5 Diagnosis - NCP for Corneal Ulcer

5 Diagnosis - NCP for Corneal Ulcer Welcome to Nursing Diagnosis, this time I will give information about the world, namely the 5 Diagnosis - NCP for Corneal Ulcer. I will present information about the 5 Diagnosis - NCP for Corneal Ulcer
.

5 Diagnosis - NCP for Corneal Ulcer

Nursing Care Plan for Corneal Ulcer

Definition

Ulcerative keratitis better known as corneal ulceration, namely the presence of destruction (damage) on the corneal epithelium. (Darling, Vera H, 2000, p 112)


Causes

The reasons include:

• Abnormalities of the eyelashes (trichiasis) and systems tears (tears insufficiency, lacrimal duct blockage), and so on.
• External factors, namely: wounds in the cornea (corneal erosio), due to trauma, contact lens use, burns on the face.
• Corneal abnormalities caused by: chronic corneal edema, keratitis-exposure (on lagophtalmus, general anesthesia, coma); keratitis due to vitamin A deficiency, neuroparalytic keratitis, superficial keratitis virus.
• Systemic disorders; malnutrition, alcoholism, Stevens-Jhonson, acquired immune deficiency syndrome.
• Drugs that lower the immune mekaniseme, eg corticosteroids, IUD, local anesthetics and immunosuppressive group.

In etiologic corneal ulcers can be caused by:

• Bacteria: Germs that can cause corneal ulcers pure is streptokok pneumoniae, whereas other bacterial corneal ulcers caused by trigger factors above.
• Viruses: herpes simplex, zooster, vaccinia, variola.
• Fungi: Candida group, Fusarium, Aspergillus, Cephalosporium.
• Hipersensifitas reaction: The reaction to staphylococcus (marginal ulcers), tuberculosis (keratoconjunctivitis flikten), unknown allergens (ulcers ring). (Sidarta Ilyas, 1998, 57-60)

Pathophysiology

1. Progressive : In the process of progressive corneal be terihat, infiltration of leukocytes and lymphocytes cells that eat bacteria or necrotic tissue is formed.
2. Regressive
3. Establish scarring : In the formation of scar tissue there will be epithelial, new collagen tissue and fibroblasts.

Severity of illness was also determined by the physical state of the patient, a large inoculum and virulence.
Clinical symptoms:

1. Red eyes.
2. Mild to severe eye pain.
3. Photophobia.
4. Decreased vision.
5. White opacities in the cornea.

Symptoms that may accompany is the presence of corneal thinning, Descemet folds, corneal tissue reaction (due to interference iris vascularization), a flare, hypopyon, hyphema and posterior synechiae. In corneal ulcers caused by fungi and bacteria are surrounded PMN epithelial defect. When infections caused by viruses, will be seen surrounding hypersensitivity reaction. Usually gram-positive cocci, Staphylococcus aureus and Streptococcus pneumoniae would provide a limited picture of ulcer, round or oval, white gray suppurative ulcers in children. The area that is not exposed cornea will remain clear and no visible color inflammatory cell infiltration. If the peptic ulcer caused by Pseudomonas then be stretched quickly, green yellow purulent material seen attached to the surface of the ulcer.

When ulcers caused by fungi, it will infiltrate surrounded grayed infiltrates surrounding smooth (satellite phenomenon). When the dendrite-shaped ulcer there will be hypesthesia of the cornea. Ulcers can form a fast running descemetocele or corneal perforation which ended by making a form adherent leucoma. When the process of the ulcer is reduced it will show less pain, photophobia, reduced infiltration of ulcers and corneal epithelial defects become increasingly small.


Signs and Symptoms

In ulcers that destroy membranes and stromal bowman, will lead to corneal cicatrix.
Subjective symptoms such as corneal ulcers symptoms of keratitis. Objective symptoms such as ciliary injection, and partial loss of corneal tissue infiltrates. In more severe cases may occur iritis accompanied by hypopyon.
Photophobia.
Pain and lacrimation.

(Darling, Vera H, 2000, p 112)


Diagnostic Examination:

1. Cards eye / Snellen telebinocular (test visual acuity and central vision)
2. Tomography measurements: assessing IOP, normal 15-20 mmHg.
3. Ophthalmoscopy examination.
4. Blood examination, LED.
5. EKG.
6. Glucose tolerance test.

Assessment

1. Activity / rest: activity changes.
2. Neurosensory: blurred vision, glare.
3. Pain: discomfort, pain sudden / severe persistent / pressure in and around eyes.
4. Security: fear, anxiety.

