Comparing and Contrasting Otitis External

ARTICLE CRITIQUE 5

Comparingand Contrasting: Otitis External

Subjective

Numerousstudies that have been conducted by most of the researchers andmedical practitioners reveal that history of the patient is criticalin helping in the diagnosis process that is essential in curbingcough related sicknesses (Mitchell &amp Pereira, 2009). In my reviewof the history of the patient, I tried as much as I could to retrievethe necessary information that was going to help me to unearth allthe facts surrounding the situation of the patient. The problem withmy patient interview was that I only dwelt on the circumstancespertaining the situation of his right ear for the last two days. Ihave realized that I the mistake that I did not remember to inquirethe frequency of such occurrences in the recent past to help incomprehensive coverage of the situation.

Objective

Thephysical assessment of the situation of the patient was thorough,which helped me to analyze the situation and assemble muchinformation that enabled me to devise a way of handling ear problemsthoroughly. I discovered that the patient was feeling pain on thepalpation of the tragus and auricle. The scratch lesions were quitevisible thus signaling that indeed the patient was suffering from earcomplications. All the facts assembled under this interview with thepatient were not sufficient enough to help in addressing the concernsof the patient wholly. Alper (2004) argues that for a medicalpractitioner to tackle ear problems efficiently to enable them toovercome the pain and future complications of the ear. My activitiescomply to such a medically proven requirement since I took much timeto examine and question the patient regarding his situation as wellas analyzing the history of the problem thus enhancing my knowledgebase over the same

Assessment

Ihave to confess that the interview that I conducted involving thepatient was comprehensive and details to capture much of thepatient’s history, which according to Wetmore (2007) helps nursesto get to understand the situation and conditions of the patientsproperly. I cannot ascertain with much certainty that I was able toestablish the all the information needed to help the patient toovercome his rather worsening situation. The only missing link fromthe interview was that I failed to utilize technology in undertakingsome of the assessment. Mitchell &amp Pereira (2009) observes thatnurses have to make use of otoscopes to help in viewing the eardrumand canal thus facilitating proper examination. The idea of dwellingon the information provided by the patient may lead to the gatheringof less essential details than required. There is a need to use ablend of two grand techniques where the idea of inquiring viainterviews and other consultative processes, as well as use oftechnologically enhanced machines and equipments. Such combinationsincrease the probability of ascertaining the severity of the earproblems thus helping to devise mechanisms of curbing them.

Planning

Theplanning of the execution of the treatment program was done in ascientific way where the patient was subjected to Cortisporin oticthat involved three drops in the affected ear as prescribed by thetreatment guidelines. The patient was also given enough counselingand educated on how organize his lifestyle during the medicationperiod. According to Alper (2004), a patient suffering from mildexternal otitis has to be given the prescribed ear drops containingboth the vinegar and hydrocortisone that has to be used for a numberof days. The idea of advising the patient to report his progress inthe next 72 hours was quite impressive since most literature is insupport of that requirement. I think I did a commendable job on boththe prescription and advice regarding the way a patient has to takecare of himself as well as helping to avail the necessary medication.

References

Alper,C. M. (2004). Advancedtherapy in otitis media.Hamilton [u.a.: BC Decker.

Mitchell,R. B., &amp Pereira, K. D. (2009). Pediatricotolaryngology for the clinician.Dordrecht: Humana.

Wetmore,R. F. (2007). Pediatricotolaryngology: The requistes in pediatrics.Philadelphia, PA: Mosby/Elsevier.