Bell’s Palsy

 

Nursing Diagnosis

Body image disturbance related to alteration in structure and function for vision secondary to Bell’s Palsy.

Desired Outcomes:

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.

Nursing Interventions
  • Assess patients knowledge of change in structure or function of the body part.
    • Rationale: The level of response is related to the perceived value or importance that the patient places on the affected body part.
  • Assist patient to identify actual changes
    • Rationale: Patients may perceive changes that are not actually present.
  • Encourage verbalization about concerns of the disease process and future expectations.
    • Rationale: This provides an opportunity to identify fears/misconceptions and deal with them directly.

Nursing Diagnosis

Disturbed sensory perception: Visual

Desired Outcomes:

Within 1 hour of nursing interventions, patient will remain free from harm resulting from visual disturbances.

Nursing Interventions
  • Assess patients knowledge of change in structure or function of the body part.
    • Rationale: The level of response is related to the perceived value or importance that the patient places on the affected body part.
  • Assist patient to identify actual changes
    • Rationale: Patients may perceive changes that are not actually present.
  • Encourage verbalization about concerns of the disease process and future expectations.
    • Rationale: This provides an opportunity to identify fears/misconceptions and deal with them directly.