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Nursing Interventions for Adult Intensive Care Patients With Risk for Corneal Injury: A Systematic Review

Authors

  • Andreza Werli-Alvarenga RN, MS,

    1. Andreza Werli-Alvarenga, RN, MS, is a hospital infection specialist and coordinator nurse in the Adult Intensive Care Unit at Risoleta Tolentino Neves University Hospital, Belo Horizonte, Minas Gerais, Brazil, and a Master and doctoral student at the College of Nursing at Federal University of Minas Gerais (EEUFMG), Minas Gerais, Brazil, Flávia Falci Ercole, RN, MS, PhD, is an adjunct professor of the Basic Nursing Department at EEUFMG, Minas Gerais, Brazil, T. Heather Herdman, RN, MS, PhD, is a visiting professor at Paulista School of Nursing, Federal University of São Paulo, Brazil, and the executive director, NANDA International, Kaukauna, Wisconsin, and Tânia Couto Machado Chianca, RN, MS, PhD, is full professor of the Basic Nursing Department at EEUFMG, Minas Gerais, Brazil.
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  • Flávia Falci Ercole RN, MS, PhD,

    1. Andreza Werli-Alvarenga, RN, MS, is a hospital infection specialist and coordinator nurse in the Adult Intensive Care Unit at Risoleta Tolentino Neves University Hospital, Belo Horizonte, Minas Gerais, Brazil, and a Master and doctoral student at the College of Nursing at Federal University of Minas Gerais (EEUFMG), Minas Gerais, Brazil, Flávia Falci Ercole, RN, MS, PhD, is an adjunct professor of the Basic Nursing Department at EEUFMG, Minas Gerais, Brazil, T. Heather Herdman, RN, MS, PhD, is a visiting professor at Paulista School of Nursing, Federal University of São Paulo, Brazil, and the executive director, NANDA International, Kaukauna, Wisconsin, and Tânia Couto Machado Chianca, RN, MS, PhD, is full professor of the Basic Nursing Department at EEUFMG, Minas Gerais, Brazil.
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  • T. Heather Herdman RN, MS, PhD,

    Corresponding author
    1. Andreza Werli-Alvarenga, RN, MS, is a hospital infection specialist and coordinator nurse in the Adult Intensive Care Unit at Risoleta Tolentino Neves University Hospital, Belo Horizonte, Minas Gerais, Brazil, and a Master and doctoral student at the College of Nursing at Federal University of Minas Gerais (EEUFMG), Minas Gerais, Brazil, Flávia Falci Ercole, RN, MS, PhD, is an adjunct professor of the Basic Nursing Department at EEUFMG, Minas Gerais, Brazil, T. Heather Herdman, RN, MS, PhD, is a visiting professor at Paulista School of Nursing, Federal University of São Paulo, Brazil, and the executive director, NANDA International, Kaukauna, Wisconsin, and Tânia Couto Machado Chianca, RN, MS, PhD, is full professor of the Basic Nursing Department at EEUFMG, Minas Gerais, Brazil.
      thherdman@gmail.com, with a copy to the Editor: journal@nanda.org
    Search for more papers by this author
  • Tânia Couto Machado Chianca RN, MS, PhD

    1. Andreza Werli-Alvarenga, RN, MS, is a hospital infection specialist and coordinator nurse in the Adult Intensive Care Unit at Risoleta Tolentino Neves University Hospital, Belo Horizonte, Minas Gerais, Brazil, and a Master and doctoral student at the College of Nursing at Federal University of Minas Gerais (EEUFMG), Minas Gerais, Brazil, Flávia Falci Ercole, RN, MS, PhD, is an adjunct professor of the Basic Nursing Department at EEUFMG, Minas Gerais, Brazil, T. Heather Herdman, RN, MS, PhD, is a visiting professor at Paulista School of Nursing, Federal University of São Paulo, Brazil, and the executive director, NANDA International, Kaukauna, Wisconsin, and Tânia Couto Machado Chianca, RN, MS, PhD, is full professor of the Basic Nursing Department at EEUFMG, Minas Gerais, Brazil.
    Search for more papers by this author

thherdman@gmail.com, with a copy to the Editor: journal@nanda.org

Abstract

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.

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