Chronic Otitis Media (COM) is the term used to describe a variety of signs, symptoms, and physical findings that result from the long-term damage to the middle ear by infection an inflammation. This includes the following:
- Severe retraction or perforation of the eardrum (a hole in the eardrum)
- Scarring or erosion of the small, sound conducting bones of the middle ear
- Chronic or recurring drainage from the ear
- Inflammation causing erosion of the bony cover or the facial nerve, balance canals, or cochlea (hearing organ)
- Erosion of the bony borders of the middle ear or mastoid, resulting in infection spreading to the meninges (the coverings of the brain) or brain
- Presence of cholesteatoma
- Persistence of fluid behind an intact eardrum
Signs of chronic otitis media include:
- Persistent blockage of fullness of the ear
- Hearing loss
- Chronic ear drainage
- Development of balance problems
- Facial weakness
- Persistent deep ear pain or headache
- Confusion or sleepiness
- Drainage or swelling behind the ear
Nursing Diagnosis for Chronic Otitis Media : Disturbed Sensory Perception: Auditory related to interference of sound in the auditory organ.
- Patients will participate in a treatment program
- Patients will maintain hearing ability
- The absence of headache
Nursing Interventions for Chronic Otitis Media :
1. Improved Communication: Hearing deficits
- Promised to facilitate the examination of hearing as it should.
- Facilitating the use of assistive devices appropriately.
- Tell the patient that the voice will sound different due to tool wear.
- Keep your tools.
2. Formation of cognition
- Help the patient to accept the fact that the statement itself was in the midst of the emergence of emotions.
- Help patients understand about the inability to achieve the desired behavior is often caused by a self-statements that make no sense.
- Show me other forms of thinking dysfunction (eg, thoughts to the contrary, too much generalization, reinforcement, and personalization).
- Help the patient recognize the painful emotions that are felt
- Help the patient to know the trigger is received (eg, situations, events, and interactions with others) that create stress.
- Help the patient to know that any personal interpretation of the triggering factors are acceptable.
- Help the patient to replace the incorrect interpretation with a more realistic based on stressful situations, events, and interactions.