This document provides information on seizures and epilepsy, including:
- Definitions of seizures as sudden, excessive electrical discharges in neurons and the effects this can have.
- Classification of seizures into primary generalized seizures and partial seizures. Several types of generalized seizures are described like grand mal, petit mal, and psychomotor seizures.
- Nursing goals for patients experiencing seizures, which include preventing injury and providing psychological support. Assessment and interventions during and after a seizure are outlined.
- Causes, diagnosis, truths about, and nursing care for epilepsy are summarized, including maintaining seizure control, improving coping, and providing education to patients and families.
Right Temporal Lobe Meningioma presenting as postpartum depression: A case re...Apollo Hospitals
Meningiomas are tumors which arise from arachnoid cells and can occur both in the brain and spinal cord. Meningiomas can present with psychiatric symptoms (such as depression, anxiety disorders, or personality changes) in the absence of any neurologic signs or symptoms.
Right Temporal Lobe Meningioma presenting as postpartum depression: A case re...Apollo Hospitals
Meningiomas are tumors which arise from arachnoid cells and can occur both in the brain and spinal cord. Meningiomas can present with psychiatric symptoms (such as depression, anxiety disorders, or personality changes) in the absence of any neurologic signs or symptoms.
Headache in children -indexforpaediatrics.comdr-nagi
Headache is one of the commonest neurological symptoms in children and young people who are
referred to doctors. Headache refers to pain involving the orbits, forehead, scalp and temples but not
the face or neck. The primary headache includes chronic or recurrent headache and migraine. The
prevalence of chronic or recurrent headaches in children occur in 60-69% by the age of 7-9 years
and 75% by the age of 15 years. The prevalence of migraine in children is up to 28% of older
teenagers. The most serious cause of the secondary headache is brain tumor and the prevalence of
brain tumours in children is 3 per 100,000 per annum.
https://indexforpaediatrics.com
MY DEAR COLLEAGUES HERE IS MY LITTLE INITIATIVE TO HELP U ALL PRESENTING INFRONT OF YOU THE TOPIC ADHD, IT IS VERY ESSENTIAL IN THE FIELD OF PSYCHIATRY........
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Brain fag syndrome,hypochondriasis and conversion disorder are forms of somatoform disorder....This are disorders that present with Physical symptoms with an unexplained cause.
“Epilepsy and mental disorder are two states of illness of the very closest relationship; they represent identical pathological conditions in two different areas of the nervous system”
hii guys this is my ongoing presentation from my speciality class i hope u guys lije that please so i hope it is been useful for u in ur specialities by getting little help with that
Headache in children -indexforpaediatrics.comdr-nagi
Headache is one of the commonest neurological symptoms in children and young people who are
referred to doctors. Headache refers to pain involving the orbits, forehead, scalp and temples but not
the face or neck. The primary headache includes chronic or recurrent headache and migraine. The
prevalence of chronic or recurrent headaches in children occur in 60-69% by the age of 7-9 years
and 75% by the age of 15 years. The prevalence of migraine in children is up to 28% of older
teenagers. The most serious cause of the secondary headache is brain tumor and the prevalence of
brain tumours in children is 3 per 100,000 per annum.
https://indexforpaediatrics.com
MY DEAR COLLEAGUES HERE IS MY LITTLE INITIATIVE TO HELP U ALL PRESENTING INFRONT OF YOU THE TOPIC ADHD, IT IS VERY ESSENTIAL IN THE FIELD OF PSYCHIATRY........
Brain fag syndrome,hypochondriasis and conversion disorderDr.Emmanuel Godwin
Brain fag syndrome,hypochondriasis and conversion disorder are forms of somatoform disorder....This are disorders that present with Physical symptoms with an unexplained cause.
“Epilepsy and mental disorder are two states of illness of the very closest relationship; they represent identical pathological conditions in two different areas of the nervous system”
hii guys this is my ongoing presentation from my speciality class i hope u guys lije that please so i hope it is been useful for u in ur specialities by getting little help with that
complete information for the management and care of patient suffering from epilepsy definition ,classification, types, pathophysiology ,clinical manifestation, diagnostic evaluation, medical management, nursing management, care provided to the patient suffering from epilepsy .
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The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
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http://sandymillin.wordpress.com/iateflwebinar2024
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Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
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We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
1. Dave Jay S. Manriquez RN. Submitted to: Mrs Norma Hinoguin
Adult Health Nursing Phase 1 6-9pm Tuesday
SEIZURE
sudden, excessive, disorderly electrical discharges of the neurons.
