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Nursing Care Plan for (NCP) Trigeminal Neuralgia

Nursing Care Plan for (NCP) Trigeminal Neuralgia

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Nursing Care Plan (NCP) Trigeminal Neuralgia

Lesson Objective for Trigeminal Neuralgia

Upon completion of this nursing care plan for Trigeminal Neuralgia, nursing students will be able to:

  • Understand Trigeminal Neuralgia, focusing on its pathophysiology, diagnostic criteria, and treatment modalities.
  • The lesson will highlight the characteristic features of the pain associated with Trigeminal Neuralgia, the role of medical and surgical treatment options, and the importance of pain management strategies.
  • Students will also learn about the psychosocial impact of chronic pain conditions and the role of nursing care in managing these aspects.

 

Pathophysiology for Trigeminal Neuralgia

A chronic pain condition affecting the trigeminal nerve. Patients experience extreme, sporadic, sudden burning, or shock-like facial pain.

  • Analogy for Trigeminal Neuralgia
    • Consider the trigeminal nerve as an electrical cable that transmits signals for facial sensation. In Trigeminal Neuralgia, this cable is faulty (often due to compression by a blood vessel) and randomly sends sharp, shocking pain signals, similar to how a frayed wire might cause unexpected sparks.

 

Etiology for Trigeminal Neuralgia

It can be caused by a blood vessel pressing on the nerve, multiple sclerosis, or a lesion. In some cases, no cause is found.

 

Desired Outcomes for Trigeminal Neuralgia

  • Effective pain management.
  • Patient education on trigger management.
  • Improvement in quality of life.

 

Subjective Data for Trigeminal Neuralgia

  • Sudden, Severe Facial Pain: Descriptions of intense, stabbing or electric shock-like pain in the face.
  • Triggered Pain: Pain triggered by activities like chewing, speaking, or brushing teeth.
  • Pain Episodes: Reports of frequent recurrent episodes of pain.
  • Areas of Pain: Pain typically in the lower face and jaw, although it may be in the area of the eye, cheek, nose, or lips.
  • Effect on Daily Activities: Impact of pain on daily activities and quality of life.

 

Objective Data for Trigeminal Neuralgia

  • Facial Spasms: Observations of twitching or contractions of the facial muscles.
  • Trigger Points: Identifying specific areas where light touch triggers pain.
  • Absence of Neurological Deficits: Typically, no sensory loss or motor dysfunction in the face.
  • Pain Pattern: The pattern of pain aligns with the trigeminal nerve distribution.
  • Normal Sensory Examination: Apart from pain, the sensory examination of the face is often normal.

 

Diagnosis for Trigeminal Neuralgia

  • Acute Pain related to trigeminal nerve irritation.
  • Anxiety related to the chronic nature and unpredictability of pain episodes.
  • Knowledge Deficit regarding disease management and prevention of pain triggers.
  • Social Isolation related to fear of triggering pain episodes.

Nursing Interventions and Rationales for Trigeminal Neuralgia

  • Pain Management: Administer prescribed medications for neuropathic pain. 
    • Rationale: Trigeminal Neuralgia causes severe facial pain, which requires effective pain management.
  • Gentle Face Care: Advise on gentle facial care and avoiding triggers like cold wind.
    • Rationale: To minimize pain triggers.
  • Nutritional Support: Encourage the intake of soft foods. 
    • Rationale: Chewing can trigger pain in patients with Trigeminal Neuralgia.
  • Patient Education and Support: Educate about the condition and coping strategies.
    • Rationale: Understanding the condition can help the patient manage their symptoms more effectively.

 

Evaluation for Trigeminal Neuralgia

  • Pain Relief: Patient reports significant reduction in pain intensity and frequency of episodes.
  • Trigger Management: Patient demonstrates understanding and ability to avoid known triggers.
  • Patient Education: Patient expresses an increased understanding of TN and engages in self-management strategies.
  • Emotional Support: Patient shows improved coping mechanisms and participates in support groups or counseling.

General Notes

  • Each of these conditions requires a specific and individualized care plan focusing on the unique challenges they present.
  • The care plans should be dynamic, with frequent reassessments to ensure that the interventions remain appropriate as the patient’s condition evolves.
  • Collaborative care involving specialists, such as neurologists, infectious disease experts, and pain management teams, may be necessary for optimal patient outcomes.
  • Additionally, patient and family education is crucial in all these conditions to ensure understanding and effective management at home.

