Nursing Diagnosis and Nursing Intervention

Showing posts with label Acute Otitis Media. Show all posts
Showing posts with label Acute Otitis Media. Show all posts

Nursing Care Plan for Acute Otitis Media

Nursing Care Plan for Acute Otitis Media
Nursing Care Plan for Acute Otitis Media

Nursing Diagnosis for Acute Otitis Media and Nursing Interventions for Acute Otitis Media

Nursing Assessment for Acute Otitis Media
  • Assess the presence of pain behaviors: verbal and non-verbal.
  • Assess the increase in temperature (an indication of the infection process).
  • Assess the presence of enlarged lymph nodes in the neck area.
  • Assess nutritional status and adequacy of fluid intake of calories.
  • Assess the possibility of deafness.

Nursing Diagnosis for Acute Otitis Media
  1. Acute Pain related to inflammation of the middle ear tissue.
  2. Disturbed Sensory Perception: auditory conductive disorder related to the sound of the organ.

Nursing Interventions for Acute Otitis Media

1. Acute Pain related to inflammation of the middle ear tissue.

Purpose: The reduction in pain.

Intervention:
  • Assess the level of intensity of the client and client's coping mechanisms.
  • Give analgesics as indicated.
  • Distract the patient by using relaxation techniques: distraction, guided imagination, touching, etc..

2. Disturbed Sensory Perception: auditory conductive disorder related to the sound of the organ.

Purpose: to improve communication

Intervention:
  • Reduce noise in the client environment.
  • Looking at the client when speaking.
  • Speaking clearly and firmly on the client without the need to shout.
  • Provide good lighting when the client relies on the lips.
  • Using the signs of non-verbal (eg facial expressions, pointing, or body movement) and other communications.
  • Instruct family or the people closest to the client on how techniques of effective communication so that they can interact with clients.
  • If the client wants, the client can use hearing aids.

Pathophysiology of Acute Otitis Media

Pathophysiology of Acute Otitis Media
Pathophysiology of Acute Otitis Media
Pathophysiology of Acute Otitis Media

Acute otitis media is often preceded by respiratory tract infections such as sore throats / colds that spread to the middle ear through the eustachian channel.

When the bacteria through the eustachian, the bacteria can cause infections of the channel. So that there was swelling around the channel, channel blockage, and the coming of the white blood cells to fight bacteria.

White blood cells will fight the bacterial cells at the expense of their own, at least to form pus in the middle ear. Tissue swelling around the eustachian cells causes mucus produced when cells multiply mucus and pus, hearing can be impaired because the eardrum and small bones connecting the ear drum with the hearing organ in the inner ear to move freely. Too much fluid, finally able to tear the eardrum because of the pressure.
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