My wife seems to be having trouble hearing me when I talk. She is turning the TV up really loud. Mary is an 88-year-old African American (AA) female…

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Question Answered step-by-step C: My wife seems to be having trouble hearing me when I talk. She is turning the TV up really loud.HPI: Mary is an 88-year-old African American (AA) female married for 50 years to Albert. Albert complains that Mary cannot hear or hears but does not understand (especially in a group); turns up radio or television louder to hear (also noted by family, friends, and neighbors); Mary complains of tinnitus; and she feels like people are “mumbling.” PMH: Mary takes ramipril for hypertension (HTN), a baby aspirin for cardio protection, and a statin for hypercholesterolemia. Vital signs are 120/88 P: 88 P02: 96% WT: 156 HT: 5’6″ROS: Ask if Mary has had any exposure to ototoxic drugs or other otic damage in the past. Describe at least three.PE: What examinations will you perform on the ear? Describe the areas of the ear you will evaluate and what you will expect to find.  Diagnostic Testing: Please describe at least three (3) methods to test for hearing. You determine that Mary has a hearing deficit and tinnitus. What differential diagnoses do you want to consider? Describe at least three. What will your treatment plan for this patient be? What other recommendations will you make (i.e., screening)? What referrals will you make? Education: Name at least two things you will educate your patient about regarding their hearing. Choose the ROS, PE, and DD and final diagnosis for this patient, and then write up your focused SOAP note.  Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

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