 

References:

  • Zakrzewska, J. M., & Linskey, M. E. (2014). Trigeminal neuralgia. BMJ, 348, g474.
  • Cruccu, G., Gronseth, G., Alksne, J., Argoff, C., Brainin, M., Burchiel, K., … & Zakrzewska, J. M. (2008). AAN-EFNS guidelines on trigeminal neuralgia management. European Journal of Neurology, 15(10), 1013-1028.

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Nursing Care Plans

Concepts Covered:

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Study Plan Lessons

Nursing Care Plans Course Introduction
Purpose of Nursing Care Plans
How to Write a Nursing Care Plan
Using Nursing Care Plans in Clinicals
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Nursing Care Plan (NCP) for Abdominal Pain
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Nursing Care Plan (NCP) for Pericarditis
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Nursing Care Plan (NCP) for Phenylketonuria (PKU)
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Nursing Care Plan (NCP) for Polycystic Ovarian Syndrome (PCOS)
Nursing Care Plan (NCP) for Post-Traumatic Stress Disorder (PTSD)
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)
Nursing Care Plan (NCP) for Pressure Ulcer / Decubitus Ulcer (Pressure Injury)
Nursing Care Plan (NCP) for Preterm Labor / Premature Labor
Nursing Care Plan (NCP) for Process of Labor
Nursing Care Plan (NCP) for Prostate Cancer
Nursing Care Plan (NCP) for Psoriasis
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Nursing Care Plan (NCP) for Restrictive Lung Diseases
Nursing Care Plan (NCP) for Reye’s Syndrome
Nursing Care Plan (NCP) for Rhabdomyolysis
Nursing Care Plan (NCP) for Rheumatic Fever
Nursing Care Plan (NCP) for Rheumatoid Arthritis (RA)
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Rubeola – Measles
Nursing Care Plan (NCP) for Schizophrenia
Nursing Care Plan (NCP) for Scoliosis
Nursing Care Plan (NCP) for Seizures
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Nursing Care Plan (NCP) for Skin cancer – Melanoma, Basal Cell Carcinoma, Squamous Cell Carcinoma
Nursing Care Plan (NCP) for Skull Fractures
Nursing Care Plan (NCP) for Somatic Symptom Disorder (SSD)
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Stomach Cancer (Gastric Cancer)
Nursing Care Plan (NCP) for Stroke (CVA)
Nursing Care Plan (NCP) for Suicidal Behavior Disorder
Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Nursing Care Plan (NCP) for Testicular Cancer
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Nursing Care Plan (NCP) for Thrombocytopenia
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Nursing Care Plan (NCP) for Thyroid Cancer
Nursing Care Plan (NCP) for Tonsillitis
Nursing Care Plan (NCP) for Transient Tachypnea of Newborn
Nursing Care Plan (NCP) for Tuberculosis
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) for Varicella / Chickenpox
Nursing Care Plan (NCP) for Vomiting / Diarrhea
Nursing Care Plan (NCP) for West Nile Virus
Nursing Care Plan for (NCP) Autism Spectrum Disorder
Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)
Nursing Care Plan for (NCP) Trigeminal Neuralgia
Nursing Care Plan for Amputation
Nursing Care Plan for Chlamydia (STI)
Nursing Care Plan for Cirrhosis (Liver)
Nursing Care Plan for Compartment Syndrome
Nursing Care Plan for Coronary Artery Disease (CAD)
Nursing Care Plan for Distributive Shock
Nursing Care Plan for Endometriosis
Nursing Care Plan for Fibromyalgia
Nursing Care Plan for Fractures
Nursing Care Plan for Gastritis
Nursing Care Plan for Gonorrhea (STI)
Nursing Care Plan for Hemorrhoids
Nursing Care Plan for Herpes Simplex (HSV, STI)
Nursing Care Plan for Hiatal Hernia
Nursing Care Plan for Liver Cancer
Nursing Care Plan for Macular Degeneration
Nursing Care Plan for Myocarditis
Nursing Care Plan for Nasal Disorders
Nursing Care Plan for Newborn Reflexes
Nursing Care Plan for Osteomyelitis
Nursing Care Plan for Pelvic Inflammatory Disease (PID)
Nursing Care Plan for Pulmonary Edema
Nursing Care Plan for Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Nursing Care Plan for Scleroderma
Nursing Care Plan for Syphilis (STI)
Nursing Care Plan for Testicular Torsion