Materiały źródłowe

• #1 Bell Palsy (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK568812/

  Bell’s palsy is the most common peripheral paralysis of the seventh cranial nerve with an onset that is rapid and unilateral. […] Summarize the role of nursing care in a patient with bell palsy. […] Nursing Management: Keep eye lubricated, Wear a patch at night to prevent scratches, See an eye doctor as scheduled, Wear sunglasses when going out, Perform facial muscle exercises, Eat on the other side of the mouth, See a dentist regularly. […] In any case, all clinicians including the pharmacist and nurse practitioner must educate the patient on eye protection and lubrication. Eye dryness should be prevented at all costs using tears and other liquid preparations. […] The most important feature of treatment is to be patient-focused rather than symptom focus. […] The availability of botulinum toxin has helped reduce the long-term burden of this disorder.

• #2 Bell’s palsy | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/bells-palsy

  Bell’s palsy is a paralysis or weakness of the muscles on one side of the face. […] The majority of people with Bell’s palsy, around 90 per cent, will recover completely with time. […] Early treatment with corticosteroids may reduce severity. […] Treatment options can include: artificial tears to keep the affected eye lubricated, a patch to protect the affected eye, using tape to close the affected eyelid at night, medications such as corticosteroids to help reduce the swelling of the facial nerve, pain-relieving medications, massage, facial exercises, botox injections may be useful if, during nerve recovery, unexpected involuntary movements of the face occur, surgery, although this is an unusual form of treatment and rarely effective. […] During regeneration and repair of the facial nerve, some neural fibres may take an unusual course and connect to neighbouring muscle fibres.

• #3 Bell’s Palsy: What It Is, Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/5457-bells-palsy

  Bells palsy temporarily weakens or paralyzes facial muscles. […] Most cases of Bells palsy improve without treatment. Still, your healthcare provider may recommend one or more of these therapies for symptom relief and faster recovery: […] Eye care: Eye drops, including artificial tears, soothe dry, irritated eyes. If your eyelid wont close, you may need to wear an eye patch to protect that eye from drying, irritants and injuries. Eye care is very important to prevent damage to your cornea, a serious complication of Bells palsy. […] Oral corticosteroids: Oral corticosteroids (like prednisone) can help decrease nerve swelling. It may help you regain facial movement faster. This treatment is most effective when you start it within 48 hours of noticing symptoms. […] Antiviral medications: Antiviral medications may speed up recovery. But its unclear how much benefit they provide. Providers typically only prescribe them for severe Bells palsy. This treatment works best when you combine it with oral corticosteroids.

• #4 Bell’s palsy | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/bells-palsy

  Bell’s palsy is a paralysis or weakness of the muscles on one side of the face. […] The majority of people with Bell’s palsy, around 90 per cent, will recover completely with time. […] Early treatment with corticosteroids may reduce severity. […] Treatment options can include: artificial tears to keep the affected eye lubricated, a patch to protect the affected eye, using tape to close the affected eyelid at night, medications such as corticosteroids to help reduce the swelling of the facial nerve, pain-relieving medications, massage, facial exercises, botox injections may be useful if, during nerve recovery, unexpected involuntary movements of the face occur, surgery, although this is an unusual form of treatment and rarely effective. […] During regeneration and repair of the facial nerve, some neural fibres may take an unusual course and connect to neighbouring muscle fibres.

• #5 Bell Palsy (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK568812/

  Bell’s palsy is the most common peripheral paralysis of the seventh cranial nerve with an onset that is rapid and unilateral. […] Summarize the role of nursing care in a patient with bell palsy. […] Nursing Management: Keep eye lubricated, Wear a patch at night to prevent scratches, See an eye doctor as scheduled, Wear sunglasses when going out, Perform facial muscle exercises, Eat on the other side of the mouth, See a dentist regularly. […] In any case, all clinicians including the pharmacist and nurse practitioner must educate the patient on eye protection and lubrication. Eye dryness should be prevented at all costs using tears and other liquid preparations. […] The most important feature of treatment is to be patient-focused rather than symptom focus. […] The availability of botulinum toxin has helped reduce the long-term burden of this disorder.

• #6 Nursing Care Plan (NCP) for Bell’s Palsy | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-bells-palsy

  Nursing Care Plan (NCP) for Bells Palsy […] Upon completing this lesson on Bells Palsy, students will be able to: […] The lesson will emphasize the importance of early recognition, the role of corticosteroids and antiviral therapy, and the management of complications such as eye care. Additionally, students will learn about patient education and psychosocial support for individuals affected by Bells Palsy. […] Desired Outcomes for Bells Palsy: Recovery of facial muscle function. Prevention of eye complications due to inability to blink. Effective pain management. Understanding of the condition and its management. […] Nursing Interventions and Rationales for Bells Palsy: Eye Care: Protect the affected eye from dryness due to incomplete closure. Rationale: Bells Palsy can cause difficulty in blinking or closing the eye, leading to dryness and potential damage.

• #7 Bell’s Palsy Management and Nursing Care Plan ~ Nursing Path

  https://www.nursingpath.in/2018/05/bells-palsy-management-and-nursing-care.html

  Bells palsy (facial paralysis) is due to peripheral involvement of the seventh cranial nerve on one side, which results in weakness or paralysis of the facial muscles. […] Patients need reassurance that a stroke has not occurred and that spontaneous recovery occurs within 3 to 5 weeks in most patients. Teaching patients with Bells palsy to care for themselves at home is an important nursing priority. […] Because the eye usually does not close completely, the blink reflex is diminished, so the eye is vulnerable to injury from dust and foreign particles. […] Show patient how to perform facial massage with gentle upward motion several times daily when the patient can tolerate the massage. […] Assess patients knowledge of change in structure or function of the body part. […] Encourage verbalization about concerns of the disease process and future expectations. […] Within 1 hour of nursing interventions, patient will remain free from harm resulting from visual disturbances.

• #8 Bell’s Palsy Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/bells-palsy-nursing-diagnosis/

  Bells Palsy is a temporary facial paralysis or weakness that affects one side of the face, resulting from damage or trauma to the seventh cranial nerve (facial nerve). This nursing diagnosis focuses on identifying symptoms, preventing complications, and supporting patients through recovery. […] Bells Palsy presents with distinctive signs and symptoms that nurses must recognize for proper diagnosis and treatment. […] The following outcomes indicate the successful management of Bells Palsy: The patient will demonstrate improved facial muscle function within 3-6 months. The patient will maintain eye moisture and integrity. The patient will perform facial exercises correctly. The patient will demonstrate proper eye care techniques. The patient will maintain adequate nutrition and hydration. The patient will verbalize understanding of the condition and treatment plan. The patient will show improved psychological adaptation to temporary facial paralysis.

• #9 Bell’s Palsy Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/bells-palsy-nursing-diagnosis/

  Assess facial muscle strength and symmetry q shift. Rationale: Monitors progression and recovery of facial function. Teach facial exercises as prescribed. Rationale: Maintains muscle tone and promotes recovery. Provide emotional support and encouragement. Rationale: Enhances patient compliance and motivation. […] Apply eye lubricants as prescribed. Rationale: Prevents corneal drying and injury. Teach proper eye protection techniques. Rationale: Ensures adequate eye moisture and protection. Monitor for signs of corneal damage. Rationale: Enables early intervention if complications develop. […] Assess speech patterns and clarity. Rationale: Establishes baseline and monitors progress. Provide alternative communication methods. Rationale: Ensures effective communication despite limitations. Collaborate with speech therapy. Rationale: Optimizes communication strategies and recovery.

• #10 Bell’s Palsy Nursing Management and Interventions – Nurseslabs

  https://nurseslabs.com/bells-palsy-nursing-management/

  Patients need reassurance that a stroke has not occurred and that spontaneous recovery occurs within 3 to 5 weeks in most patients. Teaching patients with Bells palsy to care for themselves at home is an important nursing priority. […] Because the eye usually does not close completely, the blink reflex is diminished, so the eye is vulnerable to injury from dust and foreign particles. Corneal irritation and ulceration may occur. Distortion of the lower lid alters the proper drainage of tears. Key teaching points include the following: Cover the eye with a protective shield at night. Apply eye ointment to keep eyelids closed during sleep. Close the paralyzed eyelid manually before going to sleep. Wear wraparound sunglasses or goggles to decrease normal evaporation from the eye. […] Show patient how to perform facial massage with gentle upward motion several times daily when the patient can tolerate the massage. Demonstrate facial exercises, such as wrinkling the forehead, blowing out the cheeks, and whistling, in an effort to prevent muscle atrophy. Instruct patient to avoid exposing the face to cold and drafts. […] Instruct patient to chew on the unaffected side of his mouth. Provide soft and nutritionally balanced diet. Eliminate hot fluids and foods. Give frequent mouth care, being particularly careful to remove residues of food that collects between the cheeks and gums.

• #11 Bell Palsy Treatment & Management: Approach Considerations, Pharmacologic Therapy, Local Treatment

  https://emedicine.medscape.com/article/1146903-treatment

  Many patients with Bell palsy may have problems with eating or drinking, swallowing difficulty (overt or unrecognized), and speech disturbances caused by muscle weakness and associated facial asymmetry. As such, occupational therapy and speech therapy assessments are recommended; treatments may contribute to improvement in clarity of speech, reduce risks associated with dysphagia, and decrease social embarrassment or self-consciousness. […] It is universally accepted that eye care is imperative in Bell palsy. The patients eye is at risk for drying, corneal abrasion, and corneal ulcers. […] In most cases, topical ocular lubrication (with artificial tears during the day and lubricating ophthalmic ointment at night, or occasionally ointment day and night) is sufficient to prevent the complications of corneal exposure.

• #12 Patient education: Bell’s palsy (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/bells-palsy-beyond-the-basics

  Patient education: Bell’s palsy (Beyond the Basics) […] Bell’s palsy is a condition in which the nerve that controls the muscles of the face becomes impaired or even stops working altogether. […] If you have any signs of Bell’s palsy, you should see a doctor or nurse because treatment is effective but should be started within two to three days of onset. […] You will need eye treatments if you cannot close your eye. If the cornea, which is the clear protective covering of the pupil, becomes overly dry, there is a risk of scarring and permanent damage to the eye. You can use artificial tears (eye drops) as often as every hour during the day to keep the eye moist. A moisturizing eye ointment is typically used at night. […] Most people who are diagnosed with Bell’s palsy (within two to three days of the first symptoms) are treated with steroids (eg, prednisone) for one week. […] You will need a follow-up visit with your doctor or nurse after you start treatment. At this visit, you will have an examination and you can discuss any questions or problems. […] In general, people whose paralysis is less severe tend to recover more completely.

• #13 Patient education: Bell’s palsy (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/bells-palsy-beyond-the-basics

  Patient education: Bell’s palsy (Beyond the Basics) […] Bell’s palsy is a condition in which the nerve that controls the muscles of the face becomes impaired or even stops working altogether. […] If you have any signs of Bell’s palsy, you should see a doctor or nurse because treatment is effective but should be started within two to three days of onset. […] You will need eye treatments if you cannot close your eye. If the cornea, which is the clear protective covering of the pupil, becomes overly dry, there is a risk of scarring and permanent damage to the eye. You can use artificial tears (eye drops) as often as every hour during the day to keep the eye moist. A moisturizing eye ointment is typically used at night. […] Most people who are diagnosed with Bell’s palsy (within two to three days of the first symptoms) are treated with steroids (eg, prednisone) for one week. […] You will need a follow-up visit with your doctor or nurse after you start treatment. At this visit, you will have an examination and you can discuss any questions or problems. […] In general, people whose paralysis is less severe tend to recover more completely.

• #14

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut1793

  Bell’s palsy usually gets better on its own in a few months. In some cases medicine is prescribed. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] Use artificial tears or ointment if your eyes are too dry. Bell’s palsy can make your lower eyelid droop, causing a dry eye. […] If you cannot completely close your eye, consider using clear medical tape to tape your eye shut while you sleep. […] Brush and floss your teeth often to help prevent tooth decay. Bell’s palsy can dry up the spit on one side of your mouth. This increases the risk of tooth decay. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you do not get better as expected.

• #15 Bell’s palsy – Sunnybrook Hospital

  https://sunnybrook.ca/glossary/item.asp?g=9&c=0&i=1426&page=26008

  Some people with Bells palsy are unable to close their eye completely on the affected side of the face. This puts the eye at risk for becoming dry, which can cause surface damage on the eye. To prevent your eye from drying out, use artificial tears (which you can buy from the drug store) during the day time and artificial tear ointment at night. […] You can also buy soft eye pads that can help to keep your eye closed and moist during the night. After putting some artificial tear ointment in the lower lid of the affected eye, close your eyelid fully with your fingers and place the eye pad over the closed eye. Use one piece of medical tape to tape the pad onto your face, placing one end of the tape on your forehead and the other end on your cheek, on the diagonal. […] During the daytime keep your eyes protected by wearing protective eyewear such as sunglasses (preferably large ones), to shield your eye from any foreign bodies (because you cant blink fully like you usually would if something came at your eye).

• #16 RNpedia Bell’s Palsy

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/bells-palsy/

  Educate the patient about the nature of Bell’s palsy and reassure them that it is usually temporary. Monitor the patient’s ability to close their eye on the affected side to prevent corneal damage. Administer prescribed medications such as corticosteroids to reduce inflammation and antiviral drugs if a viral infection is suspected. Encourage facial exercises to help maintain muscle tone and facilitate recovery. Provide emotional support and resources for coping with the changes in facial appearance. […] Instruct the patient to use artificial tears frequently to keep the eye moist. Advise the use of an eye patch or tape to keep the eye closed, especially during sleep, to prevent exposure and dryness. Monitor for signs of eye irritation, redness, or discharge, which could indicate infection or damage. Encourage regular follow-up with an ophthalmologist to monitor eye health and manage any complications promptly. Educate the patient on the importance of protecting the eye from dust, wind, and other environmental irritants.

