Wednesday, August 8, 2012

Pathophysiology - Hearing Impairment

HEARING IMPAIRMENT

Hearing Impairment – described as mild, moderate, severe, or profound depending on the intensity of sound required for a person to hear it

Results from
  • Conducting hearing loss – mechanical problem in the external ear canal or middle ear that blocks the conduction of sound
  • Sensorineural hearing loss – damage to the sensory structures (hair cells) of the inner ear, auditory nerve pathways in the brain
Causes
  • Sensorineural hearing loss
    • aging- prebycusis
  • Conductive hearing loss
    • Choleastoma – non cancerous tumor caused by ear infection
    • Chronic middle ear fluid – otitis media with effusion
    • Middle ear infection – otitis media
    • Obstruction of External ear canal – obstruction is caused either by a wax, tumor or pus from an infection
    • Otosclerosis – bony growth of the ossicles
Prevention
  • Age related hearing loss and most other causes of hearing loss are not preventable
  • Noised induced hearing loss – can be prevented by
    • Limiting exposure to loud noise
    • The volume through headphones should always be kept at a reasonable level
    • Use of glycerin filled muffs or ear plugs – for occupational and firearm exposure

Pathophysiology - Mastoiditis

MASTOIDITIS
  • is a bacterial infection in the mastoid process, the prominent behind the ear
  • generally occurs secondary to otitis media
  • a collection of pus (abscess) may form in the bone
Symptoms
  • Fever
  • Anorexia
  • Vertigo
  • Headache and ear pain
  • Discharge from the ear
  • Tenderness over the mastoid
Therapeutic management
  • Antibiotics – eardrops or systemic cleaning of the ear
  • Surgical intervention – mastoidectomy,  tympanoplasty
Nursing Management
  • Obtain specimen of exudates if present for culture and sensitivity
  • Instruct client to seek treatment for ear infections
  • Administer prescribed antibiotics
  • Instruct client on how to administer eardrops