Page 1922 - Saunders Comprehensive Review For NCLEX-RN

Introduction

Pyramid to Success

Pyramid Points focus on safety and nursing interventions for clients with
impairment of sight or hearing and on the nursing care related to disorders such as
cataracts, glaucoma, and retinal detachment. Communicating with clients who are
visually or hearing impaired is also a priority. Emergency interventions for eye and
ear disorders and injuries are a priority point. Pyramid Points also focus on client
instructions related to medication administration, sensory perceptual alterations and
safety issues, and available support systems.

Client Needs: Learning Objectives

Safe and Effective Care Environment

Caring for the recipient of a tissue (corneal) donation
Communicating with the interprofessional health care team
Establishing priorities
Maintaining asepsis with procedures and treatments
Maintaining standard and other precautions
Preventing accidents that can occur as a result of sensory impairments
Upholding client rights
Verifying that informed consent for invasive procedures is obtained

Health Promotion and Maintenance

Discussing changes that occur with the aging process
Discussing expected body image changes and self-care deficits
Implementing measures for the prevention and early detection of health
problems and diseases related to the eye and the ear
Performing physical assessments of the eye and ear
Providing home care instructions following procedures related to the eye and
ear
Providing instructions regarding activity limitations or postoperative activities
Providing instructions regarding the administration of eye and ear medications
Teaching regarding the importance of compliance with the prescribed therapy

Psychosocial Integrity

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