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Helene J Krouse - One of the best experts on this subject based on the ideXlab platform.
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Allergic disease and associated concurrent medical illnesses.
ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses, 2020Co-Authors: John H. Krouse, Helene J KrouseAbstract:: This retrospective study examined the pattern of medical illnesses, surgical procedures, and medication usage among 249 patients with allergic rhinitis contrasted with a comparison group of 253 patients with Cerumen Impaction. Results revealed that allergic patients experienced more frequent nasal and abdominal surgery, a higher prevalence of pulmonary and gastrointestinal disease, and used nasal sprays, antihistamines, and psychoactive medications more often than the comparison group. Implications for otolaryngology nursing practice are discussed.
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Clinical Practice Guideline (Update): Earwax (Cerumen Impaction)
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2017Co-Authors: Seth R Schwartz, Richard M Rosenfeld, Bopanna B Ballachanda, Anthony E Magit, Jesse M Hackell, Helene J Krouse, Claire M Lawlor, Kourosh Parham, David R StutzAbstract:Objective This update of the 2008 American Academy of Otolaryngology-Head and Neck Surgery Foundation Cerumen Impaction clinical practice guideline provides evidence-based recommendations on managing Cerumen Impaction. Cerumen Impaction is defined as an accumulation of Cerumen that causes symptoms, prevents assessment of the ear, or both. Changes from the prior guideline include a consumer added to the development group; new evidence (3 guidelines, 5 systematic reviews, and 6 randomized controlled trials); enhanced information on patient education and counseling; a new algorithm to clarify action statement relationships; expanded action statement profiles to explicitly state quality improvement opportunities, confidence in the evidence, intentional vagueness, and differences of opinion; an enhanced external review process to include public comment and journal peer review; and 3 new key action statements on managing Cerumen Impaction that focus on primary prevention, contraindicated intervention, and referral and coordination of care. Purpose The primary purpose of this guideline is to help clinicians identify patients with Cerumen Impaction who may benefit from intervention and to promote evidence-based management. Another purpose of the guideline is to highlight needs and management options in special populations or in patients who have modifying factors. The guideline is intended for all clinicians who are likely to diagnose and manage patients with Cerumen Impaction, and it applies to any setting in which Cerumen Impaction would be identified, monitored, or managed. The guideline does not apply to patients with Cerumen Impaction associated with the following conditions: dermatologic diseases of the ear canal; recurrent otitis externa; keratosis obturans; prior radiation therapy affecting the ear; previous tympanoplasty/myringoplasty, canal wall down mastoidectomy, or other surgery affecting the ear canal. Key Action Statements The panel made a strong recommendation that clinicians should treat, or refer to a clinician who can treat, Cerumen Impaction, defined as an accumulation of Cerumen that is associated with symptoms, prevents needed assessment of the ear, or both. The panel made the following recommendations: (1) Clinicians should explain proper ear hygiene to prevent Cerumen Impaction when patients have an accumulation of Cerumen. (2) Clinicians should diagnose Cerumen Impaction when an accumulation of Cerumen, as seen on otoscopy, is associated with symptoms, prevents needed assessment of the ear, or both. (3) Clinicians should assess the patient with Cerumen Impaction by history and/or physical examination for factors that modify management, such as ≥1 of the following: anticoagulant therapy, immunocompromised state, diabetes mellitus, prior radiation therapy to the head and neck, ear canal stenosis, exostoses, and nonintact tympanic membrane. (4) Clinicians should not routinely treat Cerumen in patients who are asymptomatic and whose ears can be adequately examined. (5) Clinicians should identify patients with obstructing Cerumen in the ear canal who may not be able to express symptoms (young children and cognitively impaired children and adults), and they should promptly evaluate the need for intervention. (6) Clinicians should perform otoscopy to detect the presence of Cerumen in patients with hearing aids during a health care encounter. (7) Clinicians should treat, or refer to a clinician who can treat, the patient with Cerumen Impaction with an appropriate intervention, which may include ≥1 of the following: Cerumenolytic agents, irrigation, or manual removal requiring instrumentation. (8) Clinicians should recommend against ear candling for treating or preventing Cerumen Impaction. (9) Clinicians should assess patients at the conclusion of in-office treatment of Cerumen Impaction and document the resolution of Impaction. If the Impaction is not resolved, the clinician should use additional treatment. If full or partial symptoms persist despite resolution of Impaction, the clinician should evaluate the patient for alternative diagnoses. (10) Finally, if initial management is unsuccessful, clinicians should refer patients with persistent Cerumen Impaction to clinicians who have specialized equipment and training to clean and evaluate ear canals and tympanic membranes. The panel offered the following as options: (1) Clinicians may use Cerumenolytic agents (including water or saline solution) in the management of Cerumen Impaction. (2) Clinicians may use irrigation in the management of Cerumen Impaction. (3) Clinicians may use manual removal requiring instrumentation in the management of Cerumen Impaction. (4) Last, clinicians may educate/counsel patients with Cerumen Impaction or excessive Cerumen regarding control measures.
