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    Assessing The Ears and Hearing

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    AL HAROUN ARAMAIN
    The document provides a performance evaluation checklist for assessing a client's ears and hearing. It lists the purpose of the assessment as determining risks for hearing loss, examining ear structures and function, and assessing hearing acuity. The checklist then details the preparation, procedure, and assessment steps for inspecting the auricles, external ear canal, tympanic membrane, and performing gross hearing tests including using a watch, tuning fork, Weber test, and Rinne test. The instructor signs off on the completed evaluation.

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    Assessing The Ears and Hearing

    Uploaded by

    AL HAROUN ARAMAIN
    93 views2 pages
    The document provides a performance evaluation checklist for assessing a client's ears and hearing. It lists the purpose of the assessment as determining risks for hearing loss, examining ear structures and function, and assessing hearing acuity. The checklist then details the preparation, procedure, and assessment steps for inspecting the auricles, external ear canal, tympanic membrane, and performing gross hearing tests including using a watch, tuning fork, Weber test, and Rinne test. The instructor signs off on the completed evaluation.

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    Assessing the Ears and Hearing

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    The document provides a performance evaluation checklist for assessing a client's ears and hearing. It lists the purpose of the assessment as determining risks for hearing loss, examining ear structures and function, and assessing hearing acuity. The checklist then details the preparation, procedure, and assessment steps for inspecting the auricles, external ear canal, tympanic membrane, and performing gross hearing tests including using a watch, tuning fork, Weber test, and Rinne test. The instructor signs off on the completed evaluation.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    93 views2 pages

    Assessing The Ears and Hearing

    Uploaded by

    AL HAROUN ARAMAIN
    The document provides a performance evaluation checklist for assessing a client's ears and hearing. It lists the purpose of the assessment as determining risks for hearing loss, examining ear structures and function, and assessing hearing acuity. The checklist then details the preparation, procedure, and assessment steps for inspecting the auricles, external ear canal, tympanic membrane, and performing gross hearing tests including using a watch, tuning fork, Weber test, and Rinne test. The instructor signs off on the completed evaluation.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    Ateneo de Zamboanga University

    COLLEGE OF NURSING
    PERFORMANCE EVALUATION CHECKLIST
    NAME: _____________________________________ DATE PERFORMED: _________________
    YEAR & SECTION: ______________

    PURPOSE:
    1. Determine client’s risks for developing a hearing loss.
    2. Determine the condition and function of ear structures.
    3. Assess a client’s hearing acuity.

    ASSESSING THE EARS AND HEARING

    PREPARATION 1 2 3 4 5
    1. Assemble equipment:
     Otoscope with several sizes or ear specula

    PROCEDURE
    1. Introduce yourself and verify the client’s identity.
    Explain to the client what you are going to do, why
    it is necessary, and how the client can cooperate.
    2. Perform hand hygiene and observe other
    appropriate infection control procedures.
    3. Provide for client privacy.
    4. Inquire if the client has any history of the following:
     Family history of hearing problems or loss
     Presence of any ear problems or pain
     Medication history, especially if there are
    complaints of ringing in ears
     Any hearing difficulty: its onset, factors
    contributing to it, and how it interferes with
    activities of daily living
     Use of a corrective hearing device: when and
    from whom it was obtained

    5. Position the client comfortably—seated, if possible.


    Assessment

    Auricles
    6. Inspect the auricles for color, symmetry of size,
    and position. To inspect position, note the level at
    which the superior aspect of the auricle attaches to
    the head with relation to the eye.
    7. Palpate the auricles for texture, elasticity, and
    areas of tenderness.
    Gently pull the auricle upward, downward, and
    backward.
    Fold the pinna forward. (It should recoil.)
    Push in on the tragus.
    Apply pressure to the mastoid process.
    External Ear Canal and Tympanic Membrane
    8. Using an otoscope, inspect the external ear canal
    for cerumen, skin lesions, pus, and blood.
    Attach a speculum to the otoscope.
    Tip the client’s head away from you and straighten
    the ear canal.
    Hold the otoscope either right side up, with your
    fingers between the otoscope handle and the
    client’s head, or upside down, with your fingers and
    the ulnar surface of your hand against the client’s
    head.
    Gently insert the tip of the otoscope into the ear
    canal, avoiding pressure by the speculum against
    either side of the ear canal.
    9. Inspect the tympanic membrane for color and
    gloss.
    Gross Hearing Acuity Tests
    10. Assess the client’s response to normal voice tones.
    If the client has difficulty hearing the normal voice,
    proceed with the following tests.
    Perform the watch tick test.
    Have the client occlude one ear. Out of the client’s
    sight, place a ticking watch 2–3 cm (1–2 inches)
    from the unoccluded ear.
    Ask what the client can hear. Repeat with the other
    ear.
    Tuning Fork Tests
    Perform Weber test.
     Hold the tuning fork at its base. Activate it
    by tapping the fork gently against the back of
    your hand near the knuckles or by stroking the
    fork between your thumb and index finger
     Place the base of the vibrating fork on top
    of the client’s head and ask whether the client
    hears the noise.
    Conduct Rinne test.
     Ask the client to block the hearing in one ear
    intermittently by moving a fingertip in and out of
    the ear canal.
     Hold the handle of the activated tuning fork on
    the mastoid process of one ear until the client
    states that the vibration no longer can be
    heard.
     Immediately hold still the vibrating fork prongs
    in front of the client’s ear canal. If necessary,
    push aside the client’s hair. Ask whether the
    client now hears the sound.
    11. Document findings in the client record.

    TOTAL

    ________________________
    Clinical Instructor
    (sign over printed name)

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