goals in ophthalmic nursing should include the preservation of vision and the
prevention of further visual loss in those patients who have already
experienced some degree of loss. The maximal practical use should be sought for
any remaining vision.
Skillful listening and interviewing on the part of
the nurse or provider are critical tools for the rehabilitation of the
distressed pa-tient. The health care provider together with the patient should
de-termine which goals are possible. A referral to a low-vision center for
evaluation may be an appropriate intervention, but for some patients, it may be
a signal that all hope of vision restoration is lost.
be effective, the nurse listens to the patient, tries to deter-mine his or her
level of health care need, and makes suggestions and recommendations that can
be of real value to the patient. Lines of communication must be kept open so
that the patient is comfortable exploring all treatment modalities without fear
of being ridiculed or patronized.