● Instruct to avoid altitude changes with concurrent upper respiratory infection. ● Counsel employee regarding proper cleaning of ears (e.g., not inserting cotton swabs into ear canal). ● Discuss hearing protection (if used) and need for any temporary restrictions of its use. ● Discuss smoking cessation (if employee currently smokes) and allergen avoidance (if etiology related to allergy problem). Objectives Clinical Assessments and Interventions Follow-up Actions 81

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