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clinical practice guideline update earwax Cerumen Impaction
Otolaryngology-Head and Neck Surgery, 2017Co-Authors: Seth R Schwartz, Richard M Rosenfeld, Bopanna B Ballachanda, Anthony E Magit, Jesse M Hackell, Helene J Krouse, Claire M Lawlor, Kourosh Parham, David R Stutz, Sandy WalshAbstract:ObjectiveThis update of the 2008 American Academy of Otolaryngology—Head and Neck Surgery Foundation Cerumen Impaction clinical practice guideline provides evidence-based recommendations on managing Cerumen Impaction. Cerumen Impaction is defined as an accumulation of Cerumen that causes symptoms, prevents assessment of the ear, or both. Changes from the prior guideline includea consumer added to the development group;new evidence (3 guidelines, 5 systematic reviews, and 6 randomized controlled trials);enhanced information on patient education and counseling;a new algorithm to clarify action statement relationships;expanded action statement profiles to explicitly state quality improvement opportunities, confidence in the evidence, intentional vagueness, and differences of opinion;an enhanced external review process to include public comment and journal peer review; and3 new key action statements on managing Cerumen Impaction that focus on primary prevention, contraindicated intervention, and referral and ...
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clinical practice guideline update earwax Cerumen Impaction executive summary
Otolaryngology-Head and Neck Surgery, 2017Co-Authors: Seth R Schwartz, Richard M Rosenfeld, Bopanna B Ballachanda, Anthony E Magit, Jesse M Hackell, Helene J Krouse, Claire M Lawlor, Kourosh Parham, David R Stutz, Sandy WalshAbstract:The American Academy of Otolaryngology—Head and Neck Surgery Foundation (AAO-HNSF) has published a supplement to this issue of Otolaryngology–Head and Neck Surgery featuring the updated Clinical Practice Guideline: Earwax (Cerumen Impaction). To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 11 recommendations emphasize proper ear hygiene, diagnosis of Cerumen Impaction, factors that modify management, evaluating the need for intervention, and proper treatment. An updated guideline is needed due to new evidence (3 guidelines, 5 systematic reviews, and 6 randomized controlled trials) and the need to add statements on managing Cerumen Impaction that focus on primary prevention, contraindicated intervention, and referral and coordination of care.
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plain language summary earwax Cerumen Impaction
Otolaryngology-Head and Neck Surgery, 2017Co-Authors: Helene J Krouse, Anthony E Magit, Sarah S Oconnor, Seth R Schwarz, Sandra A WalshAbstract:This plain language summary serves as an overview in explaining earwax (Cerumen). The summary applies to patients older than 6 months with a clinical diagnosis of earwax Impaction and is based on the 2017 update of the Clinical Practice Guideline: Earwax (Cerumen Impaction). The evidence-based guideline includes research that supports diagnosis and treatment of earwax Impaction. The guideline was developed to improve care by health care providers for managing earwax Impaction by creating clear recommendations to use in medical practice.
Sandy Walsh - One of the best experts on this subject based on the ideXlab platform.
