Nurses Ability to Assess Visual Acuity in Geriatric Consultation
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Visual Acuity
- Sponsor
- University Hospital, Caen
- Enrollment
- 15
- Locations
- 1
- Primary Endpoint
- visual acuity values concordance between nurses and ophthalmologist
- Status
- Terminated
- Last Updated
- 2 years ago
Overview
Brief Summary
Nurses participate to geriatric evaluations for falling patients. For these patients, it is recommended to evaluate,especially, visual acuity but this is not currently done because it is difficult to systematically combine with an ophthalmologic consultation.
The HAS french recommendations propose to detect visual acuity deficiency using Monoyer and Parinaud scales, without specifying the professional qualification. According to the nurse competence decree of State Graduates, "sensory disorders" screening is a "non-vulnerable" examination, and can be performed by nurses. Therefore, they can use these scales, after training.
We propose to evaluate the correlation between visual acuity scores obtained by nurses in geriatric consultations and an ophthalmologist.
This study should include 204 patients over 65 years, who have fallen at least twice in the last 12 months. These patients will benefit from an evaluation by an ophthalmologist, after the geriatric consultation.
Investigators
Eligibility Criteria
Inclusion Criteria
- •at least 2 falls in the last 12 months,
- •applied in geriatric evaluation
- •talking French
- •affiliated to the social security system
Exclusion Criteria
- •not communicating
- •illiterate
- •Total blindness
Outcomes
Primary Outcomes
visual acuity values concordance between nurses and ophthalmologist
Time Frame: day 1
On 2 (near and far) binocular values per patient with their usual glasses. Concordance is assessed on the assignment of patients to one of the 3 groups: ≤ 5 / 10e, 6-7 / 10 e, ≥ 8/10 e
Secondary Outcomes
- new diagnosis or ophthalmologic pathology aggravation(day 1)
- cognitive influence(day 1)