What subjective data would you need to collect for the eyes? - -visual difficulties? -loss of color with vision? halos around objects? -loss of peripheral
... [Show More] vision? (glaucoma) -night blindness? -eye pain? -contacts, glasses or reading glasses? -redness or swelling, drainage, tearing or crusting? -allergies, medication? -self care: last eye exam? protective eyewear? Poor work environment? clean contacts? remove makeup? -surgery on the eyes?
What subjective data should you collect for the ear? - -history of earaches (otalgia)? ear infections? Discharge (otorrhea)? OLDCART -sinus or dental problems? -difficulty hearing/loss (presbycusis)? slow loss or abrupt? -ringing/crackling/bussing (tinnitus) -any meds? some are ototoxic (ASA, naproxen, lasix) -vertigo or dizziness (sensation of falling)? -ear disorders/disease/surgery? tubes? skin cancers? -self care: how do you clean ears? last hearing test? hearing aids? how often do you change batteries
What information should you gather when observing a patient as you interview? - -are they watching your lips rather than eyes? -misunderstands or asks to repeat a question -inappropriately loud voice -reposition themselves to hear you better -irritated when you raise your voice (painful to ears-recruitment)
What are recommendations regarding earbuds? - -60-60 rule: play iPods no more than 60 min a day at levels below 60% of maximum volume -set volume no higher than 6 and take a break at least every hour -federal safety standards: safe sound exposure duration at 120 db (music concert) is less than 8 min. think ear protection
Recommendations for eye health? - -the American Academy for Ophthalmology recommends screening for glaucoma starting at age 29 -annual exams if you have diabetes -annual exam for those with HTN, steroid use, or severe nearsightedness -annual exam for those over 60 yrs or 40 yrs if African american
What is the snellen eye chart? - -used to assess CN II
-tests distance vision -score is always 20/x, determining what a patient can see that one with normal vision can see at 20 ft. If someone is 20/200, they can see at 20 feet what someone with normal vision can see at 200 ft. -read lowest line possible, may only miss 2 items per line [Show Less]