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clinical practice guideline update earwax Cerumen Impaction
Otolaryngology-Head and Neck Surgery, 2017Co-Authors: Seth R Schwartz, Richard M Rosenfeld, Bopanna B Ballachanda, Anthony E Magit, Jesse M Hackell, Helene J Krouse, Claire M Lawlor, Kourosh Parham, David R Stutz, Sandy WalshAbstract:ObjectiveThis update of the 2008 American Academy of Otolaryngology—Head and Neck Surgery Foundation Cerumen Impaction clinical practice guideline provides evidence-based recommendations on managing Cerumen Impaction. Cerumen Impaction is defined as an accumulation of Cerumen that causes symptoms, prevents assessment of the ear, or both. Changes from the prior guideline includea consumer added to the development group;new evidence (3 guidelines, 5 systematic reviews, and 6 randomized controlled trials);enhanced information on patient education and counseling;a new algorithm to clarify action statement relationships;expanded action statement profiles to explicitly state quality improvement opportunities, confidence in the evidence, intentional vagueness, and differences of opinion;an enhanced external review process to include public comment and journal peer review; and3 new key action statements on managing Cerumen Impaction that focus on primary prevention, contraindicated intervention, and referral and ...
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clinical practice guideline update earwax Cerumen Impaction executive summary
Otolaryngology-Head and Neck Surgery, 2017Co-Authors: Seth R Schwartz, Richard M Rosenfeld, Bopanna B Ballachanda, Anthony E Magit, Jesse M Hackell, Helene J Krouse, Claire M Lawlor, Kourosh Parham, David R Stutz, Sandy WalshAbstract:The American Academy of Otolaryngology—Head and Neck Surgery Foundation (AAO-HNSF) has published a supplement to this issue of Otolaryngology–Head and Neck Surgery featuring the updated Clinical Practice Guideline: Earwax (Cerumen Impaction). To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 11 recommendations emphasize proper ear hygiene, diagnosis of Cerumen Impaction, factors that modify management, evaluating the need for intervention, and proper treatment. An updated guideline is needed due to new evidence (3 guidelines, 5 systematic reviews, and 6 randomized controlled trials) and the need to add statements on managing Cerumen Impaction that focus on primary prevention, contraindicated intervention, and referral and coordination of care.
Anthony E Magit - One of the best experts on this subject based on the ideXlab platform.
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Clinical Practice Guideline (Update): Earwax (Cerumen Impaction)
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2017Co-Authors: Seth R Schwartz, Richard M Rosenfeld, Bopanna B Ballachanda, Anthony E Magit, Jesse M Hackell, Helene J Krouse, Claire M Lawlor, Kourosh Parham, David R StutzAbstract:Objective This update of the 2008 American Academy of Otolaryngology-Head and Neck Surgery Foundation Cerumen Impaction clinical practice guideline provides evidence-based recommendations on managing Cerumen Impaction. Cerumen Impaction is defined as an accumulation of Cerumen that causes symptoms, prevents assessment of the ear, or both. Changes from the prior guideline include a consumer added to the development group; new evidence (3 guidelines, 5 systematic reviews, and 6 randomized controlled trials); enhanced information on patient education and counseling; a new algorithm to clarify action statement relationships; expanded action statement profiles to explicitly state quality improvement opportunities, confidence in the evidence, intentional vagueness, and differences of opinion; an enhanced external review process to include public comment and journal peer review; and 3 new key action statements on managing Cerumen Impaction that focus on primary prevention, contraindicated intervention, and referral and coordination of care. Purpose The primary purpose of this guideline is to help clinicians identify patients with Cerumen Impaction who may benefit from intervention and to promote evidence-based management. Another purpose of the guideline is to highlight needs and management options in special populations or in patients who have modifying factors. The guideline is intended for all clinicians who are likely to diagnose and manage patients with Cerumen Impaction, and it applies to any setting in which Cerumen Impaction would be identified, monitored, or managed. The guideline does not apply to patients with Cerumen Impaction associated with the following conditions: dermatologic diseases of the ear canal; recurrent otitis externa; keratosis obturans; prior radiation therapy affecting the ear; previous tympanoplasty/myringoplasty, canal wall down mastoidectomy, or other surgery affecting the ear canal. Key Action Statements The panel made a strong recommendation that clinicians should treat, or refer to a clinician who can treat, Cerumen Impaction, defined as an accumulation of Cerumen that is associated with symptoms, prevents needed assessment of