Accidental Fall, Aging, Nurse's Role, Visual Acuity
Conditions
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.
Interventions
DIAGNOSTIC_TESTophthalmologist examination
ophthalmologist examination after geriatric consultation
Sponsors
University Hospital, Caen
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| visual acuity values concordance between nurses and ophthalmologist | 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
| Measure | Time frame | Description |
|---|---|---|
| new diagnosis or ophthalmologic pathology aggravation | day 1 | Percentage of patients in whom new diagnosis or ophthalmologic pathology aggravation was identified |
| cognitive influence | day 1 | Compare the binocular visual acuity values agreement in each subgroup: with MMSE \<18/30 and with MMSE ≥18/30 |
Countries
France
Outcome results
None listed