Nursing Diagnosis for Conjunctivitis

Conjunctivitis is a common eye disease that may be caused by excessive eye strain or infections due virus or bacteria. Conjunctivitis or pink eye is one of those conditions that effect children, adults and animals. It can be highly contagious and some people, particularly children, seem to suffer repeat bouts of it.

Conjunctivitis is a highly contagious disease and it is treatable. The human body itself takes measures to cure the pink eyes. Since the soreness causes pain, many home treatments are suggested and they also found to be very effective.

Types of Conjunctivitis

Allergic conjunctivitis

Allergic conjunctivitis is often caused by dust mites, pollen and cosmetics and is common in people who have hay fever, asthma and eczema. It can cause mild to severe itching and often makes the eyes red and sore. If it's seasonal conjunctivitis it may just last a few weeks, however, allergic conjunctivitis may be consistent if you live around animals or are allergic to house dust. Speak to your doctor or pharmacist if you're worried about this condition and take antihistamines as prescribed.

Viral conjunctivitis

Viral conjunctivitis usually occurs after a cold or a sore throat and it is highly contagious.

It causes a watery discharge to leak from the eye and can spread easily from one eye to the other. It can turn the eye pink and might can also cause itching if it becomes particularly nasty. Viral conjunctivitis usually clears up by itself; however, ocular lubricants and painkillers can ease the symptoms. If you've got this disease it's essential that you always wash your hands thoroughly and to remove discharge using a clean cotton bud.

Bacterial conjunctivitis

Bacterial conjunctivitis is caused by bacteria such as staphylococci, streptococci or haemophilus and is a particularly nasty form of the condition. It causes the eyes to feel gritty, inflamed and sore and a yellow, sticky discharge may form sticking the eyes together overnight. Bacterial conjunctivitis usually lasts a week, but antibiotic drugs can help. Like viral conjunctivitis, it's highly contagious, so always maintain a high level of hygiene if you're infected and visit your optometrist if you have any concerns.

Symptoms of Conjunctivitis

The pink eye effect is one of the first signs of conjunctivitis. The sufferer may complain of dry or itchy eyes and, particularly children, will tend to rub them a lot. There can also be a discharge from the eye - this can range from a clear watery look to yellow or green. The color is often an indication of what type of conjunctivitis the person is suffering from. In severe cases, the eyes may be glued shut on waking. This is caused by the discharge weeping out from between the eyelids during sleep, then drying on the eyelashes, effectively gluing them together.


Nursing Diagnosis for Conjunctivitis

1. Acute Pain

related to inflammation of the conjunctiva

characterized by:
Clients say the discomfort (pain) is felt
The face looks the pain (pain expression).

2. Anxiety

related to lack of knowledge about the disease process

characterized by:
Clients say about anxiety.
Clients look anxious and nervous.

3. Self-concept disturbance

related to a change in the eyelid (swelling / edema).

4. Risk for injury

related to the limits of vision.

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Rehabilitation Therapy for Stroke

Disability caused by the stroke, depending on which part is damaged, and how extensive the damage.

In general, defects that arise can be grouped into five, among others:

• Paralysis or impaired movement set (motor)
• Disturbance of taste (sensory), including pain
• Language disorder (aphasia)
• Impaired thinking or memory (memory)
• Emotional disturbances.

In order to overcome the problems mentioned above, then the post-stroke rehabilitation process will perform in a holistic therapy and variations, such as physical therapy, occupational therapy, speech therapy, counseling and spiritual guidance.

Let us identify what is being done therapy at rehabilitation

What is Physical Therapy?

Physical therapy or better known as a physiotherapist, is part of the Medical Rehabilitation Teams that play a role in the training of patients with abnormal posture, movement disorders and muscle problems. Physiotherapist tasks are: To assist patients in performing exercise or muscle manipulation in accordance with patients' problems, such as muscle strengthening exercises, hydrotherapy, balance and coordination exercises, stretching exercises etc.. Help patients cope with muscle problems with the tools for instruction specialist physiotherapy.

What is Occupational Therapy?

Occupational Therapy is part of a team that plays a role in Medical Rehabilitation: Helping the patient to perform fine motor movements. Train the patient in performing activities of daily living such as moving from sitting to standing, bathing, dressing, eating, etc.. Train the patient to make adaptive movements with various tools. Assist the patient in the process of returning to work.

What is Speech Therapy?

Is part of a team that plays a role in Medical Rehabilitation: Helping the patient to communicate to aid communication with exercises such as pronunciation (articulation) or with a communication tool. Help patients with swallowing disorders (dysphagia) with training / special maneuvers to facilitate the process of swallowing.

Counseling Psychology

Help provide mental support for the patient while the patient is depressed. A test of intellectual (IQ tests) when needed.

Medical Social Officer

To evaluate patient residence and employment and provide education to organize an easier place to live according to the condition of the patient performs the activity of the patient. Helped find donors when there are patients who require a fee. If necessary, helping patients to gain skills in accordance with the patient's condition, to be used for livelihood.

Spiritual director can help to support mental patients in the religious field.

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Impaired Physical Mobility related to Stroke

Nursing Diagnosis for Stroke: Impaired Physical Mobility

A stroke is also referred to as a brain attack, and it occurs when a blood vessel leading to the brain ruptures or gets blocked due to plaque deposits. When plaque accumulates on the wall of arteries, it is known as arthrosclerosis.

A stroke leads to several complications because the patient experiences weakness, paralysis and they cannot perform daily living activities. Their quality of life reduces, as they cannot shop, socialize and feed themselves. A stroke also leaves a person with visual defects and this causes them to eat their meals partially. They will consume just what they can see. The visual orientation might get affected from left to right. A visual problem can lead to the grave neglect of food and diet, and leaves a deficit in their nutrition.

Strokes affect millions of individuals around the United States each year, claiming more than 150,000 lives annually. Of those who survive, about one-third suffers from permanent disabilities. For decades, physicians have noticed that strokes impact men and women differently, though no conclusive study has discovered the reason.


Impaired Physical Mobility related to Stroke

Nursing Diagnosis for Stroke: Impaired Physical Mobility related to the involvement of neuromuscular weakness.

Expected outcomes are:

• Maintain the optimal position of function as evidenced by the lack of footdrop contracture.
• Maintain / improve strength and function of the affected body part or compensation.

Nursing Interventions for Stroke - Impaired Physical Mobility

1. Assess functional ability / extent of initial damage by way of regular, classified by scale of 0-4.

Rational: To identify strengths, weaknesses and can provide information through the recovery.

2. Change position at least every 2 hours (back, oblique) and if possible more often if placed in a compromised position.

Rational: Lowering the risk of trauma / ischemia area damaged tissue is more bad circulation and decrease of sensation and minimize pressure sores.

3. Put on the tummy one or two feet a day if the patient can tolerate it.

Rationale: Helps to maintain a functional hip extension.

4. Perform the exercise of active and passive range of motion.

Rationale: Minimizing muscle atrophy helps increase circulation mensegah contractures.

5. Chock limb in a functional position, use a board foot (food board) during the period of paralysis flaksid, maintaining a neutral head position.

Rational: To prevent contractures (foot drop) and facilitate their role if it works again.

6. Use the support arm when the patient is in an upright position, as indicated.

Rationale: During paralysis flaksid use of buffers can reduce the risk of subluksasio arm and shoulder arm syndrome.

7. The position of the knee and hip in extension position.

Rationale: Maintaining a functional position.

8. Collaboration / consultation with physiotherapists actively resistive exercises and ambulation.

Rationale: a special program can be developed to determine / find a need, which means / avoid these shortcomings in the balance, coordination and strength.

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