admission care for bell’s palsy patients: a qualitative report on patient experiences

What is Bell's palsy in primary care?

Bell's palsy in the primary care setting: a case study Bell's palsy is an acute unilateral paralysis of the facial muscles innervated by the seventh cranial nerve. Although the etiology of Bell's palsy is unknown, it is thought to result from edema, entrapment, or inflammation of the seventh cranial nerve.

When is imaging indicated in the evaluation of Bell palsy?

Imaging is not recommended in the initial evaluation of Bell palsy unless symptoms and the examination are atypical.

What is the prognosis of Bell palsy?

Most patients with Bell palsy recover spontaneously was found to be beneficial if started within 72 without treatment— especially those with mild symptoms ■GNOSTIC EVALUATIONDIA Serologic testing, electrodiagnostic studies, and imaging are not routinely necessary to diagnose Bell palsy.

What is the pathophysiology of Bell palsy?

doi:10.3949/ccjm.82a.14101 ABSTRACT Bell palsy is a common neurologic disorder characterized by acute facial mononeuropathy of unclear cause pre- senting with unilateral facial weakness. Careful exami- nation and a detailed history are important in making an accurate diagnosis.

What is Bell's palsy?

Bell's palsy in the primary care setting: a case study. Bell's palsy is an acute unilateral paralysis of the facial muscles innervated by the seventh cranial nerve. Although the etiology of Bell's palsy is unknown, it is thought to result from edema, entrapment, or inflammation of the seventh cranial nerve.

Is Bell's palsy a diagnosis of exclusion?

This article reviews assessment findings, differential diagnoses, and the treatment of Bell's palsy, which is considered a diagnosis of exclusion.

Abstract

Background: Bell's palsy is a rare adverse event reported in COVID-19 vaccines. Given the importance of neurological manifestations, the necessity to highlight and scrutinize the incidence of them following COVID-19 vaccination is needed.

Methods

This systematic review is conducted based on the Cochrane Collaboration Handbook and PRISMA Statement (Preferred Reporting Items for Systematic Reviews and Meta-Analyzes) and using the Joanna Briggs Institute (JBI) methodology for systematic reviews.

Discussion

Although, in this systematic review, we do not confirm or deny the existence of a causal relationship between COVID-19 vaccination and the incidence of Bell’s palsy, and the discovery of such a link requires extensive case-control studies; however, given the importance of neurological manifestations, the necessity to highlight and scrutinize the incidence of them following COVID-19 vaccination is needed..

Notes

Shahsavarinia K, Mahmoodpoor A, Sadeghi-Ghyassi F, Nedayi A, Razzaghi A, Zehi Saadat M, Salehi-Pourmehr H. Bell's Palsy and COVID-19 Vaccination: A Systematic Review. Med J Islam Repub Iran https://doi.org/10.47176/mjiri.36.85

What are perceived causes of hospital admissions?

A total of seventeen perceived causes were identified, which could be divided into the following six different categories: patient, drugs, primary care, secondary care, home and family. Most of the causes occurred in the categories of patient, primary care and secondary care.

Why should hospital admissions be flagged?

Older patients with frequent hospital admissions should be ‘flagged’ because they are in need of special attention from a transmural, multidisciplinary team of social and health care workers. This team should provide a holistic and patient-centered approach, including case management.

Where was the Coreq study conducted?

This qualitative study took place at the University Hospital of Leuven. The COREQ guidelines were followed to provide rigor to the study. Patients were included when they had at least four overnight admissions in the past 12 months, an age above 65 years and hospital admission at the time of the study. Data were collected via semi-structured interviews and encoded in NVivo.

What are the problems with general practitioners?

First, the problems with general practitioners pertained to the lack of follow-up, the lack of information, the lack of initiative, the lack of knowledge, the lack of patient involvement, wrong estimation and professional jargon. These factors may lead to a loss of confidence in general practitioners.

Why are hospital admissions considered red flags?

Those patients should be ‘flagged’ because they are in need of special attention from a transmural, multidisciplinary team of social and health care workers. This team should provide a holistic and patient-centered approach, including case management and a program of advanced care planning. This approach may also reduce the number of hospital admissions, which is a hypothesis that is still in need of further research.

Why do older people go to hospital?

Many of those perceived causes and factors - such as falling, medication errors, patient behavior (ignoring complaints, noncompliance, postponing consultation), lack of home care and family support, lack of medical follow-up and initiative, too-early discharge – are potentially avoidable or modifiable.

How much of hospital admissions are frequent flyers?

Although ‘frequent flyer’ hospital admissions represent barely 3 to 8% of the total patient population in a hospital, they are responsible for a disproportionately high percentage (12 to 28%) of all admissions. Moreover, hospital admissions are an important contributor to health care costs and overpopulation in various hospitals.