the ear, or both. The panel made the following recommendations: (1) Clinicians should explain proper ear hygiene to prevent Cerumen Impaction when patients have an accumulation of Cerumen. (2) Clinicians should diagnose Cerumen Impaction when an accumulation of Cerumen, as seen on otoscopy, is associated with symptoms, prevents needed assessment of the ear, or both. (3) Clinicians should assess the patient with Cerumen Impaction by history and/or physical examination for factors that modify management, such as ≥1 of the following: anticoagulant therapy, immunocompromised state, diabetes mellitus, prior radiation therapy to the head and neck, ear canal stenosis, exostoses, and nonintact tympanic membrane. (4) Clinicians should not routinely treat Cerumen in patients who are asymptomatic and whose ears can be adequately examined. (5) Clinicians should identify patients with obstructing Cerumen in the ear canal who may not be able to express symptoms (young children and cognitively impaired children and adults), and they should promptly evaluate the need for intervention. (6) Clinicians should perform otoscopy to detect the presence of Cerumen in patients with hearing aids during a health care encounter. (7) Clinicians should treat, or refer to a clinician who can treat, the patient with Cerumen Impaction with an appropriate intervention, which may include ≥1 of the following: Cerumenolytic agents, irrigation, or manual removal requiring instrumentation. (8) Clinicians should recommend against ear candling for treating or preventing Cerumen Impaction. (9) Clinicians should assess patients at the conclusion of in-office treatment of Cerumen Impaction and document the resolution of Impaction. If the Impaction is not resolved, the clinician should use additional treatment. If full or partial symptoms persist despite resolution of Impaction, the clinician should evaluate the patient for alternative diagnoses. (10) Finally, if initial management is unsuccessful, clinicians should refer patients with persistent Cerumen Impaction to clinicians who have specialized equipment and training to clean and evaluate ear canals and tympanic membranes. The panel offered the following as options: (1) Clinicians may use Cerumenolytic agents (including water or saline solution) in the management of Cerumen Impaction. (2) Clinicians may use irrigation in the management of Cerumen Impaction. (3) Clinicians may use manual removal requiring instrumentation in the management of Cerumen Impaction. (4) Last, clinicians may educate/counsel patients with Cerumen Impaction or excessive Cerumen regarding control measures.
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clinical practice guideline update earwax Cerumen Impaction
Otolaryngology-Head and Neck Surgery, 2017Co-Authors: Seth R Schwartz, Richard M Rosenfeld, Bopanna B Ballachanda, Anthony E Magit, Jesse M Hackell, Helene J Krouse, Claire M Lawlor, Kourosh Parham, David R Stutz, Sandy WalshAbstract:ObjectiveThis update of the 2008 American Academy of Otolaryngology—Head and Neck Surgery Foundation Cerumen Impaction clinical practice guideline provides evidence-based recommendations on managing Cerumen Impaction. Cerumen Impaction is defined as an accumulation of Cerumen that causes symptoms, prevents assessment of the ear, or both. Changes from the prior guideline includea consumer added to the development group;new evidence (3 guidelines, 5 systematic reviews, and 6 randomized controlled trials);enhanced information on patient education and counseling;a new algorithm to clarify action statement relationships;expanded action statement profiles to explicitly state quality improvement opportunities, confidence in the evidence, intentional vagueness, and differences of opinion;an enhanced external review process to include public comment and journal peer review; and3 new key action statements on managing Cerumen Impaction that focus on primary prevention, contraindicated intervention, and referral and ...
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clinical practice guideline update earwax Cerumen Impaction executive summary
Otolaryngology-Head and Neck Surgery, 2017Co-Authors: Seth R Schwartz, Richard M Rosenfeld, Bopanna B Ballachanda, Anthony E Magit, Jesse M Hackell, Helene J Krouse, Claire M Lawlor, Kourosh Parham, David R Stutz, Sandy WalshAbstract:The American Academy of Otolaryngology—Head and Neck Surgery Foundation (AAO-HNSF) has published a supplement to this issue of Otolaryngology–Head and Neck Surgery featuring the updated Clinical Practice Guideline: Earwax (Cerumen Impaction). To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 11 recommendations emphasize proper ear hygiene, diagnosis of Cerumen Impaction, factors that modify management, evaluating the need for intervention, and proper treatment. An updated guideline is needed due to new evidence (3 guidelines, 5 systematic reviews, and 6 randomized controlled trials) and the need to add statements on managing Cerumen Impaction that focus on primary prevention, contraindicated intervention, and referral and coordination of care.
