Mixed hearing loss 
Care plan
Treatment
Symptoms
Pathophysiology
Definition
Reference
Is the damage that occurs on both outer and inner ear. The outer cannot conduct sound properly to the inner ear, and the inner ear cannot process the sound to be sent to the brain
Causes
Mixed may be caused by severe head injury with or without fracture of the skull or temporal bone, by chronic infection. It may also occur when a transient conductive hearing loss, commonly due to otitis media is superimposed on a sensorineural hearing loss
Tomurs
Earwax build up
Abnormal bone growth
Infection
Exposure to noise
Cochlear implant
Hearing aids
Antibiotics
Certain sounds
Roaring in the ears
Different at hearing loud sounds
Reduced hearing in one or both ears
Avoid changing topic without a warning
Avoid using slang words
Communication method must be noted that residents preferred
Establish eye contact
Do not speak on top of loudy noise
Tarshish Y, Leschinski A, Kenna M. Pediatric sudden sensorineural hearing loss: diagnosed causes and response to intervention. Int J pediatric otorhinolaryngol. 2013 Apr, 77(4):553-9.