성장을 멈추지 마세요

체험은 만족하셨나요?

현재 45,766명이 마이메르시로 공부 중이에요

지식 자료를 소장하고 멋진 의료인으로 성장하세요

학습 자료 둘러보기 →
Hearing aids | 마이메르시 MyMerci
제안하기

뭔가 하고 싶은 말이 있는거야?

0 / 2000
컨텐츠 수정하기

컨텐츠 내용을 수정할 수 있습니다

수정하기
닫기

Hearing aids

NCLEX Review Guide: Adult Health - Visual & Auditory Systems

Hearing Aids and Auditory Care

Types of Hearing Aids

  • Behind-the-ear (BTE) devices are most common and suitable for all degrees of hearing loss, with the main component sitting behind the ear connected to an ear mold.
  • In-the-ear (ITE) aids fit entirely within the outer ear and are less visible but may be difficult for clients with dexterity issues to manipulate.
  • Completely-in-canal (CIC) devices are nearly invisible but require good manual dexterity for insertion and battery changes.
  • Bone-anchored hearing aids (BAHA) are surgically implanted for clients with conductive hearing loss or single-sided deafness.

Key Points

  • Always check if hearing aid is turned on and battery is functional before assuming client cannot hear
  • Remove hearing aids before MRI, surgery, or when using electrical equipment
  • Store hearing aids in a dry, safe place when not in use

Hearing Aid Care and Maintenance

  • Daily cleaning involves wiping the device with a dry cloth and using a soft brush to remove earwax from the microphone and receiver openings.
  • Never use water, alcohol, or cleaning solvents as these can damage the electronic components permanently.
  • Battery life typically lasts 3-7 days depending on usage, and batteries should be removed if device won't be used for extended periods.
  • Professional cleaning and adjustment should occur every 3-6 months to maintain optimal function and comfort.

Memory Aid: "CLEAN"

  • Check battery daily
  • Lift out earwax gently
  • Examine for damage
  • Avoid moisture completely
  • Never use harsh chemicals

Nursing Interventions for Hearing Aid Users

  1. Assess client's ability to insert, remove, and care for hearing aid independently
  2. Verify proper fit by checking for whistling sounds (feedback) which indicates poor seal
  3. Ensure volume is appropriate - start low and gradually increase
  4. Document hearing aid use, effectiveness, and any problems in client record
  5. Provide education on troubleshooting common issues

Clinical Scenario

An 78-year-old client with bilateral hearing aids reports that "everyone is mumbling." The nurse should first check if the hearing aids are properly inserted, turned on, and have functioning batteries before assuming the client's hearing has worsened.

Communication Strategies

  • Face the client directly and ensure good lighting when speaking to facilitate lip reading and facial expression interpretation.
  • Speak clearly at a normal pace without exaggerating mouth movements, as this can distort lip reading cues.
  • Lower pitch voices are generally easier to hear than higher pitched voices for most hearing aid users.
  • Use visual cues, gestures, and written communication when necessary to supplement verbal communication.

Commonly Confused Concepts

Conductive Hearing Loss Sensorineural Hearing Loss
Problem in outer/middle ear Problem in inner ear/auditory nerve
Often reversible Usually permanent
Hearing aids very effective May need specialized programming
Examples: earwax, infection Examples: aging, noise damage

Quick Check

  • ☐ Can you identify when to remove hearing aids for safety?
  • ☐ Do you know the proper cleaning technique?
  • ☐ Can you troubleshoot common hearing aid problems?
  • ☐ Do you understand effective communication strategies?

Common Pitfalls & Study Tips

Common NCLEX Pitfalls

  • Don't assume hearing loss means cognitive impairment - speak TO the client, not about them
  • Remember that hearing aids amplify ALL sounds, including background noise
  • Never shout at hearing aid users - this can cause discomfort and distortion

Study Tip: "HEAR"

  • Handle with care - gentle cleaning only
  • Environment matters - reduce background noise
  • Assess function before assuming problems
  • Respect dignity - maintain normal conversation

Remember: Effective communication with hearing-impaired clients requires patience, understanding, and proper technique. You're preparing to provide compassionate, skilled nursing care that makes a real difference in your patients' lives!

다음 이론을 계속 학습하려면 로그인하세요.

로그인하고 계속 학습
컨텐츠를 그만볼래?

필기노트, 하이라이터, 메모는 잘 쓰고 있어?

내보내줘
어떤 폴더에 저장할래?

컨텐츠 노트에는 총 0개의 폴더가 있어!

폴더 만들기
컨텐츠 만들기
만들기
신고했어요.

운영진이 검토할게요!

해당 유저를 차단했어요.

마이페이지에서 차단한 회원을 관리할 수 있어요.