Ocular conditions and sensory perception deficit

The loss of sensory perception in the geriatric population is common and expected. This phenomenon is a part of the natural aging process. We often are complacent with the inevitable and ignore sensory deprivation when it occurs. This does not negate the fact that the lack of adequate stimuli of these systems can lead to an adverse or irreparable impact to the eye. Educating the senior patient regarding expectations that happen in normal sensory loss is important. Inform them how to take certain precautions when delivering ophthalmic care. Explain to them which medications or medical conditions may cause a deficit in the sensory sharpness. Above all, they should be taught to strive for optimal ophthalmic care regardless of the difficulties of administering eye care. If they are in need of assistance administering medications or experience discomfort when using them, encourage them to contact their physician or other health care provider. It is never okay to discontinue drops without medical authorization. Many senior adults often make an independent decision to stop using their drops relative to difficulties encountered while administering their medications. As the ophthalmic patient's advocate or caregiver, we must watch for signs of sensory impairments, determine the extent of sensory loss, and institute an action plan for rehabilitative treatment. Inquire about difficulties; patients rarely volunteer this information. Take time to teach them the importance of following through with the physician-prescribed treatment and address any other identifiable sensory need. Involvement of the patient, physician, family and nurse will insure that the best ophthalmic treatment is being given at the appropriate time.