Eyes, Ears, Nose

normal vision

farsightedness....cant see close stuff

nearsightedness.....cant see far away stuff

droopy eye

infection of follicle of eye lash

chronic inflammation causing an obstruction/cyst in the sebaceous gland

• may be allergic or infections
• bacterial is contagious and shows and yellow/green exudate

inflammation of eyelid

inflammation of cornea

central part of the retina where the rods and cones are densest

nosebleed

aging of eye causing loss of accommodation and inability to focus on near objects

age related hearing loss of increased frequency hearing

• hearing loss due to impairment of the outer ear, middle ear or both.
• caused by ear wax, perforated ear drum, pus, hardening of middle ear bones

• perceptive or nerve hearing loss caused by pathologic changes in the inner ear.
• Cranial nerve #8 or auditory centers of the brain

• asymptomatic and slowly progressive
• impeded drainage leading to IOP which eventuall destroys the optic nerve fxn

• foggy/blurred vision
• tired feeling in eye
• cant focus
• DECREASE IN PERIPHERAL VISION

• acute with buildup of IOP occurring in 1/2-1hr
• pressure pushes iris fwd

• PAIN
• pupil dilation
• blurred vision with halo
• N/V from pain

mydriatic agents....cuz are pupil dilaters

• red eye
• moderately dilated and NON REACTIVE pupil cuz iris becomes adhered to the trabicular meshwork

• Pilocarpine eye drops
• Ocusert insert-releases pilocparpine in to eye for 1 week
• Physostigmine-prolongs effects of acetylcholine in eye

causes pupil constriction

• blurred vision-first sign
• hazy vision/fog
• Glare in bright light

gradual loss of vision....usually starts in one eye, then goes to the other eye

Once ADL's are affected

• Extracapsular Extraction
• removal of the contents of the lens, but the posterior capsule is left in tact
• attachment of intraocular lens

cuz it causes blindness if untreated

• Scleral buckling
• goal is to reapproximate both retinal layers to the choroid

done by shortening the sclera to enhance contact btwn the choroid and retina

• smoking
• caucasian
• family history

• irratation of mucous membranes
• violent sneez/nose blowing
• vit K deficiency
• liver disease
• heparin therapy
• sever htn

• position pt in sitting position leaning fwd
• chin tipped to chest
• pinch soft tissue of nose against septum for 10 min

due to the angle of the ear canal and the packing up of fluid when children get a cold

drinking a bottle laying down

• Vertigo
• tinnitus
• neurosensory hearing loss/pressure in ears

sudden onset of vertigo with N/V

makes use of airy and bone conduction

• hit tuning fork
• hold it close to auditory meatus till client cant hear it
• then immediately apply the base of the tuning fork to the mastoid bone

If pt cant hear it when by the mastoid bone...normal hearing

person is deaf due to conductive hearing loss

makes use of bone conduction

• place vibrating tuning for on the forehead
• then ask pt if they hear the sound better in one ear or the other

Tells if the person is deaf from conduction or perception

In conductive deafness the sound is referred to the deafer ear.

In perceptive deafness the sound is referred to the better ear