Nursing Neuro/Opthalmic Patient Flashcards Preview

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Flashcards in Nursing Neuro/Opthalmic Patient Deck (8)
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1
Q

What things can be assessed when a patient presents as potential neuro?

A
  • neuro assessment
  • urination/defaecation function
  • mobility
  • independent feeding
2
Q

What nursing care can be given to a neurological patient?

A
  • Supportive bedding
  • Handling care - no leads or collars that can increase intra-cranial pressure
  • Sternal/ lateral recumbency turning every 2-4hours
  • Coupage and nebulisation if required
  • supported walking/cage rest
  • check for sores, ring bandages etc
  • monitor urination and defaecation - bladder care
  • assisted feeding ensure RER being met
  • pain management
  • skin care
  • maintain body temp
3
Q

What immediate post-operative rehab can be given to neuro patients?

A
  • pain management
  • PROM (10-15 cycles, 2-3 times per day)
  • cryotherapy to discourage inflammatory phase (10-15minutes, 2-4 times per day) (keeping inflammation under control will keep pain under control)
  • put limbs into normal positions to avoid uncomfortable stretch
4
Q

What early post-operative rehab can be given to neuro patients?

A
  • massage (20 minutes, 1-2 times per day) (improves circulation and healing and reduces hypostatic pneumonia risk)
  • thermotherapy ( 10-20minutes, 2-3 times per day) - helps draw nutrients to area
  • can use laser therapy or TENS
5
Q

What later post-operative rehab can be given to neuro patients?

A
  • exercise (unassisted active, active- assisted, active resisted - e.g. standing on wobble board, around cones, backwards etc)
  • walkers/wheelchairs - strengthen up working end
  • low level light therapy
6
Q

How can we monitor a neuro patients progress?

A
  • observations

- Modified Glasgow coma scale - quantitative

7
Q

How can we assess an ophthalmic patient?

A
  • evaluate level of sight - see if they’re tracking you
  • ask owner , usually first to notice
  • how stressed is the patient
8
Q

What nursing interventions can be used with ophthalmic patients?

A
  • use voice to make patient aware of approach
  • reassurance especially when doing anything!
  • reduce stress/ keep cage layout the same
  • care handling
  • keep routine for feeding
  • prevent any self-trauma
  • ocular hygiene - clean each eye completely separate and separate materials
  • dim lights