Bell's Palsy Essay

603 Words Sep 24th, 2010 3 Pages
Bell’s Palsy

* Sir Charles Bell first described the anatomy and function of the facial nerve in the 1800s. * Bells Palsy describes the sudden paralysis of the facial (VIIth) cranial nerve which renders the patient unable to control the facial muscles on the affected side. * Also called the facial paralysis, is a disorder of the 7th cranial (facial) nerve, characterized by unilateral paralysis of the muscles * The aetiology is unclear although for some cases the presumed pathophysiology of Bells Palsy is due to inflammation from a viral infection. * It may recur on the same or opposite side of the face, and can be transient and permanent. * This disorder can occur at any ages but most often in adults between 20
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* Difficulty closing eye * If the patient is asked to close their eye and show their teeth the eye ball rotates upwards and outwards: Bell’s Phenomenon * Decreased tear production * Mouth sag on affected side * Unable to blow out cheeks * Unable to whistle * Hyperacusis if the lesion of the facial nerve extends above the point where the branch of the stapedius muscle is given off.


* Blood test * CT scan * MRI


• PO PREDNISOLONE 60mg od for 10 day then tapering course-aim to start within 72 hours.
• Eye protection if unable to fully close eye: anti-viral treatments


* Acute pain * Disturbed sensory perception * Disturbed body image


* Use artificial tears four times a day to lubricate the eye; wear an eye patch or tape the eye shut at night. Wear sunglasses when outside, when working on dusty conditions and when using any type of spray. * Apply moist heat to the affected side of the face, taking care not to burn the skin to reduce pain. * Massage the client’s face with a gentle upward motion two to three times daily for 5 to 10 minutes. * Arrange for privacy at mealtimes to reduce embarrassment * A soft diet that does not require chewing and six small meals a day are helpful. Chew slowly on the unaffected side ad avoid hot foods. * Oral care: Clear

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