Download presentation
Presentation is loading. Please wait.
1
Nursing Care of Patients with Sensory Disorders — Vision and Hearing
Chapter 52 Nursing Care of Patients with Sensory Disorders — Vision and Hearing
2
Eye Infections and Inflammation
Conjunctivitis: Inflammation of the Conjunctiva Blepharitis: Inflammation of the Eyelid Margins Hordeolum: Staphylococcal Abscess in Sebaceous Gland
3
Eye Infections and Inflammation (cont’d)
Chalazion: Abscess in Meibomian Glands Keratitis: Inflammation of the Cornea
4
Nursing Diagnoses Acute Pain Disturbed Sensory Perception
Risk for Injury Risk for Infection Deficient Knowledge
5
Refractive Errors Emmetropia: Normal Vision Hyperopia: Farsightedness
Myopia: Nearsightedness Astigmatism: Unequal Curvatures in Cornea Presbyopia: Loss of Lens Elasticity
6
Refractive Errors (cont’d)
7
Blindness Obstacle to Rays of Light Disease of Optic Nerve or
Tract of Brain Connected with Vision
8
Visual Field Abnormalities
9
Nursing Diagnoses Disturbed Sensory Perception Self-Care Deficit
Risk for Injury Risk for Impaired Home Maintenance Interrupted Family Processes Ineffective Role Performance
10
Nursing Diagnoses (cont’d)
Deficient Knowledge Deficient Diversional Activity Fear
11
Diabetic Retinopathy Vascular Changes in Retinal Blood Vessels
Microaneurysms Preproliferative Retinopathy Therapeutic Interventions Laser Photocoagulation Vitrectomy
12
Diabetic Retinopathy (cont’d)
Nursing Diagnoses Impaired Home Maintenance Ineffective Therapeutic Regimen Management Disturbed Sensory Perception
13
Retinal Detachment Separation of Retina from Choroid Layer of Eye
14
Retinal Detachment (cont’d)
Signs and Symptoms Sudden Change in Vision Flashing Lights, Floaters Looking Through a Veil Curtain Being Lowered Over Vision No Pain
15
Retinal Detachment (cont’d)
Therapeutic Interventions Laser Reattachment Cryosurgery Scleral Buckling
16
Glaucoma Abnormal Pressure Within Eyeball
Damage is Silent, Progressive, Irreversible Lifelong Diagnosis with Tonometry
17
Glaucoma (cont’d) Acute Angle-closure
Narrowed Angle Blocks Aqueous Fluid Medical Emergency
18
Glaucoma (cont’d) Acute Angle-closure Severe Eye Pain Blurred Vision
Rainbows Around Lights Eye Redness, Steamy Cornea Photophobia, Tearing
19
Glaucoma (cont’d) Primary Open-angle
Degenerate of Drainage System Blocks Aqueous Fluid Gradual and Painless
20
Glaucoma (cont’d) Primary Open-angle Mild Eye Aching Headache
Halos Around Lights Frequent Visual Changes
21
Glaucoma (cont’d) Medications Miotics
Agents to Decrease Production of Aqueous Fluid Mannitol
22
Glaucoma (cont’d) Contraindicated in Acute Angle-closure Mydriatics
Can Cause Blindness!
