3 Nursing Diagnosis for Mastoiditis
Mastoiditis
Definition
Mastoiditis is an inflammation of the mastoid bone, usually derived from the tympanic cavity.
According to Wilson mastoiditis is spreading germs to the mastoid of otitis media repeatedly.
Meanwhile, according to Nelson, Mastoiditis is an inflammation of the system air cells of the mastoid bone which accompanies acute and chronic otitis media with effusion accompanied. (Nelson, 1992: 592).
Signs and symptoms
Pain and tenderness in the back of the ear. Swelling of the mastoid. Complaints obtained a discharge from the ear for more than three weeks, it indicates that the infection of the middle ear mastoid already involved organs. Fever symptoms usually disappear and arise, this is due to the previous middle ear infections and antibiotics in the early course of the disease. If the fever is still felt after the administration of antibiotics, the suspicion on the mastoid infection becomes larger. The pain is usually felt on the back of the ear and felt worse at night, but it is difficult to obtain in patients who are still babies and have not been able to communicate. Hearing loss can occur or not depends on the size of the mastoid complex due to infection.
Complication
Facial paresis mentioned bone destruction which includes N. VII, so that continuity so disconnected. Can also be pressure N. VII by edema, transient paresis.
Thrombophlebitis, located on the lateral sinus so that the infection can spread to the back.
Intracranial complications such as meningitis, brain abscess, labyrinthitis.
Management
Common symptoms usually successfully treated with antibiotics, sometimes necessary myringotomy.
If there is recurrence / persistent tenderness, fever, headache and discharge from the ear may need to be done mastoidectomy.
Assessment
1. Biodata
Age: The average age of the affected mastoiditis between 6-13 months.
Gender: men and women are equally affected by mastoiditis.
2. The main complaint.
Pain behind the ear.
3. History of present illness
Suffering from acute otitis media / chronic.
4. Past medical history.
History suffering from acute otitis media, and chronic.
5. Patterns of health functions
Rest and sleep patterns: pain suffered by clients can lead to disturbed sleep patterns and the rest.
The pattern of activity: Pain experienced clients can restrict movement.
6. Examination Support.
Nursing Diagnosis for Mastoiditis
Definition
Mastoiditis is an inflammation of the mastoid bone, usually derived from the tympanic cavity.
According to Wilson mastoiditis is spreading germs to the mastoid of otitis media repeatedly.
Signs and symptoms
Pain and tenderness in the back of the ear. Swelling of the mastoid. Complaints obtained a discharge from the ear for more than three weeks, it indicates that the infection of the middle ear mastoid already involved organs. Fever symptoms usually disappear and arise, this is due to the previous middle ear infections and antibiotics in the early course of the disease. If the fever is still felt after the administration of antibiotics, the suspicion on the mastoid infection becomes larger. The pain is usually felt on the back of the ear and felt worse at night, but it is difficult to obtain in patients who are still babies and have not been able to communicate. Hearing loss can occur or not depends on the size of the mastoid complex due to infection.
Complication
Facial paresis mentioned bone destruction which includes N. VII, so that continuity so disconnected. Can also be pressure N. VII by edema, transient paresis.
Thrombophlebitis, located on the lateral sinus so that the infection can spread to the back.
Intracranial complications such as meningitis, brain abscess, labyrinthitis.
Management
Common symptoms usually successfully treated with antibiotics, sometimes necessary myringotomy.
If there is recurrence / persistent tenderness, fever, headache and discharge from the ear may need to be done mastoidectomy.
Assessment
1. Biodata
Age: The average age of the affected mastoiditis between 6-13 months.
Gender: men and women are equally affected by mastoiditis.
2. The main complaint.
Pain behind the ear.
3. History of present illness
Suffering from acute otitis media / chronic.
4. Past medical history.
History suffering from acute otitis media, and chronic.
5. Patterns of health functions
Rest and sleep patterns: pain suffered by clients can lead to disturbed sleep patterns and the rest.
The pattern of activity: Pain experienced clients can restrict movement.
6. Examination Support.
- Check blood
- Photos mastoid
- Ear bacterial culture
Nursing Diagnosis for Mastoiditis
- Acute pain related to the mastoid surgery.
- Risk for infection related to mastoidectomy, surgical trauma on the tissue and surrounding structures.
- Knowledge deficit; of the mastoid disease, surgical procedures, and postoperative care and hope.
