Pre and Post Operative Care of Patient with Ear Surgery

Subject: Medical and Surgical Nursing II (Theory)

Overview

Preoperative care for a patient having ear surgery includes keeping the external ear clean and dry, prepping the skin around the mastoids, general pre-operative care, supporting the patient psychologically to lessen their fear, and having them evaluated by an anesthetist to ensure they are healthy enough for the procedure. Post-operative instructions for patients who have had ear surgery include elevating the head of the bed by at least 30 degrees, monitoring vital signs and keeping an eye out for any bleeding symptoms that should be immediately reported to the doctor, sneezing and coughing with the mouth open for a few weeks after the procedure, and avoiding putting water in the ear for at least two weeks after the procedure.

 Pre operative  care

  • Keep external ear clean and dry

  • Skin preparation around mastoids area. The scalp is saved 2 cm around the affected ear post auricle and cleaned thoroughly

  • General pre-operative care.

  • Consent

  • Maintain personal hygiene

  • Psychological support to reduce patient fear

  • Routine investigation

  • The patient is examined by an anesthetist to make sure the patient is fit for the operation

 Post operative care

  • Head of bed is elevated at least 30 degree

  • To lie with operative ear up after surgery

  • Monitor vital sign and observe for the signs of bleeding should be reported immediately to the doctor

  • Blow nose gently one side at a time for 1 week after surgery

  • Sneeze and cough with the mouth open for a few weeks after the surgery

  • Avoid heavy lifting, straining, and bending

  • Popping and crackling sensation are normal in the ear after 3 to 5 wks after the corrective surgery

  • Temporary hearing loss and some discharge from the ear is common after surgery

  • Report excessive or purulent discharge from the ear however

  • Change the cotton ball in the ear as directed

  • Avoid water in the ear up to 2 wks after the surgery

 

 
Things to remember
  • Preoperative care for a patient having ear surgery includes keeping the external ear clean and dry, prepping the skin around the mastoids, general pre-operative care, supporting the patient psychologically to lessen their fear, and having them evaluated by an anesthetist to ensure they are healthy enough for the procedure.
  • Post-operative instructions for patients who have had ear surgery include elevating the head of the bed by at least 30 degrees, monitoring vital signs and keeping an eye out for any bleeding symptoms that should be immediately reported to the doctor, sneezing and coughing with the mouth open for a few weeks after the procedure, and avoiding putting water in the ear for at least two weeks after the procedure.
  • After 3 to 5 weeks following the corrective surgery, popping and crackling sensations in the ear are common.
Questions and Answers

Pre operative care

  • Keep external ear clean and dry
  • Skin preparation around mastoids area. The scalp is saved 2 cm around the affected ear post auricle and cleaned thoroughly
  • General pre operative care.
  • Consent
  • Aintain personal hygiene
  • Psychological support to reduce patient fear
  • Routine investigation
  • The patient is examined by an anaesthetist to make sure the patient is fit for the operation

 

Post operative care

  • Head of bed is elevated at least 30 degree
  • To lie with operative ear up after surgery
  • Monitor vital sign and observe for the signs of bleeding should be reported immediately to the docor
  • Blow nose gently one side at a time for 1 week after surgery
  • Sneeze and cough with the mouth open for a few weeks after the surgery
  • Avoid heavy lifting , straining, and bending
  • Popping and crackling sensation are normal in the ear after 3 to 5 wks after the corrective surgery
  • Temporary hearing loss and some discharge from the ear is common after surgery
  • Report excessive or purulent discharge from the ear however
  • Change the cotton ball in the ear as directed
  • Avoid water in the ear upto 2 wks after the surgery

 

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