Discharge Advice

Discharge advice needs to contain information on worrying features so that parents/patients themselves can return early if such features develop [10].

Upon discharge, the following should be explained:

  • Administer analgesia for pain as needed (paracetamol)
  • Child may experience sensitivity to sounds during acute stages
  • Child may initially worsen before improving
  • Most children recover fully by 6 weeks, although may take up to 1 year
  • 10% will get some continuing weakness or the nerve may grow back to the wrong area
  • Medical advice should be sought if any concerning symptoms occur
Concerning symptoms
  • Red/painful eye
  • Progression of weakness after 48 hours
  • Different or new symptoms such as:
    • Headache
    • Vomiting
    • Temperature
    • Disturbed vision
    • Weakness
    • Abnormal sensation in another area of the body or head or neck
  • ┬áNo improvement in facial paralysis after 1 month

 

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It was very helpful and useful !

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