For the appropriate care to be planned for a patient it should be looked at in a holistic manner (NMC 2008). This means taking into account all the aspects of a whole person. This includes the physical, psychological, emotional, spiritual, economic and social factors when assessing, planning, delivering and evaluating care (Scriven 2010). The patient, Mr Frederick Valentine had been suffering of gradually fading vision. He noticed that in bright light his vision was significantly worse, and he was finding it hard to read and watch television. Mr Valentine attended an appointment with his optometrist who refereed him to the Eye Centre at a local hospital stating that he was suffering from a cataract. The eye centre is an ophthalmic day case unit which serves both ophthalmic surgical and medical patients.
When Mr Valentine was seen at the eye centre by an ophthalmologist consultant, further investigations revealed that he was suffering from a nuclear age related cataract. The treatment deemed appropriate for this condition was a cataract extraction and the insertion of an intra ocular lens under a local anaesthetic. This treatment was discussed between Mr Valentine and the Consultant and a pre operative assessment was then made in line with Department of Health Guidelines (2000). Brooker et al (2007) state that the aim of a pre