Please enable JavaScript.
Coggle requires JavaScript to display documents.
IMPACTED SERUMEN - Coggle Diagram
IMPACTED SERUMEN
NURSING CAREPLAN
NURSING DIAGNOSIS
- Change in sleeping patterns due to pain and altered comfort
- Loss of function of the ear manifested by patient reporting inability of hearing
NURSING MANAGEMENT
- Assess pain correctly to know which measures to take
Give prescribed analgesics to reduce pain
Reduce pain by compressing the external ear using warm substance
Assess the wax for color, consistency and smell and amount
Use ear wick to remove the wax and keep the ear dry
- Provide pen and pad for the patient if he or she is able to write so they can communicate
Use common sign language when communicating to the patient
Refer the patient to the audiologist for tests
Monitor ototoxin medication for any signs of hearing loss
Give serumen softener as prescribed or ear irrigation to remove excessive ear wax
Health education the patient not to use hair pins, match sticks, ear buds or any objects to clean ears as they may damage the external ear or tympanic membrane
PROBLEM
- Pain
- Inability to hear or loss of hearing
EXPECTED OUTCOMES
- No pain reported by the patient and the patient sleeps comfortably
Restore functions of the ear
-
PATHOPHYSIOLOGY
The impacted cerumen may trap bacteria in the medial ear canal that can cause an infection of the canal in the form of external otitis with symptoms of pain and drainage, with objective findings of foul-smelling debris, and redness and/or swelling of the ear canal skin.
CAUSES
- it can be caused by removing ear wax at home
- Using cotton swabs, bobby pins, or other objects in your ear canal can push wax deeper, creating a blockage
-
SIGNS AND SYMPTOMS
- Earache
- Feeling of fullness in the affected ear
- Ringing or noises in the ear (tinnitus)
- Decreased hearing in the affected ear
- Dizziness
- Cough