6. ROLE OF PSW

ROLE OF PSW
1. INDIVIDUALITY

-PROVIDE FOR HOLISTIC CARE (PHYSICAL, EMOTIONAL, SPIRITUAL, SOCIAL, AND INTELLECTUAL)
-PROMOTE CLIENT'S RIGHT TO SELF DETERMINE OWN CARE
-PRIORITIZE CARE

2. ROLE
- BE ACCOUNTABLE AND PROMOTE CONFIDENTIALITY
- SET SAFETY PRIORITIES AND UNDERSTAND STRESS

3. INTERPERSONAL SKILLS
-EMPHATIZE AND RESPECT - promote DIPPS
-COMMUNICATE APPROPRIATELY
-BE ATTENTIVE AND SENSITIVE
-CLARIFY AND PARAPHRASE
-RESOLVE CONFLICT AND REDIRECT

4. SAFETY
-IDENTIFY SAFETY ISSUES AND RECTIFY
-CALL SURGEON, IF IN PAIN-ORR
-DON'T LET THE CLIENT DRIVE


from http://www.toonupsnippets.com/thumb-medical_art_washing_hands.gif.350.c.gif

 -HYGIENE
-OBSERVE, RECORD AND REPORT
-WASH EYELID GENTLY WITH COTTON PAD WITH LUKE-WARM WATER OR STERILE WATER
-WEAR SHIELD WHEN SHOWERING, BATHING OR HAIR WASHING FOR 1 WEEK.

5. MOBILITY
-ASSIST CLIENT WITH MOBILITY
-ASSIST IN RANGE OF MOTION EXERCISES
-OBSERVE GOOD BODY MECHANICS
-HELP CLIENT IN MOVING ABOUT, AS NEEDED (VISION IS BLURRED)
-DAY OF SURGERY, ARRANGE FOR A DRIVER OR CAB
-ACCOMPANY CLIENT TO AND FROM THE HOSPITAL OR STAY OVERNIGHT AFTER SURGERY
-GRADUALLY INCREASE ACTIVITIES



6. ABUSE



7. HOUSEHOLD MANAGEMENT
-HOUSEKEEPING
-GROCERY SHOPPING AND OTHERS

from http://www.gifninja.com/Workspace/aab25c31-d168-4e42-88d2-f1216228a632/output.gif

-PROPER STORAGE OF FOOD
-NUTRITIONAL NEEDS OF CLIENT
-EAT AS USUAL OR FOLLOW A DIABETIC DIET
-MONEY HANDLING AND RECORD KEEPING
-SAFE FOOD HANDLING
-FOLLOW A RECIPE AND PROPER ADJUSTMENTS
-SERVE APPEALING FOOD

8. OPTIMAL SUPPORT
-REHABILITATION, REGENERATION AND RESTORATION
-AGAIN HOLISTIC CARE
-ORR
-ARRANGE FOR FOLLOW-UP APPOINTMENTS EVEN BEFORE DISCHARGE
-REMIND TO LEAVE THE EYE SHIELD OR WEAR GLASSES TO PROTECT THE EYE (1-2WEEKS)
-SIT IN CHAIR TO PUT ON SHOES
-SLEEP ON BACK OR UNOPERATED SIDE FOR ONE WEEK
-DO NOT RUB OR BUMP EYE
-DO NOT PUT HEAD BELOW WAIST 2-3 DAYS WHEN BENDING OVER
-DO NOT LIFT HEAVIER THAN 20 LBS
-DO NOT GET CONSTIPATED (DIET)
-DO NOT SWIM, GOLF OR SPORTS


9. PERSONAL HYGIENE


from http://mysite.verizon.net/biztpr8o/bathingsanta.gif

 -ASSIST IN PERSONAL HYGIENE, AS NEEDED
-ON SURGERY, WEAR SHORT-SLEEVED SHIRT OR BLOUSE-PRESENT TWO CHOICES
-ASK CLIENT TO LEAVE VALUABLES AT HOME
-TELL CLIENT NOT TO WEAR PERFUME OR MAKE-UP
-REMIND TO BRING GLASSES OR SUNGLASSES

10. ASSIST THE FAMILY

11. ONGOING CONDITIONS
-KNOWLEDGE HOW THE BODY WORKS
-VITAL SIGNS
-DIABETES


12. ASSISTING IN MEDICATIONS
-NOTHING TO EAT AFTER MIDNIGHT THE NIGHT BEFORE SURGERY, UNLESS INSTRUCTED OTHERWISE
-REMIND PILLS ON MORNING OF SURGERY. DO NOT TAKE INSULIN, UNLESS TOLD SO. BRING INHALERS.
-ASSIST IN REMINDING
-AS LONG AS TAUGHT BY A QUALIFIED PERSON (RN OR Rx)
-ORR




GO TO: http://www.eyecataract.blogspot.com/

QUESTIONS?