(Doenges, 2000)


Nursing Diagnosis and Interventions for Corneal Ulcer

1. Fear or anxiety related to sensory impairment and lack of understanding of post-operative care, drug delivery.

Intervention:

• Assess the degree and duration of visual disturbance.
• Orient the patient to the new environment.
• Describe the perioperative routine.
• Suggest to run the day-to-day living habits when able.
• Encourage participation of family or people who mean to patient care.

2. Acute pain related to trauma, increased IOP, surgical intervention or administration inflammatory eye drops

Intervention:

• Give medication to control pain and IOP as prescribed.
• Give cold compress on demand for blunt trauma.
• Reduce lighting levels.
• Encourage the use of sunglasses in strong light.

3. Risk for Self-Care Deficit related to impaired vision.

Intervention:

• Give instructions to the patient or the person nearest the signs and symptoms, complications should be immediately reported to the doctor.
• Give oral and written instructions for the patient and the person who means the right techniques in delivering drugs.
• Evaluation of the need for assistance after discharge.
• Teach the patient and family guide vision techniques.

4. Disturbed Sensory Perception: Visual related to impaired vision.

Goal: Patient is able to adapt to changes.

Outcomes:

• Patients receive and resolve in accordance with the limits of vision.
• Using existing vision or other senses adequately.

Iintervention:

• Introduce the patient to the environment.
• Tell patient to optimize other sensing devices that are not impaired.
• Visit frequently to determine the needs and eliminate anxiety.
• Involve people in the care and activities nearby.
• Reduce noise and provide a balanced break.

5. Knowledge Deficit related to lack of information about self-care and disease processes.

Goal: Patients have enough knowledge about the disease.

Outcomes:

• Patients understand medication instructions.
• Patients using verbal communication to express the symptoms to be reported.

Intervention:

• Tell the patient about the disease.
• Teach self-care during illness.
• Teach hatching procedure eyedrops and replacement bandage on the patient and family.
• Discuss the symptoms of the rise in IOP and visual impairment.

Thank you for reading our 5 Diagnosis - NCP for Corneal Ulcer article. Hopefully you can benefit from here. And here are a few articles that you may also find:

