This nursing care plan Risk for Injury includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions: Diplopia also known as Double Vision. Patients with diplopia, double vision, are at risk for injury due to an impairment of one of the five senses, vision. Patients with diplopia see two images of a single item.
When a patient’s vision is impaired, as with diplopia, they are at risk for misjudging activities and can cause themselves unintentional harm. There are many steps you can take as a nurse to prevent a patient from injury with diplopia. This nursing care plan can help get you on the right track.
Below is a case scenario that may be encountered as a nursing student or nurse in a hospital setting.
What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan?
This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions.
Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only , and some of these treatments may change over time. Do not treat a patient based on this care plan.
Care Plans are often developed in different formats. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Some hospitals may have the information displayed in digital format, or use pre-made templates. The most important part of the care plan is the content, as that is the foundation on which you will base your care.
If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Otherwise, scroll down to view this completed care plan.
A 69 year old male was admitted to your floor several days ago with hepatic and renal failure. The patient is almost ready for discharge within the next few days to a nursing rehab facility. He is responding well to the new medications and looks forward to getting out of the hospital. Later on in the day the patient starts complaining of seeing double. You also note that when you hand his noon medications to him, he tries to unsuccessfully grasp them from your hand but misses because he is grasping in the wrong direction. You notify the doctor who orders a CT scan of the head. The CT scan comes back with no abnormal findings. Neurology is consulted and the MD states the patient will need to see an eye doctor as an outpatient and nothing can be done right now. The patient states he can’t wait for his vision to get better.
Risk for Injury related to impaired sensory function secondary to diplopia as evidence by patient reporting he is seeing double.
Later on in the day the patient starts complaining of seeing double. The patient states he can’t wait for his vision to get better.
A 69 year old male was admitted to your floor several days ago with hepatic and renal failure. The patient is almost ready for discharge within the next few days to a nursing rehab facility. He is responding well to the new medications and looks forward to getting out of the hospital. You also note that when you hand his noon medications to him, he tries to unsuccessfully grasp them from your hand but misses because he is grasping in the wrong direction. You notify the doctor who orders a CT scan of the head. The CT scan comes back with no abnormal findings. Neurology is consulted and the MD states the patient will need to see an eye doctor as an outpatient and nothing can be done right now.
-The nurse will assess the patients vision twice a shift for any more deterioration.
