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Pull down lower lid gently. Have patient look up to forehead. Drop med in"sack" you just formed with lower lid. The problem with putting med in inner canthus is that the tear duct is situated there and the med will have a tendency to be absorbed systemically and will not be treating the eye itself. Sometimes I have the patient press gently over the tear duct while we count to three. I can do it for someone else but cannot BEAR drops in my own eye. Go figure.
It is a challenge in LTC with resistive clients with eye drop meds. I try the "sneak" method when approaching the very uncooperative. I will wait until they are reclining and call their name just as i squeeze out the first drop and they open eyes in response and the drop goes in. The Pt will usually be awake and resistive after the first drop so I wait and come back if the other eye needs a drop too and repeat.
Elektra6, ASN, BSN, RN
590 Posts
New grad in LTC. We give LOTS of eyedrops for glaucoma and Tears for lubrication. The patients who are not as oriented all squeeze their eyes shut as soon as I try to put them in! I have tried pulling lids up, down, etc., the drops still run out! Any tips would be appreciated! Thanks in advance.