nursing diagnosis, nursing diagnosis for hypertension, nursing diagnosis for pneumonia, nursing diagnosis for copd, nursing diagnosis for pain, nursing diagnosis for depression, nursing diagnosis for diabetes, nursing diagnosis for anemia, nursing diagnosis handbook, nursing diagnosis for anxiety, nursing diagnosis list, nursing diagnosis anxiety, nursing diagnosis acute pain, nursing diagnosis application to clinical practice, nursing diagnosis and interventions, nursing diagnosis anemia, nursing diagnosis activity intolerance, nursing diagnosis asthma, nursing diagnosis altered mental status, nursing diagnosis and intervention for nephrotic syndrome, nursing diagnosis acute renal failure, nursing diagnosis book, nursing diagnosis book pdf, nursing diagnosis body image, nursing diagnosis bleeding, nursing diagnosis bowel obstruction, nursing diagnosis bipolar, nursing diagnosis by nanda, nursing diagnosis breast cancer, nursing diagnosis back pain, nursing diagnosis bowel incontinence, nursing diagnosis constipation, nursing diagnosis copd, nursing diagnosis cellulitis, nursing diagnosis chf, nursing diagnosis chronic pain, nursing diagnosis chest pain, nursing diagnosis cholecystectomy, nursing diagnosis concept map, nursing diagnosis cva, nursing diagnosis coronary artery disease, nursing diagnosis definition, nursing diagnosis diabetes, nursing diagnosis depression, nursing diagnosis dehydration, nursing diagnosis decreased cardiac output, nursing diagnosis dementia, nursing diagnosis diarrhea, nursing diagnosis dvt, nursing diagnosis deficient knowledge, nursing diagnosis diverticulitis, nursing diagnosis examples, nursing diagnosis electrolyte imbalance, nursing diagnosis edema, nursing diagnosis examples for pain, nursing diagnosis education, nursing diagnosis evaluation, nursing diagnosis epilepsy, nursing diagnosis emphysema, nursing diagnosis esrd, nursing diagnosis etiology, nursing diagnosis for fever, nursing diagnosis for uti, nursing diagnosis gi bleed, nursing diagnosis generator, nursing diagnosis gerd, nursing diagnosis goals, nursing diagnosis grieving, nursing diagnosis gout, nursing diagnosis guidelines, nursing diagnosis glomerulonephritis, nursing diagnosis guillain barre syndrome, nursing diagnosis guidebook, nursing diagnosis handbook pdf, nursing diagnosis hypertension, nursing diagnosis handbook 11th edition, nursing diagnosis handbook 10th edition pdf, nursing diagnosis hypoglycemia, nursing diagnosis head injury, nursing diagnosis hopelessness, nursing diagnosis hypotension, nursing diagnosis hyperglycemia, nursing diagnosis infection, nursing diagnosis impaired gas exchange, nursing diagnosis ineffective coping, nursing diagnosis impaired mobility, nursing diagnosis impaired skin integrity, nursing diagnosis ineffective tissue perfusion, nursing diagnosis immobility, nursing diagnosis impaired comfort, nursing diagnosis insomnia, nursing diagnosis impaired urinary elimination, nursing diagnosis journal, nursing diagnosis jaundice newborn, nursing diagnosis jokes, nursing diagnosis joint pain, nursing diagnosis juvenile diabetes, nursing diagnosis joint replacement, nursing diagnosis jaundice tests, nursing diagnosis juvenile rheumatoid arthritis, nursing diagnosis jehovah witnesses, nursing diagnosis junctional dysrhythmias, nursing diagnosis knowledge deficit, nursing diagnosis kidney failure, nursing diagnosis knowledge deficit related to medication, nursing diagnosis knowledge deficit diabetes, nursing diagnosis knowledge deficit related to diabetes, nursing diagnosis knee replacement, nursing diagnosis kidney transplant, nursing diagnosis knowledge deficit related to pregnancy, nursing diagnosis knee pain, nursing diagnosis knowledge deficit related to smoking, nursing diagnosis list 2015, nursing diagnosis labor and delivery, nursing diagnosis lung cancer, nursing diagnosis list for postpartum hemorrhage, nursing diagnosis low hemoglobin, nursing diagnosis list 2016, nursing diagnosis lupus, nursing diagnosis leukemia, nursing diagnosis loneliness, nursing diagnosis manual, nursing diagnosis malnutrition, nursing diagnosis meningitis, nursing diagnosis meaning, nursing diagnosis mental health, nursing diagnosis metabolic acidosis, nursing diagnosis manual 4th edition, nursing diagnosis mobility, nursing diagnosis mi, nursing diagnosis mrsa, nursing diagnosis nanda, nursing diagnosis nutrition, nursing diagnosis newborn, nursing diagnosis nausea, nursing diagnosis noncompliance, nursing diagnosis nanda 2016, nursing diagnosis nephrotic syndrome, nursing diagnosis nclex questions, nursing diagnosis nutrition imbalance, nursing diagnosis neutropenia, nursing diagnosis of hypertension, nursing diagnosis of pneumonia, nursing diagnosis of fever, nursing diagnosis of diabetes mellitus, nursing diagnosis of anemia, nursing diagnosis of asthma, nursing diagnosis of meningitis, nursing diagnosis of schizophrenia, nursing diagnosis of fracture, nursing diagnosis of appendicitis, nursing diagnosis pain, nursing diagnosis pneumonia, nursing diagnosis pdf, nursing diagnosis postpartum, nursing diagnosis pocket guide, nursing diagnosis powerlessness, nursing diagnosis pressure ulcer, nursing diagnosis pancreatitis, nursing diagnosis post op, nursing diagnosis psychosis, nursing