DAY OF SURGERY
REMEMBER
from http://www.iveyeye.ca/patient/cataract.htm

• Do not eat or drink after midnight the night before your surgery, unless instructed otherwise.
• Take pills as instructed with a sip of water on morning of surgery.  Do not take insulin, unless told to do so.  Bring inhalers to hospital.
• Wear short-sleeved button front shirt or blouse.  No undershirts, pantyhose or girdles, please.
• Leave all jewellery (INCLUDING RINGS) and valuables at home.
• Do not use scented products (perfume, aftershave, powder, spray).  Do not use eye make-up or face make-up.
• Bring your glasses or sunglasses (including case) with you.
• Your driver must remain in the hospital during your stay.
• You must have a responsible adult take you home and stay with you overnight after surgery.

• Your family member or friend will be asked to wait in the waiting room before your surgery.
• Blood tests may be done before your surgery (i.e. blood sugar, if diabetic).
• Your blood pressure, pulse and temperature will be taken.
• Eye drops or gel will be put into your eye.
• An intravenous (IV) may be started.
• The nurse will review the post-operative instructions with you.
• You will be asked some questions by your nurse to be sure you are ready for your surgery.
• You will be taken to the operating room on a stretcher.

After Your Surgery

• You will return to the Cataract Suite for about 30 minutes
• Your eye may be covered with a shield.  You will be given your glasses to wear.
• If you are diabetic, we will check your blood sugar.  Medication will be given, if needed.
• You may be given a prescription for eye drops.  Start these eye drops, as instructed.
• You may have a follow-up appointment the same day as your surgery (depends on the surgeon).  You must have a responsible adult wait with you from the time you are discharged from the Cataract Suite/SDCU until after the appointment.

At Home

• You must have a responsible adult stay with you the night of surgery.
• Leave eye shield on or wear glasses to protect the eye.
• There will be some mucous and tears from the eye.  The eye may feel irritated or scratchy.
• Spend the rest of the day quietly.
• Take Acetaminophen (Tylenol) 325mg, 1-2 tablets every 4 hours for discomfort if needed.
• You may eat as usual.
• Resume your regular medication.  Start eye drops if instructed.
• Call your surgeon if you have severe pain.
• You cannot drive or operate mechanical equipment for 24 hours after surgery due to the medication you have been given.

DAY AFTER SURGERY

• Go to your eye surgeon as arranged.
• Bring glasses or sunglasses with you.
• Bring eye drops, if instructed.
• DO NOT DRIVE.
• Your surgeon will tell you when you may start to drive.

DISCHARGE INSTRUCTIONS FOLLOWING EYE SURGERY
Do

• Use prescribed eye drops, as instructed.
• Wear glasses or eye shield at all times to protect eye from injury, at least for 1-2 weeks.
• Wash your eyelid gently with a cotton makeup pad or clean facecloth with luke-warm tap water.  Wipe from the inside corner outward.  Your surgeon will discuss the use of sterile water if needed.
• Wear eye shield when showering, bathing or hair washing for one week.  Let the water hit your back not your face.
• Gradually increase your activity on the advice of your eye surgeon. 
• Sit in a chair to put on shoes.
• Sleep on back or unoperated side for 1 week.  Place a pillow between your knees to help avoid turning over during sleep.

Don’t

• Do not rub or bump the operated eye.
• Do not get water in the eye.
• Do not put your head down below your waist for 2-3 days when bending over.
• Do not strain or lift anything heavier than 20 lbs., for the first week, after surgery.
• Do not get constipated (causes straining).
• Do not swim, golf, or play contact sports until your eye surgeon says you can.

HOW TO PUT IN EYE DROPS

• Wash hands before and after putting in eye drops.
• Pull the lower eyelid down.
• Put the drop into the space between the lower eyelid and the eyeball as shown in the picture below.  If using more than one type of drop, wait 5 minutes between each bottle.
• Close your eye.
• Gently wipe away any drops or tears with Kleenex, from inside to outside corner of eye.

SPECIAL INSTRUCTIONS FROM YOUR EYE SURGEON
Contact your Eye Surgeon if:

• Your operated eye becomes very painful or swollen.
• There is an increase in mucous discharge.
• There is a decrease in vision in your operated eye.