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In the boxes, describe your findings. Do not use the word “Normal” or approximations of it, such as N/A, expected, etc. State what you found using terminology appropriate for the area. See the textbook for appropriate wording. If there are no signs or symptoms of any problems, for instance, it would be appropriate to write: Denies tenderness, pain, and paresthesia; no lesions or breakdown observed. No evidence of pathology noted.Then proceed to describe what you assess in terms of observation, (auscultation and percussion are not used in ear assessment) and palpation. Weber and Kelley’s textbook has a helpful guide with pictures and verbiage you may find helpful: Assessment Guide 17-1, in the chapter on ear assessment (note especially the textbook verbiage in the center and right columns. You may use textbook terminology in this class because it is expected. Do not use the findings of other students since Safe Assign will flag the wording of other students as plagiarism. Many videos are also available to assist you. There is one on Blackboard in the current module, and YouTube has a number of them as well. Current Symptoms: Ears External Ear Structures 1. Inspect the auricle, tragus, and lobule for size and shape. Describe position, lesions/discoloration, and discharge. 2. Palpate the auricle and mastoid process. Describe symptomatology or tenderness. Otoscopic Examination 3. Inspect the external auditory canal with the otoscope for discharge, color and consistency of cerumen, color and consistency of canal walls, and nodules. (Address each of these items.) 4. Inspect the tympanic membrane, using the otoscope, for color and shape, and landmarks. 5. Have the client perform the Valsalva maneuver, and observe the center of the tympanic membrane for a flutter, which may or may not be present. (Do not do this procedure on an older client, as it may interfere with equilibrium and cause dizziness.)

In the boxes, describe your findings.  Do not use the word “Normal” or approximations of it, such as N/A, expected, etc.  State what you found using terminology appropriate for the area.  See the textbook for appropriate wording.  If there are no signs or symptoms of any problems, for instance, it would be appropriate to write:  Denies tenderness, pain, and paresthesia; no lesions or breakdown observed.  No evidence of pathology noted.Then proceed to describe what you assess in terms of observation, (auscultation and percussion are not used in ear assessment) and palpation.  Weber and Kelley’s textbook has a helpful guide with pictures and verbiage you may find helpful:  Assessment Guide 17-1, in the chapter on ear assessment (note especially the textbook verbiage in the center and right columns.  You may use textbook terminology in this class because it is expected.  Do not use the findings of other students since Safe Assign will flag the wording of other students as plagiarism.  Many videos are also available to assist you.  There is one on Blackboard in the current module, and YouTube has a number of them as well.

Current Symptoms: Ears
External Ear Structures
  1. Inspect the auricle, tragus, and lobule for size and shape.  Describe position, lesions/discoloration, and discharge.
  2. Palpate the auricle and mastoid process.  Describe symptomatology or tenderness.
Otoscopic Examination
  3. Inspect the external auditory canal with the otoscope for discharge, color and consistency of cerumen, color and consistency of canal walls, and nodules. (Address each of these items.)
  4. Inspect the tympanic membrane, using the otoscope, for color and shape, and landmarks.
  5. Have the client perform the Valsalva maneuver, and observe the center of the tympanic membrane for a flutter, which may or may not be present. (Do not do this procedure on an older client, as it may interfere with equilibrium and cause dizziness.)

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