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