Nursing Care Plan for Corneal Ulcer
Nursing Diagnosis for Corneal Ulcer - Nursing Interventions for Corneal Ulcer
The cornea is the film at the front of the eye. An ulcer is an open sore on the surface caused by a break. It fails to heal and so begins to form a crater like wound. So a corneal ulceration is when the front film of the eye is damaged and doesn't heal. The vision is badly affected in that eye.
Corneal ulcer is described as an open sore that may be observed or appears around the cornea from the eyes, or the movie in entrance with the eyes. This occurs when the eye's entrance movie is damaged and doesn't heal and it can significantly impact the eyesight. Each animals and individuals can endure from this situation.
Nursing Diagnosis for Corneal Ulcer:a. Anxiety related to damage to sensory and lack of understanding of post-operative care, drug delivery
Nursing interventions:
- Assess the degree and duration of visual impairment
- Orient the patient to the new environment
- Describe the routine perioperative
- Encourage to perform daily living habits when able
- Encourage the participation of the family or the people who matter in patient care.
b. Risk for Injury related to damage vision
Nursing interventions:
- Help the patient when able to do until a stable postoperative ambulation
- Orient the patient in the room
- Discuss the need for the use of metal shields or goggles when necessary
- Do not put pressure on the affected eye trauma
- Use proper procedures when providing eye drugs
c. Acute Pain related to trauma, increased IOP, surgical intervention or administration of inflammatory eye drops dilator
Nursing interventions:
- Give the medication to control pain and the IOP as prescribed
- Give cold compress on demand for blunt trauma
- Reduce lighting levels
- Encourage use of sunglasses in strong light
d. Risk for self-care deficit related to damage vision
Nursing interventions:
- Give instructions to the patient or the people closest to the signs and symptoms, complications should be immediately reported to the doctor
- Provide verbal and written instructions to patients and the right means of technique in delivering drugs
- Evaluate the need for assistance after discharge
- Teach patients and families of sight guidance techniques
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ReplyDeleteViral keratitis causes corneal ulceration. It is caused most commonly by Herpes simplex, Herpes Zoster and Adenoviruses. Also it can be caused by coronaviruses & many other viruses. Herpes virus cause a dendritic ulcer, which can recur and relapse over the lifetime of an individual.
Although corneal epithelium, conjunctival epithelium, and corneal fibroblasts are all capable of producing matrix metalloproteinases, including classical collagenase, abundant evidence indicates that the preeminent source of degradative enzymes which produce corneal stromal destruction in cases of corneal ulceration are delivered to the site of the corneal ulceration by neutrophils. Routine histopathologic studies and ultrastructural studies show that, regardless of the initiating stimulus for corneal ulceration, neutrophils are routinely present, in abundant numbers, and they all exhibit the ultrastructural characteristics of "activated" neutrophils. By contrast, the origin of these neutrophils, similarly, is generally underappreciated: the preocular tear film. The neutrophils have access to the damaged cornea primarily through the tears, and exclusion of the tears from the area of corneal degradation instantly arrests the ulcerative process. This was shown nearly 20 years ago in various experiments employing glued on hard contact lenses and the use of surgical adhesive itself, which provides its benefits to the ulcerating corneal not because of some sort of structural support, but rather because of a mechanical barrier to neutrophils from the preocular tear film. Indeed, histopathologic studies of such glued corneas shows essentially an acellular stroma in the affected stromal regions, whether the problem has been created by alkali burning, infectious keratopathy, an autoimmune process, or thermal burns.
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ReplyDelete- corneal ulcer