• #17 Bell’s Palsy Nursing Management and Interventions – Nurseslabs

  https://nurseslabs.com/bells-palsy-nursing-management/

  Patients need reassurance that a stroke has not occurred and that spontaneous recovery occurs within 3 to 5 weeks in most patients. Teaching patients with Bells palsy to care for themselves at home is an important nursing priority. […] Because the eye usually does not close completely, the blink reflex is diminished, so the eye is vulnerable to injury from dust and foreign particles. Corneal irritation and ulceration may occur. Distortion of the lower lid alters the proper drainage of tears. Key teaching points include the following: Cover the eye with a protective shield at night. Apply eye ointment to keep eyelids closed during sleep. Close the paralyzed eyelid manually before going to sleep. Wear wraparound sunglasses or goggles to decrease normal evaporation from the eye. […] Show patient how to perform facial massage with gentle upward motion several times daily when the patient can tolerate the massage. Demonstrate facial exercises, such as wrinkling the forehead, blowing out the cheeks, and whistling, in an effort to prevent muscle atrophy. Instruct patient to avoid exposing the face to cold and drafts. […] Instruct patient to chew on the unaffected side of his mouth. Provide soft and nutritionally balanced diet. Eliminate hot fluids and foods. Give frequent mouth care, being particularly careful to remove residues of food that collects between the cheeks and gums.

• #18 Bell Palsy (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK568812/

  Bell’s palsy is the most common peripheral paralysis of the seventh cranial nerve with an onset that is rapid and unilateral. […] Summarize the role of nursing care in a patient with bell palsy. […] Nursing Management: Keep eye lubricated, Wear a patch at night to prevent scratches, See an eye doctor as scheduled, Wear sunglasses when going out, Perform facial muscle exercises, Eat on the other side of the mouth, See a dentist regularly. […] In any case, all clinicians including the pharmacist and nurse practitioner must educate the patient on eye protection and lubrication. Eye dryness should be prevented at all costs using tears and other liquid preparations. […] The most important feature of treatment is to be patient-focused rather than symptom focus. […] The availability of botulinum toxin has helped reduce the long-term burden of this disorder.

• #19 Bell’s Palsy Nursing Management and Interventions – Nurseslabs

  https://nurseslabs.com/bells-palsy-nursing-management/

  Patients need reassurance that a stroke has not occurred and that spontaneous recovery occurs within 3 to 5 weeks in most patients. Teaching patients with Bells palsy to care for themselves at home is an important nursing priority. […] Because the eye usually does not close completely, the blink reflex is diminished, so the eye is vulnerable to injury from dust and foreign particles. Corneal irritation and ulceration may occur. Distortion of the lower lid alters the proper drainage of tears. Key teaching points include the following: Cover the eye with a protective shield at night. Apply eye ointment to keep eyelids closed during sleep. Close the paralyzed eyelid manually before going to sleep. Wear wraparound sunglasses or goggles to decrease normal evaporation from the eye. […] Show patient how to perform facial massage with gentle upward motion several times daily when the patient can tolerate the massage. Demonstrate facial exercises, such as wrinkling the forehead, blowing out the cheeks, and whistling, in an effort to prevent muscle atrophy. Instruct patient to avoid exposing the face to cold and drafts. […] Instruct patient to chew on the unaffected side of his mouth. Provide soft and nutritionally balanced diet. Eliminate hot fluids and foods. Give frequent mouth care, being particularly careful to remove residues of food that collects between the cheeks and gums.

• #20 BELL’S PALSY (FACIAL NERVE PALSY) – Nurses Revision

  https://nursesrevisionuganda.com/bells-palsy-facial-nerve-palsy/

  Privacy during Meals: Respect the patients privacy during mealtime to avoid embarrassment. […] Mouth Care: Perform careful mouth care, as food may accumulate between the lip and gingiva. […] Muscle Tonus Maintenance: Massage the patients face with upward strokes for 5-10 minutes to maintain muscle tone, and encourage self-massage. […] Active Exercise: If ready, ask the patient to perform active exercises, such as smiling in front of a mirror. […] Eye Protection Outside: Suggest using eye protectors, especially when going outdoors. Sterile eyes. […] NURSING CARE PLAN FOR A PATIENT WITH BELLS PALSY […] Patient reports difficulty swallowing and frequently chokes on liquids. […] Impaired swallowing related to weakness of facial muscles as evidenced by frequent choking and difficulty swallowing.

• #21 RNpedia Bell’s Palsy

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/bells-palsy/

  Patients need reassurance that a stroke has not occurred and that spontaneous recovery occurs within 3 to 5 weeks in most patients. Teaching patients with Bells palsy to care for themselves at home is an important nursing priority. […] Key teaching points include the following: Cover the eye with a protective shield at night. Apply eye ointment to keep eyelids closed during sleep. Close the paralyzed eyelid manually before going to sleep. Wear wraparound sunglasses or goggles to decrease normal evaporation from the eye. […] Show patient how to perform facial massage with gentle upward motion several times daily when the patient can tolerate the massage. Demonstrate facial exercises, such as wrinkling the forehead, blowing out the cheeks, and whistling, in an effort to prevent muscle atrophy. Instruct patient to avoid exposing the face to cold and drafts.

• #22 BELL’S PALSY (FACIAL NERVE PALSY) – Nurses Revision

  https://nursesrevisionuganda.com/bells-palsy-facial-nerve-palsy/

  Privacy during Meals: Respect the patients privacy during mealtime to avoid embarrassment. […] Mouth Care: Perform careful mouth care, as food may accumulate between the lip and gingiva. […] Muscle Tonus Maintenance: Massage the patients face with upward strokes for 5-10 minutes to maintain muscle tone, and encourage self-massage. […] Active Exercise: If ready, ask the patient to perform active exercises, such as smiling in front of a mirror. […] Eye Protection Outside: Suggest using eye protectors, especially when going outdoors. Sterile eyes. […] NURSING CARE PLAN FOR A PATIENT WITH BELLS PALSY […] Patient reports difficulty swallowing and frequently chokes on liquids. […] Impaired swallowing related to weakness of facial muscles as evidenced by frequent choking and difficulty swallowing.

• #23 Bell’s Palsy | UVA Health

  https://uvahealth.com/services/eye-care/bells-palsy

  Bell’s palsy is the most common cause of facial paralysis on one side. This face droop is usually temporary. And it isnt life-threatening. […] Treatment for Bell’s palsy works best if it’s started in the first three days. […] If you’re diagnosed with Bell’s palsy without a clear cause, we’ll likely start medical treatment right away. […] Medicines for treating your Bells palsy might include: Corticosteroids, to help swelling and pain; Antiviral medication, to fight viruses. […] Your provider may give you corticosteroids if youve only had symptoms for a short time. Antiviral medications might be prescribed along with corticosteroids. Combining these medications can improve your chances of complete recovery. It also reduces the risk of developing complications. […] Physical therapy can improve the movement in your face. It’s especially helpful if movement is already returning to your face.

• #24 Bell’s Palsy Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/bells-palsy-nursing-diagnosis/

  Assess facial muscle strength and symmetry q shift. Rationale: Monitors progression and recovery of facial function. Teach facial exercises as prescribed. Rationale: Maintains muscle tone and promotes recovery. Provide emotional support and encouragement. Rationale: Enhances patient compliance and motivation. […] Apply eye lubricants as prescribed. Rationale: Prevents corneal drying and injury. Teach proper eye protection techniques. Rationale: Ensures adequate eye moisture and protection. Monitor for signs of corneal damage. Rationale: Enables early intervention if complications develop. […] Assess speech patterns and clarity. Rationale: Establishes baseline and monitors progress. Provide alternative communication methods. Rationale: Ensures effective communication despite limitations. Collaborate with speech therapy. Rationale: Optimizes communication strategies and recovery.

• #25 Bell Palsy Treatment & Management: Approach Considerations, Pharmacologic Therapy, Local Treatment

  https://emedicine.medscape.com/article/1146903-treatment

  Many patients with Bell palsy may have problems with eating or drinking, swallowing difficulty (overt or unrecognized), and speech disturbances caused by muscle weakness and associated facial asymmetry. As such, occupational therapy and speech therapy assessments are recommended; treatments may contribute to improvement in clarity of speech, reduce risks associated with dysphagia, and decrease social embarrassment or self-consciousness. […] It is universally accepted that eye care is imperative in Bell palsy. The patients eye is at risk for drying, corneal abrasion, and corneal ulcers. […] In most cases, topical ocular lubrication (with artificial tears during the day and lubricating ophthalmic ointment at night, or occasionally ointment day and night) is sufficient to prevent the complications of corneal exposure.

• #26 Bell’s Palsy Nursing Management and Interventions – Nurseslabs

  https://nurseslabs.com/bells-palsy-nursing-management/

  Patients need reassurance that a stroke has not occurred and that spontaneous recovery occurs within 3 to 5 weeks in most patients. Teaching patients with Bells palsy to care for themselves at home is an important nursing priority. […] Because the eye usually does not close completely, the blink reflex is diminished, so the eye is vulnerable to injury from dust and foreign particles. Corneal irritation and ulceration may occur. Distortion of the lower lid alters the proper drainage of tears. Key teaching points include the following: Cover the eye with a protective shield at night. Apply eye ointment to keep eyelids closed during sleep. Close the paralyzed eyelid manually before going to sleep. Wear wraparound sunglasses or goggles to decrease normal evaporation from the eye. […] Show patient how to perform facial massage with gentle upward motion several times daily when the patient can tolerate the massage. Demonstrate facial exercises, such as wrinkling the forehead, blowing out the cheeks, and whistling, in an effort to prevent muscle atrophy. Instruct patient to avoid exposing the face to cold and drafts. […] Instruct patient to chew on the unaffected side of his mouth. Provide soft and nutritionally balanced diet. Eliminate hot fluids and foods. Give frequent mouth care, being particularly careful to remove residues of food that collects between the cheeks and gums.

• #27 Bell’s Palsy Nursing Management and Interventions – Nurseslabs

  https://nurseslabs.com/bells-palsy-nursing-management/

  Patients need reassurance that a stroke has not occurred and that spontaneous recovery occurs within 3 to 5 weeks in most patients. Teaching patients with Bells palsy to care for themselves at home is an important nursing priority. […] Because the eye usually does not close completely, the blink reflex is diminished, so the eye is vulnerable to injury from dust and foreign particles. Corneal irritation and ulceration may occur. Distortion of the lower lid alters the proper drainage of tears. Key teaching points include the following: Cover the eye with a protective shield at night. Apply eye ointment to keep eyelids closed during sleep. Close the paralyzed eyelid manually before going to sleep. Wear wraparound sunglasses or goggles to decrease normal evaporation from the eye. […] Show patient how to perform facial massage with gentle upward motion several times daily when the patient can tolerate the massage. Demonstrate facial exercises, such as wrinkling the forehead, blowing out the cheeks, and whistling, in an effort to prevent muscle atrophy. Instruct patient to avoid exposing the face to cold and drafts. […] Instruct patient to chew on the unaffected side of his mouth. Provide soft and nutritionally balanced diet. Eliminate hot fluids and foods. Give frequent mouth care, being particularly careful to remove residues of food that collects between the cheeks and gums.

• #28 Bell’s Palsy Nursing Management and Interventions – Nurseslabs

  https://nurseslabs.com/bells-palsy-nursing-management/

  Patients need reassurance that a stroke has not occurred and that spontaneous recovery occurs within 3 to 5 weeks in most patients. Teaching patients with Bells palsy to care for themselves at home is an important nursing priority. […] Because the eye usually does not close completely, the blink reflex is diminished, so the eye is vulnerable to injury from dust and foreign particles. Corneal irritation and ulceration may occur. Distortion of the lower lid alters the proper drainage of tears. Key teaching points include the following: Cover the eye with a protective shield at night. Apply eye ointment to keep eyelids closed during sleep. Close the paralyzed eyelid manually before going to sleep. Wear wraparound sunglasses or goggles to decrease normal evaporation from the eye. […] Show patient how to perform facial massage with gentle upward motion several times daily when the patient can tolerate the massage. Demonstrate facial exercises, such as wrinkling the forehead, blowing out the cheeks, and whistling, in an effort to prevent muscle atrophy. Instruct patient to avoid exposing the face to cold and drafts. […] Instruct patient to chew on the unaffected side of his mouth. Provide soft and nutritionally balanced diet. Eliminate hot fluids and foods. Give frequent mouth care, being particularly careful to remove residues of food that collects between the cheeks and gums.

• #29 Bell’s Palsy Nursing Management and Interventions – Nurseslabs

  https://nurseslabs.com/bells-palsy-nursing-management/

  Patients need reassurance that a stroke has not occurred and that spontaneous recovery occurs within 3 to 5 weeks in most patients. Teaching patients with Bells palsy to care for themselves at home is an important nursing priority. […] Because the eye usually does not close completely, the blink reflex is diminished, so the eye is vulnerable to injury from dust and foreign particles. Corneal irritation and ulceration may occur. Distortion of the lower lid alters the proper drainage of tears. Key teaching points include the following: Cover the eye with a protective shield at night. Apply eye ointment to keep eyelids closed during sleep. Close the paralyzed eyelid manually before going to sleep. Wear wraparound sunglasses or goggles to decrease normal evaporation from the eye. […] Show patient how to perform facial massage with gentle upward motion several times daily when the patient can tolerate the massage. Demonstrate facial exercises, such as wrinkling the forehead, blowing out the cheeks, and whistling, in an effort to prevent muscle atrophy. Instruct patient to avoid exposing the face to cold and drafts. […] Instruct patient to chew on the unaffected side of his mouth. Provide soft and nutritionally balanced diet. Eliminate hot fluids and foods. Give frequent mouth care, being particularly careful to remove residues of food that collects between the cheeks and gums.

• #30

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut1793

  Bell’s palsy usually gets better on its own in a few months. In some cases medicine is prescribed. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] Use artificial tears or ointment if your eyes are too dry. Bell’s palsy can make your lower eyelid droop, causing a dry eye. […] If you cannot completely close your eye, consider using clear medical tape to tape your eye shut while you sleep. […] Brush and floss your teeth often to help prevent tooth decay. Bell’s palsy can dry up the spit on one side of your mouth. This increases the risk of tooth decay. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you do not get better as expected.

