DISCLAIMER:Video will be taken at this clinic and potentially used inProject ECHO promotional materials. By attending this clinic, you consent to have your photo taken and allow

Project ECHO to use this photo and/or video. If you don’t want your photo taken, please let us know. Thank you!

ECHO Nevada emphasizes patient privacy and asks participants to not share ANY Protected Health Information during ECHO clinics.

.

.

.

.

Percentage of Americans with Vision Loss by Age (1)

Age Percentage of Americanswith Vision Loss

18-44 years 5.5%45-64 years 12.0%65-74 years 12.2%75 years and over 15.2%

.

.

Causes of Permanent Vision Loss and History of Rehabilitation:•Macular Degeneration•Diabetes•Glaucoma

•How Patients Receive Help After Vision Loss

.

.

Older Adults with Low Vision• After the age of 75, the majority are women. (2)• Majority of women over the age of 75 with vision loss live

alone. (3)• 70% have long term health difficulties. (3)• 60% report at least one other functional impairment. • 25% are not aware of the name of their sight condition. (4)• 83% report no offer of emotional support from a

professional resource. (4)• 87% of families had not been offered support to assist a

relative with vision loss. (4)

.

.

Functional Implications• Decrease of acuity• Visual Distortion• Blindspots• Eccentric Viewing• Photostress• Photophobia

.

.

Functional Implications (cont)

• Color Vision• Peripheral Vision Sensitivity• Phantom Visions• Depth Perception

.

.

Impact on Daily Activities

• Communications• Safety• Nutrition/Diet• Personal Management

• Medication Management

• Socialization• Mobility

.

.

Emotional Impact: The Reaction Phase

• Trauma• Shock and Denial• Mourning and Withdrawal• Succumbing and Depression

.

.

Emotional Impact: The Rebuilding Phase

•Reassessment and Reaffirmation•Coping and Mobilization•Self-Acceptance and Self Esteem

.

.

Components of the Rehabilitation Process - Important Questions:•Medication Management

• Ask “How” questions•Dialing 911•Finding Exits•Telling Time•Food Preparation

.

.

Components of the Rehabilitation Process – Immediate Intervention• Talking Books• Support Groups• Referral to State Agency• Hadley• Blind Veteran’s Services• Senior Center Without Walls• VisionAware

.

.

Components of the Rehabilitation Process – Professional Help• Low Vision Optometrist• Vision Rehabilitation Therapist• Low Vision Therapist• Orientation and Mobility Specialist• Occupational Therapist• Ed Haines – 847-784-2856, haines@hadley.edu

.

.

Sources• 1. Prevent Blindness America. Vision Problems in the U.S.: Prevalence of Adult Vision Impairment

and Age-Related Eye Disease in America, update to the 4th ed. Schaumburg, IL: Prevent Blindness America, 2008.

• 2. Data source: National Center for Health Statistics, National Health Interview Survey, 2011, www.cdc.gov/nchs/nhis.htm. For further information, see "Schiller, J.S., & Peregoy, J.A. (2012). Provisional Report: Summary health statistics for U.S. adults: National Health Interview Survey, 2011. National Center for Health Statistics. Vital Health Stat 10(256).“

• 3. Diana Zuckerman, 2004. Blind Adults in America: Their Lives and Challenges. Washington, DC: National Research Center for Health Research

• 4. Royal National Institute for the Blind, 2009. Understanding the Needs of Blind and Partially Sighted People: their experiences, perspectives, and expectations. University of Surrey

.

.

Special thanks to the EJC Foundation for their support of Sanford Center Geriatric Specialty Clinic

Sanford Center for Aging775-784-4744

Med.unr.edu/aging

.

.

Special thanks to the EJC Foundation for their support of Sanford Center Geriatric Specialty Clinic

Sanford Center for Aging775-784-4744

Med.unr.edu/aging

.

.