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Otitis Media no zoom

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This Video seeks to examine Otitis media, through describing its characteristics, rate of incidence and prevalence

among the Aboriginal and Torres Strait Islander populations of Australia, and how it impacts this group. Finally, this video will compare and contrast the lived experiences of Celeste and a mother with a child diagnosed with Otitis media. This video seeks to understand the importance of the early detection of Otitis media and the importance of access to care in minimising future implications such as learning and language delays affecting the transmission of culture. Otitis media (OM) refers to the inflammation and/or infection of the middle ear, caused by a build-up of fluid in a normally air-filled middle ear space. OM can also be referred to as Glue ear or middle ear infection and represents a broad spectrum of diseases. OM can be caused by bacterial or viral infections which proceed an upper respiratory tract infection such as a cold. OM is caused by a blockage of the auditory tube which creates a vacuum-like seal, causing fluid to pool in the middle ear located between the outer and inner ear. If the fluid is not removed it may become thick, preventing ossicles from vibrating consequently causing hearing impairment. The straighter and shorter anatomy of the Eustachian tube in children, which is still developing, means the tube is less effective at draining and ventilating as it does in adults. In some cases, OM may resolve itself, however, if not treated may cause perforation of the ear drum leading to a permanent hearing loss. Factors which may contribute to the development and transmission of early OM include OM can impact on many aspects of a person’s health and lifestyle throughout the individual's life. OM can cause temporary hearing impairments and if left untreated can lead to permeant hearing loss, speech delays, learning difficulties, delayed social development and behavioural problems. It has been found that in the ATSI populations, OM can lead to disengagement with school and family life affecting both learning and social development causing irritability, social isolation, and depression. Sudden disengagement, irritability or aggression at home and school can often be interpreted as bad behaviour however, it may be the warning signs of infections associated with OM It allows for the transmission of culture and beliefs from one generation to the next. Elders from the Wongutha Tribe commented on how those with hearing impairments showed little respect for their Elders. This proved problematic for their teachings of traditional dance, language, stories and traditional healing techniques. However, this was due to hearing impairments caused by OM being misunderstood by community members. Social exclusion may cause the individual with hearing loss to feel disconnected from their community and even affect their ATSI identity. The low level of childhood development can lead to not only lower educational attainment but also future employment outcomes. This results in both economic and social disadvantage to a population already marginalized in Australia. Furthermore, an inability to attain employment may increase the probability that some individuals may encounter the criminal justice system. OM is more prevalent in young children than adults, globally affecting approximately 65 to 330 million people. Additionally, Indigenous children worldwide are found to experience higher rates of Otitis media than non-Indigenous children. The peak rate of infections occurs between the ages of 6 and 18 months. This is due to the developing Eustachian tube, incomplete childhood vaccinations and children’s developing immune system. The prevalence of Otitis media in Australia’s ATSI communities is 2.8 times higher than that of the non-aboriginal Australia population. On average ATSI children suffer from OM infections, and inflammation for two and a half years of childhood compared to non-aboriginal children who will experience OM for around three months. Additionally, approximately 40% of ATSI children experience OM immediately after birth. The second part of this video will examine two different lived experiences of OM in the ATSI population. An Aboriginal mother speaks of her 4-year-old son's diagnosis with OM and both their experiences of the disease. It was picked up during a visit to the doctor for a routine vaccination. The doctor checked in the young boy's ears and noticed a build-up of fluid in his middle ear which looked like it was ready to perforate. Although he was diagnosed and had grommets inserted to prevent perforation of the eardrum, the young boy continued to experience symptoms up to 12 months. The mother explained how she felt shamed by her son's condition as if she had been a bad parent, she would have to pick him up from school because of the puss coming from his ears due to the infection which was attracting flies. With symptoms reoccurring after a cold or chest infection. When her son was 12 years old he came to her and said: Even to this day her son continues to suffer from depression and other mental health-related issues in connection with his experience of OM. Celeste Liddle, an Arrernte Australian woman shares her experience of OM and how it has affected her throughout her life. Both Celeste and the boy struggled with their diagnosis. Celeste experienced social withdrawal and frustration from her condition, however, with early intervention Celeste corrected her mumbling and progressed academically with her peers, enabling her to avoid any long-term metal or social effects. Similarly, the boy was diagnosed and treated at a young age, however, his symptoms persisted for 12 months, although his academic performance was not discussed it was made apparent that symptoms of depression were present at 12 years of age and continued into adulthood because of his illness. It is apparent that both individuals experienced mental health-related issues, although both received an early diagnosis and treatment, Celeste was able to manage her diagnosis successfully while the boy continues to struggle with depression. While both Celeste and the boy experience ongoing effects from their disease their experience differs greatly. Celeste experiences periods of hearing loss whenever she gets a cold which she manages using the mechanisms she developed in school to cope with her limitations, and mentally is quite healthy. In contrast, the medical ongoing effects of the boy's OM is not stated but he experiences ongoing poor mental health and requires ongoing support. The mother's experience of her sons OM demonstrates the intense feelings of shame that carers or sufferers of OM can experience. The mother felt as if she was a bad parent although her son's diagnosis was not related to her parenting skills. Furthermore, her son expressed shame through his belief he was "dumb" and also expressed a desire to die. In contrast, Celeste's experience of her disease is more positive, she is thankful for the treatment she received, despite her continued need to manage her conditions and related hearing problems. In conclusion, OM within ATSI populations is caused by many factors such as premature birth, living conditions, poor nutrition, and hygiene. As demonstrated, OM is more prevalent in children within the ATSI population than the non-Aboriginal Australian population. People with OM experience delayed language and social development due to hearing impairment. Additionally, Otitis media needs not only early intervention but continued management into adult life.

Video Details

Duration: 10 minutes and 2 seconds
Language: English
License: Dotsub - Standard License
Genre: None
Views: 2
Posted by: trantpn1998 on Oct 7, 2017

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