2 Cataracts Nursing Care Plans


A cataract is the gradually developing opacity of the of the lens or lens capsule of the eye. It is the most common cause of correctable vision, loss. Cataracts commonly occur bilaterally, with each progression independently. The prognosis is generally good and surgery improves vision in 95% of affected people.

Nursing Care Plans

Treatment of cataract consists of surgical extraction of the cataractous lens opacity and intraoperative correction of visual deficits. The current trend is to perform the surgery as a same-day procedure. Nursing care revolves around patient education before and after surgery and providing safety.

Here are two (2) nursing care plans (NCP) and nursing diagnosis for patients with cataracts: 

  1. Disturbed Sensory Perception: Visual
  2. Risk for Injury

Risk for Injury

Nursing Diagnosis

  • Risk for Injury

May be related to

  • Cataracts
  • Decreased vision
  • Night blindness
  • Age

Desired Outcomes

  • Patient will be free of injury and will be able to perform activities within parameters of sensory limitation.
  • Patient will be able to be free of injury.
  • Patient and/or family will be able to modify the environment to ensure patient safety.
Nursing InterventionsRationale
Assess patient for degree of visual impairment.Increases awareness of the problem, and identifies severity to allow for the establishment of a plan of care.
Ensure the room environment is safe with adequate lighting and furniture moved toward the walls. Remove all rugs, and objects that could be potentially hazardous.Provides a safe environment to reduce the potential for injury.
Keep patient’s glasses and call bell within easy reach.Provides for assistance for the patient and for optimal visual acuity.
Instruct patient and/or family regarding the need to maintain a safe environment.Reduced visual acuity puts the patient at risk for injury.
Instruct patient and/or family regarding safe lighting. The patient should wear sunglasses to reduce glare. Advise family to use contrasting bright colors in household furnishings.These techniques help enhance visual discrimination and reduce the potential for injury.
After surgery to extract a cataract: 
Remind patient to attend checkup the following day after surgery.Because the patient will be discharged after he recovers from anesthesia post-op. Warn him to avoid activities that increase intraocular pressure.
Instruct patient to wear a plastic or metal shield over the eye with perforations; a shield or glasses should be worn for protection during the day.To protect the eye from accidental injury.
Teach the patient how to administer antibiotic ointment or drops; including steroids.To prevent infection and inflammation.
Instruct patient to watch out for development of complications, such as sharp pain in the eye uncontrolled by analgesics, or clouding in the anterior chamber.This may indicate infection and should be reported immediately.


Recommended Resources

Recommended nursing diagnosis and nursing care plan books and resources.

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See Also

Other recommended site resources for this nursing care plan:

Other ophthalmic nursing care plans:

Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Finding help online is nearly impossible. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively.