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Assessing the EARS and HEARING

Charmaine Rose Jean L. Bayan BSN 1-C

Preparation:
Assemble equipments and supplies: Otoscope (with several sizes and ear specula) Gloves

Procedure
1. EXPLAIN
What you are going to do Why is it necessary How he can cooperate

2. WASH HANDS, OBSERVE APPROPRIATE INFECTION CONTROL PROCEDURES 3. PROVIDE CLIENTS PRIVACY 4. DETERMINE CLIENTS HISTORY Family history of hearing problems or loss Presence of ear problems Medication history Hearing difficulty Use of corrective hearing device

5. POSITION THE CLIENT 6. ASSESSMENT

AURICLES
Inspect 1. Color 2. symmetry of size and position Palpate the auricles 1. Texture 2. Elasticity 3. Areas of tenderness

EXTERNAL EAR CANAL AND TYMPANIC MEMBRANE


(using otoscope): inspect external ear canal 1. For cerumen 2. Skin lesions 3. Pus 4. Blood Inspect the tympanic membrane 1. Color 2. gloss

GROSS HEARING ACUITY TESTS


Assess response to normal voice tones Perform the watch tick test Tuning fork test 1. Weber test 2. Rinne test

7.DOCUMENT FINDINGS

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