시력 손상과 시각 장애(Visual Impairment and Blindness)

Acting Under Secretary of Health requested that a working group be established to develop the Veterans Health Initiative (VHI). He envisioned this as a comprehensive program to recognize the connection between certain health effects and military service, to allow military history to be better documented, to prepare health care providers to better serve their veteran patients, and to establish a data base for further study. This was first discussed by the Acting Under Secretary in relation to the health of former prisoners of war. Development was really begun by the former Chief Academic Affairs Officer, Dr. David Stevens, with the Military Service History project. This involves a pocket card for medical residents detailing the important components of a military service history targeting the health risks associated with various periods of service and more generic issues of concern and a website containing references relevant to the issues. Educational modules in the Veterans Health Initiative VHA will assist health care providers in recognizing the connection between certain health effects and military service, prepare health care providers to better serve veteran patients, and will provide a data base for further study. This independent study is designed to provide primary care practitioners with an introduction to the pathologies that lead to sight loss, their functional implications, appropriate method of referrals, training programs, and special considerations for interactions with visually impaired individuals. After completing this independent study, participants would be able to: • Define legal blindness; • Describe the causes of sight loss; • Delineate the functional implications of vision loss • Delineate the psycho/social impact of vision loss on the veteran; • Outline the role of the Visual Impairment Services Team (VIST) in the treatment of legally blind veterans and the referral process; • Describe the special personal and environmental considerations needed for visually impaired patients; • Describe the special medical considerations needed for visually impaired patients; • Describe the primary care practitioner's role in assisting veterans in establishing well-grounded claims for disability related to the loss of vision; and • Describe compensation and pension benefits provided for veterans with eye disabilities. After completing this independent study, you should 1. be able to: state the definition of legal blindness; 2. be able to: associate eye diseases with their visual implications; 3. be able to: demonstrate insight into the functional and Psycho/Social implications of sight-loss; 4. know when referrals to VIST are indicated; 5. understand …

[1]  L. Cholden.  Some psychiatric problems in the rehabilitation of the blind. , 1954, Bulletin of the Menninger Clinic.

[2]  L. Cholden.  A psychiatrist works with blindness , 1958 .

[3]  T. J. Carroll,et al.  Book Review: Blindness: What it is, What it does, and how to Live with It , 1961 .

[4]  R. G. Fitzgerald.  Reactions to blindness. An exploratory study of adults with recent loss of sight. , 1970, Archives of general psychiatry.

[5]  R. G. Fitzgerald.  Visual phenomenology in recently blind adults. , 1971, The American journal of psychiatry.

[6]  M. Posner,et al.  Visual dominance: an information-processing account of its origins and significance. , 1976, Psychological review.

[7]  Factors in adjustment to blindness. , 1978, Canadian journal of ophthalmology. Journal canadien d'ophtalmologie.

[8]  M. Skelton-Robinson,et al.  The Charles Bonnet Syndrome in perspective , 1982, Psychological Medicine.

[9]  R. Kessler,et al.  Social factors in psychopathology: stress, social support, and coping processes. , 1985, Annual review of psychology.

[10]  J. N. Ebert,et al.  Reactions to Blindness: A Four-Year Follow-up Study , 1987, Perceptual and motor skills.

[11]  L. Rand,et al.  Psychosocial Aspects of Diabetic Retinopathy , 1987, Diabetes Care.

[12]  P. Duckro,et al.  Psychosocial Profiles in Patients With Visual Impairment Due to Diabetic Retinopathy , 1988, Diabetes Care.

[13]  Psychology and optometry. Interaction and collaboration. , 1990, The American psychologist.

[14]  W. Needham,et al.  Benign Visual Hallucinations, or “Phantom Vision” in Visually Impaired and Blind Persons , 1992 .

[15]  A. Dodds,et al.  The Nottingham Adjustment Scale: a validation study , 1993, International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation.

[16]  R. Melzack,et al.  Properties of Complex Hallucinations Associated with Deficits in Vision , 1996, Perception.

[17]  Armando Barreto,et al.  Visual Impairments , 2008, Web Accessibility.

[18]  S. L. Grow,et al.  Orientation and Mobility: Techniques for Independence , 2011 .