You are assessing a child's vision and notice the child is unable to correctly answer her questions when shown the Ishihara color plates. When questioning the mother, you discover that the child has not understood the colors but the mother has just assumed the child was slow.

   A. How would you proceed?

   B. What care would you provide in this case?

   C. How will you know the nursing care plan was effective for this child?

 

Signs to look for in children with color blindness include regularly identifying colors incorrectly, trouble recognizing red or green items, lack of interest in coloring, sensitivity to light, and difficulty reading color-based book.

 A. How would you proceed?

• Assuming that the patient does not know how to identify numbers yet, there is a modified Ishihara color test for preschools, children ages 3-6 years old who.
• Children who could not read numbers were instructed to trace the shapes of the numbers and of colored winding lines on the test plates using a cotton-tipped applicator.

B. What care would you provide in this case?

•  If the patient has failed the modified Ishihara test, he/she is then referred to an optometrist who can diagnosis color blindness using simple screening tests, such as Ishihara and Hardy-Rand-Rittler tests to determine the severity of the color blindness.
• In this case, early detection is the key to help the child adjust and cope with color deficiencies.
• Advise parents/guardians/teachers to avoid color-coding exercises in learning.
• Let the teacher or educator know about the child's case.
• Communicate with the child and offer help.
• Educate on what, how, why color blindness happens as well as available treatments.

Step-by-step explanation

C. How will you know the nursing care plan was effective for this child?

• Patient will maintain a safe environment with no injury noted.
• Patient will be able to verbalize understanding of color blindness.
• Patient will be able to use adaptive devices such as special glasses or contact lenses for color blind to compensate for color blindness.