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.

Nursing Diagnosis for Glaucoma (Pre and Post Operative)

Nursing Diagnosis for Glaucoma (Pre and Post Operative)

Nursing Diagnosis for Glaucoma - Pre and Post Operative   September 26, 2015

Glaucoma is a group of eye diseases causing optic nerve damage. Glaucoma often affects both eyes, usually to varying degrees. One eye may develop glaucoma quicker than the other.Glaucoma is a condition which can affect sight, usually due to build up of pressure within the eye.

The exact causes of optic nerve damage from glaucoma is not fully understood, but involves mechanical compression and/or decreased blood flow of the optic nerve. Although high eye pressure sometimes leads to glaucoma, many people can also develop glaucoma with "normal" eye pressure.

There are four main types of glaucoma:

• Acute angle-closure glaucoma – which often has severe symptoms
• Chronic open-angle glaucoma – the most common type which often has few symptoms
• Developmental glaucoma – a rare condition affecting young babies
• Secondary glaucoma – caused by other conditions or eye treatments

Nursing Diagnosis for Glaucoma (Pre Operative)

1. Disturbed Sensory Perception (visual) related to the reception of sensory disturbances, impaired organ status.

2. Pain (acute / chronic) related to an increase in intra-ocular pressure (IOP)
characterized by nausea and vomiting.

3. Anxiety related to physiological factors, changes in health status, pain, possibility / reality vision loss.

4. Deficient Knowledge (learning needs) about the condition, prognosis, and treatment related to less exposed / do not know the source.



Nursing Diagnosis for Glaucoma (Post Operative)

1. Pain (acute / chronic) related to the surgical incision.

2. Risk for injury related to increased IOP, vitreous loss.

3. Risk for infection related to invasive procedures.

Disturbed Sensory Perception (visual) related to Glaucoma

Disturbed Sensory Perception (visual) related to Glaucoma

Nursing Diagnosis and Interventions   September 10, 2013

Nursing Care Plan for Glaucoma - Nursing Diagnosis : Disturbed Sensory Perception (visual)

Glaucoma is a group of eye disorders leading to progressive damage to the optic nerve, and is characterized by loss of nerve tissue resulting in loss of vision. The optic nerve is a bundle of about one million individual nerve fibers and transmits the visual signals from the eye to the brain. The most common form of glaucoma, primary open-angle glaucoma, is associated with an increase in the fluid pressure inside the eye. This increase in pressure may cause progressive damage to the optic nerve and loss of nerve fibers. Vision loss may result. Advanced glaucoma may even cause blindness. Not everyone with high eye pressure will develop glaucoma, and many people with normal eye pressure will develop glaucoma. When the pressure inside an eye is too high for that particular optic nerve, whatever that pressure measurement may be, glaucoma will develop.

Glaucoma is the leading cause of blindness among Hispanics.

There are many types of glaucoma and many theories about the causes of glaucoma. The exact cause is unknown. Although the disease is usually associated with an increase in the fluid pressure inside the eye, other theories include lack of adequate blood supply to the nerve.

Disturbed Sensory Perception

Disturbed Sensory Perception (specify: visual, auditory, kinesthetic, gustatory, tactile, olfactory)

Change in the amount or patterning of incoming stimuli accompanied by a diminished, exaggerated, distorted, or impaired response to such stimuli

Defining Characteristics:

• Poor concentration;
• auditory distortions;
• change in usual response to stimuli;
• restlessness;
• reported or measured change in sensory acuity;
• irritability;
• disoriented in time, in place, or with people;
• change in problem-solving abilities;
• change in behavior pattern;
• altered communication patterns;
• hallucinations;
• visual distortions

Nursing Diagnosis for Glaucoma : Disturbed Sensory Perception (visual) related to impaired sensory reception: impaired organ status.

Goal: The use of optimum vision.

Outcomes:

• Maintain visual acuity field without further loss.

Nursing Interventions :


1. Make sure the degree or type of vision loss.
R /: Affect and the patient's expectations of future intervention options.

2. Encourage the patient to express feelings of loss / likely loss of vision.
R /: While early intervention to prevent blindness, patients face the possibility of experience or experience partial or total vision loss. Although vision loss has occurred can not be repaired (although with treatment), deprived of further preventable.

3. Show giving eye drops, droplets counting example, follow a schedule, not one dose.
R /: Controlling IOP, prevent further vision loss.