SP, a 56-year-old client with Type 2 Diabetes, was admitted to the medical-surgical unit for management of a stage 3 ulcer on her right heel. Although she is compliant with her diabetic medication routine and adheres to her prescribed diet, she still struggles with keeping her blood sugar within a normal range. SP tells the nurse that she works on a production line in a factory. She states “I work such long hours that by the time I get home, I’m tired. I’m just worn out. I also find that I am going slower on the production line because my eyesight is getting worse.” On admission, her vital signs are: Temp 36, HR 86, RR 20, BP 143/90, O2 Sat 96%, blood glucose 13.5mmol/L. 

nursing diagnosis is- Anxiety related to worsening eyesight and the impact it has on the patient’s ability to perform her job as evidenced by the patient’s statement that she is going slower on the production line due to her poor eyesight

I need help with 5 evidence based nursing interventions for this diagnosis related to this study.

SOLUTION – 56-year-old client with Type 2 Diabetes admitted to the medical-surgical unit

Here are five evidence-based nursing interventions for the nursing diagnosis of Anxiety related to worsening eyesight and its impact on the patient’s ability to perform her job:

1. Provide Education and Support: Educate the patient about the importance of regular eye examinations and the potential impact of uncontrolled diabetes on vision. Offer support and resources for obtaining appropriate eyewear or visual aids to assist with her job tasks.
2. Encourage Stress Reduction Techniques: Teach the patient relaxation techniques such as deep breathing exercises, progressive muscle relaxation, or guided imagery to help alleviate anxiety related to her vision concerns and work performance.
3. Facilitate Referral to Eye Care Specialist: Arrange for a referral to an ophthalmologist or optometrist for a comprehensive eye examination and assessment of visual function. Collaborate with the eye care specialist to develop a plan for managing any vision-related issues.
4. Assist with Workplace Accommodations: Work with the patient and her employer to identify potential accommodations in the workplace to optimize her job performance despite her visual impairment. This may include adjusting lighting, providing magnifying devices, or modifying job tasks as appropriate.
5. Promote Self-Care Strategies: Encourage the patient to prioritize self-care activities such as adequate rest, healthy nutrition, regular physical activity, and medication adherence to help manage her diabetes and overall well-being. Provide resources and support for accessing community resources or support groups if needed.

These interventions aim to address the patient’s anxiety related to her worsening eyesight and its impact on her ability to perform her job effectively, while also promoting holistic self-care and collaboration with healthcare providers and employers.