What is an appropriate priority nursing diagnosis and expected outcomes with rationale for bells palsy

What is an appropriate priority nursing diagnosis and expected outcomes with rationale for bells palsy

Sources of MN Ng as priority nursing diagnosis and expected outcomes; for Bell’s palsy

 Nursing Diagnosis:

 This problem may be termed as Impaired Facial Tissue Perfusion which results from Bell’s Palsy affecting the facial nerve.

 Rationale:

 Bell’s Palsy is an acute onset of unilateral facial nerve palsy, which leads to muscle weakness and alteration of facial feelings and sensation; it also compromises blood supply to tissue of the face. The condition can cause problems like weakness or paralysis of the face, facial asymmetry or imbalance, and potentially increased risk for bruising or injury on the side of the face because of loss of reflex ‘guarding’ mechanism.

 Expected Outcomes:

 Patient will express increased strength and control and the cranial face muscles as the patient will be able to perform various face muscle contractions (for instance raising or lowering eyebrows, closing eyes tightly, smiling) in the next 4-6 weeks.

 Rationale: The prognosis for Bell’s Palsy is usually favourable; particular healing takes a period between several weeks and several months. Recovery henceforth is measured by improvement in the strength and function of the facial muscles. By taking 4-6 weeks to complete the timeframe of the activities corresponds to the expected period of recovery after the disease.

 Patient will be able to recount measures to prevent contact of the side of the face within a week.

 Rationale: The patient may not be properly aware of dangers of facial protection so it is important for proper education in order to avoid corneal abrasion or other facial trauma as this patient might have decreased sensation and motor abilities on the left side of the face.

 Patient will exhibit adequate intake of nutrition and proper hydration with no problems associated with facial weakness in 2weeks duration.

 Rationale: Muscle weakness around the face muscles especially those around the mouth, facilitates chewing and swallowing. The eight right related to the plan of care involves assessing and monitoring of the patient’s ability to meet nutritional needs.

 Patient will state that he has less anxiety and stress from the condition and would demonstrate through expressive words and participation in support activities in 2 weeks.

 Rationale: It can be disconcerting to the mental health of the individual and is referred to as Bell’s Palsy. Which psychological aspects should be addressed and what kind of an assistance should be given to enhance overall recovery and quality of life?

 Nursing Interventions:

 Monitor Facial Function: This should be done frequently to measure the patient’s physical evolution and to contrast it with the symptoms for worsening.

 Facial Protection: Explain to the patient that they should avoid rubbing or exposing the affected eye to any kind of dryness or injury. Carol do eye patches or artificial tears as maybe necessary.

 Pain Management: Offer anesthetic which may be acupuncture or making a warm compress as the case may be.

 Nutrition Support: Help in other ways pertaining to diet in order to make meal taking easy and comfortable for the patient. For those that have problems with chewing, foods that are soft or in a liquid consistency should be taken.

 Emotional Support: Comfort the patient and provide a psychology session where they should be recommended to attend support groups.