Gordons Functional Health Laboratory Therapeutic Nursing Care

Health Pattern Assessment or and Management Management

Physical Diagnostics
Examination Studies

Subjective Data: Objective Data Laboratory Medical or Nursing

Findings Surgical Diagnosis
Management
CT-scan
Health perception Communication
Dili ko kadungog MRI Disturbed
enhancement:
Hearing loss sensory
hearing deficit
noted perception
:auditory
related to
inability to hear
sound
secondary to
acute otitis
Sleeping pattern externa
Irritable
Dili ko katarong ug tulog Sleeping pattern
Sleep altered related
restlessness
Enhancement to discomfort
during sleep.
Pain and Discomfort

sakit kayo
akong dunggan Redness of the Acute pain
Administer
middle ear noted related to
as verbalized analgesics as
inflammation of
prescribed for
middle ear
pain.
Food and fluid

Patient verbalizes pain in Altered

Administer
the ears upon chewing the Loss of appetite nutrition, less
food
food than body
supplements.
Complain of requirements
pain during related to
ingestion of feeling of pain
food. during chewing
food secondary
to otitis externa

SUMMARY OF SIGNIFICANT FINDING

 Impaired tissue
integrity related
to the disease
process of
otitis externa

Magbasa akong Discharge of Administer

dunggan as fluid in the antibacteria Risk for
verbalized. right ear l as infection related
noted prescribed to the disease
by the process of otitis
physician externa

PHSYCICAL EXAMINATION

Head to toe Inspection Palpation Percussion auscultation

ears reddening and Mastoid Mastoid

protruding of the tenderness is tenderness is
auricle with positive positive
swelling and
redness of the
skin covering the
soft tissues in the
right ear

PATHOPHYSIOLOGY
 Host: Agent: Environment
-AGE 25 years old -swimmer
-gender Staphylococcus
aureus

Disruption of the normal environment within the external auditory canal

typically precedes the inflammatory process.

Retained moisture, cleaning, or drying of ear canal removes protective layer of

cerumen, an acidic, water repellant substance with antimicrobial properties.

Its removal leavese the skin of the ear canal vulnerable to invation and
infection.

Signs and symptoms

Nursing management:
-ear pain
-itching and irritation in and
-Administer antibiotic as prescribed
around your ear canal
by the doctor.
-redness and swelling of your
- instruct patient to stay out of the
outer ear and ear canal
water until the acute inflammatory
-a feeling of pressure and
process is completely resolved.
fullness inside your ear
-do not insert cotton swab or other
-scaly skin in and around your
objects into the ear canal to dry it.
ear canal, which may peel of
This removes the protective layer of
-discharge from your ear, which
cerumen and may damge the sin o
can be either thin and watery
fht ecanal
or thick and pus-like
-use a drying agent in the canal after
-tenderness when you move
taking a bath.
your ear or jaw
-swollen and sore glands in
your throat
-some hearing loss

Hearing loss