Nursing Diagnosis and Interventions for Glaucoma
Risk for Injury
Nursing Diagnosis :
Risk for Injury related to decreased visual field
Risk Factors:
External
- Physical (example: design of community structures and codes, buildings and or equipment; mode of transport or mode of movement; people or service providers)
- Biological (pattern: level of immunization in the community, microorganisms)
- Chemicals (drugs: pharmaceutical agents, alsohol, caffeine, nicotine, preservatives, cosmetics; nutrients: vitamins, types of food; toxins; pollutants)
Internal
- Psychologic (affective orientation)
- Malnutrition
- Abnormal blood form, pattern: leukocytosis/leukopenia
- Changes in clotting factors
- Thrombocytopenia
- Sickle cell
- thalassemia,
- decrease in Hb,
- Immune doesn't work.
- Biochemistry, regulatory functions (e.g. sensory dysfunction)
- Dough dysfunction
- Effector dysfunction
- Tissue hypoxia
- Age development (physiological, psychosocial)
- Physical (example: skin damage/not intact, related to mobility)
Nursing Interventions :
Goals / Outcome Criteria:
NOC :
Risk Control
Immune status
Safety Behavior
After nursing actions for…. The client does not experience injury with the following criteria:
- Client free from injury
- Clients can explain ways/methods to prevent injury/injury
- The client can explain risk factors from the environment / personal behavior
- Able to modify lifestyle to prevent injury
- Using existing health accommodation
- Able to recognize changes in health status
NICs :
Environment Management
- Provide a conducive environment for the patient
- Identify the patient's safety needs, according to the patient's physical condition and cognitive function and the patient's previous medical history
- Avoiding hazardous environments (e.g. moving furniture)
- Installing the bed side rail
- Provide a comfortable and clean bed
- Place the light switch in a place that is easily accessible to the patient.
- Restrict visitors
- Provide sufficient explanation
- Encourage the family to accompany the patient.
- Control the environment from noise
- Move items that can be dangerous
- Provide clarification to the patient and family or visitors of any changes in health status and causes of illness.
Source : https://nandacareplan.blogspot.com/2021/08/risk-for-injury-nursing-diagnosis-and.html