6 Nursing Interventions for Glaucoma

6 Nursing Interventions for Glaucoma

Nursing Interventions   October 01, 2015

Nursing Diagnosis and Interventions for Glaucoma


1. Acute Pain related to an increase in IOP

Goal: Pain is reduced and the client is on the comfort level.

Expected outcomes:

• The Client do not complain of pain.
• Normal intraocular pressure / down.
• Calm facial expression.

Interventions:

• Assess the type, intensity and location of pain. Use pain scale to determine the level of analgesic doses.
• Keep the rest in bed in a quiet room and dark with the head elevated 30 ° or in a comfortable position.
• Rest of clients in the room that does not dazzle with the head rather an extension or a comfortable position for the client.
• Encourage relaxation techniques.
• Avoid nausea, vomiting, give anti-emetic if necessary.
• Collaboration with physicians in providing analgesic.

2. Disturbed Sensory Perception (visual) related to damage to the nerve fibers due to increased IOP.

Goal: Decrease of visual field can be reduced.

Expected outcomes:

• The client can use the drug correctly.
• Cooperative in every action.
• Realized loss of eyesight permanently.
• Vision did not decline further.

Interventions:

• Assess and record the visual acuity.
• Assess functional description of what can be seen / not.
• Environment with the ability to adjust the vision.
• Orient on the environment: Put the tools that are often used in client outreach vision, Provide adequate lighting, Put the tools in place which remains, Provide reading materials with great writing, avoid glare.
• Use the clock sound.
• Assess the amount and type of stimuli that can be accepted by the client.
• Advise on alternative forms of stimulation such as radio, TV.

3. Risk for injury related to a decrease in the visual field.

Goal: The client was not injured.

Expected outcomes:

• The client can explain how to prevent injury.
• The is able to demonstrate on alertness anxiety.
• The officer asked for help when the ends meet.

Interventions:

• Orient the client to the environment when it arrives.
• Explain the origin of a decrease in peripheral vision and do like bumping into objects.
• Suggest to turn his head to look into each side.
• Arrange the room in order to walk around freely.
• Make modifications to the environment to move all the dangers: Get rid of the obstacles on a walk. Get rid of the foot rolls. Get rid of items that may injure the client. Help clients and families to evaluate the home environment against the dangers that may occur.

4. Risk for infection related to the surgical wound.

Goal: infection can be prevented / controlled.

Expected outcomes:

• Free from signs and symptoms of infection.

Interventions:

• Wash hands before and after nursing actions.
• Improve sufficient nutrients (nutritious and contain vitamin A).
• Monitor signs and symptoms of systemic and local infections.
• Monitor susceptibility to infection.
• Inspection condition of the wound / surgical incision.
• Instrusikan clients to drink antibiotics as recommended.
• Teach clients and families about the signs and symptoms of infection, and how to avoid infection.

5. Disturbed body image related to the lesions on the skin which affects its appearance.

Goal: The client can accept the situation.

Expected outcomes:

• Discuss strategies to cope with changes in body image.

Interventions:

• Assess the patient's knowledge of the existence of a potential disability associated with surgery or skin changes.
• Monitor the patient's ability to see the changes against him.
• Encourage the patient to discuss feelings about the changes in the appearance of the surgery.
• Give support group for people nearby.

6. Anxiety related to loss of vision, lack of knowledge.

Goal: Anxiety is reduced.

Expected outcomes:

• Reduced feeling nervous.
• Reveals an understanding of the plan of action.
• Relaxed body position.

Interventions:

• Carefully deliver permanent loss of vision.
• Give the client the opportunity to express about the condition.
• Maintain a relaxed condition.
• Explain the purpose of each action.
• Prepare bell on the bed and instructed the client to indicate when asking for help.
• Maintain effective pain control.

Home Care - How to Relieve Severe Nausea in Pregnant Women

Home Care - How to Relieve Severe Nausea in Pregnant Women

Obstetrical Nursing   September 27, 2015

Home Care - How to Relieve Severe Nausea in Pregnant Women

Nausea is the sensation issued a strong food or want to vomit. Vomiting sensation is accompanied by signs of autonomic, such as hypersalivation (excessive saliva expenditure), diaphoresis, tachycardia, pallor, and tachypnea. Nausea is closely linked to the occurrence of anorexia and vomiting.

Nausea can also occur due to take medication, the effects that occur after surgery and radiation. Nausea often occurs during the first trimester to a pregnant woman.
Nausea can also be caused by extreme pain due to accidents or other issues, anxiety, alcohol poisoning (drunk) because of excessive consumption, or it can also be caused by food and beverages are not tasty.

Nausea during early pregnancy is often called morning sickness, because it generally occurs in the morning. Really just happened the morning ?, Not really, because there are some pregnant women can occur at any time throughout the day. Because the exact cause is unknown, treatment of this problem can have different effectiveness. But do not worry because there are some things you can do.

Increased estrogen and thyroxine become one of the causes of nausea in pregnant women. Sometimes in some women, the nausea lasts until severe. Therefore to avoid it, you can do some of the following home care.

Get plenty of rest
When you are pregnant, you are advised to have plenty of time to rest. Rest will make your body relax and minimize fluctuation of hormones that can cause nausea.

After sleep, get up slowly
When waking from sleep, get up slowly. If you wake up suddenly, then there is a jolt that will shock your body and can make you sick.

Eating healthy food
While pregnant, avoid foods that can trigger nausea. One of them is caffeine. Caffeine is a proven bad for your pregnancy because it can increase the acid in the stomach which would exacerbate nausea.

Increase your physical activity
Physical activity you do, can reduce severe nausea because physical activity will accelerate your body's metabolic system so that you avoid nausea.