Risk for Injury related to photophobia, pseudoptosis
Expected outcomes:
- The injury did not occur.
- Identifying factors that increase the risk of injury.
- Expressed a desire to take security precautions to prevent injury.
Intreventions:
1. Limit activities such as moving the head suddenly, scratching the eye, bowing.
Rational: reducing the risk of falls or injury.
2. Orient the patient to hold the tools needed environment to the patient's body.
Rationale: prevent injury, increase independence.
3. Set the environment around the patient, keep objects that can cause accidents.
Rationale: to minimize the risk of injury, provide comfort for the patient.
4. Keep an eye on or accompany the patient while doing the activity.
Rationale: control the activities of the patient and decrease safety hazards.
5. Clean the eye secretions in the right way.
Rationale: eye secretions will make blurry vision.
6. Note grievances blurred vision that can occur after the use of eye drops and eye ointments.
Rationale: Provides information on the client not to perform malicious activities immediately after use eye medicine.
7. Use sunglasses.
Rationale: Reduces photophobia that can impair vision on the patient.