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Ima enterprise risk management tools and techniques for effective implementation order do my capstone realty columbus ne cover letter information technology assistant rnib supporting blind and partially sighted people community views accessing I care services this video uses actors to speak the words of community members gathered in an RN I be commissioned research study this research study was conducted by shared intelligence almost 2 million people in the UK today are living with silos every day a hundred people start losing their site fifty percent of this site loss is avoidable my name's Celia I'm 45 years old and I'm from Hackney in London out of all the senses it's the one I've miss most my site is incredibly important to me imagine not being able to see colors my name is after I'm 45 years old and I live in Bradford if he didn't ever your eyes you will see the beauty of life or the colors of life I'm David Allen and I'm had a slight loss prevention for our an IB prevention of avoidable sight loss is one of our own i beez key strategic priorities and in 2011 we commissioned some qualitative research to identify the barriers to access for primary and secondary care amongst particular target populations the research is part of a much wider programme of work looking to identify key issues for target communities in Bradford Hackney Glasgow com thethe in South Wales and in west Belfast what we found from this research was that there was a sense of fatalism amongst the community they didn't really understand much about I health there was very limited community awareness and worse than that there was a misconception that they couldn't do anything about protecting their eyes my name's Mary and I'm 63 and I'm from Belfast for me I health is about whether you need glasses you have to accept what God give she loses sight always comes in time if it's gonna happen to you it's gonna happen to you people tend to think that Silas isn't avoidable and that if you have a site problem it's gonna make you go blind we need to challenge this misconception what was interesting about the research but it didn't make a difference is someone had an eye test or not establish they knew about my health there are no posters all leaflets to show how to look after your eyes they should have some sort of course to say how to take care of the eyes or they should have a professional coming into the community center to give information on I care my name is Derek I'm 65 and I'm from from the valley in Charles there's a lack of awareness around I health so not taking preventive measures to look after your eyes is the biggest problem anything you hear about his contact lenses or laser treatment I'm Ali I'm 41 years old and I'm from Glasgow what just talked about lifestyle factors but isn't fully explained for people to make a change I get letters from the dentist all the time about checkups but nothing from the optician it's human nature we don't go to look after ourselves until we're told so what we found out was that I test attendance is symptom driven and that of course means that early detection is much less likely one of the barriers we found is the retail dimensional optometry people feel under pressure to buy glasses when they do go they often ration their attendance because they can't afford to go very often and they viewed the eye examination as a completely different type of intervention to other medical health jokes that's going to have an effect on the treatment that people are going to be able to receive most people go in because they think they need to get glasses people do go to the opticians yeah but when they go they only get told that they need more glasses when I see y'all go I only get just you'd run a loving trouble it's difficult to get out of work a noise appointment you make do with what you can afford rather than what you need or want too much pressure to purchase glasses too much emphasis on selling expensive designer frames i postponed my eye examination to manage my course your eyes are worth it sometimes you have to save up and if other things are needed then he would have to wait personally I think it's a money making thing even when your eyes are okay they're still trying to offer you things to buy I saw a show on TV that said to make glasses cause fer ep I have to pay free hundred pound a lot of people also spoke about having a really positive experience when they go to your Tom artists and what we found out was the developing trust between the optician and the individual was really important and then wanting to come back again and again it put people at ease making them feel comfortable making them feel like it was a valued experience from both sides the staff are nice and polite your petition gives you time I was quite impressed because I do an I check every year or so and the optician was quite young but she referred me to Moorfields Eye Hospital for a second opinion and she was clever because she was right about needed more treatment yeah I like my local optician they do diagrams that explain it on in two of our sites we focused on diabetic retinopathy and in three we wanted to look into a bit more detail around glaucoma and issues surrounding it the research showed us that managing diabetes is really hard work for people they struggle to keep track of the different appointments that they've got sometimes they're not even sure what appointment they're going to and why and in some cases they didn't even know if they'd been to an appointment people with diabetes didn't understand the difference between diabetic retinopathy screening and going for a standard eye examination it can make a real difference as to whether other eye conditions are identified and treated there is a link between diabetes and eyes they're like two sisters if we knew the how and why we could protect ourselves the community's diet makes control difficult fried food and sweets in my circle people don't know about the links between diabetes and I else no one really considers watching the sugars to protect their eyes issue people don't associate that the link between diabetes and I health don't understand the importance of it many patients find the eye care system to be fragmented and confusing and sometimes people are taken off hospital lists if they don't attend appointments and of course that can lead to even bigger problems and people going blind I was in Pakistan and I let help service know this but I still got a letter see that I did not attend you need a text message to imagine back the appointment was it's too difficult I have to wait a long time often a lot of waiting and people often leave because they cannot wait any longer it's a lot of waiting you don't always see the same person every time at the hospital that'd be nice other cell it goes didn't know anything about your calm would have liked to get more information about treatment options and scenarios a poor patient experience and lack of information are going to be barriers to accessing I care services but on the other side a much more positive patient experience and continuity of treatment are going to enable people to engage much more effectively I had a very professional service of RGH the surgeon took me through all aspects of the procedure and made me feel very comfortable my optician did have to console me and tell me not to worry too much glaucoma was not the case of automatically going blind and she did take pains to calm me down we would like more support but we don't know what's available for more information about the research please visit our an IBO org dot uk' forward slash health professionals or email professionals at RNIB org UK rnib supporting blind and partially sighted people copyright of RNIB may 2012 registered charity number 2 26 to 27 what does general education capstone mean Rockefeller University.