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    Assessment-Checklist Ears

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    JL Rebese
    The document is a performance evaluation checklist for assessing ears in nursing students. It contains sections for collecting data on a patient's ear symptoms, history, and lifestyle through interview. It also lists physical assessment skills for inspecting the external ear, performing otoscopic examination of the ear canal and eardrum, and conducting hearing and equilibrium tests including whisper, Weber, Rinne, and Romberg tests. The checklist is used to evaluate students' ability to independently perform or perform with assistance the assessment procedures and analyze the collected data.

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    Assessment-Checklist Ears

    Uploaded by

    JL Rebese
    52 views2 pages
    The document is a performance evaluation checklist for assessing ears in nursing students. It contains sections for collecting data on a patient's ear symptoms, history, and lifestyle through interview. It also lists physical assessment skills for inspecting the external ear, performing otoscopic examination of the ear canal and eardrum, and conducting hearing and equilibrium tests including whisper, Weber, Rinne, and Romberg tests. The checklist is used to evaluate students' ability to independently perform or perform with assistance the assessment procedures and analyze the collected data.

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    Assessment-Checklist_Ears

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    The document is a performance evaluation checklist for assessing ears in nursing students. It contains sections for collecting data on a patient's ear symptoms, history, and lifestyle through interview. It also lists physical assessment skills for inspecting the external ear, performing otoscopic examination of the ear canal and eardrum, and conducting hearing and equilibrium tests including whisper, Weber, Rinne, and Romberg tests. The checklist is used to evaluate students' ability to independently perform or perform with assistance the assessment procedures and analyze the collected data.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    52 views2 pages

    Assessment-Checklist Ears

    Uploaded by

    JL Rebese
    The document is a performance evaluation checklist for assessing ears in nursing students. It contains sections for collecting data on a patient's ear symptoms, history, and lifestyle through interview. It also lists physical assessment skills for inspecting the external ear, performing otoscopic examination of the ear canal and eardrum, and conducting hearing and equilibrium tests including whisper, Weber, Rinne, and Romberg tests. The checklist is used to evaluate students' ability to independently perform or perform with assistance the assessment procedures and analyze the collected data.

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    Republic of the Philippines

    UNIVERSITY OF EASTERN PHILIPPINES


    University Town, Northern Samar
    Web: http://uep.edu.ph Email: uepnsofficial@gmail.com

    COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

    PERFORMANCE EVALUATION CHECKLIST


    ASSESSING EARS

    ABLE TO ABLE TO UNABLE


    PROCEDURE PERFORM PERFORM WITH TO
    (2) ASSISTANCE PERFORM
    (1) (0)
    Nursing Interview Guide to Collect Data from the Client
    Current Symptoms
    1. Recent changes in hearing (if yes, were all or
    just some sounds affected)?
    2. Ear discharge (if yes, amount/odor)?
    3. Ear pain (if yes, is there accompanying sore
    throat, sinus infection, or problem with teeth or
    gums)?
    4. Ringing or crackling in ears?
    Past History
    1. Previous ear or hearing problem such us
    infections, trauma, or earaches (medications,
    surgery , hearing aids)?
    Family History
    1. Family history of ear problems or hearing loss?
    Lifestyle and health Practices
    1. Live work around frequent or continuous loud
    noise?
    2. Use of ear protection from noise or while in
    water?
    3. Has hearing loss affected ability to work or
    care for self or noise?

    PERFORMING PHYSICAL ASSESSMENT OF THE EARS


    External Ear Structures
    1. Inspect the auricle, tragus, and lobule for size
    and shape, position, lesions/ discoloration, and
    discharge.
    2. Palpate the auricle and mastoid process for
    tenderness.
    Otoscopic Examination
    1. Inspect the external auditory canal with the
    otoscope for discharge, color and consistency
    of cerumen, color and consistency of canal
    walls, and modules.
    2. Inspect the tympanic membrane, using the
    otoscope, for color and shape, consistency,
    and landmarks.
    PHYSICAL ASSESSMENT GUIDE TO COLLECT OBJECTIVE CLIENT DATA
    3. Have the client perform the Valsalva
    maneuver, and observe the center of the
    tympanic membrane for a flutter. (Do not do
    this procedure on an older client, as it may
    interfere with equilibrium and cause dizziness.)
    Hearing and Equilibrium Test
    1.Perform the whisper test by having the client
    place a finger on the tragus of one ear.
    Whisper a two-syllable word 30.4-60.9 cm (1-
    2ft) behind the client. Repeat on the other ear.
    2. Perform the weber test by using a tuning fork
    placed on the center of the head or forehead
    and asking whether the client hears the sound
    better in one ear or the same in the both ears.
    3. Perform the Rinne test by using a tuning fork
    and placing the base on the client’s mastoid
    process. When the client no longer hears the
    sound, note the time interval, and move it in
    front of the external ear. When the client no
    longer hears a sound, note the time interval.
    4. Perform the Romberg test to evaluate
    equilibrium. With feet together and arms at the
    side, close eyes for 20 seconds. Observe for
    the swaying.
    Analysis of Data
    1. Formulate nursing diagnoses (wellness, risk,
    actual)
    2. Formulate collaborative problems.
    3. Make necessary referrals.

    Remarks: ______________________________________________________________________

    Grade: ________

    _______________________ __________________
    Clinical Instructor Student’s Signature

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