Patients may rely on lip-reading to a greater extent than they are aware. O As screening, note patient’s ability to hear and appropriately respond to normal conversational voice do this within patient’s sight, then again from out of patient’s sight. * Assess patient’s ability to hear by performing the following: * Expected Outcomes Patient achieves optimal functioning within limits of hearing impairment as evidenced by ability to communicate effectively and to engage in meaningful activities. * Inoperative or poorly fitted hearing aids
* Presbycusis (loss of hearing associated with aging) * Prolonged or cumulative exposure to environmental noise greater than 85 dB * History of head trauma, especially direct blow to ear(s) * Related Factors: Middle ear injuries secondary to penetration of eardrum * Difficulty learning or following directions * Defining Characteristics: Asking others to repeat spoken messages Nursing interventions with the hearing impaired are aimed at assisting the individual in effective communication despite the loss of normal hearing. Many hearing assistive devices and services are available to help the hearing-impaired individual. Some causes of hearing loss are surgically correctable. When hearing is impaired or lost later in life, serious emotional and social consequences can occur, including depression and isolation. When hearing loss is profound and precedes language development, the ability to learn speech and interact with hearing peers can be severely impaired. Hearing loss is common among older adults but may also occur as the result of congenital exposure to virus during childhood after frequent ear infections or trauma and during adulthood as the result of trauma, infection, or exposure to occupational and/or environmental noise. NANDA Definition: Change in the amount or patterning of incoming stimuli accompanied by a diminished, exaggerated, distorted, or impaired response to such stimuli * Communication Enhancement: Hearing Deficit NIC Interventions (Nursing Interventions Classification) NOC Outcomes (Nursing Outcomes Classification) Nursing Diagnosis: Disturbed Sensory Perception: Auditory
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