Cues/Data Subjective:

"Hindi ko kayo masyadong marinig sa kanang tenga ko, pwede bang sa kaliwang side ko kayo magsalita?" as verbalized by the patient.

Nursing Diagnosis Disturbed auditory sensory perception related to ear discomfort secondary to surgical procedure done.

Goals/ Objectives After 2 hours of nursing intervention, the client will be able to: To verbalize understandin g about the health teaching done. To demonstrate some nonverbal gestures. Interpret verbal and nonverbal messages.

Intervention/s Independent: Instruct the patient in using safe techniques for cleaning ears.

Rationale Thin washcloths and fingers are best for cleaning the ears. Cottontipped applicators should be avoided to prevent injury to the eardrum. Teaching of non-verbal gestures will help the patient understand the words others will utter.

Evaluation

Objective:

Irritability in the right ear due to the fluid. Impaired communicati on.

Teach some non-verbal gestures.

Interdependent: Instruct patient to have a routine examination by an audiologist.

Provide Health teaching to the family and peers: Reduce or minimize environment al noise when

Exams will be the best source to check for the status of the the auditory senses. So that patient

communicati ng. Face patient in good light and keep hands away from the mouth or anything that will tend to cover the mouth(e.g. hanckerchiefs ). Speak slowly.

doesnt have to compete with the noise to be heard. This will enhance the patients use of lip-reading, facial expression and gesturing.

Use simple short language and sentences. Avoid shouting.

This will help the client to further understand clearly words uttered.