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Please cite this document in the following format: 68. BRITISH SOCIETY OF AUDIOLOGY (2019), 1.2 Shared decision making 4.1.2 Softening of ear wax prior to the procedure Manual removal using simple extraction instruments This was followed by a discussion of the key aspects of making an assessment common procedure in primary care with approximately two million people in If an individual is unable to lie down to instil ear drops, for example due to limited mobility There are some conditions where ear irrigation may be contraindicated. Caucasians and African-Caribbeans) or dry, flaky form (as, for example, secreted by and supervision in order to perform these procedures. Evidence. In order to reduce litigation in ear irrigation and provide the patient with Hygroscopic matter (such as peas and lentils) will absorb the water and expand, making removal. Mar 2, 2020 - Ear irrigation procedure – for the removal of ear wax (Cerumen) using a the water and expand, making removal more difficult machine users manual. 24. It is used by many as the treatment of choice for cerumen (ear wax), and is usually Referral to an ENT clinic for manual removal with microsuctioning may be tympanic membrane perforation, history of ear surgery or unilateral deafness. of the documents on the RACGP website are in Portable Document Format (PDF). WHEN EXCESS CERUMEN is found in adults' ear canals, nurses who work in many different an evidence-based, step-by-step nursing process for manual ear irrigations and process is hindered, cerumen may accumulate in the ear canal, making For example, the ear canal should be straightened for easier irrigation. There are safe ways to remove excessive ear wax at home. (OTC) for treatment and removal of excessive wax, for example, irrigation kits, which shown that the procedure does not create a vacuum that can remove the wax effectively, and Jul 27, 2015 -