diagnosis quizlet, nursing diagnosis questions, nursing diagnosis questions quizlet, nursing diagnosis quizzes, nursing diagnosis quadriplegic, nursing diagnosis quotes, nursing diagnosis quit smoking, nursing diagnosis quality of life, nursing diagnosis questions and answers, nursing diagnosis qualifiers, nursing diagnosis risk for infection, nursing diagnosis risk for falls, nursing diagnosis related to, nursing diagnosis related to hypertension, nursing diagnosis related to pain, nursing diagnosis related to diabetes, nursing diagnosis related to anemia, nursing diagnosis reference manual, nursing diagnosis risk for, nursing diagnosis risk for injury, nursing diagnosis thrombocytopenia, nursing diagnosis template, nursing diagnosis threatened abortion, nursing diagnosis tachycardia, nursing diagnosis taxonomy, nursing diagnosis tia, nursing diagnosis tissue perfusion, nursing diagnosis teaching, nursing diagnosis types, nursing diagnosis tetralogy of fallot, nursing diagnosis uti, nursing diagnosis urinary incontinence, nursing diagnosis urinary retention, nursing diagnosis upper respiratory infection, nursing diagnosis uk, nursing diagnosis upper gi bleed, nursing diagnosis ulcer, nursing diagnosis unilateral neglect, nursing diagnosis urinary, nursing diagnosis uti sepsis, nursing diagnosis vs medical diagnosis, nursing diagnosis vomiting, nursing diagnosis ventilator, nursing diagnosis vision impairment, nursing diagnosis vomiting nausea, nursing diagnosis vertigo, nursing diagnosis vsd, nursing diagnosis ventricular tachycardia, nursing diagnosis vascular dementia, nursing diagnosis weakness, nursing diagnosis with interventions, nursing diagnosis wound, nursing diagnosis weight loss, nursing diagnosis website, nursing diagnosis wound infection, nursing diagnosis wellness, nursing diagnosis worksheet, nursing diagnosis wording, nursing diagnosis with lactation, nursing diagnosis for xanax, nursing diagnosis for xerosis, nursing diagnosis for xerostomia, nursing diagnosis for x ray, nursing diagnosis for fragile x syndrome, nursing diagnosis for chest x ray, nursing diagnosis yeast infection, nursing diagnosis youtube, nursing diagnosis young mother, nursing diagnosis for young adults, nursing diagnosis for yellow fever, nursing diagnosis for youth, nursing diagnosis for 2 year old, nursing diagnosis for 3 year old, nursing diagnosis for 6 year old, nursing diagnosis for homeless youth, nursing diagnosis for zenker's diverticulum, nursing diagnosis for zyprexa, nursing diagnosis herpes zoster, nursing diagnosis for zofran, nursing diagnosis for zoloft, nursing diagnosis for herpes zoster ophthalmicus, nursing diagnosis for low 02 sat, nursing diagnosis 14th edition, nursing diagnosis 11th edition, nursing diagnosis 10th edition, nursing diagnosis 14th edition pdf, nursing diagnosis 14th edition carpenito, nursing diagnosis 13th edition, nursing diagnosis 13th edition carpenito, nursing diagnosis 12th edition, nursing diagnosis 13, nursing diagnosis 10th, nursing diagnosis 2016, nursing diagnosis 2015, nursing diagnosis 2014, nursing diagnosis 2017, nursing diagnosis 2014 pdf, nursing diagnosis 2013, nursing diagnosis 2012, nursing diagnosis 2 part statement, nursing diagnosis 2010, nursing diagnosis 2 part, nursing diagnosis 3 part example, nursing diagnosis 3 part statement, nursing diagnosis manual 3rd edition, nursing diagnosis for 3rd degree heart block, nursing diagnosis for 3rd degree burn, nursing diagnosis for 3rd stage of labor, nursing diagnosis for 3rd degree av block, nursing diagnosis for 3 month old, nursing diagnosis for stage 3 pressure ulcer, nursing diagnosis 4 hypertension, nursing diagnosis 4e, nursing diagnosis care plan 4e, nursing diagnosis care plan 4th edition, nursing diagnosis for 4 year old, nursing diagnosis for 4th stage of labor, nursing diagnosis stage 4 pressure ulcer, nursing diagnosis for 4th degree laceration, nursing diagnosis for 4 month old, nursing diagnosis 5, nursing diagnosis for 5 year old, nursing diagnosis for 5 month old, nursing diagnosis handbook 5th edition, nursing diagnosis care plans 5th edition, nursing diagnosis reference manual 5th edition, nursing diagnosis for ckd stage 5, 5 nursing diagnosis for copd, 5 nursing diagnosis for anemia, 5 nursing diagnosis for diabetes, nursing diagnosis handbook 6th edition, nursing diagnosis for 6 month old, nursing diagnosis reference manual 6th edition, nursing diagnosis 7th edition, nursing diagnosis handbook 7th edition, nursing diagnosis reference manual 7th edition, ackley nursing diagnosis handbook 7th edition, nursing diagnoses 8th edition, nursing diagnosis handbook 8th edition, nursing diagnosis handbook 8th edition ackley ladwig, ackley nursing diagnosis 8th edition, nursing diagnosis reference manual 8th edition, nursing diagnosis reference manual sparks 8th edition, nursing diagnosis 9th edition, nursing diagnosis handbook 9th edition apa citation, nursing diagnosis handbook 9th edition pdf, nursing diagnosis handbook 9th edition ackley, nursing diagnosis icd-9 codes, nursing diagnosis handbook 9th edition mosby, nursing diagnosis handbook 9th edition ebook, nursing diagnosis handbook 9th edition publisher, nursing diagnosis handbook 9th edition wilkinson, nursing diagnosis handbook 9th edition apa