The utility of diseases in Department of Ophthalmology nursing

Date of publication:2010-8   Press: Shandong science and Technology Press   Author:Kong Dong   Pages´╝Ü328  
Preface

1) with age, occupation, cultural degree; patients present illness, past medical history, allergies. 2) eye. Eyelid to have no red, swollen, hot, painful, abscess formation, eyelid position form, conjunctival has no congestion, secretions, epiphora etc.. 3) the psychological status of the patients, with the degree of treatment. 4) visual acuity, refractive status of patients; the nutritional status of patients with and without diabetes, and vitamin A deficiency. (2) 1) skin care nursing measures to provide clean, comfortable environment for the patients. Do the herpes nursing, reduce friction, blister wall is generally not pierce, keep local dry, avoid to scratch catch, hot water and soap stimulation. In the event of herpes zoster with 3% boric acid, to prevent secondary infection. In order to promote the blister fluid absorption and wound healing, using infrared light 2 times a day, every time 30 minutes, pay attention to adjust the light distance, to prevent burns. Irradiation with sterile saline wet gauze to cover the eyes and ask the patient to close their eyes. 2) protects the eye care on herpes zoster ophthalmicus patients vision, is the priority among priorities of care. On the premise of improving immunity and the use of effective antiviral drug, should as soon as possible the short-term use of corticosteroids, small dosage, to control the eye damage. Doctor alternate use of antiviral, steroids, eye drops, every 2 hours for 1 times, each time 1 ~ 2 drops, each eye drops should be separated by 15 minutes. Drop eyes first with a cotton swab to wipe away from, not be drugs directly drops in the cornea, so as not to stimulate the corneal. Eyedrops action should be gentle, so as to avoid the eye pressure caused by herpes corneae ulceration. Ask the patient to pay attention to health, do not rub the eyes with a handkerchief, and paper wiping the eyes do not clean, do not let the herpes eyelid and cleaning liquid into the eyes. To observe the change of patient's condition and the visual acuity, prevent the occurrence of uveal retinitis. 3) pain occurred in the trigeminal nerve pain is intense, therefore, the medical staff should try to relieve the pain of patients. The pain tolerance in patients with poor, give appropriate analgesic and after effect. Communication with patients, communicate more, listen more, want sympathy and comfort of patients, the establishment of mutual trust relationship between nurses and patients, to patients with a sense of security, give full play to the analgesic effect of psychological. For some nerve pain severe persistent, unbearable, emotional and difficult to control patients, should be particularly careful, special care. 4) there is a process of development and psychological nursing of herpes zoster, rash scope gradually expanded in a certain period of time, patients do not understand condition development, diagnosis and treatment of doctors to doubt, lose confidence in the treatment, the nursing staff to patients with patience to illustrate the development of physician diagnosis accuracy and the disease itself. After, help patients relieve doubts, enhance the confidence to overcome the disease. In addition, due to lesions involving the eye, photophobia, tears, eyelid edema in patients with difficult to open, plus the unbearable pain, which produce irritability, fear, worry about the disease affecting vision or even blindness, more negative pessimistic psychology, produce resistance to treatment. Nursing staff should patiently explain about disease knowledge, to have a correct understanding of this disease, thereby eliminating with panic, to actively cooperate with treatment and nursing. 5) observation and nursing care of patients with symptoms of strengthen eye care at the same time, should emphasize holistic nursing, nurses should accurately record the pain time, nature, scope, sustained remission and the changes of vital signs. Headache, nausea, vomiting, stiff neck symptoms, may be a virus invades the central nervous system, occurrence of encephalitis and meningitis, timely report to physicians, dehydration therapy. When the systemic inflammatory fever reaction, should immediately report to the physician, to give the corresponding anti infection treatment.
Summary

Department of Ophthalmology nursing work is an important part of medical treatment, teaching, scientific research and the Department of Ophthalmology of the prevention of blindness, plays an important role in the rehabilitation of the people health care and in the process of patient. With the rapid development of Medical Science in China, puts forward the new challenge to the nurses, the nursing workers are increasingly high requirements. In recent years, the modern new theory unceasing seepage in the Department of Ophthalmology science, science and technology, advanced equipment and widely used in clinical diagnosis and treatment in the Department of Ophthalmology, hand eye disease diagnosis and treatment of the eye diseases has made rapid development. In order to adapt to the change of medical model and the social development of people in the process of visual function of health care demand, Department of Ophthalmology nursing mode must be with the adjustments of the tendency of modern nursing theory, so the level of nursing staff should be further improved, the knowledge structure should be perfect. We have accumulated over the years of clinical experience and knowledge to sum it up, at the same time, read a lot of books and documents of Department of Ophthalmology, gather the latest relevant nursing knowledge, write a book, in order to obtain the system for clinical nurses of Department of Ophthalmology knowledge provides some help. The book consists of twenty-two chapters, using the theory of Department of Ophthalmology, combined with clinical practice, focuses on the anatomy and physiology, Department of Ophthalmology, Department of Ophthalmology, Department of Ophthalmology, Department of ophthalmology operation techniques of disease and nursing, medicine, common eye disease prevention department of Ophthalmology and visual function and health etc.. The comprehensive, detailed description, explain profound theories in simple language, focused, tightly with clinical practice, knowledge, scienceTheory of strong, have high practical value. This book for Department of Ophthalmology general nursing workers and medical enthusiasts use, can be used as medical students reference books, and family care, disease prevention, health promotion has certain guiding function. In this book are the senior medical staff has more than twenty years working experience in the clinic, Shangdong Province-owned Hospital, in the preparation process, although to the careful, because the level editor and limited time, the omissions can hardly be avoided, please wide readership not stingy with us.
Catalogue of books

