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Script

Uploaded by

normanyasis319512
Copyright
© © All Rights Reserved
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Overview

Chronic sinusitis Enlarge image


Chronic sinusitis causes the spaces inside the nose and head, called sinuses, to
become inflamed and swollen. The condition lasts 12 weeks or longer, even with
treatment.
This common condition keeps mucus from draining. It makes the nose stuffy. Breathing
through the nose might be hard. The area around the eyes might feel swollen or tender.
Infection, growths in the sinuses, called nasal polyps, and swelling of the lining of the
sinuses might all be part of chronic sinusitis. Chronic sinusitis is also called chronic
rhino sinusitis. The condition affects adults and children.
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 A Book: Mayo Clinic Family Health Book, 5th Edition
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Symptoms
Common symptoms of chronic sinusitis include:

 Thick, discolored mucus from the nose, known as a runny nose.


 Mucus down the back of the throat, known as postnasal drip.
 Blocked or stuffy nose, known as congestion. This makes it hard to breathe through the
nose.
 Pain, tenderness and swelling around the eyes, cheeks, nose or forehead.
 Reduced sense of smell and taste.
Other symptoms can include:

 Ear pain.
 Headache.
 Aching in the teeth.
 Cough.
 Sore throat.
 Bad breath.
 Tiredness.
Chronic sinusitis and acute sinusitis have similar symptoms. But acute sinusitis is a
short-lived infection of the sinuses often linked to a cold.
The symptoms of chronic sinusitis last at least 12 weeks. There might be many bouts of
acute sinusitis before it becomes chronic sinusitis. Fever isn't common with chronic
sinusitis. But fever might be part of acute sinusitis.
When to see a doctor
Schedule an appointment with your health care provider for:

 Repeated sinusitis, and if the condition doesn't get better with treatment.
 Sinusitis symptoms that last more than 10 days.
See a health care provider right away if you have symptoms that could mean a
serious infection:

 Fever.
 Swelling or redness around the eyes.
 Bad headache.
 Forehead swelling.
 Confusion.
 Double vision or other vision changes.
 Stiff neck.
Request an appointment

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Causes

Nasal polypsEnlarge image


The cause of chronic sinusitis usually is not known. Some medical conditions, including
cystic fibrosis, can cause chronic sinusitis in children and teens.
Some conditions can make chronic sinusitis worse. These include:

 A common cold or other infection that affects the sinuses. Viruses or bacteria can cause
these infections.
 A problem inside the nose, such as a deviated nasal septum, nasal polyps or tumors.
Risk factors
The following factors raise the risk of getting chronic sinusitis:

 A dental infection.
 A fungal infection.
 Regularly being around cigarette smoke or other pollutants.

Complications
Serious complications of chronic sinusitis are rare. They can include:

 Vision problems. If a sinus infection spreads to an eye socket, it can reduce vision or
possibly cause blindness.
 Infections. It's not common. But a serious sinus infection can spread to the membranes
and fluid around the brain and spinal cord. The infection is called meningitis. Other serious
infections can spread to the bones, called osteomyelitis, or to skin, called cellulitis.

Prevention
Take these steps to lower the risk of getting chronic sinusitis:

 Protect your health. Try to stay away from people who have colds or other infections.
Wash your hands often with soap and water, especially before meals.
 Manage allergies. Work with your health care provider to keep symptoms under control.
Stay away from things you're allergic to when possible.
 Avoid cigarette smoke and polluted air. Tobacco smoke and other pollutants can irritate
the lungs and inside the nose, called the nasal passages.
 Use a humidifier. If the air in your home is dry, adding moisture to the air with a humidifier
may help prevent sinusitis. Be sure the humidifier stays clean and free of mold with
regular, complete cleaning.
Role Playing topic: Assessing Mouth, throat, nose and sinuses.

One day KZ went the public market to buy some fruits and vegetables for their dinner. She Noticed that
one of the sales person of the vegetables is smoking and she remain her distance to the salesperson.
She accidentally inhaled a large amount of smoke while buying vegetables making her feel sneezy and
coughing from the public market to her home. She came back to their house sneezing so many times.
When she got home her mother is cleaning the house making her more irritated to the dust particles
that is floating all over the air. After several minutes she already had a reaction from all the dust. This
caused her to have issues on her face that they don’t know about. Her face starts to swell and she
noticed that gradually she couldn’t breathe properly any more.

Papasok si Kayek from outside na bumabahing or sneezing (Assume na natin na maga na yung mukha
nya)

KZ: Inay, Di po ako makahinga ng maayos. Parang namamaga na din po ang mukha ko.

Inay: Halika nga dito tignan ko…. Naku bakit ganyan ang nangyari sayo?

KZ: Hindi ko din po malaman kung papano po ito o kung ano po ang dahilan. Basta po nakalanghap po
ako ng usok mula sa sigarilyo ng tindero ng gulay. Pati na rin po kanina habang nag lilinis po kayo,
madaming alikabok ang nalanghap ko. Dahilan po siguro ito ng sobrang dumi ng usok at alikabok.

Inay: Ang mabuti pa Pumunta tayo sa Pagamutan para maipatingin natin iyan.

Change Set up from bahay to Hospital.

(Kaye-c and Ky la ay lalabas ng pinto and papasok ulit para sa check-up sa Hospital.

The nurse will assess the Subjective and objective data.

Patient is 25 years old with face swelling, runny nose and Sneezing multiple times before she starts to
notice the swelling in her face “Di po ako makahinga ng maayos. Parang namamaga na din po ang
mukha ko.” As verbalized by the patient and the mother admits that her daughter already experienced
these symptoms except for the swelling. Also, she is not too tidy at the house and her daughter is the
one who always buy dinner with the same sales person with smoking addiction. SIguro po nakuha nya sa
Usok, dumi at Polusyon.

Dito na papasok ung ASSESSING MOUTH, THROAT, NOSE & SINUSES.

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