SUBJECT : FUNDAMENTAL OF NURSING

TOPIC : EYE CARE

SUBMITTED TO: SUBMITTED BY:

MS.SHEETAL MS.RAMA RANI

LECTURER M.SC.(N)PREVIOUS

SUBMITTED ON:
 EYE CARE
Definition
Cleaning the eye using aseptic technique is called eye care.

Purposes:
 To clean the eye.
 To remove the irritating discharge from the eye.
 To prepare the eyes for any treatment e.g. eye instillation, eye irrigation etc.
 To prevent infections.
 To prevent neonatorum in the new – born.

Scientific principles:-

ANATOMY AND PHYSIOLOGY

1. In the orbital cavity, extrinsic muscles,eyelids,lacrimal glands, and
conjunctiva are associated with eye.
2. Eyeball is spherical in shape and is about one inch in diameter.
3. Three coats of eye ball are:-
 Outer coat :-it is made by sclera and cornea.
 Vascular coat:-the middle coat is made up of iris, the ciliar and choroid.
It provides rich supply to eye.
 Inner coat:-it is made up of retina .Retina is a thin transparent
membrane and contains visual receptors, extensions of the optic
nerve.
4. Cavities of eye:- anterior and posterior:-
5. The anterior cavities is divided into anterior and posterior chambers.
The anterior chamber lies between iris and lens and retina. It contains
a gelatinous substance called vitreous humor.
6. Eye ball is covered with conjunctiva, which is a sensitive mucous
membrane.
7. Any type of stimulation gives to rise to pain .
8. Constriction and dilatation of pupils are reflex acts, stimulated by eye.
9. Optic nerve conveys right impressions.
10. Retina is supplied by a branch of ophthalmic artery. It enters through
the optic disk.
11. Images falling on retina stimulate nerve cells contained in it ,to send
appropriate message to brain.

MICROBIOLOGY:-
1. Eyelashes protect eye from dust .
2. Tears contain a bactericidal substance, called lysozyme.It protect eyes
from infection.
3. Staphylococcus ,gonococcus causes serious infection in eyes, which
may result into corneal ulcers and impair eye sight.
4. Wash hands before and after the procedure.
5. Use gown mask to prevent cross infection.
6. Use sterile drugs or solutions and equipments for eye treatments.
 7. Infected dressings should be burned.

PSYCHOLOGY :-
1. The patient must be treated with more kindness and more patience
than usual because eye is very sensitive part of body.
2. Nurse must be very gentle in handling and treating eyes.
3. Explain each and everything, when you go to the patient, especially
when the patient is unable to see.
4. Explain the procedure to the patient to get his cooperation and win his
confidence.
5. Try to clear all doubts of the patient, so that he may feel relaxed during
the procedure.

Articles required with rationale

Articles Rationale
A Tray containing
A mackintosh and a towel To protect the pillow and the
bed linen.
A sterile bowl with sterile cotton To clean the eyes.
swabs / are used.
Sterile normal saline( if sterile swabs To clean the eyes.
are used).
Thumb forceps dipped in boiled cold To pick up the cotton swabs.
water.
A gauze piece in the bowl/towel. To dry the eyes.
A kidney tray and a paper bag. To discard the waste.

General instructions:-
 Clean the eyes from inner to outer canthus.
 Use a separate swab for each stroke.
 Do not touch that portion of the cotton swab, which will come in direct contact
with the eyes.

Preparation of the patient:-

1. Explain the procedure to the patient to win his confidence and get his
cooperation.
2. Keep the patient in a supine position.
3. Use mackintosh and draw sheet to protect bed linen.
 STEPS OF EYE CARE

Steps Rational Scientific Nursing

principles principles
1. Explain the procedure to the patient To win the patient`s Psychology Comfort
confidence and co
operation.
2. Place the patient in the dorsal recumbent position Relaxed patient is more Psychology Comfort
slightly towards the infected side. cooperative. individuality

3. Place the mackintosh and towel under the head. To protect the linen from Comfort &
soiling. economy of
material
4. Wash hands To prevent transfer of Microbiology Safety
microorganism.
5. If sterile swabs are used, pour sterile saline into the For cleaning of eye Microbiology Safety
bowl to wet the cotton swabs. discharge.

