A .Teaching Eye Care Because the eye usually does not close completely, the blink reflex is diminished, so the eye is vulnerable to injury from dust and foreign particles. Corneal irritation and ulceration may occur. Distortion of the lower lid alters the proper drainage of tears. Teaching should include 1. Cover the eye with a protective shield at night. 2. Apply eye ointment to keep eyelids closed during sleep. 3. Close the paralyzed eyelid manually before going to sleep. 4. Wear wraparound sunglasses or goggles to decrease normal evaporation from the eye. B . Teaching About Maintaining Muscle Tone Show patient how to perform facial massage with gentle upward motion several times daily when the patient can tolerate the massage. Demonstrate facial exercises, such as wrinkling the forehead, blowing out the cheeks, and whistling, in an effort to prevent muscle atrophy. Instruct patient to avoid exposing the face to cold and drafts. C . Diet & Nutrition Instruct patient to chew on the unaffected side of his mouth. Provide soft and nutritionally balanced diet. Eliminate hot fluids and foods. Give frequent mouth care, being particularly careful to remove residues of food that collects between the cheeks and gums.