Teaching to Prevent Recurrence of Otitis Media

Module 08 Written Assignment – Otitis Media

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Module 08 Content

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An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had respiratory infection a week ago. On physical examination, the tympanic membrane is bulging.

Answer the following questions:

1. 1. What else should you ask the client?
   2. What teaching would you reinforce to prevent the recurrence of otitis media?
   3. What expected outcomes would be specific to this situation?

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Module 08 Written Assignment – Otitis Media

1. Additional Questions to Ask the Client:
   • Medical History: Inquire about any history of ear infections or otitis media, including frequency and severity.
   • Current Symptoms: Ask about the nature of the ear pain (e.g., sharp, dull), any associated symptoms such as fever, hearing loss, or drainage from the ear.
   • Previous Treatment: Determine if the client has taken any medication for the current symptoms and if it provided any relief.
   • Allergies: Inquire about any known allergies, especially to medications, as this may impact treatment options.
   • Recent Activities: Ask about recent activities that might have contributed to the ear infection, such as swimming or exposure to cigarette smoke.
2. Teaching to Prevent Recurrence of Otitis Media:
   • Avoidance of Irritants: Educate the client and her caregivers about avoiding exposure to cigarette smoke, as it can irritate the respiratory tract and increase the risk of ear infections.
   • Prompt Treatment of Respiratory Infections: Emphasize the importance of seeking medical attention promptly for respiratory infections to prevent secondary complications like otitis media.
   • Good Hygiene Practices: Reinforce the importance of good hygiene practices, such as frequent handwashing, to reduce the spread of respiratory infections.
   • Swimming Precautions: Advise wearing earplugs while swimming to prevent water from entering the ear canal, which can predispose to otitis media.
   • Regular Medical Check-ups: Encourage regular medical check-ups to monitor for any underlying conditions predisposing to recurrent ear infections.
3. Expected Outcomes Specific to This Situation:
   • Resolution of Pain: The primary goal is the relief of ear pain and discomfort experienced by the client.
   • Resolution of Infection: Successful treatment should result in the resolution of the underlying infection, as evidenced by improvement in symptoms and physical examination findings.
   • Prevention of Complications: Preventing complications such as hearing loss or chronic otitis media is crucial. Thus, an expected outcome would be the absence of complications post-treatment.
   • Prevent Recurrence: Education provided should lead to a reduced risk of recurrence through implementing preventive measures effectively.
   • Improved Quality of Life: Ultimately, the expected outcome is an improved quality of life for the client, with the resolution of symptoms and the ability to engage in daily activities without discomfort.