Introduction
Bell’s Palsy is caused by a virus, characterised by facial paralysis or weakness. Nursing care plan for Bell’s Palsy focuses on prevention, assessment, nursing diagnosis, outcomes and interventions.
Assessment
Purpose: To identify existing problems, predict potential problems and develop plan of care.
- Physical Assessment: Weakness in facial muscle, loss of sensory and motor functioning, decreased blinking reflex and asymmetrical facial expressions.
- Mental Assessment: Anxiety, fear of being disfigured, feeling of insecurity and depression.
- Functional Assessment: Difficulty in closing eye, impaired speech and grasping food.
- Environmental Assessment: Presence of moisture in the environment that could increase the risk of infection.
Nursing Diagnosis
- Ineffective airway clearance: Due to decreased blink reflex.
- Risk for infection: Due to decrease in immunity.
- Risk for altered nutrition: Due to altered ability to swallow.
- Imbalanced nutrition: Due to difficulty in chewing and swallowing.
- Altered oral mucous membrane: Due to dryness and cracking of lips.
- Ineffective coping: Due to anxiety, depression and fear.
Outcome
- The patient will be able to enhance airway clearance.
- The patient will be without infection.
- The patient will maintain nutritional health.
- The patient will demonstrate improved oral mucous membrane integrity.
- The patient will be able to cope up with the situation effectively.
Interventions
- Encourage patient to practice eye exercises to improve blinking reflex.
- Inform patient about the protective measures to prevent infection.
- Educate patient about proper nutrition and how to eat.
- Provide lip protection to maintain moisture to lips.
- Inform patient about emotional support groups.
Rationales
- Eye exercises help to improve blinking reflex.
- Protective measures help to prevent infection.
- Proper nutrition maintains the required nutrition health.
- Lip protection maintains moisture to lips.
- Emotional support groups provide emotional support.
Evaluation
Patient indicates improved airway clearance, without infection, maintaining nutritional health, improved oral mucous membrane integrity and coping up with the situation effectively.
Conclusion
Nursing care plan for Bell’s Palsy helps in prevention, assessment, nursing diagnosis, outcomes and interventions. Patient indicates improved airway clearance, without infection, maintaining nutritional health, improved oral mucous membrane integrity and coping up with the situation effectively.
FAQs
- What is Nursing Care Plan for Bell’s Palsy?
- Nursing care plan for Bell’s Palsy focuses on prevention, assessment, nursing diagnosis, outcomes and interventions.
- What is the purpose of physical assessment?
- The purpose of physical assessment is to identify existing problems, predict potential problems and develop plan of care.
- What are the interventions for Bell’s Palsy?
- The interventions for Bell’s Palsy include encouraging patient to practice eye exercises to improve blinking reflex, informing patient about the protective measures to prevent infection, educating patient about proper nutrition, providing lip protection and informing patient about emotional support groups.
- What is the evaluation outcome?
- The evaluation outcome indicates improved airway clearance, without infection, maintaining nutritional health, improved oral mucous membrane integrity and coping up with the situation effectively.
- What is the conclusion of Nursing care plan for Bell’s Palsy?
- The conclusion of Nursing care plan for Bell’s Palsy is it helps in prevention, assessment, nursing diagnosis, outcomes and interventions. Patient indicates improved airway clearance, without infection, maintaining nutritional health, improved oral mucous membrane integrity and coping up with the situation effectively.