An Audit of Visual Acuity using a Snellen chart for Residents in a Care home, aged 65years or over

Background: Visual impairment (VI) is highly prevalent, but currently remains untreated and preventable in Britain‟s older population (Evans, Fletcher, Wormald et al. 2002). Eighty percent of all VI can be avoided or treated (WHO, 2011). People in residential or nursing homes are at a higher risk of...

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Main Author: Ward, Hannah
Format: Dissertation (University of Nottingham only)
Language:English
Published: 2012
Online Access:https://eprints.nottingham.ac.uk/26954/
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author Ward, Hannah
author_facet Ward, Hannah
author_sort Ward, Hannah
building Nottingham Research Data Repository
collection Online Access
description Background: Visual impairment (VI) is highly prevalent, but currently remains untreated and preventable in Britain‟s older population (Evans, Fletcher, Wormald et al. 2002). Eighty percent of all VI can be avoided or treated (WHO, 2011). People in residential or nursing homes are at a higher risk of having their eye problems overlooked (Pols, Bates, McGraw et al. 2000). Aim: To conduct an audit of visual acuity (VA), a measure of VI against a national standard, the British Geriatric Society (BGS, 2010) standard, which states that all older people should be assessed for VI and a VA of 6/12 or less (using the Snellen chart) denotes VI. Methods: Mixed methods study, quantitative methods to measure and analyse VA and qualitative questionnaire to objectively comment on the resident‟s visual history. Sample consisted of all care home residents aged 65 years or older, excluding residents due to ethical reasons. Results: 24/25 (96%) residents scored a VA of 6/12 and below, so have VI according to the BGS. Majority of men and women have mild to moderate VI. Conclusion: VI is highly prevalent in my particular care home, but there is a regular ophthalmic service in-place which implies that VI is rarely undetected. It is recommended that this audit is repeated for all older people (hospital/care homes/persons own home), with standardised VI terminology, VI categories and using the ETDRS tool rather than the Snellen. This audit can be used to guide nurses to improve their risk assessment and identification, which they can use to maximise patient/resident safety.
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spelling nottingham-269542017-10-19T13:45:31Z https://eprints.nottingham.ac.uk/26954/ An Audit of Visual Acuity using a Snellen chart for Residents in a Care home, aged 65years or over Ward, Hannah Background: Visual impairment (VI) is highly prevalent, but currently remains untreated and preventable in Britain‟s older population (Evans, Fletcher, Wormald et al. 2002). Eighty percent of all VI can be avoided or treated (WHO, 2011). People in residential or nursing homes are at a higher risk of having their eye problems overlooked (Pols, Bates, McGraw et al. 2000). Aim: To conduct an audit of visual acuity (VA), a measure of VI against a national standard, the British Geriatric Society (BGS, 2010) standard, which states that all older people should be assessed for VI and a VA of 6/12 or less (using the Snellen chart) denotes VI. Methods: Mixed methods study, quantitative methods to measure and analyse VA and qualitative questionnaire to objectively comment on the resident‟s visual history. Sample consisted of all care home residents aged 65 years or older, excluding residents due to ethical reasons. Results: 24/25 (96%) residents scored a VA of 6/12 and below, so have VI according to the BGS. Majority of men and women have mild to moderate VI. Conclusion: VI is highly prevalent in my particular care home, but there is a regular ophthalmic service in-place which implies that VI is rarely undetected. It is recommended that this audit is repeated for all older people (hospital/care homes/persons own home), with standardised VI terminology, VI categories and using the ETDRS tool rather than the Snellen. This audit can be used to guide nurses to improve their risk assessment and identification, which they can use to maximise patient/resident safety. 2012 Dissertation (University of Nottingham only) NonPeerReviewed application/pdf en https://eprints.nottingham.ac.uk/26954/1/Hannah_Ward-_dissertation_1.pdf Ward, Hannah (2012) An Audit of Visual Acuity using a Snellen chart for Residents in a Care home, aged 65years or over. [Dissertation (University of Nottingham only)] (Unpublished)
spellingShingle Ward, Hannah
An Audit of Visual Acuity using a Snellen chart for Residents in a Care home, aged 65years or over
title An Audit of Visual Acuity using a Snellen chart for Residents in a Care home, aged 65years or over
title_full An Audit of Visual Acuity using a Snellen chart for Residents in a Care home, aged 65years or over
title_fullStr An Audit of Visual Acuity using a Snellen chart for Residents in a Care home, aged 65years or over
title_full_unstemmed An Audit of Visual Acuity using a Snellen chart for Residents in a Care home, aged 65years or over
title_short An Audit of Visual Acuity using a Snellen chart for Residents in a Care home, aged 65years or over
title_sort audit of visual acuity using a snellen chart for residents in a care home, aged 65years or over
url https://eprints.nottingham.ac.uk/26954/