6. Stand in front of the patient, pick up the wet cotton To prevent transfer of Microbiology Therapeutic
swab with the thumb forceps, transfer it to the hand and microorganisms into the effectiveness
squeeze the excessive water from the swab without lacrimal duct. and safety.
touching the part which will come in direct contact with
eye. Clean the less infected eye from the inner canthus to
the outer canthus.(one stroke with each swab).
Discard the used swabs in the paper bag.

7. When the eye is clean, repeat the same for other eye and - - -
make the patient comfortable.

8. Record the procedure and the condition of the eyes. Provide documentation for - Good
nursing action. workmanship
9. Wash and replace all the articles in a proper place. To be able to use later - Good
workmanship
ASSIGNMENT :-

Que 1. What are the purposes of eye care?

Que 2. Write the steps of eye care .

BIBLIOGRAPHY:-

1. TNAI. (2009). Fundamentals of Nursing. A procedure manual. Ed. 1 st New Delhi:Aravali Printers publication
PVT.

2. Potter. Perry. (1997). Fundamentals of Nursing.ed.4 th USA: Mosby-year book Inc.

3. Sr. Nancy (2000). Principles and Practice of nursing care.Vol.1 Indore:NR Publishing house.

4. http://Nursing crib.com/administering –an-eye-irrigation/

5. http://www.nova.edu/hpd/otm/otm-c/lab.irrig.pics.html

6. http://www.cehjournal.org/extra/ts10_03_09.htm

7. http:/www.now.edu/hpd/otm/otm-c/lab.irrig.picts.htm
SUBJECT : FUNDAMENTAL OF NURSING

TOPIC : EYE CARE

SUBMITTED TO: SUBMITTED BY:

MADAM MS.RASHMI PHILIPS MS.RAMA RANI

LECTURER M.SC.(NURSING )PREVIOUS

SUBMITTED ON:
LESSON PLAN

NAME OF THE STUDENT TEACHER : Rama Rani

PROGRAMME : M.Sc.(N) Previous Year
SUBJECT : Fundamental of nursing
TOPIC : Eye care
VENUE : B.Sc.(N) First Year Class Room
DATE :
TIME : 4-5 pm
A.V.AIDS : Blackboard, LCD
LANGUAGE : English

GENERAL OBJECTIVE:

After the completion of the class students will be able to do eye care.

SPECIFIC OBJECTIVE:

At the end of the class students will be able to:

1. Define eye care.
2. Explain the purposes of eye care
3. Describe the scientific principle.
4. Enlist the articles of eye care.
5. Write the general instruction to the eye care.
6. To prepare the patient for procedure.
7. Demonstrate the procedure of eye irrigation..
8. To conclude the topic.
S. Time Specific Content Teaching Learning A.V. Evaluation
No objective activities activities Aids

1. 2 min To introduce Good morning myself Rama, M.Sc. Nursing 1st year - - - Students
myself student, going to take your class oneye irrigation. will be
comfortable
with the
teacher.
2. 1min. Define eye Cleaning the eye using aseptic technique is Discussion Group What is
care called eye care. method Participation eye care.

3. 3 min Explain the  To clean the eye. Lecture & Students Enlist the
purposes and  To remove the irritating discharge from the discussion written the purposes of
solutions used eye. contents eye care.
for eye  To prepare the eyes for any treatment e.g.
irrigation. eye instillation, eye irrigation etc.
 To prevent infections.
 To prevent neonatorum in the new – born.

