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Nurse prescribing in glaucoma.

Z K Johnson1, P G Griffiths, M K Birch

  • 1Department of Ophthamology, Royal Victoria Infirmary, Newcastle upon Tyne, UK.

Eye (London, England)
|February 13, 2003
PubMed
Summary
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Nurse-led clinics show promise for diagnosing and treating glaucoma patients. Nurses demonstrated diagnostic skills and safely prescribed first-line glaucoma treatments, including new prostaglandin therapies.

Area of Science:

  • Ophthalmology
  • Nursing Practice

Background:

  • Glaucoma management requires timely diagnosis and treatment.
  • Nurse prescribing frameworks are evolving.
  • Newer glaucoma medications offer treatment options.

Purpose of the Study:

  • Evaluate a nurse-led clinic for new glaucoma referrals.
  • Assess the potential for nurse prescribing in glaucoma care.
  • Review literature on nurse prescribing.

Main Methods:

  • Audit of patient outcomes in a nurse-led glaucoma assessment clinic (169 patients).
  • Audit of nurse-initiated timolol or latanoprost treatments following a protocol.

Main Results:

  • 46 patients initiated treatment; 31 on timolol, 14 on latanoprost.

Related Experiment Videos

  • Four patients required diagnosis reassessment; four experienced side effects.
  • Nine patients had treatment adjusted for inadequate intraocular pressure control.

    • Conclusions:

    • Nurses possess diagnostic skills for new glaucoma patients.
    • Nurses can safely prescribe first-line glaucoma treatments.
    • Evolving legal frameworks support expanded nurse prescribing.