...Bell’s Palsy * Sir Charles Bell first described the anatomy and function of the facial nerve in the 1800s. * Bells Palsy describes the sudden paralysis of the facial (VIIth) cranial nerve which renders the patient unable to control the facial muscles on the affected side. * Also called the facial paralysis, is a disorder of the 7th cranial (facial) nerve, characterized by unilateral paralysis of the muscles * The aetiology is unclear although for some cases the presumed pathophysiology of Bells Palsy is due to inflammation from a viral infection. * It may recur on the same or opposite side of the face, and can be transient and permanent. * This disorder can occur at any ages but most often in adults between 20 and 60. * The incidence is equal in men and women. * 80% of clients recover completely within a few weeks to a few months (3/4 recover without treatment). * 15% recover some function but have permanent facial paralysis. POSSIBLE CAUSES * Blockage of the seventh cranial nerve (Facial) * Infection from herpes simplex virus * Meningitis * Compression of the nerve by a tumor * Haemorrhage * Trauma to the facial nerve RISK FACTORS * Pregnancy increases the risk threefold – mainly seen in third trimester to first week post partum * Diabetes * Viruses: Herpes Simplex Virus and Herpes Zoster Virus Sensory Loss of taste SYMPTOMS * Sudden onset (over hours) unilateral lower motor neurone...
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...Bell’s palsy is the paralysis of the muscles usually occurring on one side of the face (although it can happen on both sides of the face). It occurs when the 7th cranial nerve that connects to the muscles of the face fails to function properly, causing the facial muscles to weaken or become paralyzed. The main cause of Bell’s palsy is unknown, but it may caused by autoimmune disorders or viral infections. The believed causes of this disease are herpes simplex virus and shingles. Other viral diseases that can lead to the disease are cytomegalo virus, herpes coxsackievirus, rubella, mumps, and mononucleosis. In the event that there is irritation around the facial nerves, it can press the nerves causing them to completely or partially working. At the point when the nerves quit working, the muscles related with them additionally quit working. Thus, the facial muscles become harmed or numb incidentally until...
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...Bells Palsy Bell’s palsy is a condition that causes the facial muscles to weaken or become paralyzed. It's caused by trauma to the seventh cranial nerve, and is not permanent (There have been cases where the patient has not recovered). Bell's Palsy is not as uncommon as one might think. Worldwide statistics set the frequency at just over .02% of the population. Statistically this is one of every 5000 people over the course of a lifetime and 40,000 Americans every year [1]. Diabetics are more than four times more likely to develop Bell's palsy than the general population and the last trimester of pregnancy is considered to be a time of increased risk for Bell's palsy [2]. In 2004 I was diagnosed with Bells Palsy and it was at this point I decided that I needed to do all necessary research to make sure I would make a full recovery. Soon after diagnosis I learned that a number of factors not limited to but including; Herpes Simplex One, stress, insufficient sleep, upper respiratory infections, Rubella, Mumps, and Lyme disease could potentially cause Bells Palsy. Treatment usually consists of a physician prescribing an antiviral or steroid medication as this is thought to speed up recovery time. Symptoms usually last for less than 3 months but can last longer in extreme cases. In addition to antiviral or steroidal medication, there are alternate treatment options for someone looking to make as full a recovery as possible. One treatment, although controversial is acupuncture...
