Ni Ketut Alit A Nursing Faculty Airlangga University
Ni Ketut Alit A Nursing Faculty Airlangga University Surabaya East Java. Black, J.M. & Matassarin E, (1997). Medical Surgical Nursing: Clinical Management for continuity of care. J.B. Lippincott.co. Barbara C.L & Wilma J.P. (2006). Essentials of Medical Surgical
Nursing. Philadelphia: Lippincott Williams & Wilkins. Smeltzer, S.C., & Bare, B. (2003). Brunner and Suddarth's Textbook of Medical-Surgical Nursing (10 th ed.). Philadelphia: Lippincott Williams & Wilkins. Ignativicius & Bayne. (2001). Medical and Surgical Nursing. Philadelphia: W.B. Saunders Company.
Luckman & Sorensen. (2000). Medical Surgical Nursing. Philadelphia: W.B. Saunders Company. Journals and article related to.. The epithelial lining of the middle ear
The epithelial lining of the mastoid air cells (Embedded in the temporal bone) Mastoiditis is a secondary disorder resulting inadequated treated Otitis Media. Mastoiditis can be either acute or chornic; it was leading cause of death in children and hearing lossmin adults The clinical manifestations of mastoiditis include:
Swelling behind the ear Pain with minimal movement of tragus, the pinna, or the head. Cellulitis develops on the skin or external scalp over mastoid process Clients withs mastoiditis also have low grade fever, malaise, and anoreksia
Reveals : a red, dull, thick, immobile tympanic membrane with or without perforation Postauricuar lymph nodes are tender and enlarge. Non Surgical management: Antibotic therapy is aimed at preventing the continued spread of infection from the otitis media or mastoiditis. But it has limited
use in the actual treatment of mastoiditis because of the difficulty of acchieving effective antibiotic levels within the bony structure of mastoid. Culture material is obtained from the ear drainage or by myringotomy. Surgical removal of the infected tissue is necessary if the client does not respond to antibiotic administrationwithin a few day.
A simple or modified radical mastoidectomy with tympanoplasty is the most common treatment.
All infected tissue must be removed so that the infection doesnot spread to other structures. Reassures the client that operative will relive pain Discusses the reason for the prosedure with the client and relieve anciety Cleans the exteral canal with a bacteriostatic solution
Avoid straining when you have bowel elimination. Do not drink through a straw for 2-3 wk Avoid air travel for 2-3 wk Stay away from people with cold Avoid getting your head wet, washing hair,and showering for 1 wk Keep yor ear dry for 6 wk by placing a ball cotton change daily Avoid rapidly moving the head for 3 wk Change eardressing every 24 hour Report excessive drainage
Compication arise : Infective material has not been removed completely. Contamination of other structure outside the mastoid and middle ear. Complication include : Damage to the abducens (NC VI) and facial cranial nerves (NC VII) Decreasing ability to look laterally Dropoping the mouth on the affected side
Vertigo Meningitis Brain abcess Chronic purulent otitis media Wound infection Early manifestation of mastoiditis development
PSYCHOSOCIAL ASSESMENT Fear of losing hearing Deny that the change occurred Pain Sensory /perceptual alteration (auditory) Risk of infection Hipertermi Anciety
Write down education guide for client post surgery with mastoiditis!!
T.S. Eliot: Points of Departure Some difficulties with T.S. Eliot's poetry (taken from Robert DiYanni's essay,"T.S. Eliot" in Modern American Poets: Their Voices and Visions) The heavy use of allusion borrowings from foreign languages The structural mode of juxtapositon mystical...
…we will learn. Which academic databases offer RSS feeds. How to configure these to work off-site. How to display feeds on a library website. How to develop current awareness feeds by combining multiple feeds into one
Jhpiego Male Circumcision Programs Jabbin Mulwanda Kelly Curran Technical Leadership Office 19 May 2009 * About Jhpiego An affiliate of Johns Hopkins University 35 years working to strengthen the performance of healthcare workers and health systems around the world Focused...
Warm-Up Using +/-/0, indicate the relationships in: Predation Parasitism Mutualism Commensalism What is an invasive species? Give an example of one in Colorado. Community Ecology You Must Know: The difference between a fundamental niche and a realized niche. The role...
Six-dimensional Sugra & Green-Schwarz Mech. Geometrical Anomaly Cancellation, ?-Invariants & Wu-Chern-Simons 5. 6. Introduction & Summary Of Results . 7. Concluding Remarks. Technical Tools & Future Directions. So that's the end of the scientific part of my talk. I want...