• #31 BELL’S PALSY (FACIAL NERVE PALSY) – Nurses Revision

  https://nursesrevisionuganda.com/bells-palsy-facial-nerve-palsy/

  Prevent aspiration and improve swallowing ability, evidenced by the ability to swallow liquids without choking. […] Patient expresses anxiety and emotional distress about their appearance and the sudden onset of facial paralysis. […] Excessive Anxiety related to the sudden onset of facial paralysis as evidenced by patient verbalizing concerns about appearance, and presenting with emotional distress. […] Reduce anxiety and improve emotional well-being, evidenced by the patient reporting reduced distress and improved coping. […] Nursing Concerns for Bells Palsy […] Risk for Aspiration: Facial weakness can affect swallowing, increasing the risk of aspiration. […] Risk for Corneal Abrasion: The inability to close the eye completely can lead to corneal dryness and damage. […] Impaired Communication: Facial weakness can make it difficult for the patient to speak clearly.

• #32 BELL’S PALSY (FACIAL NERVE PALSY) – Nurses Revision

  https://nursesrevisionuganda.com/bells-palsy-facial-nerve-palsy/

  SPECIFIC NURSING CARE; […] Pain Relief: Apply a warm, moist sponge to alleviate pain. […] Eye Care: Pad the dry eye to prevent excessive dryness and potential complications. […] Nutrition: Monitor and support the patients nutrition, addressing challenges in eating and drinking. […] Physiotherapy and Facial Massage: Implement physiotherapy and facial massage to stimulate facial muscles. […] Speech Therapy: Provide speech therapy to address potential speech difficulties. […] Support Groups: Encourage the patient to join support groups for emotional well-being. […] Facial Symmetry: Utilize a face strap to help symmetrize the lips. […] Eye Protection: Advise the patient to stay in warm environments, avoid dust and wind, and use eye protection in dangerous exposures. […] Swallowing Precautions: Instruct the patient to sit upright while eating, chew on the non-paralyzed side, consume small portions, and maintain a balanced nutrition intake to prevent complications in swallowing.

• #33 BELL’S PALSY (FACIAL NERVE PALSY) – Nurses Revision

  https://nursesrevisionuganda.com/bells-palsy-facial-nerve-palsy/

  Prevent aspiration and improve swallowing ability, evidenced by the ability to swallow liquids without choking. […] Patient expresses anxiety and emotional distress about their appearance and the sudden onset of facial paralysis. […] Excessive Anxiety related to the sudden onset of facial paralysis as evidenced by patient verbalizing concerns about appearance, and presenting with emotional distress. […] Reduce anxiety and improve emotional well-being, evidenced by the patient reporting reduced distress and improved coping. […] Nursing Concerns for Bells Palsy […] Risk for Aspiration: Facial weakness can affect swallowing, increasing the risk of aspiration. […] Risk for Corneal Abrasion: The inability to close the eye completely can lead to corneal dryness and damage. […] Impaired Communication: Facial weakness can make it difficult for the patient to speak clearly.

• #34 BELL’S PALSY (FACIAL NERVE PALSY) – Nurses Revision

  https://nursesrevisionuganda.com/bells-palsy-facial-nerve-palsy/

  Disrupted Body Image: The facial paralysis can have a significant impact on the patients self-esteem. […] Risk for Infection: The affected eye is more susceptible to infection due to dryness and decreased blinking. […] Risk for Delayed Recovery: The patient may experience anxiety and frustration due to the slow recovery process. […] Risk for Social Isolation: The facial paralysis can make the patient feel self-conscious and withdraw from social interactions.

• #35 Nursing Care Plan (NCP) for Bell’s Palsy | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-bells-palsy

  Patient Education: Educate about the condition, its typically good prognosis, and self-care strategies. Rationale: Understanding the condition reduces anxiety and promotes coping. […] Evaluation for Bells Palsy: Prevention of Complications: Patient remains free from eye injuries and other complications. […] Emotional Support: Patient expresses feeling supported and is coping effectively with the condition.

• #36 Bell’s Palsy Nursing Management and Interventions – Nurseslabs

  https://nurseslabs.com/bells-palsy-nursing-management/

  Patients need reassurance that a stroke has not occurred and that spontaneous recovery occurs within 3 to 5 weeks in most patients. Teaching patients with Bells palsy to care for themselves at home is an important nursing priority. […] Because the eye usually does not close completely, the blink reflex is diminished, so the eye is vulnerable to injury from dust and foreign particles. Corneal irritation and ulceration may occur. Distortion of the lower lid alters the proper drainage of tears. Key teaching points include the following: Cover the eye with a protective shield at night. Apply eye ointment to keep eyelids closed during sleep. Close the paralyzed eyelid manually before going to sleep. Wear wraparound sunglasses or goggles to decrease normal evaporation from the eye. […] Show patient how to perform facial massage with gentle upward motion several times daily when the patient can tolerate the massage. Demonstrate facial exercises, such as wrinkling the forehead, blowing out the cheeks, and whistling, in an effort to prevent muscle atrophy. Instruct patient to avoid exposing the face to cold and drafts. […] Instruct patient to chew on the unaffected side of his mouth. Provide soft and nutritionally balanced diet. Eliminate hot fluids and foods. Give frequent mouth care, being particularly careful to remove residues of food that collects between the cheeks and gums.

• #37 Bell’s Palsy (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/bells-palsy.html

  Bell’s palsy usually goes away as the swelling goes down and the nerve recovers. […] Doctors might recommend: […] steroid medicines to ease nerve swelling, especially in the first 3 days […] eye drops or ointment to lubricate and protect the eye […] a patch at night to protect the eye […] face exercises to help make muscles stronger. […] Most kids with Bells palsy get completely better within a few weeks. Rarely, some may continue to have some weakness in their face, especially if the paralysis was severe.

• #38 Bell’s Palsy Management and Nursing Care Plan ~ Nursing Path

  https://www.nursingpath.in/2018/05/bells-palsy-management-and-nursing-care.html

  Bells palsy (facial paralysis) is due to peripheral involvement of the seventh cranial nerve on one side, which results in weakness or paralysis of the facial muscles. […] Patients need reassurance that a stroke has not occurred and that spontaneous recovery occurs within 3 to 5 weeks in most patients. Teaching patients with Bells palsy to care for themselves at home is an important nursing priority. […] Because the eye usually does not close completely, the blink reflex is diminished, so the eye is vulnerable to injury from dust and foreign particles. […] Show patient how to perform facial massage with gentle upward motion several times daily when the patient can tolerate the massage. […] Assess patients knowledge of change in structure or function of the body part. […] Encourage verbalization about concerns of the disease process and future expectations. […] Within 1 hour of nursing interventions, patient will remain free from harm resulting from visual disturbances.

• #39 Nursing Care Plan (NCP) for Bell’s Palsy | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-bells-palsy

  Patient Education: Educate about the condition, its typically good prognosis, and self-care strategies. Rationale: Understanding the condition reduces anxiety and promotes coping. […] Evaluation for Bells Palsy: Prevention of Complications: Patient remains free from eye injuries and other complications. […] Emotional Support: Patient expresses feeling supported and is coping effectively with the condition.

• #40 Managing Bell’s palsy: Treatment, home management, and more

  https://www.medicalnewstoday.com/articles/bells-palsy-management

  Managing Bells palsy involves taking corticosteroids to increase the chance of full recovery. It also involves eye care and rigorous oral hygiene to prevent complications. […] Eye care is also essential and involves using lubricating eye drops and taping the eye shut at night. […] A doctor may prescribe lubricating eye drops for use during the day and ointments and gels for use at night. […] A person may need to tape the eye closed before sleep to protect the eye from dryness or damage during the night. […] People with Bells palsy need to maintain a regular mouth hygiene routine. This involves thoroughly brushing the teeth twice daily, flossing, and using an antibacterial mouthwash. […] It is important for a person with Bells palsy to monitor their mental health. […] If someone notices that Bells palsy is affecting their mental health, they should consult a mental health professional or doctor. […] A person may need to seek mental health care, as the changes in their appearance and ability to communicate may lead to feelings of low self-esteem, loss of identity, anxiety, and depression.

• #41 Bell’s palsy

  https://www.nhs.uk/conditions/bells-palsy/

  Bell’s palsy is temporary weakness or lack of movement that usually affects 1 side of the face. Treatment with steroids can help and most people get better within 6 months. […] It’s important to get help as soon as possible because treatment for Bell’s palsy is more effective if started early (within 72 hours). […] Treatments for Bell’s palsy include: a 10-day course of steroid medicine, sometimes with antiviral medicine, eye drops and ointment to stop the affected eye drying out, surgical tape to keep the eye closed at bedtime. […] If you cannot close your eye, you may need treatment to prevent damage to your vision. […] Your Bell’s palsy symptoms should get better within 6 months, but it can take longer for some people. […] Go back to see a GP if your symptoms are not getting better after 3 weeks. […] Living with Bell’s palsy can make you feel depressed, stressed or anxious. Speak to a GP if it’s affecting your mental health.

• #42 Bell’s palsy: Treatment and prognosis in adults – UpToDate

  https://www.uptodate.com/contents/bells-palsy-treatment-and-prognosis-in-adults

  INITIAL TREATMENT […] The mainstay of pharmacologic therapy for Bell’s palsy or facial nerve palsy is early short-term oral glucocorticoid treatment. In severe acute cases, combining antiviral therapy with glucocorticoids may improve outcomes. Eye care is essential for patients with incomplete eye closure (algorithm 1). […] Glucocorticoids for all patients — A short-term course of oral glucocorticoids is recommended for all patients with new-onset Bell’s palsy. Treatment should ideally begin within three days of symptom onset, as this is the setting in which glucocorticoids have been studied and shown to be beneficial. We typically treat patients who are within seven days of symptom onset.

• #43 Bell’s Palsy: What It Is, Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/5457-bells-palsy

  Bells palsy temporarily weakens or paralyzes facial muscles. […] Most cases of Bells palsy improve without treatment. Still, your healthcare provider may recommend one or more of these therapies for symptom relief and faster recovery: […] Eye care: Eye drops, including artificial tears, soothe dry, irritated eyes. If your eyelid wont close, you may need to wear an eye patch to protect that eye from drying, irritants and injuries. Eye care is very important to prevent damage to your cornea, a serious complication of Bells palsy. […] Oral corticosteroids: Oral corticosteroids (like prednisone) can help decrease nerve swelling. It may help you regain facial movement faster. This treatment is most effective when you start it within 48 hours of noticing symptoms. […] Antiviral medications: Antiviral medications may speed up recovery. But its unclear how much benefit they provide. Providers typically only prescribe them for severe Bells palsy. This treatment works best when you combine it with oral corticosteroids.

• #44 Bell Palsy: Rapid Evidence Review | AAFP

  https://www.aafp.org/pubs/afp/issues/2023/0400/bell-palsy.html

  Bell palsy should be suspected in patients with acute onset of unilateral facial weakness or paralysis involving the forehead in the absence of other neurologic abnormalities. […] An oral corticosteroid regimen (prednisone, 50 to 60 mg per day for five days followed by a five-day taper) is the first-line treatment for Bell palsy. […] Combination therapy with an oral corticosteroid and antiviral may reduce rates of synkinesis (misdirected regrowth of facial nerve fibers manifesting as involuntary co-contraction of certain facial muscles). […] Physical therapy may be beneficial in patients with more severe paralysis. […] Patients with Bell palsy should be prescribed oral corticosteroids. […] Combination therapy with oral corticosteroids and antivirals should be considered in patients with Bell palsy to reduce rates of synkinesis.

• #45 Bell Palsy: Rapid Evidence Review | AAFP

  https://www.aafp.org/pubs/afp/issues/2023/0400/bell-palsy.html

  Bell palsy should be suspected in patients with acute onset of unilateral facial weakness or paralysis involving the forehead in the absence of other neurologic abnormalities. […] An oral corticosteroid regimen (prednisone, 50 to 60 mg per day for five days followed by a five-day taper) is the first-line treatment for Bell palsy. […] Combination therapy with an oral corticosteroid and antiviral may reduce rates of synkinesis (misdirected regrowth of facial nerve fibers manifesting as involuntary co-contraction of certain facial muscles). […] Physical therapy may be beneficial in patients with more severe paralysis. […] Patients with Bell palsy should be prescribed oral corticosteroids. […] Combination therapy with oral corticosteroids and antivirals should be considered in patients with Bell palsy to reduce rates of synkinesis.

• #46

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut1793

  Bell’s palsy usually gets better on its own in a few months. In some cases medicine is prescribed. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] Use artificial tears or ointment if your eyes are too dry. Bell’s palsy can make your lower eyelid droop, causing a dry eye. […] If you cannot completely close your eye, consider using clear medical tape to tape your eye shut while you sleep. […] Brush and floss your teeth often to help prevent tooth decay. Bell’s palsy can dry up the spit on one side of your mouth. This increases the risk of tooth decay. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you do not get better as expected.

• #47 Bell’s Palsy – Child Neurology Foundation

  https://www.childneurologyfoundation.org/disorder/bells-palsy/

  Most children with Bells Palsy are prescribed a steroid medication. Steroids are the most commonly prescribed treatment for Bells palsy. The two most commonly used steroids for Bells palsy are prednisone or prednisolone. Steroids usually dont have troublesome side effects when used for short periods of time. They may make some children extra hungry, have mood swings, or have disrupted sleep. […] Most children with Bells palsy will get better on their own, with or without treatment. However, children who are given steroids may recover more quickly and more completely. […] With treatment, the outlook for children with Bells palsy is excellent. At least 90% of children recover completely, often within 4 to 6 weeks. Even children who do not have a complete recovery usually regain some or most of the function of the muscles of the face within 6 months. […] The child will need good eye care and may have trouble drinking through a straw and eating soup until symptoms improve. […] Skipping eye drops and poor eye care at night may lead to eye injuries that need to be treated by an eye doctor.

• #48 Bell’s Palsy: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.bell’s-palsy-care-instructions.ut1793

  Bell’s palsy usually gets better on its own in a few months. In some cases medicine is prescribed. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine. You will get more details on the specific medicines your doctor prescribes. […] Use artificial tears or ointment if your eyes are too dry. Bell’s palsy can make your lower eyelid droop, causing a dry eye. […] If you cannot completely close your eye, consider using clear medical tape to tape your eye shut while you sleep. […] Brush and floss your teeth often to help prevent tooth decay. Bell’s palsy can dry up the spit on one side of your mouth. This increases the risk of tooth decay. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected.