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...Bell's palsy is a form of facial paralysis resulting from a dysfunction of the cranial nerve VII (the facial nerve) causing an inability to control facial muscles on the affected side. Often the eye in the affected side cannot be closed. The eye must be protected from drying up, or the cornea may be permanently damaged, resulting in impaired vision. In some cases denture wearers experience some discomfort. The common presentation of this condition is a rapid onset of partial or complete paralysis that often occurs overnight. In rare cases, it can occur on both sides resulting in total facial paralysis. Bell’s palsy is defined as a one-sided facial nerve paralysis of unknown cause. Several other conditions can also cause facial paralysis, e.g., brain tumor, stroke, myasthenia gravis, and Lyme disease; however, if no specific cause can be identified, the condition is known as Bell's palsy. It is thought that an inflammatory condition leads to swelling of the facial nerve. The nerve travels through the skull in a narrow bone canal beneath the ear. Nerve swelling and compression in the narrow bone canal are thought to lead to nerve inhibition or damage. Usually it gets better on its own with most people achieving normal or near-normal function. Corticosteroids have been found to improve outcomes, when used early, while anti-viral drugs have not.[3][4] Many show signs of improvement as early as 10 days after the onset, even without treatment. Bell's palsy is the most common acute...
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...Rationale I have selected Bell’s palsy as a minor health subject for critical analysis for three principal reasons. Firstly, it is the most common disorder affecting the facial nerves (Ardour, 1978). Secondly, research has noted that there appears little consensus in the literature regarding the causes and management of Bell’s palsy. Additionally the diagnosis is one of elimination. Tiemstra and Khatkhate (2007) demonstrate there are many other conditions which can mimic symptoms (See appendix one). I therefore wanted to analyse the available literature in order to be able to competently and safely recognise the condition in the urgent unscheduled care environment. Background Petruzelli (1991) states that Bell’s palsy is an acute paralysis of the facial nerve first described by the Scottish surgeon and anatomist, Sir Charles Bell . Niparko (1993) elaborates that it is a generally unilateral paralysis or weakness of facial musculature consistent with facial nerve damage and dysfunction. The anatomy of the facial nerve can be found in appendix two. Pietersen (2002) states that the cause is unknown, however, whilst the exact aetiology of Bell’s palsy is still debated, viral infections, vascular ischaemia, autoimmune inflammatory disorders and heredity have been postulated as causative. (Adour 1982, Burgess 1984, Lorber 1996). Murakami et al (1996) proposed that reactivation of herpes simplex virus in the geniculate ganglia was causative. A herpes simplex cause is corroborated...
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...Research Document Requested By:Not On Request Date Requested: Assigned To: Date Assigned: Status: Published Date Completed: 01/07/97 Title: Bell's Palsy General Summary Author: Nancy J. Austin Topic: Nervous System Subject:Bell's Palsy Synonyms/Keywords: Facial nerve palsy Refrigeration palsy Facial paralysis Idiopathic Facial Palsy Antoni's Palsy Facial palsy Introduction: Bell's Palsy is a form of facial paralysis resulting from a facial nerve disorder. Paralysis is nonprogressive and results from decreased blood supply, compression or inflammation of the 7th (facial) cranial nerve. The majority of cases of Bell's Palsy are temporary and symptoms usually subside within two weeks; about 80% of patients recover completely with three months. Only in rare cases are symptoms permanent. Symptoms One sided facial paralysis Inability to close one eye Facial pain Tearing Drooling Hypersensitivity to sound Impairment of taste Headache Lower facial weakness Associated diseases Acoustic Neuroma, a benign tumor of the 8th cranial nerve, produces symptoms that are similar to Bell's Palsy. Growth of the tumor may lead to numbness in the mouth, slurred speech and hoarseness. Myasthenia Gravis is a neuromuscular disease characterized by muscle weakness, affecting the mouth, lips, tongue and voice box. The patient may experience difficulties in speaking, chewing, and/or swallowing. Additional symptoms are drooping eyelids and double...
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...When I was in the seventh grade I woke up one morning and the right side of my face was completely paralyzed. I could not blink, raise my eyebrow, or fully smile. The right side of my face would droop down, my eye would become dry because I could no longer blink, and I could no longer taste anything that I ate. I was diagnosed with having Bell’s Palsy and the only treatment was that it would get better on its own over time. So for 8 weeks I walked around with a droopy face, having to blink my eye manually, and went to sleep with an eye patch on in order to prevent my eye from drying out. I was extremely scared not only because I thought I would be paralyzed for the rest of my life but also because I was afraid that kids at school would laugh...
