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Gaining insight into age-related macular degeneration
1TLFRNEDD@aol.com
Purpose/Objective:
To enhance nurse practitioner (NP) recognition of clients with age-related macular degeneration (AMD) based on history and physical examination findings, to encourage prompt initial referral of these clients to an ophthalmologist for a treatment evaluation, and to acquaint NPs with low vision rehabilitation services.
Data Sources:
Government documents, professional association practice guidelines, original research articles, journal articles, and Internet resources.
Conclusions:
Age-related macular degeneration is a common, chronic vision-threatening condition necessitating prompt recognition and professional evaluation. If not recognized early, AMD can lead to low vision and a diminished quality of life for the elderly client.
Implications For Practice:
Even though NPs have a limited role in the treatment of AMD, they are in an instrumental position as a primary care providers to screen for this disease chiefly by: (a) adherence to eye examinations intervals, (b) recognition of risk factors, (c) use of the Amsler grid, (d) awareness of psychosocial dimensions, (e) making appropriate referrals, and (f) advocating low vision rehabilitation services.