23
Glaucoma (cont’d) Surgery Laser Peripheral Iridotomy
Surgical Iridectomy Laser Trabeculoplasty Trabeculectomy Cyclocryotherapy
24
Flow of Aqueous Humor After Trabeculoplasty
25
Glaucoma (cont’d) Nursing Diagnoses Pain Disturbed Sensory Perception
Self-Care Deficit Anxiety
26
Glaucoma (cont’d) Nursing Diagnoses (cont’d) Risk for Injury
Impaired Home Maintenance Deficient Knowledge
27
Cataracts Opacity in Eye Lens Causing Loss of Visual Acuity
Halos Around Lights, Difficulty Reading, Sensitivity to Glare, Double Vision, Decreased Color Vision
28
Cataracts (cont’d) Surgical Removal of Lens
29
Nursing Diagnoses: Eye Surgery
Disturbed Sensory Perception Deficient Knowledge Risk for Infection Risk for Injury Anxiety
30
Macular Degeneration
31
Macular Degeneration (cont’d)
Deterioration in Macula Wet Dry Slow, Progressive Loss of Central/Near Vision Amsler Grid Detects
32
Amsler Grid
33
Macular Degeneration (cont’d)
Therapeutic Interventions Wet Laser Treatment Dry None
34
Nursing Diagnoses: Macular Degeneration
Disturbed Sensory Perception Self-Care Deficit Risk for Injury Risk for Impaired Home Maintenance Interrupted Family Processes Ineffective Role Performance
35
Eye Trauma Emergency Foreign Bodies Burns Abrasions Lacerations
Penetrating Wounds
36
Eye Trauma (cont’d) Therapeutic Interventions Foreign Object Chemicals
Irrigate Normal Saline Chemicals 15- to 20-Minute Irrigation
37
Eye Trauma (cont’d) Therapeutic Interventions Penetrating Object
Do Not Remove Antibiotic Ointment Surgery
38
Eye Trauma (cont’d) Enucleation Entire Eyeball Removal
39
Nursing Diagnoses: Eye Trauma
Acute Pain Risk for Infection Anxiety Deficient Knowledge
40
Hearing Loss Conductive Hearing Loss
Interference with Sound Conduction to External Auditory Canal, Eardrum, Middle Ear
41
Hearing Loss (cont’d) Sensorineural Hearing Loss
Involves Hair Cells and Nerve Endings
42
Hearing Loss (cont’d) Presbycusis Aging Process
Degeneration of Organ of Corti Inability to Decipher High-Frequency Sounds
43
Hearing Loss (cont’d) Therapeutic Interventions Hearing Aid
Cochlear Implants
44
Hearing Aids
45
Nursing Diagnoses: Hearing Loss
Disturbed Sensory Perception Impaired Verbal Communication Impaired Social Interaction Disturbed Body Image Ineffective Coping Deficient Knowledge
46
External Ear Infections External Otitis Ear Canal Furuncle Ostomycosis
Perichondritis
47
External Ear (cont’d) Impacted Cerumen Normally Ear Self-cleaning
Older Adult at Risk Hearing Loss Feeling of Fullness
48
External Ear (cont’d) Masses Trauma
49
Therapeutic Interventions
Topical Antibiotics Irrigations Analgesics Incision and Drainage
50
Nursing Diagnoses: External Ear
Acute Pain Disturbed Sensory Perception Risk for Injury Deficient Knowledge
51
Middle Ear Infection Otitis Media
Fever, Earache, and Feeling of Fullness Antibiotics Myringotomy
52
Otosclerosis New Bone Along Stapes Conductive Hearing Loss
Women Than in Men Both Ears Hereditary Disease No Cure
53
Otosclerosis (cont’d)
Treatment Hearing Aids Ossiculoplasty Stapedectomy
54
Nursing Care: Otosclerosis
Operative Ear is Upward When Lying Earplug to Protect Antiemetics Promptly Promote Safety
55
Nursing Care: Otosclerosis (cont’d)
Teach Not to Cough, Sneeze Blow Nose Vomit Fly Lift Heavy Objects Shower
56
Ear Trauma Tympanic Membrane Perforation Middle Ear Ossicle Fracture
57
Ear Trauma (cont’d) Nursing Diagnoses Acute Pain Risk for Infection
Deficient Knowledge
58
Inner Ear Labyrinthitis Inflammation or Infection of Inner Ear
Vertigo, Tinnitus, Sensorineural Hearing Loss Antibiotics Sedation Bedrest
59
Inner Ear (cont’d) Neoplastic Disorders Acoustic Neuroma
Tumor of the Eighth Cranial Nerve Benign
60
Ménière’s Disease Balance Disorder Due to Fluid Disturbance
Triad of Symptoms Vertigo Hearing Loss Tinnitus Episodic Bouts: 2 to 3 Times/Year
61
Ménière’s Disease (cont’d)
Acute Treatment Tranquilizers Vagal Blockers Bedrest
62
Ménière’s Disease (cont’d)
Prophylactic Treatment Salt-restricted Diet Diuretics Antihistamines Vasodilators
63
Ménière’s Disease (cont’d)
Prophylactic Treatment (cont’d) Avoid Alcohol Caffeine Tobacco
64
Nursing Diagnoses: Inner Ear
Anxiety Fear Ineffective Role Performance Impaired Social Interaction Grieving Risk for Injury
65
Nursing Diagnoses: Inner Ear (cont’d)
Deficient Fluid Volume Imbalanced Nutrition: Less Than Body Requirements Deficient Knowledge
Similar presentations
