eye
Procedures
The patient was instructed in enucleation explaining the importance of not rubbing, touching, or bounding the orbit or wearing eye makeup. The patient was taught in cleaning the lid and shows how to remove drainage by gently sweeping the cotton ball from the inner to the outer. The patient was instructed in the care of the eye socket how insert and remove if used. The patient was advised to wear an eye protection or patch to keep the socket clean until the prosthesis is fixed. The patient was instructed the need to protect the vision in the lasting eye. The patient was advised in the importance of good handwashing before managing ophthalmic medications. The patient was advised that with the loss of one eye, the field of vision is limited and profundity perception changes need to overstress head movements to achieve a full visual field. The patient was advised using caution during activities until patient adjusts to the loss.
The patient was instructed in cataract surgery need to wear an eye shield at night for 2 to 6 weeks to avoid eye injury, warn that depth perception may be lost and 50% of peripheral vision will be lost because of the eye patch. The patient was advised to avoid falls by turning the head fully to the affected side to view objects. The patient was taught to use up-and-down head movements to judge stairs and oncoming objects and to move slowly. The patient was recommended to wear dark glasses during the day to avoid pupil constriction and glare.
The patient was instructed in retinal detachment in lie in the suggested position following the scleral buckling process. The patient was advised to apply cold bandages to the eye to decrease inflammation and ease anxiety. The patient was recommended to use dark glasses to reduce photophobia and pain when eye drops are used. The patient was advised to wear an eye shield at night for protection.
Medication profile reviewed and reconciled. SN reviewed and instructed patient on medication regimen of spirivia. Instructed patient that medication is used for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD). Spiriva HandiHaler is indicated to reduce exacerbations in COPD patients. Instructed patient that, with administration of Spiriva HandiHaler, a Spiriva capsule is placed into the center chamber of the HandiHaler device. The capsule is pierced by pressing and releasing the green piercing button on the side of the HandiHaler device. The tiotropium formulation is dispersed into the air stream when its inhaled through the mouthpiece. Instructed to inhale once or twice to get al medication inhaled. Instructed patient that dry mouth or constipation may occur. Instructed to notify MD/SN right away if any serious side effects, including: vision changes (such as blurred vision, seeing halos), eye pain, difficult/painful urination, fast heartbeat.