00277 Ineffective Self -Management Of Ocular Dryness

Domain 11: security/protection
Class 2: physical injury
Diagnostic Code: 00277
Nanda label: ineffective self -management of ocular dryness
Diagnostic focus: self -management of ocular dryness
approved 2020 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « ineffective self -management of ocular dryness is defined as: unsatisfactory management of symptoms, treatment, physical, psychic and spiritual consequences and changes in lifestyle inherent in inherent lifestyle Live with an inadequate Lacrimal movie.

Definite characteristics

Ocular dry signs

  • Boigs
  • Conjunctival hyperemia
  • Epiphora
  • Filamentous keratitis
  • Keratoconjuntival spots when applying fluorescein
  • Low production of tears according to the Schimer I
  • Test

  • Mucous plates

Ocular dryness symptoms

  • Express dissatisfaction with the quality of life
  • Informs blurred vision
  • Informs ocular fatigue
  • Informs ocular burning sensation
  • Informs a feeling of ocular dryness
  • Informs strange body sensation in the eyes
  • Informs a feeling of ocular pruritus
  • Informs sand sensation in the eyes


  • Difficulty in caring for the eyelids
  • Difficulty in reducing caffeine consumption
  • Inadequate maintenance of air humidity
  • Inappropriate use of the eyelid enclosure device
  • Inappropriate use of prescribed medication
  • Inappropriate use of contact lenses
  • Inappropriate use of fans
  • Inappropriate use of the hair dryer
  • Inappropriate use of moisture camera glasses
  • Lack of attention to the signs of ocular dryness
  • Lack of attention to the symptoms of ocular dryness
  • Lack of attention to passive smoker
  • Insufficient daily intake of omega-3 fatty acids
  • Insufficient daily intake of vitamin A
  • Insufficient fluid intake
  • No adherence to the recommended flickering exercises
  • No adherence to the recommendation to rest your eyes
  • Use of products with Benzalconium chloride preservatives

Related factors

  • Cognitive dysfunction
  • Contradictory demands
  • Contradictory lifestyle preferences
  • Conflict between health behaviors and social norms
  • Decreased perception of quality of life
  • Difficulty accessing community resources
  • Difficulty in managing a complex therapeutic regime
  • Difficulty in handling in complex health systems
  • Difficulty in decision making
  • Inadequate implication in an action plan
  • Inadequate health literacy
  • Inappropriate knowledge about the treatment regime
  • Inappropriate number of indications for action
  • Inappropriate role models
  • Inadequate social support
  • Limited ability to perform some aspects of treatment
  • Low self -efficacy
  • Negative feelings towards the therapeutic regime
  • No acceptance of a problem
  • Obstacle perception of the therapeutic regime
  • Perception of a social stigma associated with a problem
  • Non -realistic perception of the severity of the situation
  • Non -realistic perception of susceptibility to sequels
  • Non -realistic perception of the benefits of treatment

Risk population

  • Children
  • People at economic disadvantage
  • People who experience prolonged hospitalization
  • People with a history of ineffective personal health management
  • People with limited experience in decision making
  • People with low educational level
  • Older adults
  • Women who experience menopause

Associated problems

  • allergies
  • Autoimmune diseases
  • Chemotherapy
  • Disabilities of development
  • Guest graft disease
  • Incomplete closure of the eyelids
  • Leukocytosis
  • Metabolic diseases
  • Neurological lesion with loss of the motor reflex
  • Neurological lesion with loss of sensory reflex
  • Oxygen therapy
  • Pharmacological preparations
  • Proptosis
  • Radiation therapy
  • Reduction of the volume of tears
  • Surgical procedures