(4)
Avoid jarring or bumping the bed, as this may startle the patient.
(5) If the patient is newly blinded as a result of the surgery, observe for
depression and take precautions if patient is potentially suicidal.
(6) Check the physician's orders before giving anything by mouth. Nausea
and vomiting must be avoided. Additionally, the motion of chewing may be
contraindicated.
d. Approaching the Patient. An important consideration in the care of a patient
who has both eyes bandaged is the method of approaching him.
(1) ALWAYS speak to the patient upon entering his area and before
touching him.
(2)
Allay the patient's fears by explaining each procedure or activity fully.
(3)
Continue to reinforce his orientation to the surroundings.
(4)
Always let the patient know when you are leaving his area.
e. Diversional Activity. Diversional activities will promote a relaxed
atmosphere for convalescence and prevent the patient from dwelling on his situation.
(1)
Provide activities that are not fatiguing to the eyes if the eyes are not
bandaged.
(a)
No reading.
(b) Minimal television.
(2)
Encourage visitors to chat with the patient or read to him.
(3) Encourage the use of a radio for entertainment and to keep the patient
"in touch" with current events if he is unable to read the daily newspaper.
1-23. NURSING CARE OF THE PATIENT WITH VISION LOSS
a. Physical Orientation. To prevent injury and encourage independence, the
patient with vision loss should receive a thorough orientation to his surroundings.
(1) Describe the room and its contents in detail, so that the patient can form
a mental image of his room.
(2) Lead the patient around the room, letting him feel the furniture, windows,
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