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...CEREBRAL PALSY Presented to Cerebral Palsy is defined as an abnormal development or damage affecting the motor centers of the brain, accompanied by neurological and physical abnormalities. According to CDC, Cerebral Palsy is the most common motor disability found in children. It affects movement, posture, and balance. In the majority of cases children are diagnosed with Cerebral Palsy by the age of three. Statistics show that on average every two to three children in one thousand fall victim to this disorder. The combined total of all children and adults in the United States living with Cerebral Palsy is estimated to be around 800,000. Symptoms vary from child to child as well as the age of onset. Some signs to look for are any disturbances in the development of learning. Such as if the child is having trouble learning to crawl, walk, rolling from side to side, or sitting by the appropriate age that developmental milestones should be achieved. If the child is only using one hand to grab things while keeping the other hand balled up into a fist. Another common behavior to look for is the child dragging one entire side of the body while trying to crawl with the use of only the opposite side. More causes for concern would be stiff muscles, exaggerated muscle reflexes, muscles not stiff enough resembling a flopping of the limbs, and difficulty with speech and eating. The website Cerebral Palsy Help http://cerebralpalsyhelp...
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...Keith Within this portfolio I will be focusing on a nine year old boy called Keith, he lives with his 55 year old mother Michelle and her partner Billy who is 60, along with his two older brothers, Richard who is 14 and Robert who is 11. The school which he attends is specialised for children who suffer from physical disabilities. Keith suffers from cerebral palsy; this has resulted in spasticity in all four of his limbs along with high muscle and postural tone, resulting in him finding it difficult to participate in all of the activities which his peers usually carry out. In terms of his intellectual abilities, he is a bright young man who is motivated to do well in his education, however he is thought to have a mild learning disability. This can cause problems as whenever he has to exert more effort into tasks, his muscle tone tends to increase. At present his personal care routine could require some assistance, although he can dress himself independently, he requires assistance to manage the fastenings on his clothes, this also applies when he goes to the toilet. He can transfer himself independently providing the seat has two sturdy arms to guide him with. He currently uses a walking frame which is on wheels, however this is causing concern now as it is becoming much more unsteady, he attends physiotherapy in order to maintain joint range of movement and flexibility and to monitor his spine. In order to maintain his mobility, it will require an increased...
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...writes, “Mercury is unimaginably toxic and dangerous. A single drop on a human hand can be irreversibly fatal. A single drop in a large lake can make all the fish in it unsafe to eat.” This was the opening statement in the article which first grabbed my attention, because I had not thought mercury to be such a deadly substance. After all, it is used in thermometers, so I hadn’t thought it to be as fatally toxic as Wright claims it to be. The people with the most risk of damage by mercury are unborn fetuses and children. Studies seem to show that the metal has the most negative effect on the developing brain, opposed to the mature adult brain. Some scientists speculate mercury could be the cause of autism, mental retardation, cerebral palsy, and Parkinson’s disease, amongst others. I don’t know how accurate or credible these studies are though. Throughout the article Wright states that no one is sure how little mercury can be ingested before the human body shows signs of poisoning. What scientists do know is the amount of mercury the human body cannot ingest. They found this out due to accidental ingestions of various people throughout the world. The article mainly focuses on two types of mercury: methylmercury, which is found in most of the fish, and other seafood’s we eat, and alloys,...
