Page 119 - 2021 IDMT Digital
P. 119
Chapter 3
EAR, NOSE, THROAT PROTOCOLS
HEARING LOSS
Introduction:
• +HDULQJ ORVV FDQ EH FODVVLILHG E\ W\SH
o &RQGXFWLYH LQYROYLQJ H[WHUQDO HDU FDQDO 70 DQG PLGGOH HDU
o 6HQVRULQHXUDO LQYROYLQJ FRFKOHD DQG DFRXVWLF QHUYH
o 0L[HG D FRPELQDWLRQ RI FRQGXFWLYH DQG VHQVRULQHXUDO
o &HQWUDO EUDLQ SURFHVVLQJ
• +HDULQJ ORVV FDQ EH QRUPDO PLOG PRGHUDWH VHYHUH DQG SURIRXQG
Subjective:
• )RFXVHG +LVWRU\
o $JH DQG IDPLO\ KLVWRU\ HVSHFLDOO\
o 5HFHQW LOOQHVV DQ\ HDU GUDLQDJH
o ([SRVXUH WR ORXG QRLVHV RU EODVW LQMXULHV
o 8QLODWHUDO YV ELODWHUDO
o /HQJWK RI V\PSWRPV (sudden =
emergency)
o 9HUWLJR RU VSLQQLQJ VHQVDWLRQ
o 0HGLFDWLRQ KLVWRU\
o +LVWRU\ RI HDU VXUJHULHV
o 5HFHQW GLYLQJ RU DOWLWXGH H[SRVXUH
Objective:
• 3K\VLFDO ([DP
o /RRN IRU VLJQV RI LQIHFWLRQ
(U\WKHPD WHQGHUQHVV RU VZHOOLQJ RI WKH HDU FDQDO
'UDLQDJH RU LQIODPPDWLRQ WR VXJJHVW FDQDO LQIHFWLRQ RU REVWUXFWLRQ
o )HHO EHKLQG WKH HDU IRU VZHOOLQJ DQG WHQGHUQHVV LQGLFDWLQJ PDVWRLGLWLV RU H[WHUQDO
RWLWLV
o 7XQLQJ IRUN H[DPV ± :HEHU DQG 5LQQH
o 2WRVFRSH H[DP RI FDQDO DQG 70 IRU SHUIRUDWLRQV RU IOXLG
Assessment:
• 'LIIHUHQWLDO
o 6HURXV 20 GHFUHDVHG 70 PRELOLW\ VHURXV IOXLG SUHVVXUH IXOOQHVV FRQGXFWLYH
KHDULQJ ORVV
o 0DVWRLGLWLV IHYHU KLVWRU\ RI RWLWLV PHGLD SDLQIXO PDVWRLG SURFHVV
o 1RLVH WUDXPD H[SRVXUH WR UHFHQW ORXG QRLVHV
o 3UHVE\FXVLV DJH UHODWHG KHDULQJ ORVV VSHHFK LV GLIILFXOW WR GLVFULPLQDWH VHQVRULQHXUDO
o &HUXPHQ LPSDFWLRQ HYLGHQFH RI LPSDFWLRQ
o $FRXVWLF 1HXURPD WKLV VKRXOG DOZD\V EH VXVSHFWHG LQ FDVHV RI XQLODWHUDO
KHDULQJ ORVV
[ 118 ]