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plain language summary earwax Cerumen Impaction
Otolaryngology-Head and Neck Surgery, 2017Co-Authors: Helene J Krouse, Anthony E Magit, Sarah S Oconnor, Seth R Schwarz, Sandra A WalshAbstract:This plain language summary serves as an overview in explaining earwax (Cerumen). The summary applies to patients older than 6 months with a clinical diagnosis of earwax Impaction and is based on the 2017 update of the Clinical Practice Guideline: Earwax (Cerumen Impaction). The evidence-based guideline includes research that supports diagnosis and treatment of earwax Impaction. The guideline was developed to improve care by health care providers for managing earwax Impaction by creating clear recommendations to use in medical practice.
Seth R Schwartz - One of the best experts on this subject based on the ideXlab platform.
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clinical practice guideline update earwax Cerumen Impaction
Otolaryngology-Head and Neck Surgery, 2017Co-Authors: Seth R Schwartz, Richard M Rosenfeld, Bopanna B Ballachanda, Anthony E Magit, Jesse M Hackell, Helene J Krouse, Claire M Lawlor, Kourosh Parham, David R Stutz, Sandy WalshAbstract:ObjectiveThis update of the 2008 American Academy of Otolaryngology—Head and Neck Surgery Foundation Cerumen Impaction clinical practice guideline provides evidence-based recommendations on managing Cerumen Impaction. Cerumen Impaction is defined as an accumulation of Cerumen that causes symptoms, prevents assessment of the ear, or both. Changes from the prior guideline includea consumer added to the development group;new evidence (3 guidelines, 5 systematic reviews, and 6 randomized controlled trials);enhanced information on patient education and counseling;a new algorithm to clarify action statement relationships;expanded action statement profiles to explicitly state quality improvement opportunities, confidence in the evidence, intentional vagueness, and differences of opinion;an enhanced external review process to include public comment and journal peer review; and3 new key action statements on managing Cerumen Impaction that focus on primary prevention, contraindicated intervention, and referral and ...
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Clinical Practice Guideline (Update): Earwax (Cerumen Impaction)
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2017Co-Authors: Seth R Schwartz, Richard M Rosenfeld, Bopanna B Ballachanda, Anthony E Magit, Jesse M Hackell, Helene J Krouse, Claire M Lawlor, Kourosh Parham, David R StutzAbstract:Objective This update of the 2008 American Academy of Otolaryngology-Head and Neck Surgery Foundation Cerumen Impaction clinical practice guideline provides evidence-based recommendations on managing Cerumen Impaction. Cerumen Impaction is defined as an accumulation of Cerumen that causes symptoms, prevents assessment of the ear, or both. Changes from the prior guideline include a consumer added to the development group; new evidence (3 guidelines, 5 systematic reviews, and 6 randomized controlled trials); enhanced information on patient education and counseling; a new algorithm to clarify action statement relationships; expanded action statement profiles to explicitly state quality improvement opportunities, confidence in the evidence, intentional vagueness, and differences of opinion; an enhanced external review process to include public comment and journal peer review; and 3 new key action statements on managing Cerumen Impaction that focus on primary prevention, contraindicated intervention, and referral and coordination of care. Purpose The primary purpose of this guideline is to help clinicians identify patients with Cerumen Impaction who may benefit from intervention and to promote evidence-based management. Another purpose of the guideline is to highlight needs and management options in special populations or in patients who have modifying factors. The guideline is intended for all clinicians who are likely to diagnose and manage patients with Cerumen Impaction, and it applies to any setting in which Cerumen Impaction would be identified, monitored, or managed. The guideline does not apply to patients with Cerumen Impaction associated with the following conditions: dermatologic diseases of the ear canal; recurrent otitis externa; keratosis obturans; prior radiation therapy affecting the ear; previous tympanoplasty/myringoplasty, canal wall down mastoidectomy, or other surgery affecting the ear canal. Key Action Statements The panel made a strong recommendation that clinicians should treat, or refer to a clinician who can treat, Cerumen Impaction, defined as an accumulation of Cerumen that is associated with symptoms, prevents needed assessment of the ear, or both. The panel made the following recommendations: (1) Clinicians should explain proper ear hygiene to prevent Cerumen Impaction when patients have an accumulation of Cerumen. (2) Clinicians should diagnose Cerumen Impaction when an accumulation of Cerumen, as seen on otoscopy, is associated with symptoms, prevents needed assessment of the ear, or both. (3) Clinicians should assess the patient