Page 319 - 2021 IDMT Digital
P. 319
BELL’S PALSY
Introduction:
• %HOO¶V 3DOV\ LV DQ LGLRSDWKLF IDFLDO SDUHVLV WKDW LV DWWULEXWHG WR DQ LQIODPPDWRU\ UHDFWLRQ
LQYROYLQJ WKH IDFLDO QHUYH QHDU WKH VW\OR PDVWRLG IRUDPHQ
• (YLGHQFH VXJJHVWV UHDFWLYDWLRQ RI KHUSHV VLPSOH[ RU YDULFHOOD ]RVWHU YLUXV LQIHFWLRQ LQ
VRPH LQVWDQFHV
Subjective:
• 6LJQV DQG 6\PSWRPV
o 8QLODWHUDO IDFLDO SDUHVLV FRPHV RQ DEUXSWO\ EXW PD\ ZRUVHQ RYHU D GD\ RU PRUH
o 3DLQ DERXW WKH HDU PD\ DFFRPSDQ\ WKH ZHDNQHVV
o 'LVWXUEDQFH RI WDVWH LV FRPPRQ
Objective:
• 3K\VLFDO ([DP
o 1HXURORJic H[DP PD\ VKRZ XQLODWHUDO IDFLDO SDUHVLV IURP IRUHKHDG WR FKLQ
IRUHKHDG ZLOO QRW ZULQNOH
,SVLODWHUDO UHVWULFWLRQ RI H\H FORVXUH
'LIILFXOW\ ZLWK ILQH IDFLDO PRYHPHQWV
1R RWKHU QHXURORJLF LPSDLUPHQWV
Assessment:
• 'LIIHUHQWLDO
o +HUSHV ]RVWHU LQIHFWLRQ EXUQLQJ DQG SDLQIXO ZLWK OHVLRQV
o /\PH GLVHDVH UDVK P\DOJLDV DQG history of WLFN H[SRVXUH
o 7XPRU
o 6WURNH SUHVHQWV ZLWK IDFLDO SDUDO\VLV IURP WKH H\H GRZQ IRUHKHDG ZLOO ZULQNOH
Plan:
• Re-assurance; early tUHDWPHQW (preferably within 3 days) with oral steroids, +/- anti-
virals and eye protection
Patient Education:
• %HOO¶V 3DOV\ LPSURYHV LQ of SDWLHQWV ZLWKLQ GD\V ZLWKRXW WUHDWPHQW
• *HW SOHQW\ RI UHVW DQG DYRLG VWUHVVIXO HYHQWV
• )ROORZ XS $FWLRQV
o 5HWXUQ LI DQ\ FRQFHUQV LI DQ\ H\H SUREOHPV RU V\PSWRPV QRW LPSURYLQJ ZLWKLQ
GD\V
Preceptor Directive:
• Blue Directive: Contact Preceptor Immediately
[ 318 ]
