t)o* o..ur

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    CASE ON PRESBCUSIS

    Gr!t# H#(!: #* 64,!#r4o(- $r#*-'oth!r of ;"!: (oo

    h!#r)*$ ) *ot o $oo- #*,'or!: h! !9p(#)*5 Oth!r2pr, #*- h!#(th,: M5 H#(! 2#*t to p#rt).)p#t! +ut #"-o)*$ o +!.#u!: h! #-')t: I -o*t #(2#, u*-!rt2h#t p!op(! #r! #,)*$5 I th)*< '#,+! )t @ut !#)!r th!' to p%eten' I1m not the%e5 Sh! .o*)-!r th) of th! 'or! -)/.u(t #p!.t of #$)*$5

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    INTERVENTIONSA-#pt)"! t!.h*)?u!5 Wh!* p!#

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    INTERVENTIONS

    E*")ro*'!*t#( 'o-);.#t)o* )*.(u-! tr#t!$)! t!*h#*.! .o'pr!h!*)o* #*- ')*)')! +#.