with Cerumen Impaction by history and/or physical examination for factors that modify management, such as ≥1 of the following: anticoagulant therapy, immunocompromised state, diabetes mellitus, prior radiation therapy to the head and neck, ear canal stenosis, exostoses, and nonintact tympanic membrane. (4) Clinicians should not routinely treat Cerumen in patients who are asymptomatic and whose ears can be adequately examined. (5) Clinicians should identify patients with obstructing Cerumen in the ear canal who may not be able to express symptoms (young children and cognitively impaired children and adults), and they should promptly evaluate the need for intervention. (6) Clinicians should perform otoscopy to detect the presence of Cerumen in patients with hearing aids during a health care encounter. (7) Clinicians should treat, or refer to a clinician who can treat, the patient with Cerumen Impaction with an appropriate intervention, which may include ≥1 of the following: Cerumenolytic agents, irrigation, or manual removal requiring instrumentation. (8) Clinicians should recommend against ear candling for treating or preventing Cerumen Impaction. (9) Clinicians should assess patients at the conclusion of in-office treatment of Cerumen Impaction and document the resolution of Impaction. If the Impaction is not resolved, the clinician should use additional treatment. If full or partial symptoms persist despite resolution of Impaction, the clinician should evaluate the patient for alternative diagnoses. (10) Finally, if initial management is unsuccessful, clinicians should refer patients with persistent Cerumen Impaction to clinicians who have specialized equipment and training to clean and evaluate ear canals and tympanic membranes. The panel offered the following as options: (1) Clinicians may use Cerumenolytic agents (including water or saline solution) in the management of Cerumen Impaction. (2) Clinicians may use irrigation in the management of Cerumen Impaction. (3) Clinicians may use manual removal requiring instrumentation in the management of Cerumen Impaction. (4) Last, clinicians may educate/counsel patients with Cerumen Impaction or excessive Cerumen regarding control measures.
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clinical practice guideline update earwax Cerumen Impaction executive summary
Otolaryngology-Head and Neck Surgery, 2017Co-Authors: Seth R Schwartz, Richard M Rosenfeld, Bopanna B Ballachanda, Anthony E Magit, Jesse M Hackell, Helene J Krouse, Claire M Lawlor, Kourosh Parham, David R Stutz, Sandy WalshAbstract:The American Academy of Otolaryngology—Head and Neck Surgery Foundation (AAO-HNSF) has published a supplement to this issue of Otolaryngology–Head and Neck Surgery featuring the updated Clinical Practice Guideline: Earwax (Cerumen Impaction). To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 11 recommendations emphasize proper ear hygiene, diagnosis of Cerumen Impaction, factors that modify management, evaluating the need for intervention, and proper treatment. An updated guideline is needed due to new evidence (3 guidelines, 5 systematic reviews, and 6 randomized controlled trials) and the need to add statements on managing Cerumen Impaction that focus on primary prevention, contraindicated intervention, and referral and coordination of care.
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clinical practice guideline Cerumen Impaction
Otolaryngology-Head and Neck Surgery, 2008Co-Authors: Peter S Roland, Timothy L Smith, Seth R Schwartz, Richard M Rosenfeld, Bopanna B Ballachanda, Jerry M Earll, Jose N Fayad, Allen D Harlor, Barry E Hirsch, Stacie Schilling JonesAbstract:OBJECTIVE: This guideline provides evidence-based recommendations on managing Cerumen Impaction, defined as an accumulation of Cerumen that causes symptoms, prevents assessment of the ear, or both. We recognize that the term “Impaction” suggests that the ear canal is completely obstructed with Cerumen and that our definition of Cerumen Impaction does not require a complete obstruction. However, Cerumen Impaction is the preferred term since it is consistently used in clinical practice and in the published literature to describe symptomatic Cerumen or Cerumen that prevents assessment of the ear. This guideline is intended for all clinicians who are likely to diagnose and manage patients with Cerumen Impaction. PURPOSE: The primary purpose of this guideline is to improve diagnostic accuracy for Cerumen Impaction, promote appropriate intervention in patients with Cerumen Impaction, highlight the need for evaluation and intervention in special populations, promote appropriate therapeutic options with outcomes assessment, and improve counseling and education for prevention of Cerumen Impaction. In creating this guideline the American Academy of Otolaryngology‐Head and Neck Surgery Foundation selected a panel representing the fields of audiology, family medicine, geriatrics, internal medicine, nursing, otolaryngology‐head and neck surgery, and pediatrics. RESULTS: The panel made a strong recommendation that
Ilya Krisnana - One of the best experts on this subject based on the ideXlab platform.
