An older adult client reports pain in the ears and an unusual sense of fullness. the client also indicates not hearing as well as in the past. on inspection, the nurse notes that there is an accumulation of earwax in the client's ears. the client is suffering from:

Based on the salient features of this patient namely the pain in the ears, unusual sense of fullness, as well as hearing loss which is most likely conductive hearing loss; with a physical examination finding of an "accumulation of earwax", then the most likely impression for this case is impacted cerumen. Impacted cerumen happens when the cerumen gets accumulated inside the ears, hardens, and blocks the conduction of sound; preventing sound waves from being conducted to the ear drum. This also causes pain and ear fullness as the hardness of the cerumen may produce inflammation.

Schools are being forced to embrace computers. unlike their "digital immigrant" teachers, these students are "digital natives", born into a world where technology is an integral part of everyday life. almost every student has access to a multitude of computers, laptops and tablet devices. it would be crazy to assume an assignment would  notbe written on computer in this day and age.many schools now have a 1-to-1 computer policy, and many districts and states in the united states have mandated computers or ipads across the state for every student,  including los angeles, the second largest school district in the country.but the thing is, when they tried it in la, it wasn't the success they hoped for. that's because the tablets weren't used as much as they expected. rather, it appeared there was a gap between the digital native's love of technology and their use of it in the classroom.this conflicted relationship with computers is also underscored by much of the literature on education. it is also highlighted in professional development and conferences such as  edutech.