Ear Examination Guide for Community Health Workers

1. Hand Washing: Start by washing your hands thoroughly with soap and water. Make sure every surface is cleaned and dry your hands completely. This prevents infections and is a non-negotiable part of every health procedure.

2. Explain the Procedure: Politely introduce yourself to the client. Briefly explain what you're about to do and why. Make them feel at ease, and get their verbal consent before you proceed.

3. Check the Auriscope: Turn on the auriscope and ensure the light is working properly. Confirm the speculum is clean and in good condition. Don’t proceed if the device isn’t ready.

4. Choose the Right Speculum: Select a speculum that fits comfortably in your client's ear canal. It should allow a full view without causing discomfort.

5. Instruct the Client: Ask your client to keep their head steady. Let them know this helps you see clearly and ensures their comfort.

6. Inspect the Ear Lobes: Look closely at the lobes. Check for shape irregularities, infections, sores, discharge, or swelling behind the ears. Use both sight and gentle touch.

7. Check the Ear Canal: Gently inspect the outer ear and canal. Look for crusts, blood, scratches, discharge, or foreign objects. Be observant and detailed.

8. Position the Ear Lobe: For adults and older children, pull the ear upward and backward. For children under 3, pull it downward and backward. This straightens the ear canal for a better view.

9. Observe the Eardrum: If normal, the eardrum should appear shiny and pearly grey. You may also see a visible cone of light—this is a good sign of ear health.

10. Record Your Findings: Use the client's record card to document everything you observed. Write clearly, using proper medical terms. Don’t skip any unusual signs.

11. Interpret Your Observations: Briefly explain your findings to the client. If everything looks normal, let them know. If there’s a concern, mention what it could mean in simple terms.

12. Give Follow-Up Instructions: Based on your findings, offer the next steps. This might include basic ear care, a recommendation to visit a clinic, or instructions for using medication. Always ask if they have questions and answer patiently.