N 295 lecture 5 6 eye and ear student copy

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N 295 lecture 5 6 eye and ear student copy

  1. 1. Eye / Ear Assessment Nursing 295 Week 5 - 6 spring 2012
  2. 2. External Structure spring 2012
  3. 3. Health History : Eyes <ul><li>Reason for Seeking Health Care </li></ul><ul><li>HPI </li></ul><ul><li>Past Eye Problems </li></ul><ul><li>Family History </li></ul><ul><li>Medications </li></ul><ul><li>Self Care / Health Practices </li></ul>spring 2012
  4. 4. Eye Assessment <ul><li>INSPECTION </li></ul><ul><ul><li>Position </li></ul></ul><ul><ul><li>Conjunctiva </li></ul></ul><ul><ul><li>Sclera </li></ul></ul><ul><ul><li>Eyelids </li></ul></ul><ul><ul><li>Palpebral Fissure </li></ul></ul><ul><ul><li>Lacrimal Duct </li></ul></ul><ul><ul><li>Cornea </li></ul></ul><ul><ul><li>Anterior Chamber </li></ul></ul><ul><ul><li>Iris </li></ul></ul>spring 2012
  5. 5. Eye Function Testing <ul><li>1. EOM </li></ul><ul><li>2. Corneal Light Reflex </li></ul><ul><li>3. Visual Fields Homonymous Hemianopsia </li></ul><ul><li>Pupillary Reactions PERRLA </li></ul><ul><li>Cover Test </li></ul>spring 2012
  6. 6. spring 2012
  7. 7. Eye Function Testing <ul><li>Far Vision </li></ul><ul><li>Near Vision </li></ul><ul><li>Color Vision </li></ul><ul><li>Developmental Considerations </li></ul>spring 2012
  8. 8. Eye Assessment <ul><li>PALPATION </li></ul><ul><ul><li>Eyelids </li></ul></ul><ul><ul><li>Eyeball </li></ul></ul><ul><ul><li>Lacrimal Ducts </li></ul></ul>spring 2012
  9. 9. Opthalmoscopic Exam <ul><li>Red Reflex </li></ul><ul><li>Retinal Vessels </li></ul><ul><li>Retina </li></ul><ul><li>Optic Disk </li></ul><ul><li>Macula </li></ul>spring 2012
  10. 10. Developmental Considerations <ul><li>Older Adult </li></ul>spring 2012
  11. 11. Health Promotion / Risk Factors <ul><li>Comprehensive Eye Examination </li></ul><ul><li>Risk Factors for Cataracts </li></ul>spring 2012
  12. 12. EAR ASSESSMENT spring 2012
  13. 13. External Structure spring 2012
  14. 14. Health History : Ear <ul><li>Reason for Seeking Health Care </li></ul><ul><li>HPI </li></ul><ul><li>Past Ear Problems </li></ul><ul><li>Family History </li></ul><ul><li>Medications </li></ul><ul><li>Self Care / Health Practices </li></ul>spring 2012
  15. 15. Ear Assessment <ul><li>INSPECTION </li></ul><ul><ul><li>Position </li></ul></ul><ul><ul><li>Symmetry </li></ul></ul><ul><ul><li>Color / Size </li></ul></ul><ul><ul><li>Cerumen </li></ul></ul><ul><ul><li>Drainage </li></ul></ul><ul><li>PALPATION </li></ul><ul><ul><li>Tenderness </li></ul></ul><ul><ul><li>Nodules </li></ul></ul>spring 2012
  16. 16. Ear Function Testing <ul><li>Gross Hearing Screening </li></ul><ul><ul><ul><li>Low pitched sounds – whisper </li></ul></ul></ul><ul><ul><ul><li>High pitched sounds – watch ticking </li></ul></ul></ul><ul><li>Weber Test (bone conduction) </li></ul><ul><li>Rinne (Rin – ne) (air vs bone) </li></ul>spring 2012
  17. 17. Otoscopic Exam <ul><li>External Canal </li></ul><ul><li>Tympanic Membrane </li></ul><ul><li>Malleus </li></ul>spring 2012
  18. 18. Ear: Developmental Considerations <ul><li>Infants/Children: </li></ul><ul><ul><li>Assess the infant’s ability to hear </li></ul></ul><ul><ul><li>Position of pinna </li></ul></ul><ul><ul><li>Allow children to play with the othoscope </li></ul></ul>spring 2012
  19. 19. Ear: Developmental Considerations <ul><li>Older Adult </li></ul><ul><ul><li>Physical Changes : External </li></ul></ul><ul><ul><li>Physical Changes : Internal </li></ul></ul><ul><ul><li>Functional Changes </li></ul></ul><ul><ul><ul><ul><li>presbycusis? </li></ul></ul></ul></ul>spring 2012
  20. 20. Cultural Considerations <ul><li>Cerumen Differences </li></ul><ul><li>Risk Factors </li></ul><ul><li>Hygiene </li></ul>spring 2012 Health Promotion

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