Chapter 1 introduction of eye anatomy physiology and embryonic development section second eye optic nerve, optic section and pupillary reflex third ocular adnexal anatomy and physiology fourth ocular blood supply and innervation of section fifth eye of embryonic development the second chapter Department of ophthalmology examination section examination of visual function in section second, section third eye special eye examination check the third chapter eyelid disease first eyelid skin disease second blepharitis third eyelid eyelid and eyelash adenosis fourth abnormal position fifth incomplete eyelid closure section sixth section seventh eyelid ptosis first day abnormal in fourth chapter lacrimal apparatus disease first epiphora of section second, third chronic dacryocystitis acute dacryocystitis the fifth chapter of neonatal dacryocystitis conjunctival disease first conjunctivitis overview section second bacterial conjunctivitis third viral conjunctivitis fourth chlamydial conjunctivitis fifth allergic conjunctivitis sixth conjunctival degeneration in seventh day conjunctival xerosis chapter sixth corneal disease section 1 general section second each on keratitis keratitis third corneal ulcer patient care fourth nursing care of patients with corneal transplant operation section fifth section keratomalacia section Sixth Corneal degeneration seventh corneal congenital anomaly eighth day wearing corneal contact lens induced complications in seventh chapter scleral disease first introduction second day episcleritis third scleritis fourth scleral hue anomaly chapter eighth uveal diseases first uveitis general section second uveitis clinical manifestations and treatment of third day uveitis complications and treatment of fourth types of common a special type of uveitis with toxoplasmic uveitis fifth uveitis nursing sixth uveal congenital anomaly chapter ninth cataract section of various types of cataract cataract second day treatment of dislocation of the lens third cataract glaucoma nursing the tenth chapter first section summarizes second primary glaucoma secondary glaucoma in section fourth section third congenital glaucoma glaucoma care eleventh chapter fifth section glass body disease twelfth chapter retinal disease section second section of retinal vascular diseases, third day fourth Festival macular disease retinitis pigmentosa fifth retinal detachment in sixth day diabetic retinopathy in thirteenth chapter visual pathway diseases the first optic nerve disease. In second day optic chiasma optic tract lesion in fourth lesions of third day festival of lateral geniculate body above the optic path lesions fifth visual pathway diseases nursing the fourteenth chapter orbital disease section section second proptosis third orbital tumors fourth orbital inflammation fifth orbital parasitic diseases sixth orbital congenital malformation in fifteenth chapter ocular trauma first section outlines the second day eyeball contusion of eyeball perforation section third section fourth eye foreign body injury fifth adnexal injuries sixth chemical burn seventh other types of ocular trauma and eighth patients with ocular trauma care section ninth of low vision and blindness prevention chapter sixteenth ocular refraction first eye diopter and adjusting the second festival ametropia the third section refractive examination fourth ametropic correction section fifth corneal contact lens, the seventeenth chapter extraocular myopathy first binocular single vision second day third day fourth day strabismus amblyopia nystagmus in Eighteenth chapter of ocular tumor section of eyelid tumors second day eyeball tumor chapter nineteenth eye and systemic diseases and infectious diseases, the first section eye second eye and Department of internal medicine. Disease section third eye and surgical disease section fourth eye and nerve spirit Department of disease in section fifth and section sixth eye eye disease in pediatrics and obstetrics and gynecology disease section seventh eye and Department of Dermatology disease section eighth eye and Department of Stomatology disease section ninth eye and Department of ENT disease section tenth eye and occupation disease and chemical poisoning in twentieth chapter first Department of Ophthalmology nursing routine outpatient department of ophthalmology nursing routine second section of the inner eye operation nursing routine third eye operation nursing routine anesthesia nursing routine fourth section twenty-first chapter Department of ophthalmology operation first Department of Ophthalmology nursing technical operation principle second day treatment technology commonly used in Department of ophthalmology operation the twenty-second chapter first used drugs commonly used in Department of Ophthalmology Department of Ophthalmology Department of ophthalmology administration section second pharmacokinetic section third drugs commonly used in reference @##@ Department of Ophthalmology "Practical" diseases in Department of Ophthalmology Department of Ophthalmology nursing including anatomy and physiology, Department of Ophthalmology, Department of Ophthalmology, Department of ophthalmology operation techniques of disease and nursing, medicine, common eye disease prevention department of Ophthalmology and visual function in health care. The contents of the book is combined with clinical practice, highlight the people-oriented, in chapters care reflects the humanistic care to patients in the treatment of nursing operation, reflects on the patient care and protection of privacy, each operation to pay attention to patient safety and comfort, the steps detailed, careful operation procedure. "Practical diseases in Department of Ophthalmology nursing" publishing, providing readability strong reference for clinical nursing staff, patients and their families.
Chapter excerpt

"Practical diseases in Department of Ophthalmology nursing" is divided into twenty-two chapters, the Department of Ophthalmology theory, combined with clinical practice, focuses on the anatomy and physiology, Department of Ophthalmology, Department of Ophthalmology, Department of Ophthalmology, Department of ophthalmology operation techniques of disease and nursing, medicine, common eye disease prevention department of Ophthalmology and visual function in health care. The comprehensive, detailed description, explain profound theories in simple language, focused, tightly with clinical practice, knowledge, theory of strong, have high practical value. "Practical" for Department of Ophthalmology Department of ophthalmology disease care most nursing workers and medical enthusiasts use, can be used as a reference book for medical college students, and the home care, disease prevention, health promotion has certain guiding function.
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