• #49 Bell’s Palsy: What It Is, Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/5457-bells-palsy

  Bells palsy temporarily weakens or paralyzes facial muscles. […] Most cases of Bells palsy improve without treatment. Still, your healthcare provider may recommend one or more of these therapies for symptom relief and faster recovery: […] Eye care: Eye drops, including artificial tears, soothe dry, irritated eyes. If your eyelid wont close, you may need to wear an eye patch to protect that eye from drying, irritants and injuries. Eye care is very important to prevent damage to your cornea, a serious complication of Bells palsy. […] Oral corticosteroids: Oral corticosteroids (like prednisone) can help decrease nerve swelling. It may help you regain facial movement faster. This treatment is most effective when you start it within 48 hours of noticing symptoms. […] Antiviral medications: Antiviral medications may speed up recovery. But its unclear how much benefit they provide. Providers typically only prescribe them for severe Bells palsy. This treatment works best when you combine it with oral corticosteroids.

• #50 Bell’s Palsy: Symptoms, Causes, Treatment & Recovery

  https://www.emedicinehealth.com/bell_palsy/article_em.htm

  Doctors will often add an antiviral agent, such as acyclovir (Zovirax) or valacyclovir (Valtrex), because of a strong correlation between herpes simplex virus and Bell’s palsy. […] If Lyme disease is possible in certain areas of the country, an antibiotic may be added, such as doxycycline. […] Bell’s palsy usually goes away by itself without treatment. Most people begin recovery in 2 to 3 weeks, with 70% to 85% of people showing complete recovery in 2 to 3 months. There is a 10% recurrence rate.

• #51 Bell Palsy: Rapid Evidence Review | AAFP

  https://www.aafp.org/pubs/afp/issues/2023/0400/bell-palsy.html

  Bell palsy should be suspected in patients with acute onset of unilateral facial weakness or paralysis involving the forehead in the absence of other neurologic abnormalities. […] An oral corticosteroid regimen (prednisone, 50 to 60 mg per day for five days followed by a five-day taper) is the first-line treatment for Bell palsy. […] Combination therapy with an oral corticosteroid and antiviral may reduce rates of synkinesis (misdirected regrowth of facial nerve fibers manifesting as involuntary co-contraction of certain facial muscles). […] Physical therapy may be beneficial in patients with more severe paralysis. […] Patients with Bell palsy should be prescribed oral corticosteroids. […] Combination therapy with oral corticosteroids and antivirals should be considered in patients with Bell palsy to reduce rates of synkinesis.

• #52 Bell’s Palsy: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.bell’s-palsy-care-instructions.ut1793

  Bell’s palsy usually gets better on its own in a few months. In some cases medicine is prescribed. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine. You will get more details on the specific medicines your doctor prescribes. […] Use artificial tears or ointment if your eyes are too dry. Bell’s palsy can make your lower eyelid droop, causing a dry eye. […] If you cannot completely close your eye, consider using clear medical tape to tape your eye shut while you sleep. […] Brush and floss your teeth often to help prevent tooth decay. Bell’s palsy can dry up the spit on one side of your mouth. This increases the risk of tooth decay. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected.

• #53 Nursing Care Plan (NCP) for Bell’s Palsy | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-bells-palsy

  Nursing Care Plan (NCP) for Bells Palsy […] Upon completing this lesson on Bells Palsy, students will be able to: […] The lesson will emphasize the importance of early recognition, the role of corticosteroids and antiviral therapy, and the management of complications such as eye care. Additionally, students will learn about patient education and psychosocial support for individuals affected by Bells Palsy. […] Desired Outcomes for Bells Palsy: Recovery of facial muscle function. Prevention of eye complications due to inability to blink. Effective pain management. Understanding of the condition and its management. […] Nursing Interventions and Rationales for Bells Palsy: Eye Care: Protect the affected eye from dryness due to incomplete closure. Rationale: Bells Palsy can cause difficulty in blinking or closing the eye, leading to dryness and potential damage.

• #54 BELL’S PALSY (FACIAL NERVE PALSY) – Nurses Revision

  https://nursesrevisionuganda.com/bells-palsy-facial-nerve-palsy/

  Prevent aspiration and improve swallowing ability, evidenced by the ability to swallow liquids without choking. […] Patient expresses anxiety and emotional distress about their appearance and the sudden onset of facial paralysis. […] Excessive Anxiety related to the sudden onset of facial paralysis as evidenced by patient verbalizing concerns about appearance, and presenting with emotional distress. […] Reduce anxiety and improve emotional well-being, evidenced by the patient reporting reduced distress and improved coping. […] Nursing Concerns for Bells Palsy […] Risk for Aspiration: Facial weakness can affect swallowing, increasing the risk of aspiration. […] Risk for Corneal Abrasion: The inability to close the eye completely can lead to corneal dryness and damage. […] Impaired Communication: Facial weakness can make it difficult for the patient to speak clearly.

• #55 Bell’s Palsy Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/bells-palsy-nursing-diagnosis/

  Provide emotional support and counseling. Rationale: Helps patient cope with temporary changes. Encourage social interaction. Rationale: Prevents isolation and maintains support systems. Teach coping strategies. Rationale: Enhances psychological adaptation. […] Assess swallowing ability. Rationale: Ensures safe oral intake. Modify food and fluid consistency. Rationale: Facilitates safe swallowing. Monitor nutritional status. Rationale: Prevents nutritional deficiencies.

• #56 BELL’S PALSY (FACIAL NERVE PALSY) – Nurses Revision

  https://nursesrevisionuganda.com/bells-palsy-facial-nerve-palsy/

  Prevent aspiration and improve swallowing ability, evidenced by the ability to swallow liquids without choking. […] Patient expresses anxiety and emotional distress about their appearance and the sudden onset of facial paralysis. […] Excessive Anxiety related to the sudden onset of facial paralysis as evidenced by patient verbalizing concerns about appearance, and presenting with emotional distress. […] Reduce anxiety and improve emotional well-being, evidenced by the patient reporting reduced distress and improved coping. […] Nursing Concerns for Bells Palsy […] Risk for Aspiration: Facial weakness can affect swallowing, increasing the risk of aspiration. […] Risk for Corneal Abrasion: The inability to close the eye completely can lead to corneal dryness and damage. […] Impaired Communication: Facial weakness can make it difficult for the patient to speak clearly.

• #57 Bell’s palsy Slide share medical surgical nursing | PPT

  https://www.slideshare.net/Jitendrabhargavbharg/bells-palsy-slide-share-medical-surgical-nursing

  Bell’s palsy is a unilateral paralysis of the facial nerve causing weakness of the muscles on one side of the face. […] Management involves analgesics, gentle massage, corticosteroids, and moist heat application. Nursing care focuses on assessing and controlling pain, instructing facial exercises and the use of moist heat, encouraging communication, and addressing changes to body image and self-esteem. […] Assess pain for location intensity radiation and duration. Identify the factors which increase pain and control them. Instruct the patient to apply moist heat to face to relieve symptoms. Exercise facial muscles by smiling, grimacing, and puckering. […] Encourage the family to communicate with the patient. Encourage or instruct to take a balanced diet, rest, exercise, and relaxation also develop a healthy lifestyle. […] Nursing diagnosis: Chronic pain related to disease process. Disturbed body image related to paralysis of facial nerve. Low self-esteem related to disease process.

• #58 BELL’S PALSY (FACIAL NERVE PALSY) – Nurses Revision

  https://nursesrevisionuganda.com/bells-palsy-facial-nerve-palsy/

  Prevent aspiration and improve swallowing ability, evidenced by the ability to swallow liquids without choking. […] Patient expresses anxiety and emotional distress about their appearance and the sudden onset of facial paralysis. […] Excessive Anxiety related to the sudden onset of facial paralysis as evidenced by patient verbalizing concerns about appearance, and presenting with emotional distress. […] Reduce anxiety and improve emotional well-being, evidenced by the patient reporting reduced distress and improved coping. […] Nursing Concerns for Bells Palsy […] Risk for Aspiration: Facial weakness can affect swallowing, increasing the risk of aspiration. […] Risk for Corneal Abrasion: The inability to close the eye completely can lead to corneal dryness and damage. […] Impaired Communication: Facial weakness can make it difficult for the patient to speak clearly.

• #59 Bell’s palsy Slide share medical surgical nursing | PPT

  https://www.slideshare.net/Jitendrabhargavbharg/bells-palsy-slide-share-medical-surgical-nursing

  Bell’s palsy is a unilateral paralysis of the facial nerve causing weakness of the muscles on one side of the face. […] Management involves analgesics, gentle massage, corticosteroids, and moist heat application. Nursing care focuses on assessing and controlling pain, instructing facial exercises and the use of moist heat, encouraging communication, and addressing changes to body image and self-esteem. […] Assess pain for location intensity radiation and duration. Identify the factors which increase pain and control them. Instruct the patient to apply moist heat to face to relieve symptoms. Exercise facial muscles by smiling, grimacing, and puckering. […] Encourage the family to communicate with the patient. Encourage or instruct to take a balanced diet, rest, exercise, and relaxation also develop a healthy lifestyle. […] Nursing diagnosis: Chronic pain related to disease process. Disturbed body image related to paralysis of facial nerve. Low self-esteem related to disease process.

• #60 BELL’S PALSY (FACIAL NERVE PALSY) – Nurses Revision

  https://nursesrevisionuganda.com/bells-palsy-facial-nerve-palsy/

  Disrupted Body Image: The facial paralysis can have a significant impact on the patients self-esteem. […] Risk for Infection: The affected eye is more susceptible to infection due to dryness and decreased blinking. […] Risk for Delayed Recovery: The patient may experience anxiety and frustration due to the slow recovery process. […] Risk for Social Isolation: The facial paralysis can make the patient feel self-conscious and withdraw from social interactions.

• #61 RNpedia Bell’s Palsy

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/bells-palsy/

  Within 1 hour of nursing interventions, the patient will be able to demonstrate increased self-esteem and body image by the ability to acknowledge, touch, and look at altered body part. […] Within 1 hour of nursing interventions, patient will remain free from harm resulting from visual disturbances.

• #62 Nursing care plan for bells pamyotrophic lateral sclerosisy

  https://nursipedia.com/nursing-care-plan-bells-pamyotrophic-lateral-sclerosisy/

  Bell’s Palsy, attributed to a viral infection, manifests with facial paralysis or weakness. The Nursing Care Plan for Bells Palsy is designed to address prevention, thorough assessment, nursing diagnosis, outcomes, and interventions. […] The goal of the care plan is to achieve specific measurable outcomes: The patient will enhance airway clearance. The patient will remain without infection. The patient will maintain nutritional health. The patient will demonstrate improved oral mucous membrane integrity. The patient will cope effectively with the situation. […] Interventions are tailored steps to achieve desired outcomes: Encourage the patient to practice eye exercises to enhance the blinking reflex. Inform the patient about protective measures to prevent infection. Educate the patient about proper nutrition and eating techniques. Provide lip protection to maintain moisture in the lips. Inform the patient about the availability of emotional support groups.

• #63 Bell’s Palsy Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/bells-palsy-nursing-diagnosis/

  Bells Palsy is a temporary facial paralysis or weakness that affects one side of the face, resulting from damage or trauma to the seventh cranial nerve (facial nerve). This nursing diagnosis focuses on identifying symptoms, preventing complications, and supporting patients through recovery. […] Bells Palsy presents with distinctive signs and symptoms that nurses must recognize for proper diagnosis and treatment. […] The following outcomes indicate the successful management of Bells Palsy: The patient will demonstrate improved facial muscle function within 3-6 months. The patient will maintain eye moisture and integrity. The patient will perform facial exercises correctly. The patient will demonstrate proper eye care techniques. The patient will maintain adequate nutrition and hydration. The patient will verbalize understanding of the condition and treatment plan. The patient will show improved psychological adaptation to temporary facial paralysis.

• #64 Bell’s Palsy Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/bells-palsy-nursing-diagnosis/

  Bells Palsy is a temporary facial paralysis or weakness that affects one side of the face, resulting from damage or trauma to the seventh cranial nerve (facial nerve). This nursing diagnosis focuses on identifying symptoms, preventing complications, and supporting patients through recovery. […] Bells Palsy presents with distinctive signs and symptoms that nurses must recognize for proper diagnosis and treatment. […] The following outcomes indicate the successful management of Bells Palsy: The patient will demonstrate improved facial muscle function within 3-6 months. The patient will maintain eye moisture and integrity. The patient will perform facial exercises correctly. The patient will demonstrate proper eye care techniques. The patient will maintain adequate nutrition and hydration. The patient will verbalize understanding of the condition and treatment plan. The patient will show improved psychological adaptation to temporary facial paralysis.

• #65 Bell’s Palsy Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/bells-palsy-nursing-diagnosis/

  Bells Palsy is a temporary facial paralysis or weakness that affects one side of the face, resulting from damage or trauma to the seventh cranial nerve (facial nerve). This nursing diagnosis focuses on identifying symptoms, preventing complications, and supporting patients through recovery. […] Bells Palsy presents with distinctive signs and symptoms that nurses must recognize for proper diagnosis and treatment. […] The following outcomes indicate the successful management of Bells Palsy: The patient will demonstrate improved facial muscle function within 3-6 months. The patient will maintain eye moisture and integrity. The patient will perform facial exercises correctly. The patient will demonstrate proper eye care techniques. The patient will maintain adequate nutrition and hydration. The patient will verbalize understanding of the condition and treatment plan. The patient will show improved psychological adaptation to temporary facial paralysis.

• #66 Bell’s Palsy Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/bells-palsy-nursing-diagnosis/

  Bells Palsy is a temporary facial paralysis or weakness that affects one side of the face, resulting from damage or trauma to the seventh cranial nerve (facial nerve). This nursing diagnosis focuses on identifying symptoms, preventing complications, and supporting patients through recovery. […] Bells Palsy presents with distinctive signs and symptoms that nurses must recognize for proper diagnosis and treatment. […] The following outcomes indicate the successful management of Bells Palsy: The patient will demonstrate improved facial muscle function within 3-6 months. The patient will maintain eye moisture and integrity. The patient will perform facial exercises correctly. The patient will demonstrate proper eye care techniques. The patient will maintain adequate nutrition and hydration. The patient will verbalize understanding of the condition and treatment plan. The patient will show improved psychological adaptation to temporary facial paralysis.

