EMILIO AGUINALDO COLLEGE CAVITE
Gov. D. Mangubat Ave., Brgy. Burol Main, City of Dasmariñas, Cavite 4114, Philippines
Tel. Nos. (046) 416-4339/41
www.eac.edu.ph
School of Nursing
Balboa, Rein Trisha Arrabela V.
BSN 4-1B
Ms. Carnation P. Uyag, RN
Nursing Care Plan
ASSESSMENT
Subjective:
“Medyo masakit pa
po tapos lalong
namumula kapag
natatamaan ng
liwanag.
Objective:
- Redness of
the eye
- Eye is
watery.
- Unequal size
of the eye
due to
inflammation.
DIAGNOSIS
Risk for
infection
related to s/p
pterygium
eye surgery.
PLANNING
After 8hrs of nursing
intervention the patient
will be able to:
- Verbalize the
lessen of
redness and
inflammation of
the eye.
- Know the proper
intervention to
avoid infection.
After 1-2 weeks of
nursing intervention the
patient will be able to:
Apply the
intervention
properly even at
home.
- Display healing
when
conducting
follow-up checkup.
INTERVENTION
Position the patient in a
comfortable position and
not lift heavy objects.
Advise the patient to
wear sunglasses or
eyepatch especially on a
daylight.
Advise the patient to not
put any eye make-up.
Always wash hands
before touching the eye.
Avoid going to places
where dust and dirt is
present.
Advise the patient to not
scratch the eye even it
feels itchy.
Apply eye drops and
administer medications
such as antibiotics as
indicated by the
physician.
RATIONALE
To avoid putting
stress and strain
on the surgery site.
To reduce the
exposure of the
eye to sunlight.
To reduce the risk
for infection.
To prevent transfer
of microbes.
To reduce the
exposure to dirt to
avoid infection.
To avoid irritation of
the eye.
To help surgical
site heal faster.
EVALUATION
After 8hrs of nursing
intervention the patient
was able to:
- Verbalize the
lessen of redness
and inflammation
of the eye.
- Know the proper
intervention to
avoid infection.
After 1-2 weeks of
nursing intervention the
patient was able to:
Apply the
intervention
properly even at
home.
- Display healing
when conducting
follow-up checkup.
Goal was met.
QF-PQM-035 (03.07.2024) Rev.07