Medical Surgical Bell’s Palsy and Trigeminal Neuralgia #4

Question

The nurse is making a consultation appointment for her long-term care resident who has trigeminal neuralgia. Which consultation would the nurse most likely make for a client who has been diagnosed with trigeminal neuralgia?

Answers

  1. Optometry
    • Rationale:

      This answer is not correct since trigeminal neuralgia does not affect eyesight. Trigeminal neuralgia may cause pain around the eye, but a consult with an optometrist is not indicative for eye pain. The intense pain associated with trigeminal neuralgia may cause clients to neglect their oral health. Dental checkups every 6 months is recommended for good oral hygiene.

  2. Otolaryngology
    • Rationale:

      This answer is not correct because otolaryngology is the study of the ear, nose, and throat. Trigeminal neuralgia is treated by a general practitioner or a neurologist. The intense pain associated with trigeminal neuralgia may cause clients to neglect their oral health therefore, dental checkups every 6 months is recommended for good oral hygiene.

  3. Rheumatology
    • Rationale:

      This answer is not correct because rheumatology is the study of rheumatological disorders. However, some (not all) clients with autoimmune diseases may experience trigeminal neuralgia, especially those with multiple sclerosis. The intense pain associated with trigeminal neuralgia may cause clients to neglect their oral health therefore, dental checkups every 6 months is recommended for good oral hygiene.

  4. Dentistry
    • Rationale:

      This answer is correct because the intense pain associated with trigeminal neuralgia may cause clients to neglect their oral health. Dental checkups every 6 months is recommended for good oral hygiene. Dental caries do not always produce pain and the client could have cavities they are unaware of which could cause an abcess.

Overview

Trigeminal neuralgia is irritation to the trigeminal nerve and causes excruciating pain. Due to the acute and chronic pain associated with trigeminal neuralgia, clients may go long periods without performing dental hygiene, resulting in dental caries.

Explanation

Learning Outcomes

Trigeminal neuralgia is irritation to the trigeminal nerve and causes excruciating pain. Due to the acute and chronic pain associated with trigeminal neuralgia, clients may go long periods without performing dental hygiene, resulting in dental caries. Poor dental health increases the risk of bacterial infections that can affect the heart valves. There have also been studies that link periodontal disease to rheumatoid arthritis and pancreatic cancer. Dental checkups every 6 months is recommended for good oral hygiene. Dentists are experienced with clients who have trigeminal neuralgia and provide pain relief in different forms, including general anesthesia. Sometimes general anesthesia during dental work is necessary for clients suffering from trigeminal neuralgia to reduce the emotional trauma from the fear of pain.

Test Taking Tip

When you encounter a question about trigeminal neuralgia, think “PAIN” first and brainstorm from there.

Video Rationale