• #67 Patient education: Bell’s palsy (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/bells-palsy-beyond-the-basics

  Patient education: Bell’s palsy (Beyond the Basics) […] Bell’s palsy is a condition in which the nerve that controls the muscles of the face becomes impaired or even stops working altogether. […] If you have any signs of Bell’s palsy, you should see a doctor or nurse because treatment is effective but should be started within two to three days of onset. […] You will need eye treatments if you cannot close your eye. If the cornea, which is the clear protective covering of the pupil, becomes overly dry, there is a risk of scarring and permanent damage to the eye. You can use artificial tears (eye drops) as often as every hour during the day to keep the eye moist. A moisturizing eye ointment is typically used at night. […] Most people who are diagnosed with Bell’s palsy (within two to three days of the first symptoms) are treated with steroids (eg, prednisone) for one week. […] You will need a follow-up visit with your doctor or nurse after you start treatment. At this visit, you will have an examination and you can discuss any questions or problems. […] In general, people whose paralysis is less severe tend to recover more completely.

• #68 Patient education: Bell’s palsy (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/bells-palsy-beyond-the-basics

  Patient education: Bell’s palsy (Beyond the Basics) […] Bell’s palsy is a condition in which the nerve that controls the muscles of the face becomes impaired or even stops working altogether. […] If you have any signs of Bell’s palsy, you should see a doctor or nurse because treatment is effective but should be started within two to three days of onset. […] You will need eye treatments if you cannot close your eye. If the cornea, which is the clear protective covering of the pupil, becomes overly dry, there is a risk of scarring and permanent damage to the eye. You can use artificial tears (eye drops) as often as every hour during the day to keep the eye moist. A moisturizing eye ointment is typically used at night. […] Most people who are diagnosed with Bell’s palsy (within two to three days of the first symptoms) are treated with steroids (eg, prednisone) for one week. […] You will need a follow-up visit with your doctor or nurse after you start treatment. At this visit, you will have an examination and you can discuss any questions or problems. […] In general, people whose paralysis is less severe tend to recover more completely.

• #69 Bell’s palsy – Sunnybrook Hospital

  https://sunnybrook.ca/glossary/item.asp?g=9&c=0&i=1426&page=26008

  Some people with Bells palsy are unable to close their eye completely on the affected side of the face. This puts the eye at risk for becoming dry, which can cause surface damage on the eye. To prevent your eye from drying out, use artificial tears (which you can buy from the drug store) during the day time and artificial tear ointment at night. […] You can also buy soft eye pads that can help to keep your eye closed and moist during the night. After putting some artificial tear ointment in the lower lid of the affected eye, close your eyelid fully with your fingers and place the eye pad over the closed eye. Use one piece of medical tape to tape the pad onto your face, placing one end of the tape on your forehead and the other end on your cheek, on the diagonal. […] During the daytime keep your eyes protected by wearing protective eyewear such as sunglasses (preferably large ones), to shield your eye from any foreign bodies (because you cant blink fully like you usually would if something came at your eye).

• #70 Bell’s Palsy Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/bells-palsy-nursing-diagnosis/

  Assess facial muscle strength and symmetry q shift. Rationale: Monitors progression and recovery of facial function. Teach facial exercises as prescribed. Rationale: Maintains muscle tone and promotes recovery. Provide emotional support and encouragement. Rationale: Enhances patient compliance and motivation. […] Apply eye lubricants as prescribed. Rationale: Prevents corneal drying and injury. Teach proper eye protection techniques. Rationale: Ensures adequate eye moisture and protection. Monitor for signs of corneal damage. Rationale: Enables early intervention if complications develop. […] Assess speech patterns and clarity. Rationale: Establishes baseline and monitors progress. Provide alternative communication methods. Rationale: Ensures effective communication despite limitations. Collaborate with speech therapy. Rationale: Optimizes communication strategies and recovery.

• #71 Bell’s Palsy Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/bells-palsy-nursing-diagnosis/

  Assess facial muscle strength and symmetry q shift. Rationale: Monitors progression and recovery of facial function. Teach facial exercises as prescribed. Rationale: Maintains muscle tone and promotes recovery. Provide emotional support and encouragement. Rationale: Enhances patient compliance and motivation. […] Apply eye lubricants as prescribed. Rationale: Prevents corneal drying and injury. Teach proper eye protection techniques. Rationale: Ensures adequate eye moisture and protection. Monitor for signs of corneal damage. Rationale: Enables early intervention if complications develop. […] Assess speech patterns and clarity. Rationale: Establishes baseline and monitors progress. Provide alternative communication methods. Rationale: Ensures effective communication despite limitations. Collaborate with speech therapy. Rationale: Optimizes communication strategies and recovery.

• #72 RNpedia Bell’s Palsy

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/bells-palsy/

  Patients need reassurance that a stroke has not occurred and that spontaneous recovery occurs within 3 to 5 weeks in most patients. Teaching patients with Bells palsy to care for themselves at home is an important nursing priority. […] Key teaching points include the following: Cover the eye with a protective shield at night. Apply eye ointment to keep eyelids closed during sleep. Close the paralyzed eyelid manually before going to sleep. Wear wraparound sunglasses or goggles to decrease normal evaporation from the eye. […] Show patient how to perform facial massage with gentle upward motion several times daily when the patient can tolerate the massage. Demonstrate facial exercises, such as wrinkling the forehead, blowing out the cheeks, and whistling, in an effort to prevent muscle atrophy. Instruct patient to avoid exposing the face to cold and drafts.

• #73 RNpedia Bell’s Palsy

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/bells-palsy/

  Patients need reassurance that a stroke has not occurred and that spontaneous recovery occurs within 3 to 5 weeks in most patients. Teaching patients with Bells palsy to care for themselves at home is an important nursing priority. […] Key teaching points include the following: Cover the eye with a protective shield at night. Apply eye ointment to keep eyelids closed during sleep. Close the paralyzed eyelid manually before going to sleep. Wear wraparound sunglasses or goggles to decrease normal evaporation from the eye. […] Show patient how to perform facial massage with gentle upward motion several times daily when the patient can tolerate the massage. Demonstrate facial exercises, such as wrinkling the forehead, blowing out the cheeks, and whistling, in an effort to prevent muscle atrophy. Instruct patient to avoid exposing the face to cold and drafts.

• #74 BELL’S PALSY (FACIAL NERVE PALSY) – Nurses Revision

  https://nursesrevisionuganda.com/bells-palsy-facial-nerve-palsy/

  Privacy during Meals: Respect the patients privacy during mealtime to avoid embarrassment. […] Mouth Care: Perform careful mouth care, as food may accumulate between the lip and gingiva. […] Muscle Tonus Maintenance: Massage the patients face with upward strokes for 5-10 minutes to maintain muscle tone, and encourage self-massage. […] Active Exercise: If ready, ask the patient to perform active exercises, such as smiling in front of a mirror. […] Eye Protection Outside: Suggest using eye protectors, especially when going outdoors. Sterile eyes. […] NURSING CARE PLAN FOR A PATIENT WITH BELLS PALSY […] Patient reports difficulty swallowing and frequently chokes on liquids. […] Impaired swallowing related to weakness of facial muscles as evidenced by frequent choking and difficulty swallowing.

• #75 Bell’s Palsy Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/bells-palsy-nursing-diagnosis/

  Assess facial muscle strength and symmetry q shift. Rationale: Monitors progression and recovery of facial function. Teach facial exercises as prescribed. Rationale: Maintains muscle tone and promotes recovery. Provide emotional support and encouragement. Rationale: Enhances patient compliance and motivation. […] Apply eye lubricants as prescribed. Rationale: Prevents corneal drying and injury. Teach proper eye protection techniques. Rationale: Ensures adequate eye moisture and protection. Monitor for signs of corneal damage. Rationale: Enables early intervention if complications develop. […] Assess speech patterns and clarity. Rationale: Establishes baseline and monitors progress. Provide alternative communication methods. Rationale: Ensures effective communication despite limitations. Collaborate with speech therapy. Rationale: Optimizes communication strategies and recovery.

• #76 Bell’s Palsy Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/bells-palsy-nursing-diagnosis/

  Provide emotional support and counseling. Rationale: Helps patient cope with temporary changes. Encourage social interaction. Rationale: Prevents isolation and maintains support systems. Teach coping strategies. Rationale: Enhances psychological adaptation. […] Assess swallowing ability. Rationale: Ensures safe oral intake. Modify food and fluid consistency. Rationale: Facilitates safe swallowing. Monitor nutritional status. Rationale: Prevents nutritional deficiencies.

• #77 Bell’s Palsy Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/bells-palsy-nursing-diagnosis/

  Provide emotional support and counseling. Rationale: Helps patient cope with temporary changes. Encourage social interaction. Rationale: Prevents isolation and maintains support systems. Teach coping strategies. Rationale: Enhances psychological adaptation. […] Assess swallowing ability. Rationale: Ensures safe oral intake. Modify food and fluid consistency. Rationale: Facilitates safe swallowing. Monitor nutritional status. Rationale: Prevents nutritional deficiencies.

• #78 Bell’s Palsy Nursing Management and Interventions – Nurseslabs

  https://nurseslabs.com/bells-palsy-nursing-management/

  Patients need reassurance that a stroke has not occurred and that spontaneous recovery occurs within 3 to 5 weeks in most patients. Teaching patients with Bells palsy to care for themselves at home is an important nursing priority. […] Because the eye usually does not close completely, the blink reflex is diminished, so the eye is vulnerable to injury from dust and foreign particles. Corneal irritation and ulceration may occur. Distortion of the lower lid alters the proper drainage of tears. Key teaching points include the following: Cover the eye with a protective shield at night. Apply eye ointment to keep eyelids closed during sleep. Close the paralyzed eyelid manually before going to sleep. Wear wraparound sunglasses or goggles to decrease normal evaporation from the eye. […] Show patient how to perform facial massage with gentle upward motion several times daily when the patient can tolerate the massage. Demonstrate facial exercises, such as wrinkling the forehead, blowing out the cheeks, and whistling, in an effort to prevent muscle atrophy. Instruct patient to avoid exposing the face to cold and drafts. […] Instruct patient to chew on the unaffected side of his mouth. Provide soft and nutritionally balanced diet. Eliminate hot fluids and foods. Give frequent mouth care, being particularly careful to remove residues of food that collects between the cheeks and gums.

• #79 Bell’s palsy Slide share medical surgical nursing | PPT

  https://www.slideshare.net/Jitendrabhargavbharg/bells-palsy-slide-share-medical-surgical-nursing

  Bell’s palsy is a unilateral paralysis of the facial nerve causing weakness of the muscles on one side of the face. […] Management involves analgesics, gentle massage, corticosteroids, and moist heat application. Nursing care focuses on assessing and controlling pain, instructing facial exercises and the use of moist heat, encouraging communication, and addressing changes to body image and self-esteem. […] Assess pain for location intensity radiation and duration. Identify the factors which increase pain and control them. Instruct the patient to apply moist heat to face to relieve symptoms. Exercise facial muscles by smiling, grimacing, and puckering. […] Encourage the family to communicate with the patient. Encourage or instruct to take a balanced diet, rest, exercise, and relaxation also develop a healthy lifestyle. […] Nursing diagnosis: Chronic pain related to disease process. Disturbed body image related to paralysis of facial nerve. Low self-esteem related to disease process.

• #80 Bell’s Palsy Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/bells-palsy-nursing-diagnosis/

  Provide emotional support and counseling. Rationale: Helps patient cope with temporary changes. Encourage social interaction. Rationale: Prevents isolation and maintains support systems. Teach coping strategies. Rationale: Enhances psychological adaptation. […] Assess swallowing ability. Rationale: Ensures safe oral intake. Modify food and fluid consistency. Rationale: Facilitates safe swallowing. Monitor nutritional status. Rationale: Prevents nutritional deficiencies.

• #81 Bell’s Palsy Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/bells-palsy-nursing-diagnosis/

  Provide emotional support and counseling. Rationale: Helps patient cope with temporary changes. Encourage social interaction. Rationale: Prevents isolation and maintains support systems. Teach coping strategies. Rationale: Enhances psychological adaptation. […] Assess swallowing ability. Rationale: Ensures safe oral intake. Modify food and fluid consistency. Rationale: Facilitates safe swallowing. Monitor nutritional status. Rationale: Prevents nutritional deficiencies.

• #82 Bell’s Palsy Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/bells-palsy-nursing-diagnosis/

  Provide emotional support and counseling. Rationale: Helps patient cope with temporary changes. Encourage social interaction. Rationale: Prevents isolation and maintains support systems. Teach coping strategies. Rationale: Enhances psychological adaptation. […] Assess swallowing ability. Rationale: Ensures safe oral intake. Modify food and fluid consistency. Rationale: Facilitates safe swallowing. Monitor nutritional status. Rationale: Prevents nutritional deficiencies.

• #83 Bell’s Palsy Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/bells-palsy-nursing-diagnosis/

  Provide emotional support and counseling. Rationale: Helps patient cope with temporary changes. Encourage social interaction. Rationale: Prevents isolation and maintains support systems. Teach coping strategies. Rationale: Enhances psychological adaptation. […] Assess swallowing ability. Rationale: Ensures safe oral intake. Modify food and fluid consistency. Rationale: Facilitates safe swallowing. Monitor nutritional status. Rationale: Prevents nutritional deficiencies.

• #84 Bell’s Palsy Nursing Management and Interventions – Nurseslabs

  https://nurseslabs.com/bells-palsy-nursing-management/

  Patients need reassurance that a stroke has not occurred and that spontaneous recovery occurs within 3 to 5 weeks in most patients. Teaching patients with Bells palsy to care for themselves at home is an important nursing priority. […] Because the eye usually does not close completely, the blink reflex is diminished, so the eye is vulnerable to injury from dust and foreign particles. Corneal irritation and ulceration may occur. Distortion of the lower lid alters the proper drainage of tears. Key teaching points include the following: Cover the eye with a protective shield at night. Apply eye ointment to keep eyelids closed during sleep. Close the paralyzed eyelid manually before going to sleep. Wear wraparound sunglasses or goggles to decrease normal evaporation from the eye. […] Show patient how to perform facial massage with gentle upward motion several times daily when the patient can tolerate the massage. Demonstrate facial exercises, such as wrinkling the forehead, blowing out the cheeks, and whistling, in an effort to prevent muscle atrophy. Instruct patient to avoid exposing the face to cold and drafts. […] Instruct patient to chew on the unaffected side of his mouth. Provide soft and nutritionally balanced diet. Eliminate hot fluids and foods. Give frequent mouth care, being particularly careful to remove residues of food that collects between the cheeks and gums.

