WORKSHEET IN NCM 109: LECTURE

NURSING CARE OF A FAMILY WHEN A CHILD HAS A VISION OR HEARING DISORDER

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1. Anatomy & Physiology of the Eyes.

OUTER LAYER MIDDLE LAYER INNER LAYER

Name of Structure Functio Name of Structure Function Name of Structure Functio
n n

2. Disorders that interfere with Vision.

Disorder Description Assessment Treatment & Nursing

findings Management
1. Myopia
2. Amblyopia
3. Strabismus
4. Congenital
Glaucoma
5. Cataract

3. Please list at least three Nursing Diagnosis for each patient

Chief Complaint
1. A 12-year old diagnosed with Astigmatism
2. 6-year old with Stye
3. 10-year old with Keratitis
4. 8-year old with a piece of barbeque stick inside the eyeball
5. 11-year old with a black eye after a quarrel with playmate

4. Prepare your discharge instructions for a 6-year old child who has undergone surgery removing a
Chazalion from her eyelid.

5. Anatomy & Physiology of the Ears

OUTER EAR MIDDLE INNER EAR

Name of Structure Functio Name of Structure Functio Name of Structure Function
n n

6. Illustrate how a hearing aid and cochlear implant works.

7. Enumerate the key points of your discharge instructions to the family with a child who is hearing
challenged.
 Always allow hearing-challenged children to see you before you touch them as they will not find this
nearly as intrusive as being touche without warning.
 If children are sleeping when you approach them, use a light touch to waken them gently.
 Some children turn off their hearing aid or remove it while they sleep. You may need to turn it on before
you call them to wake them, or they may need to replace the hearing aid as soon as they awaken.
 Children as young as 2 years of age are effective lip readers as long as you are facing them. Position
yourself at eye level, so the child can view your face.
 Ask parents of children who are hearing challenged to draw pictures or demonstrate the sign language
symbols their children use for important words such as pain, drink, and bathroom. Encourage children to
use or draw pictures of what they want if they are still too young to write words and you cannot understand
what they are saying.
 Use photographs, drawings, or demonstration with hearing-challenged children to help them learn new
 skills. Contact a signing interpreter as appropriate to be certain that children understand instructions.
 Ask the family to investigate home safety measures that protect the hearing-impaired child from
inadvertent injury.

8. Disorders of the Ear

Disorder Description Etiology Assessment Treatment & Nursing

findings Management
1. External Otitis
2. Acute Otitis
Media
3. Otitis Media with
Effusion