1. The client/caregiver can define otitis media.
    1. The middle ear is an air space containing three small bones (malleus, incus, and stapes).
    2. The Eustachian tube connects the middle ear cavity with the throat. In children, this tube is short and horizontal. Transmission of infection to the middle ear is common.
    3. Otitis media is a bacterial or viral infection in the middle ear.
  2. The client/caregiver can list common signs to watch for when considering otitis media.
    1. Unusual irritability
    2. Difficulty sleeping
    3. Tugging or pulling at one or both ears
    4. Fever
    5. Fluid draining from the ear
    6. Loss of balance
    7. Signs of hearing difficulty
      • Unresponsiveness to quiet sounds
      • Sitting too close to the television
      • Being inattentive
  3. The client/caregiver can list measures to prevent or manage otitis media.
    1. Avoid contact with sick playmates.
    2. Avoid environmental tobacco smoke.
    3. Children who nurse from a bottle while lying down appear to develop otitis media more often.
    4. Take medication as ordered and complete all medication cycle.
  4. The client/caregiver can list possible complications from otitis media.
    1. Infection can spread to the brain, if untreated.
    2. Hearing loss, possible permanent
    3. Interfere with speech and language development

Resources

American Speech-Language-Hearing Associationwww.asha.org

References

Cohen, B. J., & Taylor, J. J. (2005). Memmler’s the human body in health and disease (10th ed.). Philadelphia: Lippincott Williams & Wilkins.Perry, A., & Potter, P. (2006). Clinical nursing skills & technique. St. Louis: Mosby Inc.Timby, B. K., & Smith, N. C. (2003). Introductory medical-surgical nursing (8th ed.). Philadelphia: J. B. Lippincott

Credits

Client Teaching Guides for Home Health Care, 2nd ed.© 2008 Jones and Bartlett Publishers, Inc.www.jbpub.com

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