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Nursing Interventions for Adult Intensive Care Patients With Risk for Corneal Injury: A Systematic Review
Author(s) -
WerliAlvarenga Andreza,
Ercole Flávia Falci,
Herdman T. Heather,
Chianca Tânia Couto Machado
Publication year - 2013
Publication title -
international journal of nursing knowledge
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.545
H-Index - 23
eISSN - 2047-3095
pISSN - 2047-3087
DOI - 10.1111/j.2047-3095.2012.01218.x
Subject(s) - medicine , psychological intervention , nursing , nursing interventions classification , intervention (counseling) , nursing care , intensive care unit , nursing practice , medline , intensive care medicine , critical care nursing , health care , law , economics , economic growth , political science
PURPOSE: Sedated patients in induced comas may experience ineffective eyelid closure, presenting higher risk for corneal ulcer. The objective was to identify evidence‐based practice for corneal ulcer prevention within the intensive care unit. METHODS: A systematic literature review of nine articles was performed. CONCLUSIONS: Questions remain about which care practice is most effective, although most studies consider a humidity chamber with polyethylene film to be the best practice. IMPLICATIONS FOR NURSING PRACTICE: A proposed NANDA‐I nursing diagnosis, risk for corneal injury , reflects this human response that demands nursing assessment and intervention. This study provides evidence toward developing nursing interventions and practice guidelines for the care of these patients.