Otitis Externa Symptoms and Treatment for a Child

Assessment Data

Subjective

A 10-year-old female reports ear pain that has worsened during the past three days. Fever and discharge from the ear are not observed. A good appetite is present. The patient does not provide a clear description of pain except stating that it is of a reproducible character. Still, the decision to take baby aspirin to relieve the pain was made and proved that the patient suffered from severe for her age pain. In the past year, she used an oral antibiotic to deal with her otitis media. She also takes an asthma inhaler regularly.

Regarding the past medical history of recurrent otitis media, seasonal allergies, and the fact that she took swimming activities in her summer camp regularly, it is possible to say that the patient has otitis externa. As an ARNP, I should proceed with the case through the evaluation of the current condition of the patient, their awareness about recurrent diseases, and define the level of parental involvement in this family. This case will be based on the overview of otitis media and treatment options for a school-aged patient.

Otitis Externa

Otitis externa is a type of inflammation that is usually characterized by the presence of infection in the external auditory canal or the auricle. Ear canals are red and swollen, and discharge may be present but not always (Hoberman et al., 2016). Otitis externa is also known as swimmer’s ear because it is caused by such bacteria as Staphylococcus epidermis and Pseudomonas aeruginosa that are usually found in water (Gore, 2018).

A virus may also cause this type of otitis. Still, these cases are rare. In addition to fever and pain, the main symptoms of this disease are itching, redness, and a feeling of discomfort. Symptoms onset is about 48 hours (Gore, 2018). Clinical diagnosis is based on the patient’s history and physical examination. It is important to find out if the patient has recently got any traumas or tried some unusual practices that may influence the ears.

Treatment Plan

Goals

The main goal of treatment for a child is to reduce the level of pain and find a true cause of her worsened condition. Antimicrobial resistance can be a problem for many children (Hoberman et al., 2016). Therefore, the aim of treatment is not to overuse antibiotics but to make sure the patient deals with pain independently. Regarding the clinical practice guidelines developed by Rosenfeld et al. (2014), a treatment plan should include an appropriate aural toilet, antiseptic and antibiotic drops, oral antibiotics, and analgesics.

Prescriptions

Ofloxacin 0.3% should be given once daily to fight the bacteria, and hydrocortisone 1.0% to deal with the infection and reduce the redness should be taken 3 times daily (Rosenfeld et al., 2014). Hydrocortisone may also be in the form of a cream (1 g). The choice of antibiotics depends on such factors as the patient’s allergies and resistance. Two weeks is the required treatment period.

Adverse Reactions

Blurred vision, anxiety, dizziness, and dry mouth may bother patients of different groups. Sometimes, young patients experience a headache and heartbeats.

Interactions

  • Drug-drug – The combination of the chosen drugs is not characterized by some negative outcomes. Doctors support the idea of using this antibiotic and a steroid to deal with the complications of external otitis.
  • Drug-food: No negative reactions to the chosen medications are observed in terms of taking food.

Second-line Therapy

If Ofloxacin-Hydrocortisone therapy does not work, it is possible to change the types of steroids and antibiotics first. Then, to achieve better results, the ear should be checked for fungus in order to choose another form of therapy. The patients from other age groups can follow the same prescriptions as a part of primary or alternative care.

Education Plan

Patient Information

Recurrent problems with ears are not usually connected with a family history of allergies. Still, the style of life the patient prefers and the activities she likes to be involved in having to be identified and discussed in order to remove those which may cause harm or complications. Regarding the therapy and personal information of the patient, her care plan has to be individualized and controlled by a parent.

Side effects, including dizziness and headaches, can change the patient’s condition and mood (Rosenfeld et al., 2014). Therefore, her mother should make regular observations and support the activities where swimming and water are not included. The patient should also be explained that regular visits to a local otolaryngologist can help to prevent complications and repeated ear problems and pain.

Over-the-Counter and/or alternative medications or therapies

Preventive therapy for a patient who has recurrent otitis media should be based on lifestyle changes, attention to hygiene, and prophylaxis with oils, ginger, or garlic (the last two are effective due to their anti-inflammatory characteristics). Communication with parents about an earache should begin as soon as it starts bothering. Neither cold nor hot compresses should be taken unless the doctor’s examination and recommendation.

Dietary/Life Style Recommendations

Though it is hard for a young girl to avoid swimming activities in a summer camp, it is possible at least to try to protect her ears and use special protective means. There are special swimming caps, earplugs, and drops that may protect the child during swimming. Diet has nothing in common with the management of an earache.

References

Gore, J. (2018). Otitis externa. Journal of the American Academy of Physical Assistants, 31(2), 47-48.

Hoberman, A., Paradise, J. L., Rockette, H. E., Kearney, D. H., Bhatnagar, S., Shope, T. R.,… Block, S. L. (2016). Shortened antimicrobial treatment for acute otitis media in young children. New England Journal of Medicine, 375(25), 2446-2456.

Rosenfeld, R. M., Schwartz, S. R., Cannon, C. R., Roland, P. S., Simon, G. R., Kumar, K. A.,… Robertson, P. J. (2014). Clinical practice guideline: Acute otitis externa. Otolaryngology – Head and Neck Surgery, 150(1), 1-24.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Online Academic Experts
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Professions and Applied Sciences
Thanks. This helps a lot. Was a bit late but some cushion was given.
Customer 453015, February 10th, 2022
Education
Very fast response and did a excellent job.
Customer 453201, May 31st, 2022
Nursing
Thank you so much for your help! :)
Customer 453167, May 11th, 2022
Management
Thank you!!! I received my order in record timing.
Customer 452551, February 9th, 2021
History
Don't really see any of sources I provided, but elsewise its great, thank you!
Customer 452697, May 8th, 2021
Business Studies
First of all, the writer made sure that he completely understood my assignment and all the guidelines before he began writing. My paper was finished very fast and well before the specified deadline. I thought it was written excellently. He definitely completely grasped the topic. Overall, he is a great writer and I couldn't have asked for better.
Customer 452441, November 29th, 2021
English 101
IThank you
Customer 452631, April 6th, 2021
Economics
Nice work
Customer 453185, May 21st, 2022
Human Resources Management (HRM)
Always great! My son has been in critical health these last few semesters. Many times I have thought he wasn't going to make it and thought about quitting or postponing school until he was healthier but it always happens to be in the middle of the semester. This service has been a lifesaver for my mindset in helping keep my grades up and keep my son alive at the same time. I don't know if I could have made it through this period without it.
Customer 453077, June 6th, 2022
Nursing
Thank you
Customer 453087, March 5th, 2022
Sociology
THANK YOUUUUU
Customer 452591, March 18th, 2021
Nursing
It was a very long paper, but she followed all the instructions, and she even finished the paper 5 days before the due date. Will write an essay with her again, thanks!
Customer 452967, November 27th, 2021
11,595
Customer reviews in total
96%
Current satisfaction rate
3 pages
Average paper length
37%
Customers referred by a friend
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat
Live ChatWhatsApp