Impaired Skin Integrity related to inflammatory processes in the skin glands of eyelashes
Goal: Increase in skin integrity repair / healing wounds
with outcomes:
- The scales are reduced.
- Itching reduced to disappear.
- Ulcer condition improved.
Interventions:
- Clean the eyelid area regularly and every day.
- Use aseptic technique, patient or nurse raised crusting, scaling.
- Compress the edge of the eyelid with warm water 3 times or as needed.
- Collaboration antibiotics and topical steroids for cases caused by a bacterial infection.
Rationale :
- Carefully cleaning each day will keep cleaning the eyelid so that wounds heal faster.
- Aseptic technique will prevent more severe irritation / contact with the bacteria.
- Compress clean the edge of the eyelid crusting / scaling.
- Prevent further infection and reduce inflammation.
Disturbed Body Image related to changes in physical conditions: the lashes fall out and are not replaced with new ones, the yellow crusts.
Goal: The patient does not feel embarrassed and can adjust to the physical condition
with outcomes:
- Indicates acceptance of the conditions themselves.
- Actively participate in the therapy program.
- Establish a therapeutic relationship between nurses and patients.
- Encourage the patient to express feelings.
- Identify the role of the patient's problems today.
- Encourage the patient to live in recognition of its own.
Rationale :
- With the therapeutic relationship, the patient will feel appreciated and more open.
- With storytelling will be able to reduce the burden on the client's feelings.
- To know the problems of the client.
- Help improve the confidence of clients.
