This website uses cookies to ensure you have the best experience. Learn more

Advice To A Patient Regarding The Use Of Eye Patches Following A Corneal Abrasion

1114 words - 5 pages

Advice to a patient regarding the use of eye patches following a corneal abrasion
Mr X attended the Minor Injuries department with a queried foreign body in his right eye which had caused a slight (2mm) corneal abrasion and was causing him pain. This type of injury will normally self-heal rapidly within 24 to 72 hours, but usually be painful with symptomology aggravated by exposure to light, blinking and the injury rubbing against the inside of the eyelid (Wilson & Last, 2004). Mr X was experiencing moderate discomfort and enquired whether he should wear an eye patch following discharge.

One of the “traditional” (Wilson & Last, 2004; Turner & Rabiu,2007) approaches to managing corneal ...view middle of the document...

g. Kahn (2004), Kapur (2004). They disputed Khaw et al’s (2004) conclusions drawing attention to research proposing that eye patches had no impact on either healing times or pain control. This essay will consider the available research on the subject which will clarify the advice to give to Mr X for the management of his injury.

Arbour et all (1997) undertook a study to examine the effect of using an eye-patch on the speed of reepithelialisation, signs of epithelial wound healing and the pain or discomfort being experienced by the patient. All subjects (n=46) had injuries similar to Mr X i.e. the abrasion was regarded as small (10mm, had not been adequately covered.

There are other problems associated with eye patches. Wilson & Last (2004) confirm Arbour et al’s findings that patches may be a cause of pain but go further by proposing that children with patches found it more difficult to walk compared to children without patches, and that decreased oxygen delivery caused increase moisture and a higher chance of infection. They concluded that patching may actually hinder the healing process.

Khaw et al (2004b) subsequently qualified the comments regarding patching in their earlier article by stating that their proposal to patch all eye wounds was a misprint and the recommendation should have been confined to larger abrasions (>10mm). They cited Kaiser’s (1995) study in which the healing rates of such injuries was significantly improved if the eye was patched. Mattox et al (2000) support this view and underline the importance of preventing the eye opening below the patch which, if allowed to do so, can cause significantly more damage to the corneal epithelium than the abrasion itself.

It is also useful to consider the patient’s lifestyle in determining whether to use a patch or not. For example, if there is a need for the patient to drive during the next 24-48 hours, best advice would be not to patch. Wingate (1999) and Marsden (2002) warn about the loss of binocular vision if patches are applied and clearly driving would be dangerous.

Mr X was able to make an informed choice about wearing a pad according to the available evidence. As the abrasion was small, applying a patch would have no positive impact on healing nor would it reduce the chances of infection, in fact, there is some evidence that a...

Other Papers Like Advice To A Patient Regarding The Use Of Eye Patches Following A Corneal Abrasion

Use Of Channels For Gaining A Sustainable Competitive Advantage

799 words - 4 pages ability of one firm to outperform its rivals by establishing a difference and preserving it. The results of having an advantage over other firms in the market are more customers which lead to higher sales and more profits. Product offered, firm’s cost structure, consumer support and distribution network are examples of ways in gaining competitive advantage in the market. Rosenbloom define sustainable competitive advantage as “a competitive edge

How To Find The Value Of A Dividend Stock

2176 words - 9 pages dividend and earnings grow together in the long run. For example, dividends can’t be more than earnings.  *  Only sustainable growth rates give reasonable results. For example, a 30% dividend growth rate is unsustainable.  * The dividend discount model can understate the true value of the stock because it does not evaluate intangible assets owned by the company.  How to Use the Dividend Growth Model   Use the Dividend Growth Model to

The Power Of Culture To Create A Better Future

704 words - 3 pages THE POWER OF CULTURE TO CREATE A BETTER FUTURE Culture is a word, etymologically, driven from the Latin language from the word ‘cultura’ meaning to cultivate. This connotes growing of personality. This entails forming the seed of an individual’s character and life into societal structure. By cultivation, one is schooled in the beliefs and practical attitudes of a particular group of people who own the culture. However, the word culture is most

A Gun Or A Piece Of Chalk: Is Giving Guns To Teachers The Answer?

1414 words - 6 pages A Gun Or a Piece of Chalk: Is Giving Weapons To Teachers The Answer? It seems as though every time someone turns on the television or reads the newspaper, there is a new report of a school shooting in America. In light of these recent shootings, there has been an influx of public uproar about the things the country needs to do to prevent the massacres from happening again. Discussions about the best way to prevent future incidents have gone

“Why Banning The Use Of Cell Phones While Driving Should Be Mandatory Nationwide” Title: Why Banning The Use Of Cell Phones While Driving Should Be Mandatory Nationwide? A. General Purpose: Persuade...

