Hearing Impairment
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| Table 18-3 Decibel Levels of Everyday sounds. Category: Faint. Give decibel Level(s) and Examples. Pg.1300 | Decibel: 20=Leaves
Decibel: 30=Quiet library, Whisper
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| Table 18-3 Decibel Levels of Everyday sounds. Category: Moderate. Give decibel Level(s) and Examples. Pg.1300 | Decibel:50=Moderate rainfall
Decibel: 60=Dishwasher, Clothes dryer, Normal conversation
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| Table 18-3 Decibel Levels of Everyday sounds. Category: Very loud. Give decibel Level(s) and Examples. Pg.1300 | Decibel: 70= Alarm clock
Decibel:80-90= Hair dryer, food processor, snow blower
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| Table 18-3 Decibel Levels of Everyday sounds. Category: Extremely loud. Give decibel Level(s) and Examples. Pg.1300 | Decibel: 90=motorcycle
Decibel: 106=Snow blower, Gas-powered lawn mower, sporting event
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| Table 18-3 Decibel Levels of Everyday sounds. Category: Painful. Give decibel Level(s) and Examples. Pg.1300 | Decibel: 120=Siren
Decibel: 124=Maximum volume of MP3 ear buds, MRI scanner
Decibel: 140= Jet engines, firearms
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| Table 18-4. Ototoxic Medications. What are some examples of Aminoglycosides? Pg.1300 | Tobramycin, Gentamicin, Amikacin
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| Table 18-4. Ototoxic Medications. What are some examples of Aminoglycosides Uses? Pg.1300 | Used: treatment of advanced bacterial infections & TB.
Hearing loss: more likely to occur in pts with renal disease or previous hearing difficulty
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| Table 18-4. Ototoxic Medications. What are some examples of Loop Diuretics? Pg.1300 | Bumex, Lasix
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| Table 18-4. Ototoxic Medications. What are some examples of Loop Diuretics Uses? Pg.1300 | Used: Diuretics that affect the loop of henle in the kidney
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| Table 18-4. Ototoxic Medications. What are some examples of Nonsteroidal Anti-Inflammatory Drug(NSAIDs)? Pg.1300 | Ibuprofen, Naproxen, Salicylates
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| Table 18-4. Ototoxic Medications. What are some examples of Nonsteroidal Anti-Inflammatory Drug(NSAIDs) Uses? Pg.1300 | Used: Most commonly used drugs, Used for antipyretics, analgesic, anti-inflammatory agents, & antiplatelet effects.
Ototoxic effects likely to occur with higher doses.
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| At what decibel can hearing loss occur? Pg.1300 | 85db
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| The use of what puts young children at a higher risk of hearing loss? Pg.1300 | ear buds and head phones
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| What are some warning signs that auditory damage has occurred? Pg.1300 | inability to hear another individuals voice from a distance of 3ft away, muffled sound perception, ringing in ears, or ear pain
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| What medication is used in the treatment of many solid cancerous tumors, are most ototoxic, & are widely prescribed? Pg 1300 | Platinum coordination complexes (cisplatin)
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| What does conductive hearing loss involve? Pg.1300 | An equal loss at all sound frequencies
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| What does sensorineural hearing loss involve? Pg.1300 | Typically affects the ability to hear high-frequency tones more than low-frequency tones
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| What populations are affected by hearing loss? Pg.1301 | Caucasians are twice as likely than African Americans to have hearing loss. Hispanics are less likely than Non-Hispanics to have difficulty hearing.