Which
4. 6 min Describe the ANATOMY AND PHYSIOLOGY Lecture Students are nerve is
principles of  In the orbital cavity, extrinsic method listening. supplying to
eye irrigation muscles,eyelids,lacrimal glands, and conjunctiva the eye.
are associated with eye.
 Eyeball is spherical in shape and is about one inch
in diameter.
 Eye ball is covered with conjunctiva,which is a
sensitive mucous memberane.
 Any type of stimulation gives to rise to pain
 Constriction and dilatation of pupils are reflex acts,
stimulated by eye.
 Optic nerve conveys right impressions.
 Blood vessels dilate with application of heat
 MICROBIOLOGY:-
 Eyelashes protect eye from dust .
 Tears contain a bacteriocidal substance, called
lysozyme.It protect eyes from infection.
 Staphylococcus ,gonococcus causes serious
infection in eyes, which may result into corneal
ulcers and impair eye sight.
 Wash hands before and after the procedure.
 Use gown mask to prevent cross infection.

PSYCHOLOGY :-
 The patient must be treated with more kindness
and more patience than usual because eye is very
sensitive part of body.
 Nurse must be very gentle in handling and treating
eyes.
 Explain each and everything, when you go to the
patient,especially when the patient is unable to see.
 Explain the procedure to the patient to get his
cooperation and win his confidence

5 3 min Enlist the A Tray containing Lecture Students Enlist the

articles of eye  A mackintosh and a towel method listen articles
care.  A sterile bowl with sterile cotton actively used for
swabs / are used. eye care.
 Sterile normal saline( if sterile swabs
are used).
 Thumb forceps dipped in boiled cold
water.
 A gauze piece in the bowl/towel.
 A kidney tray and a paper bag.
6. 4 min Write general  Clean the eyes from inner to outer canthus. Lecture Students What do
instructions of  Use a separate swab for each stroke. method listen you mean
eye care.  Do not touch that portion of the cotton swab, actively by aseptic
which will come in direct contact with the techniques?
eyes.

7. 3 min To prepare the 1. Explain the procedure to the patient Discussion Students What do
patient for 2. Keep the patient in a supine position. listen you
procedure. 3. Use mackintosh and draw sheet to protect actively understand
bed linen. by supine
position?

8 7 min Demonstrate
 Explain the procedure to the patient Lecture Students What is the
the steps ofPlace the patient in the dorsal recumbent position and participate need of
eye care.  Place the mackintosh and towel under the head. discussion actively. explaining
 Wash hands the
 Use the sterile swabs to clean eye.. procedure
 Clean the eye from the inner canthus to outer. to the
 When the eye is clean, repeat the same for other eye . patient.
 Documentation
 Wash and replace all the articles in a proper place.

9 2 min To conclude We have studied the procedure of eye care - - - -

the topic. and scientific principles involved in it. Now I
hope you will keep in your mind the general
instructions and steps of procedure while
giving the eye care to the patient
BIBLIOGRAPHY:-

1. TNAI. (2009). Fundamentals of Nursing. A procedure manual. Ed. 1st New Delhi: Aravali
Printers publication PVT.

2. Potter. Perry. (1997). Fundamentals of Nursing.ed.4th USA: Mosby-year book Inc.

3. Sr. Nancy (2000). Principles and Practice of nursing care.Vol.1 Indore:NR Publishing
house.

4. http://Nursing crib.com/administering –an-eye-irrigation/

5. http://www.nova.edu/hpd/otm/otm-c/lab.irrig.pics.html

6. http://www.cehjournal.org/extra/ts10_03_09.htm

7. http:/www.now.edu/hpd/otm/otm-c/lab.irrig.picts.htm
 CHECK LIST

STEPS YES NO

1. Explained the procedure to the patient

2. Assembled equipment at patient bedside

3. Placed the patient in the dorsal recumbent position slightly

towards the infected side.

4. Placed the mackintosh and towel under the head.

5. Performed the hand washing.

6. Cleaned the eye from inner canthus to outer canthus.

7. Repeated the procedure on other eye.

8. Documentation done (appearance of eye, drainage, and

patient’s response).

9. Replaced the articles.