BELLS PALSY MEDICAL NURSING BSC NURSING

1. Bells Palsy
-LIVIN N J

2. DEFINITION
• Bells palsy is a form of
facial paralysis resulting
from a disfunction of the
cranial nerve VII, that
results in the inability to
control facial muscles on
the defected side.

3. ETIOLOGY
• Cold sores and genital herpes[herpes simplex]
• Chickenpox and shingles [herpes zoster]
• Infectious mononucleosis [Epstein-Barr]
• Cytomegalovirus infections
• Respiratory illnesses
• German measles [rubella]

4. ETIOLOGY
• Mumps
• Flu( influenza)
• Hard foot and mouth disease
• Middle ear infection
• sarcoidosis

5. CLINICAL MANIFESTATION
• Cold
• Ear infection
• Eye infection
• Facial weakness
• Inability to make facial expressions
• Difficulty to pronouncing certain words
• Loss of taste

7. RISK FACTORS
• Pregnant woman
• Upper respiratory infection
• Diabetes

8. Cont…
• Dry eye and mouth
• Drooling
• Sensitivity to sound
• Difficulty eating and drinking
• Muscle twitches in the face
• Irritation of the eye on the involved side
• Head ache

9. DIAGNOSIS STUDY
• History collection
• Physical examination
• CT scan
• MRI
• Electromyography (EMG)
• Nerve conduction test

10. MEDICAL MANAGEMENT
• Lubricating eyes
• Corticosteroids
• Antiviral drugs
• Mild analgesics
• Physiotherapy

12. NURSING MANAGEMENT
• Teaching eye care
• Teaching about maintaining muscle tone
• Diet and nutrition

13. COMPLICATIONS
• Eye sore
• Irreversible damage to facial nerve
• Abnormal regrowth of muscle fiber
• Partial or complete blindness of eye

14. PREVENTION
• There is no known way to prevent bell’s palsy