EYE CARE

By: Francis Marven Lee R. Pintac, RN

LEARNING OBJECTIVES: To determine the different ways of Eye Care
To identify different Eye wears and

determine the different means of care.

To identify the importance of Eye Care

ASSESSMENT • Nursing History »Obtain data about the client’s history (e.g. recent eye examination or if client has contact lenses or eye glasses) .

• Physical Assessment »Inspect all external structures for signs of: -inflammation -drainage -encrustations -other abnormalities .

IMPLEMENTATION Eye Care secretions that has accumulated in the lashes must be softened and wiped away. -Softened -Dried dry secretions by placing a sterile cotton balls .

2.moisten with sterile water or normal saline over the lid margins. . Wipe the loosened secretions from the inner canthus of the eye to the outer canthus.

Glass lenses can be clean with warm water and dried with a soft tissue that will not scratch the lenses. 1.•Eyeglass Care –Purpose: To prevent breaking or scratching the lenses. .

Age: very young or very adults . Impaired Circulation d. Impaired mobility c.Positioning and Moving Clients Risk factors that may contribute to complications of immobility: a Paralysis b.

Level of consciousness nd mental status .Positioning and Moving Clients Risk factors that may contribute to complications of immobility: e.

Age b.Positioning and Moving Clients 3. Disease Process . a. Assess client’s physical ability to help with moving and positioning. Level of consciousness and mental status c.

Assess cllity to help with d. Strength moving and positioning. and Coordination e. ROM .Positioning and Moving Clients 3.

Assess physician’s orders. Clarify whether any positions are contraindicated because of client’s condition.Positioning and Moving Clients 4. 5. Raise level of bed to co . 6. Perform hand hygiene.

and get extra help if needed .Positioning and Moving Clients 4. Assess physiciaof 6. Raise level bed to comfortable to comfortable working height.

rock another before changing to and shift weight from front orback leg at thesame time to moving the client. position client flat in bed 9. If tolerated. . position Client pushes with heels and elevates trunk. 8.Positioning and Moving Clients 7. On count of three. Explain the procedure to the client.

account for all tubing.Positioning and Moving Clients Before flattening the bed of patient. . drains and equipment to prevent dislodgement.

2. and place pillow at head of bed.Remove pillow from under head and shoulders. . each nurse should have one arm under client’s shoulder and one arm under client’s thighs. a. Face head of bed.Positioning and Moving Clients Moving Client Up in Bed Assist Client in moving up in bed 1.

.Positioning and Moving Clients 3.Instruct client to assist moving by pushing with feet on bed surface. 5. tilting chin towards chest.Place feet apart with foot nearest head of bed behind other foot (forward backward stance) 4. Instruct client to flex neck. 1. When possible. ask client to flex knees with feet flat on bed.

bringing forearm closer to the level of bed. rock and shift weight from front to back leg at the same time Client pushes with heels and elevates trunk. Flex knees and hips. 8. 9. .Positioning and Moving Clients 7. On count of three. Instruct client to push with heels and elevate trunk while breathing out.

2. Place client on back with head of bed flat. .Positioning and Moving Clients Moving immobile client up in Bed (one nurse) 1. and place pillow at head of bed. Stand on one side of the bed. Remove pillow from under head and shoulders.

Positioning and Moving Clients 3. Begin at client’s feet. Place feet apart with foot nearest head of bed behind other foot (forward backward stance) Flex knees and hips as needed to bring arms level with client’s legs Shift weight from front to back leg and slide client’s head diagonally toward head of bed. Face foot of bed at 45 degree angle. .

Move parallel to client’s head and shoulders. 5. 6. Slide client’s hips diagonally toward head of bed. Flex knees and hips as needed to bring arms level with the client’s body.Positioning and Moving Clients 4. Flex knees and hips as needed to bring arms level with Client’s hips. . Move parallel to client’s hips.

. Slide client’s trunk. 10. Elevate side rail. move to other side of bed and lower side rail. shoulders.Positioning and Moving Clients 7. head and neck diagonally toward head of bed. 9. Place other arm under client’s back. Slide arm closest to head of bed under client’s neck with hand reaching under and supporting client’s opposite shoulder 8.

or pull sheet under client by turning side to side. 2. Have sheet extend from shoulders to thighs. Position one nurse at each side of client. Place draw sheet. Return client from supine position. .Positioning and Moving Clients Moving immobile client up in bed with draw sheet or pull sheet (two nurses) 1.

. Realign client in correct body alignment. 5. Place feet apart with forward backward stance. Grasp draw sheet firmly near the client 4. Shift weight from to back leg and move client and draw sheet. Flex knees and hips.Positioning and Moving Clients 3.

Move the client's buttocks.Move the client's head and trunk. Move the client's legs and feet. 4. Stand as close as possible at the side of the bed. 3. 5. 2.Positioning and Moving Clients Moving the client to the side of the bed 1. . Place the client's near arm across the chest.

Lower the head of bed completely or as low as client can tolerate. .Positioning and Moving Clients Position client in lateral (side-lying) position 1.

5.Positioning and Moving Clients 2.Prepare to turn client unto side. Place pillow under client’s head and neck. Roll client unto side toward you. . Position client to side of bed. 3. 4. Place one hand on client’s hip and one hand on client’s shoulder. Flex client’s knee that will not be next to mattress.

. Place tuck-back pillow behind client’s back. 9. Place pillow under semi-flexed upper leg level at hip from groin to foot. 10 Place sandbag parallel to plantar surface of dependent foot. 8. Upper arm is supported by pillow level with shoulder. other arm by mattress. Bring shoulder blade forward. 7.Positioning and Moving Clients 6. Position both arms in slightly flexed position.

Position on abdomen in center of bed.With client supine.Positioning and Moving Clients Position clients in prone position 1. roll client over arm positioned close to body. with elbow straight And hand under hip. .

Positioning and Moving Clients 2. . Place small pillow under client’s abdomen below level of diaphragm. Support arms in flexed position level at shoulders. Support lower legs with pillows to elevate toes. 5. 4. 3. T urn client to one side and support head with pillow.

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