322 words - 2 pages “WHY BANNING THE USE OF CELL PHONES WHILE DRIVING SHOULD BE MANDATORY NATIONWIDE” TITLE: Why Banning the Use of Cell Phones While Driving Should Be Mandatory Nationwide? A. General Purpose: Persuade B. Specific Purpose: Persuade my audience that banning the use of cell phones while driving should be mandatory nationwide. C. Central idea: Cell phones are as common in the market today as a wrist watch on your arm. Everyone has one

Ellen Degeneres Sues Clean Clothes For Misappropriation And Right Of Publicity For The Use Of A Look-Alike Model For The Slacks Advertisement. Clean Clothes Countersues For Product Disparagement....

315 words - 2 pages disparagement. While Joseph A. Banks, is suing Ellen DeGeneres for the reduction of sales on clothes because of an unsolicited comment on her show. And the law of the right of publicity means Right of publicity means the right of an individual to control any commercial use of his/her name, image, or some other aspects of one's identity. In the U.S., it is a state law-based right. In the U.S., right of publicity is enforced through state law

What's Feminism Got To Do With Economy? A Study Of The Practice Of Prostitution

5501 words - 23 pages carry out trade in their bodies to sustain themselves. It is seen as an extension of the same logic as that of marriage by many feminists where unlike the wife who sells her body for use the husband the prostitute sells herself in pieces. Infact, she is seen in a better position than the wife who is the ‘legal prostitute’ to use Benard Shaw’s terms. Cicely Hamilton noted that prostitution allowed women to enjoy the bargaining right denied to them

To Build A Fire And The Grey

370 words - 2 pages their surroundings in order to survive. For example in TBF he realizes he could use the dog in order to help him stay in warm until he can build a fire. In The Grey the group uses left over supplies from the plane in order to get them to an area they felt was safe. Without any knowledge of the forest they are heading towards they are not confident in their chances of survival. ‘To Build a Fire’ and The Grey portray the theme "in the wild

How Does Tennyson Use Setting To Build The Character Of Mariana?

914 words - 4 pages How does Tennyson use setting to build the character of Mariana? As a character we can see that Mariana is completely combined with her setting; all of her surroundings affect her and the way she acts. “The broken sheds look’d sad and strange” this shows that they almost didn't belong there; it depicts sad emotions with gloomy imagery in the world with lost love. The sense of them being broken could reflect Mariana as damaged, showing that

Describe The Components Of A Healing Hospital And Their Relationship To Spirituality

1247 words - 5 pages ; lennick, 2006). Integrity means speaking the truth, standing up for rights, and keeping up with promises, being consistent with general philosophy, individual values, and beliefs. Integrity demonstrates nursing’s ethical commitment to providing compassionate care. The nurse recognizes the worth and privacy of each individual and therefore acts in a manner to respect the privacy and values of the patient. A nurse who practices integrity acts in a way

To What Extent Was Josef Stalin’S Employment Of Collectivisation A Successful Endeavour For The Soviet Economy?

2115 words - 9 pages the situation, suggesting some achievable resolutions. As a primary document the value of this letter lies in its firsthand account of the events witnessed by the writer, and the facts gathered by the both the writer and the doctor who composed the statement. This document gives an insight into some of the facts and figures the government had access to regarding the lack of resources in the countryside. One of the limitations of this document would

Related Essays

The Right Time To Lose A Patient

774 words - 4 pages upcoming holidays, and her plans upon discharge from the hospital. At this time she was in relatively good shape, and to me, she was just another case study. Over the course of the following days, she took a turn for the worse. Morning rounds started to focus on end-of-life care, and a DNR order was put in place. I began to realize how shameful my earlier mindset had been as I stood on the sidelines in disbelief. A patient with whom I had

Treatment Management Of A Patient With Corns

651 words - 3 pages suggests the use of chemicals, which can assist the paring down process by applying a salicylic acid solution. The salicylic solution dissolves the protein (keratin) by breaking down dead skin allowing it to be peeled away. It is stressed however, that chemical products such as salicylic acid should not be used if a patient has diabetes or poor circulation, because of risk associated with ulcer development, due to skin being less likely to heal if

‘’a Flexible Firm Model Optimizes The Use Of Human Resources’’

838 words - 4 pages ‘’A flexible firm model optimizes the use of human resources’’ Kalleberg, 2001 * Social and economic changes in the past century have underscored the need for organizations to have greater employment flexibility. * Industrial countries and manufacturing sectors emphasize in human resource management that organizations can adapt any changes in technology, in labour markets, price competition, in capital markets internationally and

Report On The Use Of Facebook In The Organisation Including A Code Of Practice For Its Use

1095 words - 5 pages Introduction Dear Manager. With over 1 billion users, Facebook has quickly become one of the top websites in the world. People are spending more time on Facebook than they are on Google, which means that there are some serious opportunities available that could help your business grow. The organisation I have chosen to do my report on the use of Facebook is on a Bar, The Cross Bar. I intend to give you a detailed briefing on how to sign up