A lady came into the emergency room, she felt as though she had maybe had a stroke. We started to ask her questions, we asked her how long she had been feeling this way and she told us five days. She was then ask, what some of her symptoms were. She began to tell us that she was preparing for a weekend in Vegas when she noticed that her left I started to jump, she thought nothing of it. It the jumping persisted, it continued to annoy her. The woman began to say that she carried on with her plans. She then notice that her eyebrows would not move on that side and that her taste was different. Her tongue began to feel numb as well. She began to cry because she really felt as though she had a stroke and why did she not have any symptoms or any illnesses that could provoke it to happen. She said that what really made her come in was that her mouth began to twist and her eye drooped.
Then the doctor asked her questions about her last time she gave birth or maybe a sinus infection or something that dealt with her stressing. She then told the doctor that she had a baby about 5 months ago. Then the doctor told her since it has been about five days you are a lucky young lady. I don’t believe this is a stroke, “I think that this is Bell’s palsy. I then told her not to worry it was still in the primary stages and that I would need to put her on a steroid and a antibiotic to help her get better. I then began to tell her that she was lucky she came when she did because some people stay with Bell’s palsy without ever getting it corrected. She then asked me what Bell’s palsy is. I explained to her that Bell’s palsy is a form of temporary facial paralysis resulting from damage or trauma to the facial nerves. The facial nerve-also called the 7th cranial nerve-travels through a narrow, bony canal called the fallopian canal in the skull, beneath the ear, to the muscles on each side of the face.
I then explained to her that the disorder, which is not related to stroke, is the most common cause of facial paralysis. Generally, Bell’s palsy affects only one of the paired facial nerves and one side of the face, however, in rare cases, it can affect both sides. I then went on to tell the patient that Bell’s palsy afflicts approximately 40,000 Americans each year. It affects men and women equally and can occur at any age, but it is less common before age 15 or after age 60. It disproportionately attacks people who have diabetes or upper respiratory ailments such as the flu or a cold. I told her that it can occur after pregnancy as well. I then said to her that some people that are affected by the disease their family has to be supportive because some people have after effects or may not have caught it in time like she did to have the chance to have their feeling come back into their face.
This affects them in society because people are cruel and it can also affect being able to work or define what you can and can’t do in your life. It also will affect the ability to eat, due to the numbness of your tongue. I then told her that she had nothing to worry about she was going to be okay and she did the right thing by coming into the ER when she did just take her medications and she would soon see her smile again. We then gave her some information and websites that she could look at dealing with the disease. This would be able to help her and give her support to deal with what she was going through. I then let her know that I too have had bells’ palsy and if I could get my smile back so can she. She left the office feeling a little better knowing that her stage of disease was primary and that it was treatable.
Mental Behavioral Case Study
HCS/245 Kristene Diggins November 8, 2014 Jamikka Waremercer
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