Discharge And Home Healthcare Guidelines

Be sure the patient understands all medications, including dosage, route, action, adverse effects, and need for postoperative evaluation, usually the next day, by the eye surgeon. Review installation technique of eye drops into the conjunctival sac. Teach the patient to avoid over-the-counter medications, particularly those with aspirin.

Instruct the patient to report any bleeding, yellow-green drainage, pain, visual losses, nausea, vomiting, tearing, photophobia, or seeing bright flashes of light. Instruct the patient to avoid activities that increase intraocular pressure such as bending at the waist, sleeping on the operative side, straining with bowel movements, lifting more than 15 pounds, sneezing, coughing, or vomiting. Instruct the patient to wear a shield over the operative eye at night to prevent accidental injury to the eye during sleep and to wear glasses during the day to prevent accidental injury to the eye while awake. Recommend that the patient avoid reading for some time after surgery to reduce eye strain and unnecessary movement so that maximal healing occurs.

Advise the patient not to shampoo for several days after surgery. The face should be held away from the shower head with the head tilted back so that water spray and soap avoid contact with the eye.

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