Acute otitis media abbreviated as AOM is one of the painful ear bacterial infections. It infects children between the ages of six months and thirty-six months. Therefore, acute otitis media primarily affects children. Acute otitis media occurs because of either inflammation or infection of the middle ear. The middle ear is found just behind the eardrum. Children likely to suffer from acute otitis media exhibit the following behaviors; intense crying in infants as well as fits of fussiness. However, acute otitis media is treatable clinically (Emerson, 2015).
The Rationale Used To Determine the Assessment of the Soap Notes
All the identifying data from the patient point that the patient is more likely to suffer from acute otitis media. The fact that the patient is two years old (24 months) makes J.S be within the age bracket of people most likely to suffer from acute otitis media. Furthermore, the patient is also attending daycare coupled with a history of the common cold (Rhinovirus (RV), which are all the risk factors associated with AOM. Moreover, all the symptoms point out that J.S is suffering from acute otitis media. Symptoms that J.S showed include irritability, fever, yellow nasal drainage, and tagging of the right ear.
Additionally, the use of otoscope as a diagnostic tool revealed that the patient's right tympanic membrane had the following symptoms: decreased motility, redness, tenderness, and discharge. All these symptoms are associated with acute otitis media. Therefore, these rationales were used to accurately assess and diagnose the patient of acute otitis media (Emerson, 2015). In regards to the treatment of acute otitis media, the primary care provider resorted to using antibiotics as opposed to surgery. The chosen treatment plan that was chosen by the care provider involved the use of amoxicillin that was delivered into two daily doses for ten days. However, the care provider decided against the use of aspirin because it is not appropriate for children. Moreover, the care provided recommended administering of ibuprofen or even Tylenol for children to manage pain or fever. The rationale of the primary care provider to resort to antibiotic rather than surgery was appropriate because J.S had no recurrence of ear infection coupled by the fact that the patient had not failed to respond to treatment (RPh, 2019).
Children suffering from acute otitis media experience reduced general activity, just like the case of any other disease. Therefore, J.S's mother was rightly advised not to worry in case her child experienced some level of reduced activity. Moreover, the mother was also rightly advised to encourage J.S to be active as she undertakes medication. Apart from the activity aspect, the mother also received appropriate recommendations in regards to diet. Care provider emphasized the need for a proper diet without necessarily changing the diet altogether. As part of the diet, the care provider stressed the need for fluids for hydration. The rationale of diet and activity was based on the need of the mother to have a pre-knowledge of any change of patient's activity. It is because acute otitis media is associated with alteration of activity. Moreover, the rationale of stressing on a diet was for the fact that diet is essential for quick recovery. Therefore, both activities together with diet are essential for the home care of the patient. Acute otitis media requires appropriate home care services that are necessary for the quick recovery of the patient (Cash & Glass, 2017).
Cash, J. C., & Glass, C. A. (2017). Family practice guidelines. New York: Springer Publishing Company.
Emerson, L., (2015). Chapter-04 Acute Otitis Media. Current Concepts of Otitis Media & Recent Management Strategies, 2(3), 29-35. Doi: 10.5005/jp/books/12458_5
RPh, S., (2019). Pharmacotherapeutics for Advanced Practice. Retrieved from https://www.academia.edu/17991062/Pharmacotherapeutics_for_Advanced_Practice
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