John Jerome is a 45-year-old male who made an appointment f

John Jerome is a 45-year-old male who made an appointment for an… John Jerome is a 45-year-old male who made an appointment for an annual employment physicalassessment. Mr. Jerome completed a written questionnaire in preparation for his meeting with ahealthcare professional. He checked “none” for all categories of family history of disease exceptdiabetes. He indicated that he knew of no changes in his health since his last assessment.The focused history reveals the following: A male wearing eyeglasses entered the room. Heturned his head to the left and right and looked about the room before sitting across from theexaminer. The patient had some redness in the sclera of both eyes. During the interview, thepatient reveals that his last eye examination occurred 6 months ago, and he received aprescription for new glasses. He states that he is still having a problem with the new glasses andneeds to have them checked. When asked to describe the problem, Mr. Jerome replies, “I justdon’t feel right with these glasses, and these are the second pair in a little over a year.” He furtherstates, “I just think I am overworking my eyes lately. I need to rest them more than ever, and Ihave had some headaches. I thought the glasses would help, but it hasn’t gotten better.” Thepatient denies any other problems. In response to inquiries about family history, he reports thathis mother had diabetes but had no problems with her eyes. He doesn’t know of any other eyeproblems in his family, except his mother had told him that an aunt of hers had been blind forsome time. He reiterates that his only problem of late has been “this thing with my glasses,otherwise I feel fine.”The physical assessment reveals the following:• Vital signs: BP 128/84—P 88—RR 22• Height 6 3 , weight 188 lb• Eyeballs firm to palpation• Moderately dilated pupilsSAMPLE DOCUMENTATION The following information is summarized from the case study.SUBJECTIVE DATA:Visit for annual employment physical assessment. Negative familyhistory except diabetes. No changes in health since last assessment. Last eye assessment 6months ago—result prescription for new glasses. Stated he was having a problem with the newglasses. “I don’t feel right with them.” Stated, “I think I’m overworking my eyes lately. I thoughtthe new glasses would help, but it hasn’t gotten better.” History of aunt with blindness.OBJECTIVE DATA:Turns head to left and right and looked around room before sitting acrossfrom examiner. Scleral redness bilaterally. Eyeballs firm to palpation. Pupils moderate dilation.Cupping of optic discs. Height 6 3 , weight 188 lb. VS: BP 128/84—P 88—RR 22. 1. What conclusions would the nurse reach based on this data? How was this conclusion formulated?2. What information is missing?3. What is the priority of this patient, and what options would apply?4.As Mr. Jones ages, for what age-related vision changes will he be at risk?Health Science Science Nursing NURS 321L

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