use of aids and prosthesis - dentures and hearing aid

1. USE OF AIDS AND
PROSTHESIS
- HEARING AIDS, DENTURES
PRINCY FRANCIS M
Ist yr MSc Nursing
JMCON

2. AIDS USED FOR IMPAIRED HEARING
 HEARING AID
 ASSISTIVE LISTENING AND ADAPTIVE DEVICES
 COCHLEAR IMPLANTS

3. HEARING AID
A hearing aid is a personal amplifying system
that includes a microphone, and amplifier
and a loud speaker.

4. ASSISTIVE LISTENING AND ADAPTIVE
DEVICES
Personal listening systems
 It can be used to better understand speech in
large rooms, auditorium, theaters, use of
telephones and listen to TV.
 It include alerting devices , pocket talkers
 Hearing dogs

5. COCHLEAR IMPLANT
 A cochlear implant is an electronic medical device that
replaces the function of the damaged inner ear.
 Cochlear implants bypass the damaged hair cells of
the inner ear (cochlea) to provide sound signals to the
brain.

6. How to use a hearing aid
 Insert aid with canal portion pointing into ear;
press and twist until snug.

7.  Turn aid slowly to 1/3 or 1/2 volume.
 A whistling sound indicates incorrect insertion
 Adjust volume to a level of comfortable for
talking at a distance of 1m.
 Initially wear aid 15 – 20 mts daily, gradually
increase to 10- 12 hrs.

8.  Concentrate on conversation; request repeat if
necessary
 Sit close to speaker in noisy situation
 Continue to be observant of nonverbal cues
 Make sure that hearing aid is on, is clean and has
batteries

9. Care of hearing aid
 Before insertion , check for cracks or rough edges
 clean cerumen from tip with pipe cleaner
 Hearing aid should be applied to the correct ear. If using two
aids , it should be marked properly
 Batteries should be checked and changed periodically
 Remove or disconnect batteries when not in use
 Insert battery only in hearing aid turned off.
 Ear molds need replacement every 2- 3 years

10. Care of hearing aid
 Take care to prevent dropping of hearing aid
 Keep away from very hot or cold places
 Don't wear aid while bathing or perspiring heavily.
 Store in a marked container in a safe place
 Caregivers should receive special training in how to place them
in ear canal
 Verify that hearing aid are functional
 Common problems are switch turned off, clogged ear mold,
dislodged battery, twisted tubing earmold and aid.

11. Care of hearing aid
 Remove hearing aid before using hairspray, perfumes, shaving
lotions.
 Never immerse hearing aid in water
 Don’t try to lubricate hearing aids
 Remove hearing aid before any medical procedures that
involves scanning
 Keep hearing aid out of children and pets.

12. Daily care
 Perform listening checks
 Check batteries
 Clean hearing aid with soft dry cloth
 Minimize moisture in the hearing aid
 Avoid feed back
 Look for red(right) and blue (left ) markers for
correct placement

13. Dentures are prosthetic devices constructed to replace
missing teeth; they are supported by the surrounding
soft and hard tissues of the oral cavity.

14. Dentures are not fitted for life
Can cause irritation, inflammation and ulceration
of gums and oral mucus membrane.
Inspect mouth regularly and report any problem
occurs.
A minor adjustment or use of fixative agent or
cushion is required to prevent painful problems.

15. Denture cleaning
Clean thoroughly for everyday
Rinse it after each use
Place dentures in a cleaning solution when not in
use and allow it to soak for overnight or for at least
few hours
Remove from cleansing solution and brush it
Brush denture over sink lined with a face cloth and half
filled with water to prevent breakage if dropped

16. Hold denture securely in one hand
Don’t squeeze
Use denture paste, mild soap
Storing denture
Cleansed and stored in tepid water
Fitting denture
Contact physician when dentures are not fitting or
broken

17. Oral hygiene
Inspect the mouth daily
The cleaning or massaging a denture at least
once a day increases circulation.

18. TIPS TO AVOID DENTURE PROBLEM
•GIVE YOURSELF TIME TO GET USED TO THEM
•MAKE AN APPOINTMENT WITH DENTIST FOR ADJUSTING
DENTURES OR ANY IRRITATION OCCURS.
•DRINK NUTRITIONAL SHAKE AS ADJUST TO NEW
DENTURE

19. TIPS TO AVOID DENTURE PROBLEM
•REMOVE DENTURE FOR AT LEAST 4 HR A DAY
•BRUSH REGULARLY
•MAKE ROUTINE OF DENTURE REMOVAL , SOAK/
CLEAN DENTURE, CLEAN MOUTH AND GUMS IN
NIGHT TIME.

20. ASSIGNMENT
 Nurses role in caring an elderly with prosthesis
and aids.

21. REFERENCES
 Smeltzer CS, Bare GB, Hinkle LJ, Cheever HK.
Brunner & Suddarth’s textbook of Medical-surgical
nursing. Volume I. Twelvth edition. NewDelhi:Wolters
Kluwer (India) ; 2011.
 Lewis LS, Dirksen RS, Heitkemper MM, Bucher L.
Lewis’s Medical Surgical Nursing Assessment and
management of clinical problems. Second edition.
Volume 1.India: Reed Elsevier; 2015.
 Luggen SA. Core curriculum for gerentological nursing.
USA: Mosby publication; 1996.