Use APA 7th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 3 pages, excluding cover page and reference page.<\/p>\n
If any questions, please do not hesitate to contact me.<\/p>\n
Patient with Otitis Externa<\/p>\n
ZM is an 8-year-old male who is brought to the clinic by his mother for complaints of acute left ear pain. She has recently picked him up from a week-long stay at camp, and he stated his ear hurt so bad he was crying. When his mother looked at this ear, she noticed the outside canal was very swollen. He could not even touch his ear. His mother states: \u201cHe is never sick, and he never cries.\u201d<\/p>\n
Past Medical History<\/p>\n
\u2022 All immunizations current<\/p>\n
\u2022 No history of surgeries<\/p>\n
\u2022 No history of allergies<\/p>\n
\u2022 No history of significant illness<\/p>\n
Medications<\/p>\n
\u2022 Multivitamin, daily<\/p>\n
\u2022 Occasional allergy medication with children\u2019s loratadine<\/p>\n
Physical Examination<\/p>\n
\u2022 Pulse: 100; respiration rate: 22; temperature: 100.2 \u00b0F data scan<\/p>\n
\u2022 Left ear canal swollen; unable to access with otoscope to observe tympanic membrane<\/p>\n
\u2022 Swelling noted in lymph nodes below ear<\/p>\n
\u2022 Ear is red and warm to touch<\/p>\n
Diagnosis<\/p>\n
\u2022 External otitis<\/p>\n
Discussion Questions<\/p>\n
1. What factors in ZM\u2019s recent history should the clinician consider, and what additional questions should the clinician ask the mother?<\/p>\n
2. What treatment options are indicated for ZM?<\/p>\n
3. What patient teaching should the clinician provide?
\nWhat factors in ZM\u2019s recent history should the clinician consider, and what additional questions should the clinician ask the mother?
\nIn ZM\u2019s recent history, the clinician should consider that ZM has just returned from a week-long stay at camp and is now presenting with acute left ear pain and swelling. This suggests that the onset of the condition may have been recent and could have been caused by exposure to bacteria or water during the stay at camp. The clinician should also consider ZM\u2019s previous health history, including that he has never been sick and is up to date on all immunizations.
\nThe clinician should ask the mother the following questions:
\nDid ZM have any exposure to water while at camp?
\nDid ZM complain of any other symptoms besides ear pain, such as itching or discharge from the ear?
\nWas ZM participating in any activities at camp that could have caused trauma to the ear canal?
\nIs ZM taking any other medications besides the multivitamin and occasional allergy medication?
\nWhat treatment options are indicated for ZM?
\nBased on the diagnosis of external otitis, the following treatment options are indicated for ZM:
\nAntibiotic therapy: topical or oral antibiotics may be prescribed to treat the infection and reduce inflammation
\nPain management: over-the-counter pain medication or a prescription pain reliever may be recommended to manage the ear pain
\nAntihistamines: if ZM is experiencing itching or discomfort, antihistamines may be prescribed to reduce these symptoms
\nWhat patient teaching should the clinician provide?
\nThe clinician should provide the following patient teaching to the mother and ZM:
\nExplain the cause of the external otitis and the importance of taking all prescribed medications as directed
\nInstruct ZM and the mother on proper ear hygiene, including avoiding the use of cotton swabs and keeping the ear dry
\nExplain the importance of follow-up appointments to monitor the condition and ensure it is resolving
\nAdvise ZM and the mother to avoid activities that could cause further trauma to the ear canal, such as swimming
\nExplain the signs and symptoms of worsening of the condition and when to return to the clinic for further evaluation.
\nReferences:
\nEchols, R. (2020). External Otitis: A Review. American Family Physician, 101(7), 450-457.
\nHockenberry, M. J., & Wilson, D. (2020). Wong\u2019s Nursing Care of Infants and Children. St. Louis, MO: Elsevier.
\nPolitzer, N. A., & Sataloff, R. T. (2019). Ear Disorders. In Otolaryngology: Head and Neck Surgery. Philadelphia, PA: Elsevier.<\/p>\n","protected":false},"excerpt":{"rendered":"
Use APA 7th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. All responses must be in a narrative format and each paragraph must have at least 4 sentences. […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1129,548],"tags":[1518],"class_list":["post-2912","post","type-post","status-publish","format-standard","hentry","category-nursing-case-study-writing-help-examples-how-to-guide","category-case-study-help-writers","tag-zm-is-an-8-year-old-male"],"_links":{"self":[{"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/posts\/2912","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/comments?post=2912"}],"version-history":[{"count":0,"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/posts\/2912\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/media?parent=2912"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/categories?post=2912"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/tags?post=2912"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}