Nursing Care Plan for Meniere's Disease- Risk for Injury
The exact cause of Meniere's disease is unknown. It may occur when the pressure of the fluid in part of the inner ear gets too high.
In some cases, Meniere's disease may be related to:
- Head injury
- Middle or inner ear infection
Other risk factors include:
- Alcohol use
- Family history
- Recent viral illness
- Respiratory infection
- Use of certain medications
Risk for Injury : At risk of injury as a result of environmental conditions interacting with the individual’s adaptive and defensive resources
Nursing Diagnosis : Risk for Injury related to altered mobility because of gait disturbance and vertigo
Goal: Keep free from injuries related to an imbalance and / falls
- Not to fall due to impaired balance.
- Fear and anxiety is reduced.
- Conduct training in accordance with the provisions.
- Identify the nature of feeling full or feeling pressure in the ear that happens before the attack.
- Immediately perform a horizontal position when dizzy.
- Keep the head remained silent when dizzy.
- Use prescription drugs as well.
- Report an effort to reduce vertigo.
Intervention and Rational:
1. Assess vertigo which includes history, onset, description of the attack, duration, frequency, and the presence of symptoms related ear hearing loss, tinnitus, a feeling of fullness in the ear.
Rationale: History provide the basis for further intervention.
2. Assess the extent of disability in connection with the activities of daily living.
Rationale: The extent of disability lowers the risk of falling.
3. Teach vestibular therapy or stress / balance in accordance with the provisions.
Rationale: This exercise can speed up the compensation maze reduce vertigo and impaired way street.
4. Give or teach how anti-drug or vertigo and vestibular sedatives and give instructions to patients about the side effects.
Rationale: Eliminate the symptoms of acute vertigo.
5. Encourage the patient to lie down if feeling dizzy, with fence bed is raised.
Rationale: Reduces the possibility of falls and injuries.
6. Put a pillow on both sides to limit motion fist.
Rationale: Move will aggravate vertigo.
7. Help patients locate and determine the aura (the aural symptoms) that precedes the occurrence of any attack.
Rationale: The introduction of the aura can help determine when the need for drugs before the attack so as to minimize the severity of the effects.
8. Instruct the patient to keep open his eyes and looked straight ahead while lying down and experiencing vertigo.
Rationale: The feeling of vertigo and reduced eye movement when experiencing decelerations remained on guard in a fixed position.