Evidence-Based Practice & Applied Nursing Research Western Governors University BSN Program Karolina O’Loughlin Student ID: 256940 Type of Sources / Appropriateness of Sources / Classification of Sources American Academy of Pediatrics and American Academy of Family Physicians article regarding acute otitis media is a filtered resource. It is an appropriate source for nursing practice
Evidence-Based Practice and Applied Nursing Research Types of Sources of Evidence: American Academy of Pediatrics and the American Academy of Family Physicians. [Clinical practice guideline:]. (2004). Source Of Evidence This evidence meets the criteria for a filtered source. It was sourced online from the Official Journal of the American Academy of
Research Integration EBT1 Task 2 Types of Sources of Evidence/Appropriateness/Classifications The article from the American Academy of Pediatrics (AAP) and American Academy of Family Physicians (AAFP) that addresses acute otitis media (AOM) is a filtered resource. This article is appropriate for use in nursing practice as it
Case Study: Osteoarthritis with a Total Knee Arthroplasty Holly N. Pittman Missouri State University – West Plains Patient History DN is a 68 year old Caucasian male who lives in Pomona, Missouri. On September 14, 2009, DN underwent a scheduled left total knee arthroplasty at Baxter County Regional Medical Center. A consultation appointment about
Skin: denies blisters, rashes, wounds. Eyes, ears, mouth: Patient denies difficulty with vision or double vision. Denies any eye pain, inflammation, discharge, denies history of glaucoma or cataracts, denies hearing loss or trouble hearing, denies sore throat, dry mouth, bleeding gums. Reports regular dental visits.
He also had right more than left mastoid opacifications and states that he was recently treated for otitis media. He has hypertension, hyperlipidemia, coronary disease and had been noncompliant with his medications in the past. His exam was essentially normal except for the subjective vertigo. There was no nystagmus and no diplopia on the initial exam. On 06/19/2015, he gave a different history. He states that he had a strike to the left temporal on Tuesday 06/16/2015. This did not result in any vertigo or any other neurological symptoms at that time. It was two days later that he had the vertigo at work. The patient also claimed that he had been seeing double since the previous night and the morning of the 19th. However, his neurological exam at that time, failed to reveal any actual disconjugate gaze. The patient had an MRI MRA, which revealed old white matter ischemic disease and mild intracranial atherosclerosis, but no evidence for acute stroke or posterior circulation significant stenosis. His diagnosis was labyrinthitis, possibly due to his bilateral mastoiditis. He was treated with Augmentin for 10 days. His symptoms resolved prior to discharge on meclizine. On physical therapy on discharge, he had no
Bill is a 79 year old patient living in a residential facility. After a recent physical therapy session he began experiencing pain on the left side of his head, as well as complaining of a headache. Although his vital signs showed to be normal, the doctor noticed exudate drainage leaking
Meniere 's disease is a disease of the inner ear comprised of three main symptoms: tinnitus, hearing loss and occasional, long lasting vertigo. Any patient may have some or all of these, to varying degrees, between one or both ears. Tinnitus or aural pressure is especially prevalent before an episode of vertigo. These vertigo attacks can last anywhere from 20 minutes up to a full day per attack and are often associated with vomiting and nausea [X1].
Balance is actually a complicated feature that consists of feedback from the brain, the eyes, and most of the joints as well as muscles of the entire body, but a malfunction of the inner ear is usually the unexpected culprit in situations of vertigo. Diagnosing issues of the inner ear can easily be challenging and typically requires multiple tests. Finding hearing doctors who're ready to work with a patient for the very long run is actually key to coping with this problem
Those who have chronic neck pain often have trouble in engaging in common daily routines and interests that they once loved. Persistent neck discomfort might also prohibit the capability to carry out particular tasks at work and it could give you a hard time determining the best position to sit down or have a very good relaxation. The subsequent details are some of the major contributors of chronic neck pain.
INTRODUCTION Meniere’s disease (MD) also known as endolymphatic hydrops is a chronic and debilitating disorder of the inner ear. (hietikko) MD presents as a set of episodic symptoms and is a common etiology of dizziness. (Hietikko, AAO) The presenting symptoms of MD include vertigo, which is described as room spinning dizziness,
In discussing otitis externa, the diagnosis can be explained by misdiagnosis. Some patients are diabetic immunocompromised with severe pain in the ear should have necrotizing OE excluded by an otolaryngologist. Otitis externa is an inflammation or infection of the external auditory canal, the auricle, or both. It is a common disease that can be found in all age groups. OE usually represents an acute bacterial infection of the skin of the ear canal (most commonly attributable to Pseudomonas aeruginosa or staphylococcus aureus, but can also be caused by other bacteria, viruses, or a fungal infection. Several factors can contribute EAC infection and development of OE, include the following, absence of cerumen, high humidity, retained
Patients with either condition experience somewhat similar symptoms. Both OM and IOE are characterized by severe pain, decreased hearing, and a discharge of pus. This pus is white, yellow, or reddish brown because of blood, and it can be oily. In addition, the pus appears as a dry crusted material on the patient's pillow. In OM, dizziness is experienced if the ear drum bursts from pressure. Patients with OM also suffer from a fever, which is slightly equals 37.5 C, and a redness of the ear drum. A rare complication of OM is mastoiditis, or infection of the the mastoid bone, which is located behind the ear drum, and may affect the brain and nearby nerves. If the patient with OM experiences other unusual symptoms, he sees his doctor. In contrast,
Cerumen impaction and infection are the most common problems implicating the outer ear. Ear medications have minimal systemic absorption, treatment modalities for ear disorder includes: For ear infections, steroids are commonly combined with antibiotics to alleviate infection symptoms. To manage impacted cerumen, OTC drug can use for 4 to 7
Deafness is the most common serious outcome of CS and systemic corticosteroid therapy is warranted as soon as