Care & prevention of epilepsy

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Care & prevention of epilepsy

  1. 1. PRESENTD BYCOMMUNITY PSYCHIATRIC NURSEEPILEPSY BY emmanuelsevor@yahoo.com1CARE & PREVENTION OF EPILEPSY
  2. 2. OUTLINE OF EPILEPSYEPILEPSY BY emmanuelsevor@yahoo.com2IntroductionDefinition of EpilepsyMisconceptions of EpilepsyCauses of EpilepsySigns and symptomsCare given at home and during the fitEffects of fitsPrevention of fits
  3. 3. INTRODUCTIONEPILEPSY BY emmanuelsevor@yahoo.com3It was very pathetic to have witnessed a young ladyfitting during one of the renounced shopping mall inAccra Metropolis just last weekend. Whilst some peoplerun helter-skelter, others did their best to catch glimpseof the victim without offering any assistance to thislady. It was later realized that the bystanders lack ofcare to give to her and were also afraid due to sigmaattached to the disease. With this, lets discuss care andprevention of epilepsy in our various home.
  4. 4. DEFINITION OF EPILEPSYEPILEPSY BY emmanuelsevor@yahoo.com4Epilepsy is a manifestation of abnormal rapid anduncontrolled neural electric discharges in the brain.The person is almost always unconscious, fully or halfway, during the seizure.Incidence: Common between 4-14 years of age. Itoccurs normally before 20 years of age.
  5. 5. MISCONCEPTIONSEPILEPSY BY emmanuelsevor@yahoo.com5Not contagiousNot a curseNot caused by evil spirits
  6. 6. CAUSES OF EPILEPSYEPILEPSY BY emmanuelsevor@yahoo.com6No specific cause (idiopathic)HereditaryHead injury {concussion, compression}Increased intracranial pressure {cerebral oedema,cerebral haemorrhage, brain tumour}Infections {meningitis and brain abscess- leading toscar tissue formation: this may form a focus}
  7. 7. CAUSES CONT…EPILEPSY BY emmanuelsevor@yahoo.com7Systemic conditions {hepatic encephalopathy e.g.hepatitis and liver failure; renal disease e.g. renalfailure and glumerulonephritis; hypoglycaemia;hypoxia}Drugs {Alcohol, amphetamines}Pregnancy and child birth {poor diet/ nutrition;radiations e.g. X-rays; iatrogenic drugs e.g. septrin andchloroquine}
  8. 8. EPILEPSY BY emmanuelsevor@yahoo.com8Asphyxia neonatoriumCongenital malformationsEclampsia
  9. 9. CARE AT HOMEEPILEPSY BY emmanuelsevor@ya.com9Low bed or bed with padded side railsThings to avoid {heights, fire, pools/ river, loud noise}Take medicines judiciouslyDon’t drive or operate machinesTake note of frequency of attacksCome and report for review duly or even earlier ifnecessary.
  10. 10. CARE DURING A FITEPILEPSY BY emmanuelsevor@yahoo.com10Move client from danger or danger from clientPlace a firm pad or pillow below headProtect head when twitchingDon’t restrain clientLose tight clothes around neck, chest and waistStay with client during the attackTurn client to the side after the seizureSend client to hospital and report observations
  11. 11. EFFECTS OF FREQUENTIrritability {verbal and physical aggression}Retardation in all activities {physical and verbal}Labile mood changes {euphoria, depression andconfusion}Automatic behaviours {violent and panic attacks}Intellectual impairment {amnesia and mentalretardation}Vegetative lifeEPILEPSY BY emmanuelsevor@yahoo.com11
  12. 12. PREVENTION OF FITSTalk to client soothinglyAvoid quarrels with clientTactfully separate client from stimulating environmentAvoid heights, swimming, operating automobile machines, closerto fire.Continuous observation and careServe prescribed drugs judiciouslyProvide social warmth and comfortAvoid drug abuse and alcoholEPILEPSY BY emmanuelsevor@yahoo.com12
  13. 13. PREVENTION CONT…Pregnant mothers should attend ANC regularly andalso do well to deliver in hospital.Strict compliance and adherence to prescribedmedication.EPILEPSY BY emmanuelsevor@yahoo.com13
  14. 14. QUESTIONS FOR CLARIFICATIONEPILEPSY BY emmanuelsevor@yahoo.com14QUESTIONS TIME
  15. 15. EPILEPSY BY emmanuelsevor@yahoo.com 15WHAT HAVE WE LEARNT?
  16. 16. CONCLUSIONWe have come to the end of the presentation. Welearnt that Epilepsy is abnormal rapid anduncontrolled electrical neural discharges in the brain.Misconceptions, causes, care and prevention ofEpilepsy were extensively discussed.EPILEPSY BY emmanuelsevor@yahoo.com16
  17. 17. THANKS FOR YOUR ATTENTIONEPILEPSY BY emmanuelsevor@yahoo.com17

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