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On a patient's turf
OT ’s Olivia Wannan talks to domiciliary practitioners from around the country on the unique relationships they develop with their patients
19 January 2017
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Comments (3)
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Anonymous20 January 2017
Read what Salman actually says: "Dilation should almost become a routine thing to do" That does not imply that potential risks are not assessed before dilation Refn: 1.http://www.barnardlevit.co.uk/assets/Mydriatic-drugs-The-Myths-and-Realities.pdf
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Anonymous19 January 2017
A practitioner should assess the risks of dilating vs not dilating whether a patient is seen in practice or in a domiciliary setting. This will not only vary on signs and symptoms but also the patient's mobility, history etc etc. It should be routine to consider dilation, not necessarily routine to dilate. Would a clinician rather induce angle closure or miss a macula haemorrhage? As for assessing angles: shadow test, portable slit lamp...
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Anonymous19 January 2017
routine dilation? - when an angle closure could be catastrophic in a housebound patient who would need an ambulance to get to hospital, how do you assess the angles?
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