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| Hearing loss of the presbycusis is considered which type of hearing loss? Conductive or Sensorineural. Pg. 1300 | Sensorineural
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| How might a person with presbycusis hearing loss be labeled by family? Pg.1300-1301 | unsociable, paranoid, increasingly forgetful, absentminded, "senile"
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| What might an older adult exhibit if he/she suffers with hearing loss? Pg.1301 | Depression, confusion, inattentiveness, tension, negativism
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| Table. Clinical Manifestations & Therapies: Hearing Impairment. What are the clinical manifestations of Conductive hearing loss? Pg.1301 | Equal loss of hearing at all sound frequencies
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| Table. Clinical Manifestations & Therapies: Hearing Impairment. What are the Clinical therapies of Conductive hearing loss? Pg.1301 | Hearing aid, Treatment of underlying causes such as otitis media, Steroids and/or decongestants to reduce inflammation, Surgery
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| Table. Clinical Manifestations & Therapies: Hearing Impairment. What are the clinical manifestations of Sensorineural hearing loss? Pg.1301 | Decreased ability to hear high-frequency tones more than low-frequency tones. Difficulty discriminating speech
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| Table. Clinical Manifestations & Therapies: Hearing Impairment. What are the Clinical therapies of Sensorineural hearing loss? Pg.1301 | Cochlear implant
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| Table. Clinical Manifestations & Therapies: Hearing Impairment. What are the clinical manifestations of Presbycusis? Pg.1301 | Cognitive and affective manifestations such as confusion, forgetfulness, depression, poor health, reduced mobility, withdrawal, signs of impaired hearing, such as cupping a hand around the ear
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| Table. Clinical Manifestations & Therapies: Hearing Impairment. What are the Clinical therapies of Presbycusis? Pg.1301 | Hearing aid, Steroids or decongestants
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| Table. Clinical Manifestations & Therapies: Hearing Impairment. What are the clinical manifestations of Tinnitus? Pg.1301 | Buzzing, roaring, or ringing in the ears (mechanism not fully understood; etiology varies to include noise, ototoxicity, infection, inflammation, or underlying conditions like Meniere disease)
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| Table. Clinical Manifestations & Therapies: Hearing Impairment. What are the Clinical therapies of Tinnitis? Pg.1301 | Treat underlying cause, Tinnitus maskers such as ambient noise
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| Is Tinnitus associated with conductive or sensorineural? Pg.1301 | Both
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| What are the most common drug-related ototoxic medications? Pg.1301 | Salicylate, Quinine, Quinidine
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| Table 18-5. Communication Techniques for Clients Who Have Hearing Impairment. Describe Cued Speech. Pg.1304 | Supplement to lip reading, Eight hand shapes represent groups of consonant sounds and four positions about the face represent groups of vowel sounds
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| Table 18-5. Communication Techniques for Clients Who Have Hearing Impairment. Describe Oral approach. Pg.1304 | Uses only spoken language for face-to-face communication, Avoids use of formal signs; uses hearing aids and residual hearing
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| Table 18-5. Communication Techniques for Clients Who Have Hearing Impairment. Describe Total communication. Pg.1304 | Uses speech and sign, finger-spelling, lip reading, and residual hearing simultaneously, Clients selects communication technique depending on the situation
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| Table 18-5. Communication Techniques for Clients Who Have Hearing Impairment. Describe Sign language. Pg.1304 | A separate language that allows the user to communicate quickly and accurately with others who understand signs, The signs or hand movements represent words or concepts
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| What devices might aid in promoting concentration and rest in a client with tinnitus? Pg.1304 | white or pink noise masking device, make a pleasant sound to the affected ear, allowing the client to block out the abnormal sound
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| What are some nursing diagnosis for hearing impairment? Pg.1304 | o Risk for Injury
o Impaired Verbal Communication
o Social Isolation
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| When planning for a patient with a hearing impairment what are some appropriate outcomes? Pg.1304 | Remain free from injury, Use hearing protection gear, No further hearing loss, find best method to communicate, Client will continue to be involved in community & not become isolated
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| How can a nurse promote optimal wellness with a client diagnosed with hearing loss? Pg.1304 | Encourage client to talk about loss of hearing, Provide info about type of hearing loss, Replace batteries in hearing aids frequently/prn, Talk with family about communication techniques, check hearing aids for patency, & clean cerumen prn
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