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Nursing Interventions for Adult Intensive
Care Patients With Risk for Corneal Injury:
A Systematic Reviewijnk_1218 25..29
Andreza Werli-Alvarenga, RN, MS, Flแvia Falci Ercole, RN, MS, PhD, T. Heather Herdman, RN, MS, PhD, andTโnia Couto Machado Chianca, RN, MS, PhD
Andreza Werli-Alvarenga, RN, MS, is a hospital infection specialist and coordinator nurse in the Adult Intensive Care Unit atRisoleta Tolentino Neves University Hospital, Belo Horizonte, Minas Gerais, Brazil, and a Master and doctoral student at theCollege of Nursing at Federal University of Minas Gerais (EEUFMG), Minas Gerais, Brazil, Flแvia 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 Sใo Paulo, Brazil, and the executive director,NANDA International, Kaukauna, Wisconsin, and Tโnia Couto Machado Chianca, RN, MS, PhD, is full professor of the Basic Nursing Department at EEUFMG, Minas Gerais, Brazil.
Search terms:
Corneal ulcer, intensive care unit,nursing, nursing diagnosis,prevention
Author contact: thherdman@gmail.com,with a copy to the Editor:journal@nanda.org
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.
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