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PERMAINAN ULAR TANGGA MENINGKATKAN PENGETAHUAN DAN SIKAP ANAK SEKOLAH DASAR DALAM PENCEGAHAN IMPAKSI SERUMEN DI SDN TAMBAKSARI III SURABAYA
2020Co-Authors: Norma Astrianingsih, Kristiawati Kristiawati, Ilya KrisnanaAbstract:Introduction : Cerumen Impaction is syndrome of hearing due to the build up of ear wax in the ear canal and cause pressure that impair. It is found in elementary school children. Cleanliness of child's ears cannot clean because the children afraid if other objects put in their ears and children’s has less knowledge and attitude about the impact of dirty ears. Health education using the snake ladders game can be applied as a solution to this problem. The purpose of this research is explain effect of snake ladders game towards elementary school children’s knowledge and attitude in the prevention of Cerumen Impaction at SDN Tambaksari III Surabaya. Methods : This research used quasy experimental design and object of this research is the childrens in third grade at SDN Tambaksari III Surabaya. The sampling used total sampling technique, based on the inclusion criteria, used 32 respondents consist of 16 people as experiment group and 16 people as control group. Data collected by quesioner and analyzed by wilcoxon signed rank test and mann whitney test with significant value p≤0,05. Result : The results showed that there were enhancement for knowledge (p=0.001), and attitude (p=0.001) for post intervention toward the experimental group. These data were strenghted by the result of Mann Whitney U Test statistical analysis that showed the significant differences for knowledge (p=0.000), and attitude (p=0.004). Discussion : It can be concluded that snake ladders game effective to enhance the children’s knowledge and attitude in the prevention of Cerumen Impaction. The suggestion for next researcher is to give health education using snake ladders for behavior of Cerumen Impaction’s prevention.
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snake ladders game enhance knowledge and attitude of elementary school children in Cerumen Impaction prevention in sdn tambaksari iii surabaya
Critical Medical & Surgical Nursing Journal, 2014Co-Authors: Norma Astrianingsih, Ilya KrisnanaAbstract:Introduction Cerumen Impaction is syndrome of hearing due to the build up of ear wax in the ear canal and cause pressure that impair. It is found in elementary school children. Cleanliness of child s ears cannot clean because the children afraid if other objects put in their ears and children’s has less knowledge and attitude about the impact of dirty ears. Health education using the snake ladders game can be applied as a solution to this problem. The purpose of this research is explain effect of snake ladders game towards elementary school children’s knowledge and attitude in the prevention of Cerumen Impaction at SDN Tambaksari III Surabaya. Methods This research used quasy experimental design and object of this research is the childrens in third grade at SDN Tambaksari III Surabaya. The sampling used total sampling technique, based on the inclusion criteria, used 32 respondents consist of 16 people as experiment group and 16 people as control group. Data collected by quesioner and analyzed by wilcoxon signed rank test and mann whitney test with significant value p≤0,05. Result The results showed that there were enhancement for knowledge (p=0.001), and attitude (p=0.001) for post intervention toward the experimental group. These data were strenghted by the result of Mann Whitney U Test statistical analysis that showed the significant differences for knowledge (p=0.000), and attitude (p=0.004). Discussion It can be concluded that snake ladders game effective to enhance the children’s knowledge and attitude in the prevention of Cerumen Impaction. The suggestion for next researcher is to give health education using snake ladders for behavior of Cerumen Impaction’s prevention.