Nursing Interventions for Acute Otitis Media

In the United States, acute otitis media (AOM), defined by convention as the first 3 weeks of a process in which the middle ear shows the signs and symptoms of acuteinflammation, is the most common affliction necessitating medical therapy for children younger than 5 years.

Nursing Interventions for Acute Otitis Media                                                                acute otitis media

  • Determine pain characteristics through client’s description
  • Use pain rating scale appropriate for age
  • Monitor skin color and vital signs
  • Encourage to increase fluid intake to decrease susceptibility to infection
  • Reduce noise in the client environment.
  • Look at the client when speaking.
  • Speak clearly and firmly on the client without the need to shout.
  • Provide good lighting when the client relies on the lips.
  • Use the signs of non-verbal (eg facial expressions, pointing, or body movement) and other communications.
  • Encourage to listen to music, have focused breathing, socializing to others or other diversional activities
  • Administer analgesics as ordered by the physician
  • Have the child sit up, raise head on pillows, or lie on unaffected ear. Elevation decreases pressure from fluid.
  • Apply heating pad or warm hot water bottle. Heat increases blood supply and reduces discomfort.
  • Have the child/patient chew gum or blow on balloon to relieve pressure in ear. Attempts to open the eustachian tube may help aerate the middle ear.
  • Instruct family or the people closest to the client on how techniques of effective communication so that they can interact with clients to distract attention and reduce tension towards pain
  • If the client wants, the client can use hearing aids.
  • Assess motor and language development at each health care visit. Early detection of developmental delays can lead to appropriate intervention

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