• #85 BELL’S PALSY (FACIAL NERVE PALSY) – Nurses Revision

  https://nursesrevisionuganda.com/bells-palsy-facial-nerve-palsy/

  SPECIFIC NURSING CARE; […] Pain Relief: Apply a warm, moist sponge to alleviate pain. […] Eye Care: Pad the dry eye to prevent excessive dryness and potential complications. […] Nutrition: Monitor and support the patients nutrition, addressing challenges in eating and drinking. […] Physiotherapy and Facial Massage: Implement physiotherapy and facial massage to stimulate facial muscles. […] Speech Therapy: Provide speech therapy to address potential speech difficulties. […] Support Groups: Encourage the patient to join support groups for emotional well-being. […] Facial Symmetry: Utilize a face strap to help symmetrize the lips. […] Eye Protection: Advise the patient to stay in warm environments, avoid dust and wind, and use eye protection in dangerous exposures. […] Swallowing Precautions: Instruct the patient to sit upright while eating, chew on the non-paralyzed side, consume small portions, and maintain a balanced nutrition intake to prevent complications in swallowing.

• #86 Nursing Care Plan (NCP) for Bell’s Palsy | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-bells-palsy

  Nursing Care Plan (NCP) for Bells Palsy […] Upon completing this lesson on Bells Palsy, students will be able to: […] The lesson will emphasize the importance of early recognition, the role of corticosteroids and antiviral therapy, and the management of complications such as eye care. Additionally, students will learn about patient education and psychosocial support for individuals affected by Bells Palsy. […] Desired Outcomes for Bells Palsy: Recovery of facial muscle function. Prevention of eye complications due to inability to blink. Effective pain management. Understanding of the condition and its management. […] Nursing Interventions and Rationales for Bells Palsy: Eye Care: Protect the affected eye from dryness due to incomplete closure. Rationale: Bells Palsy can cause difficulty in blinking or closing the eye, leading to dryness and potential damage.

• #87 RNpedia Bell’s Palsy

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/bells-palsy/

  Educate the patient about the nature of Bell’s palsy and reassure them that it is usually temporary. Monitor the patient’s ability to close their eye on the affected side to prevent corneal damage. Administer prescribed medications such as corticosteroids to reduce inflammation and antiviral drugs if a viral infection is suspected. Encourage facial exercises to help maintain muscle tone and facilitate recovery. Provide emotional support and resources for coping with the changes in facial appearance. […] Instruct the patient to use artificial tears frequently to keep the eye moist. Advise the use of an eye patch or tape to keep the eye closed, especially during sleep, to prevent exposure and dryness. Monitor for signs of eye irritation, redness, or discharge, which could indicate infection or damage. Encourage regular follow-up with an ophthalmologist to monitor eye health and manage any complications promptly. Educate the patient on the importance of protecting the eye from dust, wind, and other environmental irritants.

• #88 Patient education: Bell’s palsy (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/bells-palsy-beyond-the-basics

  Patient education: Bell’s palsy (Beyond the Basics) […] Bell’s palsy is a condition in which the nerve that controls the muscles of the face becomes impaired or even stops working altogether. […] If you have any signs of Bell’s palsy, you should see a doctor or nurse because treatment is effective but should be started within two to three days of onset. […] You will need eye treatments if you cannot close your eye. If the cornea, which is the clear protective covering of the pupil, becomes overly dry, there is a risk of scarring and permanent damage to the eye. You can use artificial tears (eye drops) as often as every hour during the day to keep the eye moist. A moisturizing eye ointment is typically used at night. […] Most people who are diagnosed with Bell’s palsy (within two to three days of the first symptoms) are treated with steroids (eg, prednisone) for one week. […] You will need a follow-up visit with your doctor or nurse after you start treatment. At this visit, you will have an examination and you can discuss any questions or problems. […] In general, people whose paralysis is less severe tend to recover more completely.

• #89 RNpedia Bell’s Palsy

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/bells-palsy/

  Patients need reassurance that a stroke has not occurred and that spontaneous recovery occurs within 3 to 5 weeks in most patients. Teaching patients with Bells palsy to care for themselves at home is an important nursing priority. […] Key teaching points include the following: Cover the eye with a protective shield at night. Apply eye ointment to keep eyelids closed during sleep. Close the paralyzed eyelid manually before going to sleep. Wear wraparound sunglasses or goggles to decrease normal evaporation from the eye. […] Show patient how to perform facial massage with gentle upward motion several times daily when the patient can tolerate the massage. Demonstrate facial exercises, such as wrinkling the forehead, blowing out the cheeks, and whistling, in an effort to prevent muscle atrophy. Instruct patient to avoid exposing the face to cold and drafts.

• #90 Bell’s Palsy: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.bell’s-palsy-care-instructions.ut1793

  Bell’s palsy usually gets better on its own in a few months. In some cases medicine is prescribed. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine. You will get more details on the specific medicines your doctor prescribes. […] Use artificial tears or ointment if your eyes are too dry. Bell’s palsy can make your lower eyelid droop, causing a dry eye. […] If you cannot completely close your eye, consider using clear medical tape to tape your eye shut while you sleep. […] Brush and floss your teeth often to help prevent tooth decay. Bell’s palsy can dry up the spit on one side of your mouth. This increases the risk of tooth decay. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected.

• #91 Bell’s Palsy (also known as “BP”, “acute peripheral facial palsy of unknown cause”, and “idiopathic facial nerve paralysis”) – CDHO

  https://cdho.org/factsheets/bells-palsy/

  Oral self-care instructions should include establishment of a brushing pattern to help the patient/client with altered oral muscle control and sensation from missing areas. Eating soft, smooth foods, such as yogurt, may help decrease swallowing problems, as will eating slowly and chewing food well. […] Xerostomia and angular cheilitis, should be managed, as applicable. […] Facial exercises (e.g., tightening and relaxing the facial muscles) may aid in recovery. Formal physical therapy may be indicated for some patients/clients to help massage, stretch, and elongate the affected muscles. […] Accommodation may need to be made for wearing of oral prostheses, including dentures.

• #92 RNpedia Bell’s Palsy

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/bells-palsy/

  Patients need reassurance that a stroke has not occurred and that spontaneous recovery occurs within 3 to 5 weeks in most patients. Teaching patients with Bells palsy to care for themselves at home is an important nursing priority. […] Key teaching points include the following: Cover the eye with a protective shield at night. Apply eye ointment to keep eyelids closed during sleep. Close the paralyzed eyelid manually before going to sleep. Wear wraparound sunglasses or goggles to decrease normal evaporation from the eye. […] Show patient how to perform facial massage with gentle upward motion several times daily when the patient can tolerate the massage. Demonstrate facial exercises, such as wrinkling the forehead, blowing out the cheeks, and whistling, in an effort to prevent muscle atrophy. Instruct patient to avoid exposing the face to cold and drafts.

• #93 Bell’s Palsy (also known as “BP”, “acute peripheral facial palsy of unknown cause”, and “idiopathic facial nerve paralysis”) – CDHO

  https://cdho.org/factsheets/bells-palsy/

  Oral self-care instructions should include establishment of a brushing pattern to help the patient/client with altered oral muscle control and sensation from missing areas. Eating soft, smooth foods, such as yogurt, may help decrease swallowing problems, as will eating slowly and chewing food well. […] Xerostomia and angular cheilitis, should be managed, as applicable. […] Facial exercises (e.g., tightening and relaxing the facial muscles) may aid in recovery. Formal physical therapy may be indicated for some patients/clients to help massage, stretch, and elongate the affected muscles. […] Accommodation may need to be made for wearing of oral prostheses, including dentures.

• #94 Bell’s Palsy: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.bell’s-palsy-care-instructions.ut1793

  Bell’s palsy usually gets better on its own in a few months. In some cases medicine is prescribed. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine. You will get more details on the specific medicines your doctor prescribes. […] Use artificial tears or ointment if your eyes are too dry. Bell’s palsy can make your lower eyelid droop, causing a dry eye. […] If you cannot completely close your eye, consider using clear medical tape to tape your eye shut while you sleep. […] Brush and floss your teeth often to help prevent tooth decay. Bell’s palsy can dry up the spit on one side of your mouth. This increases the risk of tooth decay. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected.

• #95 Bell Palsy (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK568812/

  Surgical options can be considered when there is no improvement in symptoms after weeks or months. […] Patients should be instructed to use eye lubrication and patch the affected eye at bedtime to reduce the likelihood of a corneal abrasion. […] There is a grading system for clinical evaluation of Bell palsy. The grading system ranges from mild to severe dysfunction. […] Evidence-based medicine is lacking when it comes to treatment and outcomes for Bell palsy. […] While recovery does occur in most patients, it often takes months or even years for full recovery. […] An interprofessional team should be involved in the management since not everyone responds to the same treatment. […] Bell palsy is the commonest cause of unilateral facial paralysis. While benign, the condition does have moderate morbidity and can lead to loss of vision. […] The disorder is best managed by an interprofessional team.

• #96 Bell’s palsy: aetiology, clinical features and multidisciplinary care | Journal of Neurology, Neurosurgery & Psychiatry

  https://jnnp.bmj.com/content/86/12/1356

  From an evidence-based perspective, this diverse modality of treatment, which broadly encompasses heat therapy, electrostimulation, massage, mime therapy and biofeedback, is hard to analyse as a whole. […] Although not recommended for all suffers of Bell’s palsy, there are subgroups of patients for whom there is evidence supporting the use of physiotherapy. […] Chronic facial palsy is a disabling condition that has a dramatic impact on social function, emotional expression and quality of life. […] Increasingly, multidisciplinary collaboration between interested clinicians from a wide variety of subspecialties has proven effective. […] The treatment of incomplete recovery of facial palsy has evolved from static techniques aimed at suspension of the oral commissure and eye closure, into a multimodal, zonal-based approach that utilises the complementary aspects of physiotherapy, chemodenervation and selective surgical procedures to maximise the cosmetic and functional outcome needs of each patient.

• #97 Bell Palsy (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK568812/

  Bell’s palsy is the most common peripheral paralysis of the seventh cranial nerve with an onset that is rapid and unilateral. […] Summarize the role of nursing care in a patient with bell palsy. […] Nursing Management: Keep eye lubricated, Wear a patch at night to prevent scratches, See an eye doctor as scheduled, Wear sunglasses when going out, Perform facial muscle exercises, Eat on the other side of the mouth, See a dentist regularly. […] In any case, all clinicians including the pharmacist and nurse practitioner must educate the patient on eye protection and lubrication. Eye dryness should be prevented at all costs using tears and other liquid preparations. […] The most important feature of treatment is to be patient-focused rather than symptom focus. […] The availability of botulinum toxin has helped reduce the long-term burden of this disorder.

• #98 Get Bell’s Palsy Treatment | Cleveland Clinic

  https://my.clevelandclinic.org/services/bells-palsy-treatment

  Cleveland Clinic is a trusted healthcare leader. We’re recognized in the U.S. and throughout the world for our expertise and care. […] Your Bells palsy care team will include providers from many different specialties. These experts work closely together to give you the most comprehensive and compassionate care. Your team may include: Neurologists, Ophthalmologists (eye specialists), Otolaryngologists (ear, nose and throat specialists), Plastic surgeons. […] Usually, recovering from Bells palsy simply takes time. But it’s important to remember that no one experiences Bells palsy in the same way. For most people, Bells palsy often improves without treatment. But there are ways to ease your symptoms. And maybe even speed recovery. Your care team will go over what they think will work best for you.

• #99 Get Bell’s Palsy Treatment | Cleveland Clinic

  https://my.clevelandclinic.org/services/bells-palsy-treatment

  Cleveland Clinic is a trusted healthcare leader. We’re recognized in the U.S. and throughout the world for our expertise and care. […] Your Bells palsy care team will include providers from many different specialties. These experts work closely together to give you the most comprehensive and compassionate care. Your team may include: Neurologists, Ophthalmologists (eye specialists), Otolaryngologists (ear, nose and throat specialists), Plastic surgeons. […] Usually, recovering from Bells palsy simply takes time. But it’s important to remember that no one experiences Bells palsy in the same way. For most people, Bells palsy often improves without treatment. But there are ways to ease your symptoms. And maybe even speed recovery. Your care team will go over what they think will work best for you.

• #100 Bell’s Palsy: It’s All About Time

  https://www.rwjbh.org/blog/2021/november/bell-s-palsy-it-s-all-about-time/

  The first step you should take if you notice symptoms is to seek medical attention in order to rule out other pathologies. […] Common early treatments for Bells palsy typically include a course of oral corticosteroids with or without an anti-viral medication, eye protection measures such as use of an eye patch or taping your eye closed, and analgesics such as Tylenol or Advil for any potential pain management. […] Where does physical therapy come in to play? Really, my role in your recovery will vary depending on when you seek out physical therapy. In early stages, treatment is generally focused on pain management, education on managing your symptoms day-to-day, and early gentle exercises. If you seek out physical therapy in the later stages of Bells palsy for management of persistent symptoms, treatment will be focused more on decreasing tightness that may be causing some of your lasting asymmetries, and honing in on re-teaching your facial muscles the correct movement patterns.

• #101 BELL’S PALSY (FACIAL NERVE PALSY) – Nurses Revision

  https://nursesrevisionuganda.com/bells-palsy-facial-nerve-palsy/

  SPECIFIC NURSING CARE; […] Pain Relief: Apply a warm, moist sponge to alleviate pain. […] Eye Care: Pad the dry eye to prevent excessive dryness and potential complications. […] Nutrition: Monitor and support the patients nutrition, addressing challenges in eating and drinking. […] Physiotherapy and Facial Massage: Implement physiotherapy and facial massage to stimulate facial muscles. […] Speech Therapy: Provide speech therapy to address potential speech difficulties. […] Support Groups: Encourage the patient to join support groups for emotional well-being. […] Facial Symmetry: Utilize a face strap to help symmetrize the lips. […] Eye Protection: Advise the patient to stay in warm environments, avoid dust and wind, and use eye protection in dangerous exposures. […] Swallowing Precautions: Instruct the patient to sit upright while eating, chew on the non-paralyzed side, consume small portions, and maintain a balanced nutrition intake to prevent complications in swallowing.

