NSG 6005 Week 10 Assignment 1 Discussion

Select one of the two questions from the discussion questions listed below .By Week 10, Day 3, respond to the selected discussion question and submit your response to this Discussion Area .

Be sure to respond to the question using the lessons and vocabulary found in the reading .Justify your answers using examples and reasoning .Support your answers with examples and research and cite your research using APA format .

Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates’ posts .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion .

Discussion Question 1

SJ is a sixteen-month-old boy who is brought to the clinic with a one-day history of tugging at his right ear and crying and a two-day history of decreased appetite, decreased playfulness, and difficulty sleeping .His mother has documented a fever, so she has been giving him 5 mL of ibuprofen every twelve hours .He was diagnosed with acute otitis media (AOM) at the age of four months; he has had the same diagnosis three times since .On physical exam, his vital signs are normal with the exception of a temperature of 102°F .His weight is 10 kg .Both tympanic membranes (TMs) are erythematous, with the right one more than the left one .The right TM is bulging with limited mobility, copious cerumen, and purulent fluid behind the TM .The left TM appears normal .The right TM landmarks are difficult to visualize .Answer the following questions:

Of the information provided, what data support the diagnosis of AOM and what would be inconclusive?

How would you distinguish AOM and otitis media with effusion (OME)?

What treatment would you suggest?

What types of cautions or instructions would you provide to his mother?

SAMPLE ANSWER

SAMPLE ANSWER

How would you distinguish AOM and otitis media with effusion (OME)?

Acute otitis media (AOM) is an infection of the middle ear that can cause fever, ear pain, and other symptoms. Otitis media with effusion (OME) is a buildup of fluid in the middle ear without any signs or symptoms of infection. AOM is usually caused by a virus, bacteria, or both. It can occur in one or both ears. OME may be caused by allergies, changes in temperature or humidity, or barotrauma (injury from pressure changes). AOM is more common in children than adults. OME is more common in adults.

What are the symptoms of AOM and OME?

Acute otitis media (AOM) is an infection of the middle ear that can cause pain and fever. Otitis media with effusion (OME) is a buildup of fluid in the middle ear without infection. Both AOM and OME can cause hearing problems.

The symptoms of AOM include:

-Ear pain
-Fever
-Trouble sleeping
-irritability
-loss of appetite
-fluid drainage from the ear

The symptoms of OME include:

-Hearing problems
-fullness or pressure in the ear
-tinnitus (ringing in the ears)

How are AOM and OME diagnosed?

There are several ways to diagnose AOM and OME. The most common way is through a physical examination of the ear. This can be done with an otoscope, which is a small, hand-held tool that allows the doctor to look inside the ear. Other tests that may be used to diagnose AOM and OME include hearing tests, X-rays, and CT scans.

How are AOM and OME treated?

AOM and OME are both treated with antibiotics. AOM is treated with a short course of oral antibiotics, while OME is treated with a longer course of oral antibiotics.

What are the complications of AOM and OME?

AOM and OME can both lead to complications such as hearing loss, balance problems, and facial paralysis. AOM can also cause brain abscesses, meningitis, and death.

Conclusion

There are a few key ways to distinguish AOM from otitis media with effusion (OME). First, AOM is usually accompanied by symptoms like ear pain, fever, and decreased appetite. OME, on the other hand, is often asymptomatic. Second, AOM typically resolves within a week or two without treatment, while OME can linger for months. Finally, AOM is usually caused by a bacterial infection, while OME is often caused by allergies or viral infections.

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