Nurses note Ms. M.M, a 101-year-old female resident in the nursing home, presents with a complaint of decreased hearing in the right ear. The patient has a past medical history significant for a heart attack but is currently asymptomatic from a cardiac standpoint. During today’s routine assessment, patient was asymptomatic. Her vital signs were within normal limits: blood pressure 135/57 heart rate 71, respiratory rate 20, and oxygen saturation 95% on room air. She reported no chest pain, shortness of breath, or any other discomfort. Patient is alert and oriented X4, Patient reports a noticeable decrease in hearing in the right ear