• #102 Managing Bell’s palsy: Treatment, home management, and more

  https://www.medicalnewstoday.com/articles/bells-palsy-management

  Managing Bells palsy involves taking corticosteroids to increase the chance of full recovery. It also involves eye care and rigorous oral hygiene to prevent complications. […] Eye care is also essential and involves using lubricating eye drops and taping the eye shut at night. […] A doctor may prescribe lubricating eye drops for use during the day and ointments and gels for use at night. […] A person may need to tape the eye closed before sleep to protect the eye from dryness or damage during the night. […] People with Bells palsy need to maintain a regular mouth hygiene routine. This involves thoroughly brushing the teeth twice daily, flossing, and using an antibacterial mouthwash. […] It is important for a person with Bells palsy to monitor their mental health. […] If someone notices that Bells palsy is affecting their mental health, they should consult a mental health professional or doctor. […] A person may need to seek mental health care, as the changes in their appearance and ability to communicate may lead to feelings of low self-esteem, loss of identity, anxiety, and depression.

• #103 Bell Palsy (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK568812/

  Bell’s palsy is the most common peripheral paralysis of the seventh cranial nerve with an onset that is rapid and unilateral. […] Summarize the role of nursing care in a patient with bell palsy. […] Nursing Management: Keep eye lubricated, Wear a patch at night to prevent scratches, See an eye doctor as scheduled, Wear sunglasses when going out, Perform facial muscle exercises, Eat on the other side of the mouth, See a dentist regularly. […] In any case, all clinicians including the pharmacist and nurse practitioner must educate the patient on eye protection and lubrication. Eye dryness should be prevented at all costs using tears and other liquid preparations. […] The most important feature of treatment is to be patient-focused rather than symptom focus. […] The availability of botulinum toxin has helped reduce the long-term burden of this disorder.

• #104 Get Bell’s Palsy Treatment | Cleveland Clinic

  https://my.clevelandclinic.org/services/bells-palsy-treatment

  Cleveland Clinic is a trusted healthcare leader. We’re recognized in the U.S. and throughout the world for our expertise and care. […] Your Bells palsy care team will include providers from many different specialties. These experts work closely together to give you the most comprehensive and compassionate care. Your team may include: Neurologists, Ophthalmologists (eye specialists), Otolaryngologists (ear, nose and throat specialists), Plastic surgeons. […] Usually, recovering from Bells palsy simply takes time. But it’s important to remember that no one experiences Bells palsy in the same way. For most people, Bells palsy often improves without treatment. But there are ways to ease your symptoms. And maybe even speed recovery. Your care team will go over what they think will work best for you.

• #105 Bell’s palsy – causes, symptoms and treatments | healthdirect

  https://www.healthdirect.gov.au/bells-palsy

  If you are experiencing facial paralysis call triple zero (000) immediately and ask for an ambulance or go to your nearest emergency department. […] Most people recover from Bell’s palsy without treatment within about 6 months. However, treatment can help relieve your symptoms and let you recover more quickly. […] To treat Bell’s palsy, your doctor may prescribe you medicines. Oral steroids, or an antiviral medicine can be taken in the first few days from the onset of Bell’s palsy. This can improve your chance of a full recovery. […] They may also prescribe you lubricating eye drops or an eye ointment to protect your affected eye. Your doctor may also recommend physiotherapy or face massage. […] You can help your recovery by: using prescription eye drops and ointment regularly, wearing glasses or goggles during the day, using artificial tears to keep your eye moist, using a lubricant ointment on the affected eye and tape it closed while you sleep.

• #106 Bell Palsy Treatment & Management: Approach Considerations, Pharmacologic Therapy, Local Treatment

  https://emedicine.medscape.com/article/1146903-treatment

  Many patients with Bell palsy may have problems with eating or drinking, swallowing difficulty (overt or unrecognized), and speech disturbances caused by muscle weakness and associated facial asymmetry. As such, occupational therapy and speech therapy assessments are recommended; treatments may contribute to improvement in clarity of speech, reduce risks associated with dysphagia, and decrease social embarrassment or self-consciousness. […] It is universally accepted that eye care is imperative in Bell palsy. The patients eye is at risk for drying, corneal abrasion, and corneal ulcers. […] In most cases, topical ocular lubrication (with artificial tears during the day and lubricating ophthalmic ointment at night, or occasionally ointment day and night) is sufficient to prevent the complications of corneal exposure.

• #107 Bell’s palsy – causes, symptoms and treatments | healthdirect

  https://www.healthdirect.gov.au/bells-palsy

  If the pain is bothering you, you can take over-the-counter pain medicines. […] Bell’s palsy may stop you from closing one eye properly. If you don’t look after your exposed eye, you may get eye complications. These can include: incomplete eye closure, crocodile tears (tears that appear while eating), dry eyes. […] If your facial control does not fully recover 3 months after getting Bell’s palsy, see your doctor. They may refer you to a neurologist (doctor who specialises in the brain) or an ophthalmologist (doctor who specialises in the eyes). […] You should also visit your doctor if you experience any involuntary muscle movement. […] If you need to know more about Bell’s palsy, or to get advice on what to do next, call healthdirect on 1800 022 222 to speak with a registered nurse, 24 hours, 7 days a week (known as NURSE-ON-CALL in Victoria).

• #108 Bell Palsy Treatment & Management: Approach Considerations, Pharmacologic Therapy, Local Treatment

  https://emedicine.medscape.com/article/1146903-treatment

  Many patients with Bell palsy may have problems with eating or drinking, swallowing difficulty (overt or unrecognized), and speech disturbances caused by muscle weakness and associated facial asymmetry. As such, occupational therapy and speech therapy assessments are recommended; treatments may contribute to improvement in clarity of speech, reduce risks associated with dysphagia, and decrease social embarrassment or self-consciousness. […] It is universally accepted that eye care is imperative in Bell palsy. The patients eye is at risk for drying, corneal abrasion, and corneal ulcers. […] In most cases, topical ocular lubrication (with artificial tears during the day and lubricating ophthalmic ointment at night, or occasionally ointment day and night) is sufficient to prevent the complications of corneal exposure.

• #109 Bell’s Palsy Nursing Management and Interventions – Nurseslabs

  https://nurseslabs.com/bells-palsy-nursing-management/

  Patients need reassurance that a stroke has not occurred and that spontaneous recovery occurs within 3 to 5 weeks in most patients. Teaching patients with Bells palsy to care for themselves at home is an important nursing priority. […] Because the eye usually does not close completely, the blink reflex is diminished, so the eye is vulnerable to injury from dust and foreign particles. Corneal irritation and ulceration may occur. Distortion of the lower lid alters the proper drainage of tears. Key teaching points include the following: Cover the eye with a protective shield at night. Apply eye ointment to keep eyelids closed during sleep. Close the paralyzed eyelid manually before going to sleep. Wear wraparound sunglasses or goggles to decrease normal evaporation from the eye. […] Show patient how to perform facial massage with gentle upward motion several times daily when the patient can tolerate the massage. Demonstrate facial exercises, such as wrinkling the forehead, blowing out the cheeks, and whistling, in an effort to prevent muscle atrophy. Instruct patient to avoid exposing the face to cold and drafts. […] Instruct patient to chew on the unaffected side of his mouth. Provide soft and nutritionally balanced diet. Eliminate hot fluids and foods. Give frequent mouth care, being particularly careful to remove residues of food that collects between the cheeks and gums.

• #110 BELL’S PALSY (FACIAL NERVE PALSY) – Nurses Revision

  https://nursesrevisionuganda.com/bells-palsy-facial-nerve-palsy/

  Disrupted Body Image: The facial paralysis can have a significant impact on the patients self-esteem. […] Risk for Infection: The affected eye is more susceptible to infection due to dryness and decreased blinking. […] Risk for Delayed Recovery: The patient may experience anxiety and frustration due to the slow recovery process. […] Risk for Social Isolation: The facial paralysis can make the patient feel self-conscious and withdraw from social interactions.

• #111 Bell Palsy Treatment & Management: Approach Considerations, Pharmacologic Therapy, Local Treatment

  https://emedicine.medscape.com/article/1146903-treatment

  Many patients with Bell palsy may have problems with eating or drinking, swallowing difficulty (overt or unrecognized), and speech disturbances caused by muscle weakness and associated facial asymmetry. As such, occupational therapy and speech therapy assessments are recommended; treatments may contribute to improvement in clarity of speech, reduce risks associated with dysphagia, and decrease social embarrassment or self-consciousness. […] It is universally accepted that eye care is imperative in Bell palsy. The patients eye is at risk for drying, corneal abrasion, and corneal ulcers. […] In most cases, topical ocular lubrication (with artificial tears during the day and lubricating ophthalmic ointment at night, or occasionally ointment day and night) is sufficient to prevent the complications of corneal exposure.

• #112 Bell’s Palsy | UVA Health

  https://uvahealth.com/services/eye-care/bells-palsy

  We also offer emotional support. Bell’s palsy can be distressing. We can help you manage your feelings about your condition. […] If your eyelid is affected, youll need to protect your eye. You might need to: Use eye drops or other lubricants; Cover and tape your eye closed at night; Use an eye patch. […] Massaging the weakened face muscles may also help. […] Recovery from Bells palsy can take up to a full year. But for most people, it goes away after a few months. Symptoms often get better on their own in a few weeks. Your face should return to normal movement. Youll need to see specialists if you: Develop complications from Bells palsy; Dont see any improvement after six months; Havent recovered after one year. […] In certain cases, some symptoms of Bell’s palsy dont go away. You may have lasting weakness, tightening, or spasming in your face muscles.

• #113 Bell’s palsy | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/bells-palsy

  Bell’s palsy is a paralysis or weakness of the muscles on one side of the face. […] The majority of people with Bell’s palsy, around 90 per cent, will recover completely with time. […] Early treatment with corticosteroids may reduce severity. […] Treatment options can include: artificial tears to keep the affected eye lubricated, a patch to protect the affected eye, using tape to close the affected eyelid at night, medications such as corticosteroids to help reduce the swelling of the facial nerve, pain-relieving medications, massage, facial exercises, botox injections may be useful if, during nerve recovery, unexpected involuntary movements of the face occur, surgery, although this is an unusual form of treatment and rarely effective. […] During regeneration and repair of the facial nerve, some neural fibres may take an unusual course and connect to neighbouring muscle fibres.

• #114 Bell Palsy: Rapid Evidence Review | AAFP

  https://www.aafp.org/pubs/afp/issues/2023/0400/bell-palsy.html

  Bell palsy should be suspected in patients with acute onset of unilateral facial weakness or paralysis involving the forehead in the absence of other neurologic abnormalities. […] An oral corticosteroid regimen (prednisone, 50 to 60 mg per day for five days followed by a five-day taper) is the first-line treatment for Bell palsy. […] Combination therapy with an oral corticosteroid and antiviral may reduce rates of synkinesis (misdirected regrowth of facial nerve fibers manifesting as involuntary co-contraction of certain facial muscles). […] Physical therapy may be beneficial in patients with more severe paralysis. […] Patients with Bell palsy should be prescribed oral corticosteroids. […] Combination therapy with oral corticosteroids and antivirals should be considered in patients with Bell palsy to reduce rates of synkinesis.

• #115 Bell’s Palsy | UVA Health

  https://uvahealth.com/services/eye-care/bells-palsy

  We also offer emotional support. Bell’s palsy can be distressing. We can help you manage your feelings about your condition. […] If your eyelid is affected, youll need to protect your eye. You might need to: Use eye drops or other lubricants; Cover and tape your eye closed at night; Use an eye patch. […] Massaging the weakened face muscles may also help. […] Recovery from Bells palsy can take up to a full year. But for most people, it goes away after a few months. Symptoms often get better on their own in a few weeks. Your face should return to normal movement. Youll need to see specialists if you: Develop complications from Bells palsy; Dont see any improvement after six months; Havent recovered after one year. […] In certain cases, some symptoms of Bell’s palsy dont go away. You may have lasting weakness, tightening, or spasming in your face muscles.

• #116 Facial Nerve Palsy (Bell’s Palsy) | Doctor

  https://patient.info/doctor/facial-nerve-palsy

  Over 90% of people with incomplete paralysis, and about 70% of people with complete paralysis, recover completely within 6 months, even without intervention. […] 16% have significant sequelae, 5% severe: […] Facial asymmetry. […] […] Gustatory lacrimation. […] […] Inadequate lid closure. […] […] Brow ptosis. […] […] Drooling. […] […] Hemifacial spasms. […] Poor prognostic features: […] Complete palsy or severe degeneration (electrophysiology). […] […] No signs of recovery by three weeks. […] […] Age 60 years. […] […] Severe pain. […] […] Ramsay Hunt syndrome (herpes zoster virus). […] […] Associated with either hypertension, diabetes, or pregnancy.

• #117 Bell’s palsy – causes, symptoms and treatments | healthdirect

  https://www.healthdirect.gov.au/bells-palsy

  If the pain is bothering you, you can take over-the-counter pain medicines. […] Bell’s palsy may stop you from closing one eye properly. If you don’t look after your exposed eye, you may get eye complications. These can include: incomplete eye closure, crocodile tears (tears that appear while eating), dry eyes. […] If your facial control does not fully recover 3 months after getting Bell’s palsy, see your doctor. They may refer you to a neurologist (doctor who specialises in the brain) or an ophthalmologist (doctor who specialises in the eyes). […] You should also visit your doctor if you experience any involuntary muscle movement. […] If you need to know more about Bell’s palsy, or to get advice on what to do next, call healthdirect on 1800 022 222 to speak with a registered nurse, 24 hours, 7 days a week (known as NURSE-ON-CALL in Victoria).

• #118 Facial Nerve Palsy (Bell’s Palsy) | Doctor

  https://patient.info/doctor/facial-nerve-palsy

  Over 90% of people with incomplete paralysis, and about 70% of people with complete paralysis, recover completely within 6 months, even without intervention. […] 16% have significant sequelae, 5% severe: […] Facial asymmetry. […] […] Gustatory lacrimation. […] […] Inadequate lid closure. […] […] Brow ptosis. […] […] Drooling. […] […] Hemifacial spasms. […] Poor prognostic features: […] Complete palsy or severe degeneration (electrophysiology). […] […] No signs of recovery by three weeks. […] […] Age 60 years. […] […] Severe pain. […] […] Ramsay Hunt syndrome (herpes zoster virus). […] […] Associated with either hypertension, diabetes, or pregnancy.

