Lesson plan

on
otitis media
Submitted to: Miss Vaishali Guleria
Submitted by :Sameena Magray
SUBMITTED ON: 18-05-2024

LESSON PLAN

• Name of student
• Topic: : Sameena Magray.
• Glaucoma
• Subject : Medical Surgical Nursing
• Group : Students (BSc nursing 3rd year)
• No of students. : 60
• Place\Venue. : Classroom
• Date. : 18-05-2024
• Time and duration :45 minutes
• Language\medium :English, Urdu, Hindi.
• Method of Teaching : Lecture cum Discussion
• A.V Aids :PPT
• Teacher supervisor/ Resource person. :Miss Vashali Guleria.
( Assistant professor)
PREVIOUS KNOWLEDGE:
The students are expected to have some knowledge regarding Otitis Media.
GENERAL OBJECTIVES:
At the end of the teaching-learning session the students will be able to acquire knowledge about Otitis Media.
SPECIFIC OBJECTIVES:
 At the end of the lecture students will be able to:
 Introduce the topic Otitis Media.
 Define the term otitis media.
 Classify types of Otitis Media.
 Define acute otitis media.
 Explain etiology and risk factors of acute otitis media
 Elaborate pathophysiology of otitis media.
 Explain clinical manifestations of acute otitis media.
 Explain management of acute otitis media.
 Define chronic otitis media
 Enlist Etiological factors of chronic otitis media
 Enumerate clinic manifestations of chronic otitis media
 Enumerate assessment and diagnosis of otitis media
 Explain medical management of chronic otitis media
 Explain surgical management of chronic otitis media
 Explain nursing management of otitis media.
S SPECIFIC TIME CONTENT TEACHING LEARNING A.V AID EVALUATION
No. OBJECTIVE ACTIVITY ACTIVITY

1. Introduce self 5 seconds INTRODUCTION ABOUT SELF Introducing

Good morning, everyone, my name is self and
Sameena Magray 1st year M.Sc. nursing establishing rapport
student, today I am going to present topic
Otitis Media .

2. Introduce topic 3 min INTRODUCTION TO TOPIC Introducing topic Listening PPT ,white board
Otitis media. Otitis media is an infection of the middle carefully
ear. Most of the time, it is caused by
bacteria that nearly all children have in
their nose and throat at one time or
another. Ear infections most often
develop after a viral respiratory tract
infection, such as a cold or the flu.

3. Define Otitis Media 3min Defining otitis Listening and

PPT ,white board Define otitis
“It is an inflammation of middle ear that writing
media media?
most often occur in infant and young
children but can occur at any age
S SPECIFIC TIME CONTENT TEACHING LEARNING AV AID EVALUATION
No OBJECTIVES ACTIVITY ACTIVITY

4. Classify the types 3min 1. Acute otitis media Classifying types

of otitis media
2. Chronic otitis media of Otitis Media Taking notes PPT and white Enlist types of
Other- board Otitis Media
a. Serous otitis media
b. Secretory otitis media
C.Suppurative otitis media

5. Define Acute Listening

Acute otitis media is Is an acute infection Defining acute Ppt Define acute
otitis media carefully and
of the middle ear lasting less than 6 weeks. otitis media otitis media?
taking notes

Listening
Bacteria e.g. Streptococcus pneumoniae, Enlisting White board and Enlist Etiological
6. Enlist Etiological carefully
H. Influenza etiological factors ppt factors of acute
factors of acute
Upper respiratory tract infection like of acute otitis otitis media?
otitis media
rhinosinusitis, allergic rhinitis. media
Infection of nasopharynx

S SPECIFIC TIME CONTENT TEACHING LEARNING A.V EVALUATION

No. OBJECTIVES ACTIVITY ACTIVITY AID

7. Elaborate 4 min  Due to etiological factors factors Elaborating the Taking notes PPT, Elaborate
pathophysiology of  Exudates and edema form in the pathophysiology of white pathophysiology
acute otitis media middle ear Acute otitis media. board Of Acute
  It leads to decrease in retraction otitis media?
of tympanic membrane
 Serous exudates and pus form in
the middle ear
 It leads to rupture of tympanic
membrane(Acute otitis media).

8. Explain signs and 3 min  Otorrhea Explaining the signs Listening PPT Enlist signs and
symptoms of acute  Otalgia. and symptoms of acute actively symptoms of
otitis media  Fever otitis media acute otitis
 Rhinitis media?
 Tympanic membrane erythema ,
perforation
 Hearing loss.
 Irritability.
Complications
 Chronic otitis media.
 Hearing loss. Explaining the medical What is medical
 Perforation. management of acute Taking notes PPT management of
 Poor speech develop. otitis media acute otitis
Medical Management- media?
9. Explain the 5 min ► Antibiotic(oral or otic preparation).
management of acute ► Analgesic
otitis media ► Antihistamine
Surgical management- What is
► Myringotomy or tympanotomy Myringotomy ?
(incision in the tympanic membrane)
TIME CONTENT LEARNING AV
SPECIFIC TEACHING ACTIVITY AIDS EVALUATION
OBJECTIVES ACTIVITY
3 min “It is a long standing infection of a part Taking notes
10 Define chronic otitis of whole of the middle ear Defining chronic otitis and PPT Define chronic
media Characterised by ear discharge and media listening White otitis media?
permanent perforation “OR carefully board
 “Inflammation of the middle ear that
lasts for more than 6 weeks”.
It is recurrent AOM that causes
irreversible tissue pathology.

