# data[].attributes.body
Nursing Problem/Concern
(3 total)

1. Disturbed sensory perception of auditory system.

2. Acute Pain related to infection.

3. Knowledge Deficit

A Nursing Intervention for each

1. Educate about the disease process and explain to patient and/or caregiver that the loss of hearing will not be permanent and will be treated with the appropriate medication regimen.  Also, encourage the use assistive devices, such as closed-caption TV, and speak in a clear and loud voice to maximize understanding.

2.  Assess the client's perception of pain including intensity using a numbered scale from 0 to 10, location, quality, and document each finding. This will allow the patient and their healthcare team to evaluate the progress of the perceived pain. Assisting the pt to a sitting or semisitting position helps to keep increased pressure off the tympanic membrane which decreases pain for the pt. Recommend OTC medications like acetaminophen/ ibuprofen (Motrin) to help aid in the pain

3. Educate the patient about prevention of swimmers ear by keeping the ears dry, utilizing bathing caps, ear plugs, and drying ears thoroughly after swimming or showering.

# data[].attributes.body
Nursing Problem/Concern
(3 total)
1. Knowledge deficit
2.Impaired social interaction
3. Disturbed sensory perception

A Nursing Intervention for each
1. Educate patient on what worsens hearing and how to prevent further damage.
2. Refer the patient to an ENT specialist to get hearing aids.
3. Speak clearly and minimize environmental stimuli like tv and music.

# data[].attributes.body
Nursing Problem/Concern
(3 total)
1.
2.
3.

A Nursing Intervention for each
1.
2.
3.

# data[].attributes.body
Nursing Problem/Concern
(3 total)
1. Contamination
2. Permanent vision loss
3. Risk for injury related to decrease in visual acuity

A Nursing Intervention for each
1. Educate patient not to touch his/her eyes.
2.Educate pt on warning signs and the importance of contacting an eye specialist (Ophthalmologist) right away to help save vision.
3. Advise patient to ask for help when getting up to avoid the risk of falling

# data[].attributes.body
Nursing Problem/Concern
(3 total)
1. Risk for injury r/t impaired vision
2. Risk of anxiety and depression r/t gradual loss of sight
3. Disturbed Sensory Perception: Visual

A Nursing Intervention for each
1. Educate the pt about importance of adequate lighting, having floors clear of objects, and placing the bed in lowest position. Educate the patient not to ambulate without assistance.
2. Educate the patient about the disease and different ways to adjust to the new way of life. Discuss medication options if necessary.
3. Provide patient with large print text papers, make sure the room has sufficient lighting and place belongings frequently needed in clear view. Stand in field of vision that is appropriate for the patient.

# data[].attributes.body
Nursing Problem/Concern
(3 total)
1. Insufficient knowledge
2. Decreased visual perception/accommodation
3. Risk for injury/falls

A Nursing Intervention for each
1. Provide large print educational materials for the patient. Offer to read and discuss with the patient. If the patient prefers audio learning then find video educational resources about cataracts.
2.  Educate the patient on the importance of seeing and Ophthalmologist regularly to monitor progression or determine if they are a surgical candidate.
3. Provide adequate lighting and educate on minimizing trip hazards.

# data[].attributes.body
Nursing Problem/Concern
(3 total)
1. Knowledge deficit
2. Disturbed visual sensory perception
3. Anxiety

A Nursing Intervention for each
1. Educate patient on the disease process; signs and symptoms and when to notify the healthcare provider; and stress the importance of follow-up care on a regular basis to manage symptoms and slow progression.
2. Implement measures to assist patient to manage visual limitations such as reducing clutter, arranging furniture out of travel path; turning head to view subjects; providing adequate lighting.
3. Educate the patient on relaxation therapies (massages, breathing exercises, exercise, etc..) to decrease anxiety. Give accurate information and allow the patient to ask questions. Allowing the patient to express their feelings can help them deal with the reality of the situation. Something else that would be beneficial is discussing future treatment to decrease the progression of their glaucoma.