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Related Concept Videos

Glaucoma: Overview01:25

Glaucoma: Overview

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Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
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The shape of a small drop of liquid can be considered spherical, neglecting the effect of gravity. This drop can further be considered as two equal hemispherical drops put together due to surface tension. The forces acting on the spherical drop are due to the pressure of the liquid inside the drop, the pressure due to air outside the drop, and the force due to the surface tension acting on the two hemispherical drops.
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Frustration occurs when people are obstructed or prevented from achieving a desired goal or fulfilling a perceived need. For example, when someone's input is ignored in a discussion, it can lead to feelings of frustration. Conflict, however, arises from opposing interests, goals, or actions. Conflicts can take various forms based on the nature of these opposing desires or goals.
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The information-processing theory of cognitive development centers on fundamental mental processes, including attention, memory, and problem-solving skills. Researchers in this field examine how cognitive abilities, such as working memory, evolve and influence children's overall development. Studies indicate that children with stronger working memory tend to excel in reading comprehension, math, and problem-solving compared to peers with less efficient memory skills. Low working memory is...
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A Novel Approach to Helping People with Glaucoma Use Their Drops Routinely.

John E McDonald1, Jane K Dickinson2

  • 1Private Practice, Chico, California.

Optometry and Vision Science : Official Publication of the American Academy of Optometry
|May 3, 2019
PubMed
Summary

Many glaucoma patients miss eye drop doses. Applying diabetes self-management strategies and improving patient-provider communication can enhance adherence for better eye health outcomes.

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Area of Science:

  • Ophthalmology
  • Behavioral Science
  • Health Communication

Background:

  • Glaucoma treatment adherence is a significant challenge, with pharmacy data indicating 70% of patients miss one or more doses.
  • Effective glaucoma management relies on consistent medication use, yet patient adherence remains suboptimal.
  • Unique patient circumstances can create barriers to self-management of chronic conditions like glaucoma.

Purpose of the Study:

  • To explore the potential of adapting behavior change strategies from diabetes care for improving glaucoma self-management.
  • To highlight the role of enhanced communication skills for eye care providers in addressing adherence barriers.
  • To identify how person-centered communication can foster trust and improve patient engagement in glaucoma treatment.

Main Methods:

  • Reviewing pharmacy data to quantify non-adherence rates in glaucoma patients.
  • Analyzing communication strategies used in diabetes self-management education.
  • Proposing the adoption of collaborative, strengths-based communication techniques in eye care settings.

Main Results:

  • A high rate of non-adherence (70%) was observed among glaucoma patients.
  • Diabetes care offers valuable models for behavior change and management skills applicable to glaucoma.
  • Person-centered communication, active listening, and open-ended questions can improve patient engagement and trust.

Conclusions:

  • Eye care providers can improve glaucoma self-management by adopting communication strategies proven effective in diabetes care.
  • Addressing psychological factors like anxiety and depression is crucial for enhancing adherence.
  • Building trusting relationships through empathetic and collaborative communication is key to overcoming adherence barriers.