• #119 Facial Nerve Palsy (Bell’s Palsy) | Doctor

  https://patient.info/doctor/facial-nerve-palsy

  Over 90% of people with incomplete paralysis, and about 70% of people with complete paralysis, recover completely within 6 months, even without intervention. […] 16% have significant sequelae, 5% severe: […] Facial asymmetry. […] […] Gustatory lacrimation. […] […] Inadequate lid closure. […] […] Brow ptosis. […] […] Drooling. […] […] Hemifacial spasms. […] Poor prognostic features: […] Complete palsy or severe degeneration (electrophysiology). […] […] No signs of recovery by three weeks. […] […] Age 60 years. […] […] Severe pain. […] […] Ramsay Hunt syndrome (herpes zoster virus). […] […] Associated with either hypertension, diabetes, or pregnancy.

• #120 Facial Nerve Palsy (Bell’s Palsy) | Doctor

  https://patient.info/doctor/facial-nerve-palsy

  Over 90% of people with incomplete paralysis, and about 70% of people with complete paralysis, recover completely within 6 months, even without intervention. […] 16% have significant sequelae, 5% severe: […] Facial asymmetry. […] […] Gustatory lacrimation. […] […] Inadequate lid closure. […] […] Brow ptosis. […] […] Drooling. […] […] Hemifacial spasms. […] Poor prognostic features: […] Complete palsy or severe degeneration (electrophysiology). […] […] No signs of recovery by three weeks. […] […] Age 60 years. […] […] Severe pain. […] […] Ramsay Hunt syndrome (herpes zoster virus). […] […] Associated with either hypertension, diabetes, or pregnancy.

• #121 Facial Nerve Palsy (Bell’s Palsy) | Doctor

  https://patient.info/doctor/facial-nerve-palsy

  Over 90% of people with incomplete paralysis, and about 70% of people with complete paralysis, recover completely within 6 months, even without intervention. […] 16% have significant sequelae, 5% severe: […] Facial asymmetry. […] […] Gustatory lacrimation. […] […] Inadequate lid closure. […] […] Brow ptosis. […] […] Drooling. […] […] Hemifacial spasms. […] Poor prognostic features: […] Complete palsy or severe degeneration (electrophysiology). […] […] No signs of recovery by three weeks. […] […] Age 60 years. […] […] Severe pain. […] […] Ramsay Hunt syndrome (herpes zoster virus). […] […] Associated with either hypertension, diabetes, or pregnancy.

• #122 Facial Nerve Palsy (Bell’s Palsy) | Doctor

  https://patient.info/doctor/facial-nerve-palsy

  Over 90% of people with incomplete paralysis, and about 70% of people with complete paralysis, recover completely within 6 months, even without intervention. […] 16% have significant sequelae, 5% severe: […] Facial asymmetry. […] […] Gustatory lacrimation. […] […] Inadequate lid closure. […] […] Brow ptosis. […] […] Drooling. […] […] Hemifacial spasms. […] Poor prognostic features: […] Complete palsy or severe degeneration (electrophysiology). […] […] No signs of recovery by three weeks. […] […] Age 60 years. […] […] Severe pain. […] […] Ramsay Hunt syndrome (herpes zoster virus). […] […] Associated with either hypertension, diabetes, or pregnancy.

• #123 Facial Nerve Palsy (Bell’s Palsy) | Doctor

  https://patient.info/doctor/facial-nerve-palsy

  Over 90% of people with incomplete paralysis, and about 70% of people with complete paralysis, recover completely within 6 months, even without intervention. […] 16% have significant sequelae, 5% severe: […] Facial asymmetry. […] […] Gustatory lacrimation. […] […] Inadequate lid closure. […] […] Brow ptosis. […] […] Drooling. […] […] Hemifacial spasms. […] Poor prognostic features: […] Complete palsy or severe degeneration (electrophysiology). […] […] No signs of recovery by three weeks. […] […] Age 60 years. […] […] Severe pain. […] […] Ramsay Hunt syndrome (herpes zoster virus). […] […] Associated with either hypertension, diabetes, or pregnancy.

• #124 Facial Nerve Palsy (Bell’s Palsy) | Doctor

  https://patient.info/doctor/facial-nerve-palsy

  Over 90% of people with incomplete paralysis, and about 70% of people with complete paralysis, recover completely within 6 months, even without intervention. […] 16% have significant sequelae, 5% severe: […] Facial asymmetry. […] […] Gustatory lacrimation. […] […] Inadequate lid closure. […] […] Brow ptosis. […] […] Drooling. […] […] Hemifacial spasms. […] Poor prognostic features: […] Complete palsy or severe degeneration (electrophysiology). […] […] No signs of recovery by three weeks. […] […] Age 60 years. […] […] Severe pain. […] […] Ramsay Hunt syndrome (herpes zoster virus). […] […] Associated with either hypertension, diabetes, or pregnancy.

• #125 Facial Nerve Palsy (Bell’s Palsy) | Doctor

  https://patient.info/doctor/facial-nerve-palsy

  Over 90% of people with incomplete paralysis, and about 70% of people with complete paralysis, recover completely within 6 months, even without intervention. […] 16% have significant sequelae, 5% severe: […] Facial asymmetry. […] […] Gustatory lacrimation. […] […] Inadequate lid closure. […] […] Brow ptosis. […] […] Drooling. […] […] Hemifacial spasms. […] Poor prognostic features: […] Complete palsy or severe degeneration (electrophysiology). […] […] No signs of recovery by three weeks. […] […] Age 60 years. […] […] Severe pain. […] […] Ramsay Hunt syndrome (herpes zoster virus). […] […] Associated with either hypertension, diabetes, or pregnancy.

• #126 Bell Palsy (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK568812/

  Bell’s palsy is the most common peripheral paralysis of the seventh cranial nerve with an onset that is rapid and unilateral. […] Summarize the role of nursing care in a patient with bell palsy. […] Nursing Management: Keep eye lubricated, Wear a patch at night to prevent scratches, See an eye doctor as scheduled, Wear sunglasses when going out, Perform facial muscle exercises, Eat on the other side of the mouth, See a dentist regularly. […] In any case, all clinicians including the pharmacist and nurse practitioner must educate the patient on eye protection and lubrication. Eye dryness should be prevented at all costs using tears and other liquid preparations. […] The most important feature of treatment is to be patient-focused rather than symptom focus. […] The availability of botulinum toxin has helped reduce the long-term burden of this disorder.

• #127 Patient education: Bell’s palsy (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/bells-palsy-beyond-the-basics

  Patient education: Bell’s palsy (Beyond the Basics) […] Bell’s palsy is a condition in which the nerve that controls the muscles of the face becomes impaired or even stops working altogether. […] If you have any signs of Bell’s palsy, you should see a doctor or nurse because treatment is effective but should be started within two to three days of onset. […] You will need eye treatments if you cannot close your eye. If the cornea, which is the clear protective covering of the pupil, becomes overly dry, there is a risk of scarring and permanent damage to the eye. You can use artificial tears (eye drops) as often as every hour during the day to keep the eye moist. A moisturizing eye ointment is typically used at night. […] Most people who are diagnosed with Bell’s palsy (within two to three days of the first symptoms) are treated with steroids (eg, prednisone) for one week. […] You will need a follow-up visit with your doctor or nurse after you start treatment. At this visit, you will have an examination and you can discuss any questions or problems. […] In general, people whose paralysis is less severe tend to recover more completely.

• #128 RNpedia Bell’s Palsy

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/bells-palsy/

  Patients need reassurance that a stroke has not occurred and that spontaneous recovery occurs within 3 to 5 weeks in most patients. Teaching patients with Bells palsy to care for themselves at home is an important nursing priority. […] Key teaching points include the following: Cover the eye with a protective shield at night. Apply eye ointment to keep eyelids closed during sleep. Close the paralyzed eyelid manually before going to sleep. Wear wraparound sunglasses or goggles to decrease normal evaporation from the eye. […] Show patient how to perform facial massage with gentle upward motion several times daily when the patient can tolerate the massage. Demonstrate facial exercises, such as wrinkling the forehead, blowing out the cheeks, and whistling, in an effort to prevent muscle atrophy. Instruct patient to avoid exposing the face to cold and drafts.

• #129 Bell’s Palsy Nursing Management and Interventions – Nurseslabs

  https://nurseslabs.com/bells-palsy-nursing-management/

  Patients need reassurance that a stroke has not occurred and that spontaneous recovery occurs within 3 to 5 weeks in most patients. Teaching patients with Bells palsy to care for themselves at home is an important nursing priority. […] Because the eye usually does not close completely, the blink reflex is diminished, so the eye is vulnerable to injury from dust and foreign particles. Corneal irritation and ulceration may occur. Distortion of the lower lid alters the proper drainage of tears. Key teaching points include the following: Cover the eye with a protective shield at night. Apply eye ointment to keep eyelids closed during sleep. Close the paralyzed eyelid manually before going to sleep. Wear wraparound sunglasses or goggles to decrease normal evaporation from the eye. […] Show patient how to perform facial massage with gentle upward motion several times daily when the patient can tolerate the massage. Demonstrate facial exercises, such as wrinkling the forehead, blowing out the cheeks, and whistling, in an effort to prevent muscle atrophy. Instruct patient to avoid exposing the face to cold and drafts. […] Instruct patient to chew on the unaffected side of his mouth. Provide soft and nutritionally balanced diet. Eliminate hot fluids and foods. Give frequent mouth care, being particularly careful to remove residues of food that collects between the cheeks and gums.

• #130 Nursing Care Plan (NCP) for Bell’s Palsy | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-bells-palsy

  Patient Education: Educate about the condition, its typically good prognosis, and self-care strategies. Rationale: Understanding the condition reduces anxiety and promotes coping. […] Evaluation for Bells Palsy: Prevention of Complications: Patient remains free from eye injuries and other complications. […] Emotional Support: Patient expresses feeling supported and is coping effectively with the condition.

• #131 BELL’S PALSY (FACIAL NERVE PALSY) – Nurses Revision

  https://nursesrevisionuganda.com/bells-palsy-facial-nerve-palsy/

  Prevent aspiration and improve swallowing ability, evidenced by the ability to swallow liquids without choking. […] Patient expresses anxiety and emotional distress about their appearance and the sudden onset of facial paralysis. […] Excessive Anxiety related to the sudden onset of facial paralysis as evidenced by patient verbalizing concerns about appearance, and presenting with emotional distress. […] Reduce anxiety and improve emotional well-being, evidenced by the patient reporting reduced distress and improved coping. […] Nursing Concerns for Bells Palsy […] Risk for Aspiration: Facial weakness can affect swallowing, increasing the risk of aspiration. […] Risk for Corneal Abrasion: The inability to close the eye completely can lead to corneal dryness and damage. […] Impaired Communication: Facial weakness can make it difficult for the patient to speak clearly.

• #132 Bell’s palsy: Treatment and prognosis in adults – UpToDate

  https://www.uptodate.com/contents/bells-palsy-treatment-and-prognosis-in-adults

  INITIAL TREATMENT […] The mainstay of pharmacologic therapy for Bell’s palsy or facial nerve palsy is early short-term oral glucocorticoid treatment. In severe acute cases, combining antiviral therapy with glucocorticoids may improve outcomes. Eye care is essential for patients with incomplete eye closure (algorithm 1). […] Glucocorticoids for all patients — A short-term course of oral glucocorticoids is recommended for all patients with new-onset Bell’s palsy. Treatment should ideally begin within three days of symptom onset, as this is the setting in which glucocorticoids have been studied and shown to be beneficial. We typically treat patients who are within seven days of symptom onset.

• #133 Bell Palsy (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK568812/

  Surgical options can be considered when there is no improvement in symptoms after weeks or months. […] Patients should be instructed to use eye lubrication and patch the affected eye at bedtime to reduce the likelihood of a corneal abrasion. […] There is a grading system for clinical evaluation of Bell palsy. The grading system ranges from mild to severe dysfunction. […] Evidence-based medicine is lacking when it comes to treatment and outcomes for Bell palsy. […] While recovery does occur in most patients, it often takes months or even years for full recovery. […] An interprofessional team should be involved in the management since not everyone responds to the same treatment. […] Bell palsy is the commonest cause of unilateral facial paralysis. While benign, the condition does have moderate morbidity and can lead to loss of vision. […] The disorder is best managed by an interprofessional team.

• #134 Bell Palsy (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK568812/

  Bell’s palsy is the most common peripheral paralysis of the seventh cranial nerve with an onset that is rapid and unilateral. […] Summarize the role of nursing care in a patient with bell palsy. […] Nursing Management: Keep eye lubricated, Wear a patch at night to prevent scratches, See an eye doctor as scheduled, Wear sunglasses when going out, Perform facial muscle exercises, Eat on the other side of the mouth, See a dentist regularly. […] In any case, all clinicians including the pharmacist and nurse practitioner must educate the patient on eye protection and lubrication. Eye dryness should be prevented at all costs using tears and other liquid preparations. […] The most important feature of treatment is to be patient-focused rather than symptom focus. […] The availability of botulinum toxin has helped reduce the long-term burden of this disorder.

• #135 Bell’s palsy: aetiology, clinical features and multidisciplinary care | Journal of Neurology, Neurosurgery & Psychiatry

  https://jnnp.bmj.com/content/86/12/1356

  Bell’s palsy is a common cranial neuropathy causing acute unilateral lower motor neuron facial paralysis. […] For those with longstanding sequaelae from incomplete recovery, aesthetic, functional (nasal patency, eye closure, speech and swallowing) and psychological considerations need to be addressed by the treating team. […] A patient centred approach utilising physiotherapy, targeted botulinum toxin injection and selective surgical intervention has reduced the burden of long-term disability in facial palsy. […] The institution of an eye protection strategy for each patient with incomplete closure is of paramount importance. […] Effective eye protection uses barrier protection (eg, wrapped sunglasses), lubrication (artificial tears during the day, ointment at night) and taped closure at night.

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