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    NCM 101 08 - Nose and Sinuses

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    Paninsoro Niña Maria Christina M.
    The document provides information about assessing the nose and sinuses. It describes the external parts of the nose, the nasal cavity, and the four paranasal sinuses. It notes that the ethmoid and maxillary sinuses are present at birth while the frontal and sphenoidal sinuses develop later. The document outlines collecting subjective data about pain, drainage, smell changes, and health practices. It lists the equipment needed like a nasal speculum, otoscope, and penlight. The assessment procedure involves inspecting the external and internal nose, palpating the frontal and maxillary sinuses, percussing the sinuses, and transilluminating the sinuses.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    NCM 101 08 - Nose and Sinuses

    Uploaded by

    Paninsoro Niña Maria Christina M.
    41 views20 pages
    The document provides information about assessing the nose and sinuses. It describes the external parts of the nose, the nasal cavity, and the four paranasal sinuses. It notes that the ethmoid and maxillary sinuses are present at birth while the frontal and sphenoidal sinuses develop later. The document outlines collecting subjective data about pain, drainage, smell changes, and health practices. It lists the equipment needed like a nasal speculum, otoscope, and penlight. The assessment procedure involves inspecting the external and internal nose, palpating the frontal and maxillary sinuses, percussing the sinuses, and transilluminating the sinuses.

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    The document provides information about assessing the nose and sinuses. It describes the external parts of the nose, the nasal cavity, and the four paranasal sinuses. It notes that the ethmoid and maxillary sinuses are present at birth while the frontal and sphenoidal sinuses develop later. The document outlines collecting subjective data about pain, drainage, smell changes, and health practices. It lists the equipment needed like a nasal speculum, otoscope, and penlight. The assessment procedure involves inspecting the external and internal nose, palpating the frontal and maxillary sinuses, percussing the sinuses, and transilluminating the sinuses.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    41 views20 pages

    NCM 101 08 - Nose and Sinuses

    Uploaded by

    Paninsoro Niña Maria Christina M.
    The document provides information about assessing the nose and sinuses. It describes the external parts of the nose, the nasal cavity, and the four paranasal sinuses. It notes that the ethmoid and maxillary sinuses are present at birth while the frontal and sphenoidal sinuses develop later. The document outlines collecting subjective data about pain, drainage, smell changes, and health practices. It lists the equipment needed like a nasal speculum, otoscope, and penlight. The assessment procedure involves inspecting the external and internal nose, palpating the frontal and maxillary sinuses, percussing the sinuses, and transilluminating the sinuses.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 20

    Assessing

    the Nose
    and
    Sinuses
    THE NOSE
    External Parts:
    • Bridge
    – superior part of the nose
    • Tip
    – anterior part of the nose
    • Nares
    – two oval openings
    Nasal Cavity
    – located between the roof of the mouth and the
    cranium and then extends from the anterior nares to
    the posterior nares

    • Nasal Septum
    – separates the nasal cavity into
    two halves.
    • Turbinates / Conchae
    – passageways that helps warm
    and moisten the air flowing through
    the nose.
    • Vibrissae / Nasal Hair
    – filters large particles from the air
    being inhaled.
    • Meatus
    – underlies each turbinates and
    receives drainage from the
    paranasal sinuses and
    nasolacrimal duct
    The Paranasal Sinuses
    are air-filled cavities that decrease the weight of the skull
    and acts as a resonance chambers during speech

     Frontal
     Maxillary
     Ethmoidal
     Sphenoidal

    Take note:
     Only the Ethmoid and Maxillary sinuses are present at birth.
     Frontal develop between 7 and 8 years.
     Sphenoid develop after puberty.
     Only the Frontal and Maxillary sinuses are accessible to physical examination
     Sinuses are often a primary site of infection because they can easily become blocked.
    COLLECTING
    SUBJECTIVE DATA

    Preventive teaching:
    COLLECTING
    SUBJECTIVE DATA

    Discomfort and loss of function:


    COLLECTING
    SUBJECTIVE DATA

    Evaluate Health Practices:


    COLLECTING
    SUBJECTIVE DATA

    DO YOU HAVE PAIN IN YOUR SINUSES?


    Acute Sinusitis (temporary) Chronic Sinusitis (12 weeks or longer)
    COLLECTING
    SUBJECTIVE DATA

    DO YOU EXPERIENCE NOSEBLEEDS? (DESCRIBE AMOUNT OF


    BLEEDING, COLOR, AND HOW OFTEN IT OCCURS)
    COLLECTING
    SUBJECTIVE DATA

    DO YOU EXPERIENCE FREQUENT CLEAR OR MUCOUS


    DRAINAGE FROM YOUR NOSE?
    Rhinorrhea
    COLLECTING
    SUBJECTIVE DATA
    DECREASE ABILITY OF SMELL
     Acute and Chronic upper respiratory infections
     Smoking, cocaine use, or a neurologic lesion or tumor in
    the frontal lobe of brain/olfactory bulb or tract
    CHANGES IN SMELL PERCEPTION
     Zinc deficiency
    OLDER ADULT CONSIDERATIONS
     Menopause The ability to smell and taste
    decreases with age. Medications
    can also decrease sense of smell
    and taste in older people.
    ASSESSING THE
    NOSE AND
    SINUSES
    PREPARE THE PATIENT
    1. Introduce yourself to the client and verify the client’s identity using the
    agency protocol. Explain to the client the procedures to be done.
    2. Perform hand hygiene.
    3. Provide client’s privacy.
    4. Ask the client is he/she has any allergies, difficulty in breathing through the
    nose, sinus infections, injuries to on the nose or face, nosebleeds, changes in
    sense of smell, and has taken any medications,
    5. Position the client comfortably.
    EQUIPMENTS NEEDED FOR
    ASSESSING THE NOSE AND
    SINUSES
    • Nasal Speculum • Penlight
    EQUIPMENTS NEEDED FOR
    ASSESSING THE NOSE AND
    SINUSES
    Otoscope
    ASSESMENT PROCEDURE
    External Nose (Inspection)

    Inspect and palpate the external nose. Take


    note of the nasal color, shape, consistency,
    and tenderness.

    Check patency of air flow through the nostrils


    by occluding one nostril at a time and asking
    client to sniff.
    Internal Nose (Inspection)
    Inspect the internal nose. To inspect the internal nose, use an otoscope
    with a short wide-tip attachment or you can also use a nasal speculum
    and penlight.

    CLINICAL TIP:
    Position the
    otoscope’s handle to
    the side to improve
    your view of the
    structures. If an
    otoscope is
    unavailable, use a
    penlight and hold
    the tip of the nose
    slightly up. A nasal
    speculum with a
    penlight also
    facilitates good
    visualization.
    Sinuses (Palpation, Percussion, and
    Transillumination)

    • Palpate the frontal sinuses

    • Palpate the maxillary sinuses


    • Percuss the sinuses.
    • Transilluminate the sinuses.

    CLINICAL TIP:
    Upper dentures should be removed so that the light is not
    blocked.
    Common Abnormalities of the Nose

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