2 min  Inappropriate treatment of acute Enlisting etiological Listening PPT

11. Enlist etiology otitis media. factors of chronic otitis carefully Enlist
Of Chronic otitis  URTI, Allergic rhinitis. media Etiological
media  Eustachian tube deformity factors of
 Septal deviation, cleft palate chronic otitis
 Sinusitis media?

3min Signs and symptoms Enumeration signs and Taking notes White
12 Enumerate clinical symptoms of chronic board Enumerate signs
manifestations of  Hearing loss. otitis media and symptoms
chronic otitis media  Otorrhea(foul smelling). of chronic otitis
 Tinnitus. media?
 Perforation.
 Cholesteatoma.(tumor of
external layer of the eardrum
into middle ear. )
 Chronic mastoiditis.

S SPECIFIC TIME CONTENT TEACHIN LEARNING A.V AID EVALUATIO

No ACTIVITY G ACTIVITY N
ACTIVITY

13 Enlist assessment 3 min Diagnostic evaluation:- Listening PPT Enlist

and diagnosis of Enlist carefully White board diagnostic
otitis media ►Assessment and History collection diagnostic Measures for
Measures otitismedia?
► Physical examination for otitis
media
► Otoscopic examination
 ► Culture

► Audiometry & Tympanometry

Medical management Taking PPT and white What is

14 Explain the 4min Careful suctioning of the ear under Explaining notes and board Ossiculoplast
management of microscopic guidance. managemen listening y?
Chronic otitis Instillation of antibiotic drops and systemic t of chronic carefully
media antibiotics in case of acute infection. otitis media
Surgical management-
 Tympanoplasty(surgical
reconstruction of tympanic
membrane).
 Ossiculoplasty (surgical
reconstruction of the middle ear
bones to restore hearing),prostheses
made of tenflon,stainless steel are
used to reconnect ossicles.
Mastoidectomy(to remove cholesteatoma)
S.N TIME CONTENT LEARNING AV AID
O SPECIFIC TEACHIN ACTIVITY EVALUATION
OBJECTIVES G
Assessment:- ACTIVITY
4 min Collect health history includes a complete PPT and White
15 Explain Nursing description of the ear problem. Listening board What are
management of Collect data about the duration and intensity of Explaining and taking nursing
the problem, its causes, and previous treatments. diagnosis of
otitis media the nursing notes
Obtain Information about other health problems otitis media?
managemen
and medications.
Physical assessment includes observation for t of otitis
erythema, edema, otorrhea, lesions, and media
 characteristics such as odor and color of
discharge.
Administer prescribed medicine.
Facilitate drainage and keep external ear clean
and dry.
Provide patient and family teaching.
Give instruction about precaution to be apply to
prevent its reoccurrence
Prevent water from entering ea
Avoid swimming
Avoid cleaning with hair clip bud
Avoid blowing forcefully.
Avoid bottle feeding
Prompt management of acute URTI
Nursing diagnosis
 Risk of infection related to Eutachian
tube dysfunction.
 Pain related to infection
 Altered auditory sensory perception.
 Anxiety related to surgical procedures.
 Knowledge deficit related to Diseases,
surgical procedures and post operative
care.

TIME CONTENT LEARNING Av aid

S.N SPECIFIC ACTIVITY EVALUATION
O OBJECTIVES TEACHIN
G Activity
4 min Chronic otitis media is a long-standing, Listening Ppt ,white board
Conclude the topic persistently draining perforation of the carefully
16 eardrum (tympanic membrane). Acute otitis Concluding
a media and blockage of a eustachian tube are the topic
among the causes of chronic otitis media. A
flare-up may occur after a cold, an ear
infection, or after water enters the middle
 ear.

1 min Summarization,
Summarize the Listening White board Can anyone
17. topic. So in this lecture we learned about: carefully summarize
Introduction of otitis media the topic?
Classification of otitis media
Etiolgy of otitis media
Pathophysiology Of otitis media
Clinical manifestations of otitis media
Assessment diagnosis of otitis media
Medical ,Surgical management of otitis
media
Nursing management of otitis media.

Reference the topic

1.Black.M.Joyce.Text book of Medical Surgical Nursing. Elsevier Publication.8th edition. Pg no 1699 -1703.
2.Chintamani, Lewis, Text book of Medical surgical Nursing, Elsevier Publication 13 th edition. Volume 1. 2011.pg no 339-340.
3.Suddarth’s and Brunner, Textbook of Medical Surgical Nursing, Wolters Kulwer pet LLtd,new Dehli.South East Edition .vol 2.2022.pg1314 0-131
4.https://www.slideshare.net/SUDESHNABANERJEE10/otitis-media-249452557