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Ear Assessment Checklist

The document outlines a procedure for assessing the ears, including preparation, inspection, and various hearing tests. It details the necessary equipment, steps for client interaction, and specific tests such as the whisper test, Weber's test, Rinne test, and Romberg test. The document emphasizes proper hygiene and documentation of findings.

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2 views2 pages

Ear Assessment Checklist

The document outlines a procedure for assessing the ears, including preparation, inspection, and various hearing tests. It details the necessary equipment, steps for client interaction, and specific tests such as the whisper test, Weber's test, Rinne test, and Romberg test. The document emphasizes proper hygiene and documentation of findings.

Uploaded by

snugglyserval
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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NAGA COLLEGE FOUNDATION, Inc.

College of Health Sciences


Naga City

Assessing the Ears

Name: _______________________________ Date: ______________ Rating: ________


Preparation 3 2 1 0 Remarks

1.Assemble equipment and supplies


● Watch with a second-hand for Romberg test
● Tuning fork (512 or 1,024 Hz)
● Otoscope

Procedure

1.Introduce yourself and verify the client’s identity. Explain to


the client what you are going to do, why it is necessary, and
how the client can cooperate.

2. Perform hand hygiene, and observe other


appropriate infection control procedures.

3. Provide for client privacy.

4. Inquire if the client has any history of the


following: ● Family history of f hearing loss in your
● Ears disease, injury, or surgery.
● Last visit to EENT
● Current use of ears drops medications.
● Use of hearing aid
● Hygienic practices for cleaning the ears
● Current symptoms of ear problems such as ear trauma,
earaches, infections, discharges

Inspection and Palpation of the External Ear

5. Inspect the auricle, tragus, and


lobule. Note size, shape, and position
Continue inspecting the auricle, tragus, and lobule.
Observe for lesions, discolorations, and discharge.

6. Inspect the external auditory canal for discharge,


color, consistency of cerumen, canal walls, and nodules
Inspect the tympanic membrane for shape, consistency,
and landmarks
Palpate the auricle and mastoid process.

Internal Ear: Otoscopic Examination


Inspection

7. Inspect the external auditory canal.


Use the otoscope
Note any discharge along with the color and
consistency of cerumen (earwax).
Observe the color and consistency of the ear canal
walls and inspect the character of any nodules.

8. Inspect the tympanic membrane


(eardrum). Note color, shape, consistency, and
landmarks.
Internal Ear: Otoscopic Examination
9. To evaluate the mobility of the tympanic
membrane, perform pneumatic otoscopy with a bulb
insufflator attached by using an otoscope with bulb
insufflators. Observe the position of the tympanic
membrane when the bulb is inflated and again when
the air is released.

Hearing and Equilibrium Tests

10. Perform the whisper test by asking the client


to gently occlude the ear not
being tested and rub the tragus with a finger in a
circular motion. Start with
testing the better hearing ear and then the poorer
one. With your head 2 feet

behind the client (so that the client cannot see your
lips move), whisper a
two-syllable word such as “popcorn” or “football.” Ask
the client to repeat it
back to you.

11. Perform Weber’s test if the client


reports diminished or lost hearing in one
ear.
The test helps to evaluate the conduction of
sound waves through bone to help distinguish
between conductive hearing (sound waves
transmitted by the external and middle ear) and
sensorineural hearing (sound waves transmitted
by the inner ear).
Strike a tuning fork softly with the back of your hand
and place it at the
center of the client’s head or forehead. Centering is
the important part.
Ask whether the client hears the sound better in one
ear or the same in
both ears.

12. Perform the Rinne test.


The Rinne test compares air and bone
conduction sounds.
Strike a tuning fork and place the base of the fork on
the client’s mastoid process. Ask the client to tell you
when the sound is no longer heard.
Move the prongs of the tuning fork to the front of
the external auditory canal.
Ask the client to tell you if the sound is audible after
the fork is moved.

13. Perform the Romberg test.


This tests the client’s equilibrium. Ask the client to
stand with feet together, arms at sides, and eyes
open, then with the eyes closed.

14. Document the findings in the client record.

15. Perform hand hygiene

________________________ _______________________ Student’ Signature CI’s Signature

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