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PRESBYCUSIS yaya - Coggle Diagram
PRESBYCUSIS
DEFINITION
Hearing loss occurring gradually due to age.
CAUSES
Damage to the inner ear
Nerve cells send sound signals to the brain.
Sound signals to the brain are interrupted
Hearing loss occurs.
Transmission of electrical signals gets impaired.
Additional earwax buildup
Aging reduces hygiene maintenance.
Earwax builds up in the ear canal.
Conduction of sound waves gets interrupted.
Ear infection.
Abnormal bone and ear growths.
Tympanic membrane perforation
Due to exposure to loud sounds.
Due to sudden change in pressure
Due to irritation to the eardrum.
Degeneration of ear structures.
Some comorbidity medications
NURSING CARE PLAN
Nursing interventions
Place patient in a quite environment.
Use patient's language when conversing.
Face the patient before speaking.
Ensure that only one person talks with the patient at a time.
Identify patient's preferred method of communication
Give the patient to listen and respond.
Use gestures and facial expressions when conversing
Opt for written communication when misunderstood.
Never shout at the patient.
Book patient to an audiologist.
Evaluation
Improved verbal response
Nursing diagnosis
Lack of understanding simple statements and commands.
Lack of verbal responses during conversations.
MANAGEMENT
Installation of hearing aids to amplify sounds.
Cochlear implants to stimulate vestibulocochlear nerve.
Surgical drainage of the ears.
Removal of earwax buildup by suction.
Lip reading
CLINICAL MANIFESTATIONS
Withdrawal from conversations.
Avoiding social gatherings.
Asking people to repeat their statements.
Difficulty in hearing consonants.
Difficulty in understanding speech.
PATHOPHYSIOLOGY
Hair cells in the cochlea get damaged.
Nerve impulse transmission to the brain is altered.
Damage accumulate in the inner ear
Balance coordination is lost.
As person ages, tissues worn out
Brain fails to interpret impulses.
Also referred to as elder hearing
Hearing loss results.
DIAGNOSTIC TESTS
Whisper test to identify level of hearing loss.
Audiometer test conducted by audiologists.
Tuning-fork test to reveal source of injur.
App-based hearing tests for screening.
Physical examination to exclude infection and inflammation.
DIET
Omega 3 fats for its anti-aging effects.
Vitamin D for its anti-inflammatory properties.
Folic acid to facilitate new cell growth.
Zinc-rich foods to prevent ear infections
Potassium-rich foods to regulate endolymph fluid.
Magnesium-rich foods forming a protective barrier from loud sounds.
HEALTH EDUCATION
Avoid noisy places.
Request that people speak clearly but not loudly.
Directly face the person you're conversing with.
Directly face the person you're conversing with.
Patient is to inform their family and friends of their condition.
Grab attention of a person before conversing.
REFERENCES
http://m3.wyanokecdn.com/6be57f6ce45c5132de329f50de492337.pdf