By NurseChaya on: August 07, 2008, 07:28:30 am
It sound like you have some great approaches to your client.
What about general education about their physiologic symptoms?
If you were to incorprate that into your sessions your client may gain insite and better control over their symptoms.
Trigeminal Neuralgia is caused by nerve demyelination. The three main branches of the trigeminal nerve or cranial nerve V are V1 - the ophthalmic (eyes to top of forehead); V2 - maxillary, or midface and upper jaw; and V3 the mandibular branch or lower jaw to ear. These branches transmit feelings/impulses from the face back to the ganglion.
Triggers then to the trigeminal nerve may be more external than internal; chewing, talking, brushing teeth, touching the face, strong wind blowing in the face (Winland-Brown & Rhoads, 2004).
This is just a suggestion as you know your client best,; how about incorporating part of a script into your sessions that allows for the blocking of transmitted painful nerve stimuli due to external causes.
"...You will find that the nerve stimulation transmitted from your jaw/ear/upper face will be less and less distracting. You will notice that actually the pain is gone. It no longer radiates or communicates with your basal ganglia near your cervical (neck) spine. You are able to control and block these negative stimulation at it's most external source before it generates a pain response...."
C. Rachel Levine
Winland-Brown, J. E. & Rhoads, J. (2004). Neurologic Problems. In L. M. Dunphy, J.E. Winland-Brown, B. O. Porter, and D. J. Thomas Primary care: The art and science of advanced practice nursing (2nd Ed.). Philadelphia: F. A. Davis company. 123-125.
C. Rachel Levine, RN, BSN