Nursing Interventions for Eye Disorders
The main target patients include pain relief, control anxiety, visual deterioration prevention, understanding and acceptance of handling, fulfillment of self-care activities, including drug treatment, prevention of social isolation and without complications.
Nursing Interventions for Eye Disorders
1. Relieves pain.
Pain can be caused by trauma, such as corneal scratches or increased pressure in the eye. Wrap the eye can help limit the movement of the eyes and reduce the pain they cause. The eyes are not closed also should be rested for the eyes to move in sync.
Because light can cause pain in a variety of eye conditions, and because the eyes rested can facilitate healing after eye surgery, it is necessary to use lighting that is darker than necessary. If the patient requires light to do an activity, it can be used artificial lights dim. Patients were given instructions to avoid reading for some time after surgery or eye disease.
Analgesics and antibiotics are prescribed can also help control the discomfort. Reduce emotional distress and physical stress can provide relaxation, which in turn will help reduce the patient's pain.
2. Reduce fear and anxiety.
Various physical examination and diagnostic examination with the patient and explain about the diagnosis and treatment plan are interventions that can increase patient participation in care. In turn, the patient will feel a sense of control and autonomy, which can help reduce fear and anxiety.
3. Reducing sensory deprivation.
When the eyes bandaged, perceptual distortions can occur, such as "delirium eye shield". Improper behavior, and loss of sense of position. This problem often becomes severe and become the frightening and frustrating for the patient. One way to help overcome feelings of well established is to provide a reorientation to the patient at regular intervals to the reality and the environment and provide assurance, explanation, and understanding. Every person who enters a patient's room should speak and introduce her identity to avoid these patients.
4. Teaching patients about perioperative procedures.
Before surgery, ophthalmic preparations must be done with careful maintenance, and accurately so that complications can be minimized, comfort is reached, the delay is minimized, comfort is achieved, and the patient has been informed. If the patient will receive anesthetic care, identifies that the type of anesthesia can usually determine of preparation. For example, when used in general anesthesia, the lower gastrointestinal tract must be evacuated in the morning before surgery and only liquid food may be given after that. Before preparing the eye for surgery, the nurse closed the patient's hair and cleanse the face is usually a series of eye drops given before surgery. Then the nurse monitor systemic absorption of the drops, which can affect blood pressure, heart rate, and respiration.
5. Improving self-care activities.
Patients are encouraged to perform self-care as much as possible to increase the sense of self-efficacy. Nurse aid is given when needed. Patients who can not see, aided when eating but if the patient has been accustomed to eating alone, the patient is encouraged to do so, defecation enhanced with a balanced diet stool softeners or laxatives, according to the provisions. Patients should not be read, smoke, or shave unless permitted by the doctor. The patient should be warned not to rub the eye or wipe it with a dirty handkerchief. Every patient who received the drug dilatation, should wear sunglasses.
6. Encourage socialization and coping skills.
Anxiety is usually suffered by the patients with eye disorders require the same needs with physical needs. Dependence on the patient's vision becomes real when someone loses a vital senses, either temporarily or permanently. Anxiety, fear, anger, denial, withdrawal can also occur. As a nurse gives the patient the opportunity to express feelings, can then take steps to learn to cope and adjust. Because they personality differences, which indicated the approach anxiety each individual is different. When clear of permanent blindness occurs, counseling can be done over the activities of daily living.
7. Monitoring and implementation of potential complications.
The cause eye problems, can be done in an effort to monitor and prevent further deterioration of its development. This can be done by resting the eyes, limiting activity, wearing sunglasses, or provide local anesthesia according to the program.