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...Cerebral Palsy Diagnosing Cerebral Palsy (CP), is the most common disability affecting function in children. It is described by a loss of control of coordination and muscle movements. Cerebral Palsy affects the child’s abilities such as learning, speaking, and become independent, so the effect can last through the child’s life-time. Trying to reduce the effects of Cerebral Palsy can improve the aspects of life for both the child and family. Cerebral Palsy is caused by a neurological condition ( problems in the brain and the nervous system). Specifically, it is caused by a problem in the part that is responsible for controlling muscles in the brain (1). Early age diagnosing for Cerebral Palsy is necessary, and it can take several steps: developmental monitoring, developmental screening, and developmental and medical evaluations (2). The first step of diagnosing Cerebral Palsy is developmental monitoring ( surveillance) which means to track a child’s growth and development over time. The doctor monitors the child’s...
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...Annotated Bibliography Ko, M. S., Lee, J. A., Kang, S. Y., & Jeon, H. S. (2014). Effect of Adeli suit treatment on gait in a child with cerebral palsy: a single-subject report. Physiotherapy theory and practice, 31(4), 275-282. The authors of this research study are registered physical therapists, and three of the authors, Lee, Kang, and Jeon, have received higher-level degrees. Also, the study is published in the International Journal of Physiotherapy, which prints reputable peer-reviewed research articles. The main purpose of this study is clearly stated at the beginning, which reads, “the purpose of this study is to investigate the long-term effect of Adeli suit treatment in a child with cerebral palsy”. Therefore, the experimenters analyzed...
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...is best for the other person at any costs. II. Orienting Material A. Today I want to share with you the story of a father and son who in my opinion epitomize the definition of agape love. Transition: If you were to see Rick and Dick Hoyt out an about on any given day, you might feel pity for them, but I’m here to tell you that pity is something these two have never taken upon themselves. Body I. According to the Team Hoyt website, in October of 2013; Rick was born to Dick and Judy Hoyt in 1962. A. As a result of oxygen depravation during childbirth was diagnosed with spastic quadriplegic cerebral palsy. B. Cerebral palsy is a neurological disorder that that effect body movement and muscle coordination. C. According to the National Institute of Neurological Disorders and Stroke, Rick had the most severe type of cerebral palsy. It is often accompanied by severe intellectual disabilities. D. Rick’s doctors had advised Dick and Judy to put Rick in an institution for the rest of his life, because he would only be vegetable and didn’t stand a chance at living a normal life. Transition: His parents refused, stating they could tell he was bright boy by the looks in his eyes, and in few short years they were going to find out just what an amazing young man rick was. II. In 1972 a group of engineers from Tufts University in...
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...The Rhetorical Triangle Unit 1 IP Romeo McIver AIU Online University Abstract This paper will discuss the effectiveness and the differences of the two videos I viewed; “The Heart Truth for Women” and “Create the Life You Love” by BeautiControl. I will explain whether or not they were successful or not successful in their presentation, provide examples why one video presentation was more effective. The term rhetoric is used to describe the effectiveness of language and how incorporating certain aspects into writing and speech can lead to improved clarity and persuasion. If used correctly, rhetoric should include ethos, pathos, and logos, also known as the rhetorical triangle, in order to have a well rounded argument. Although opinions on the 'real' definition of rhetoric differ, overall it means correct usage of structure, argument, and support to create an overall understanding of the point the writer or speaker is trying to convey. Both videos were very informative; Create the Life You Love speaker was very clear on the subject of flexibility and financial freedom of women creating their own destiny with opportunities that are truly limitless. The video was very successful because the speaker...
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...Cerebral palsy (CP) is a term that encompasses a group of non-progressive syndromes of posture and motor problems next to lesions in the brain from early development (Appleton & Gupta, 2001). This disorder is caused by disturbances to the fetal or infant central nervous system (Jones, Morgan, Shelton, & Thorogood, 2007). There are two types of cerebral palsy, spastic and non spastic (Jones, Morgan, Shelton, & Thorogood, 2007). CP has a variety of signs and symptoms that coincide with other neurodegenerative disorders. The clinical signs of cerebral palsy are the following: muscle tone abnormalities, impaired motor coordination and control, dysarthria, and fine motor dysfunction. In some cases these are associated with cognitive impairment (Jones,...
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