EFFECTS OF SEIZURE: alteration in the following
mental status
LOC
sensory and special senses
motor funtion
CLASSIFICATION OF SEIZURES
A. Primary Generalized Seizure
B. Partial Seizure
GENERALIZED SEIZURES:
GRAND MAL (Tonic-Clonic)
most common type of seizure
PETIT MAL (Absence Seizure or Little Sickness)
not preceeded by AURA
little or no toni-clonic
charac blank facial expression, automatism like lip-chewing, cheek
smacking
regain of consciousness as rapid as it was lot for 10-20secs
usually occurs during childhood and adolescence
JACKSONIAN / FOCAL SEIZURE
common for patients with organic brain lesion like frontal lobe tumor
aura is present(numbness, tingling, crawling feeling)
charac by tonic-clonic movements of group muscle e.g. hands, foot, or face then
it proceeds toi grand mal seizure
FEBRILE SEIZURE
this is common for children <5yo, when temp. is rising
PSYCHOMOTOR SEIZURE
aura is present (hallucinations or illusion)
charac by mental clouding (being out of touch with the envt)
appears intoxicated
the client may commit violent or antisocial acts, e.g. Going naked public, running
PARTIAL SEIZURE
2 TYPES OF PARTIAL SEIZURES:
A. Simple Partial Seizure
B. Complex Partial Seizure
Simple Partial Seizure
2. Awareness Preserved
Memory Preserved
Consciousness Preserved
Complex Partial Seizure
Awareness Preserved
Memory Preserved
Consciousness Preserved
CAUSES OF SEIZURES IN CHILDREN
• Birth Traumas
• Infections – Meningitis
• Congenital Abnormalities
• High Fever
CAUSES OF SEIZURES IN MIDDLE YEARS
• Head Injuries
• Infections
• Alcohol
• Stimulant Drugs
• Medications its Side Effects
CAUSES OF SEIZURES IN THE ELDERLY
• Brain Tumors
• Strokes
CHEMICAL IMBALANCES CAUSE SEIZURE
• Alcohol
• Cocaine
• Other Drugs
• Low blood sugar, low oxygen, low blood sodium, low calcium, kidney and renal
failure
Nursing Management During a Seizure
- The nursing goal is to prevent injury to the patient. This includes not only
physical support but psychological support as well.
Provide privacy
Ease the patient on the floor, if possible
Protect the head with a pad to prevent injury
Loosen constrictive clothing
If aura precedes the seizure, place a padded tongue blade between the teeth
Do not attempt to pry open jaws that are clenched in a spasm to insert anything
No attempt should be made to restrain the patient during the seizure
Place the patient on one side with head flexed forward
3. The patent should be reoriented to the environments and happening upon
awakening
Nursing Assessment during a Seizure
- Observe and to record the sequence of symptoms.
1. Description of the circumstances before the attack.
2. The first thing a patient does in an attack.
3. The type of movements in the part of the body involved.
4. The size of both pupils.
5. Whether or not there is automatisms
6. Duration of each phase of the attack
7. Unconsciousness, ability to speak, consciousness
Epilepsy
Disorders of brain function characterized by recurring seizures.
Disturbance in consciousness, movement, behavior, mood, sensation, perception.
It is not a disease but a symptom.
Electrical disturbance in one section of nerve cells causing uncontrolled electrical
discharges.
How is Epilepsy Diagnosed?
History
Physical Exam
Electroencephalogram
MRI (Neuro-imaging)
CT Scan
6 Truths about Epilepsy
1. Not to be called epileptic but a person with a seizure disorders
2. In epilepsy there might be seldom brain damage, brain function is disturb by
seizure
3. Difference level of Intelligence
4. Violence does not follow epilepsy
5. Non usually inherited – cause is unknown and usually associated with
environmental causes
6. Epilepsy is not a curse is a medical condition
Nursing Diagnoses
• Fear related to the ever-present possibility of having seizures
• Ineffective coping related to stresses imposed by epilepsy
• Knowledge deficit about epilepsy and its control
• High risk for injury during seizures
Goals:
Short Term Goals:
• Maintenance of control of seizures
• Achievement of a satisfactory psychosocial adjustment
• Acquisition of knowledge and understanding about the condition
Long Term Goals:
• To achieve a satisfactory life adjustment
• To prevent or manage episodes of status epilepticus
4. Nursing Interventions:
• Seizure Control
• Improved Coping Mechanisms
• Patient Education
STATUS EPILEPTICUS
PATIENT EDUCATION
TAKE MEDICATION AT REGULAR BASIS
AVOID ALCOHOL. Lowers seizure threshold
ADEQUATE REST
WELL-BALANCED DIET
AVOID DRIVING, OPERATING MACHINES, SWIMMING UNTIL
SEIZURES ARE WELL CONTROLLED.
LIVE AN ACTIVE LIFE
REDUCING FEARS OF SEIZURE
Fear that a seizure may occur unexpectedly can be reduced by the patients
adherence to the prescribed treatment regimen. Cooperation of the patient and
family and their trust in the prescribed regimen are essential for control of
seizures.
Periodic monitoring is necessary to ensure the adequacy of the treatment regimen
and to prevent the side effects..
IMPROVING COPING MECHANISMS
It has been noted that the social, psychological, and behavioral problems
frequently accompanying the attack can be more handicap than the actual seizure.
Counselling assists the individual and family to understand the condition and the
limitations imposed by it. Social and recreational opportunities are good for
mental health . Nurses can improve the quality of life for patients with the
disorder by educating them and their family about the symptom and also the
management.
PROVIDING PATIENT AND FAMILY EDUCATION
Ongoing education and encouragement should be given to patients to enable
them to overcome these feelings. The patient and family should be educated about
the medications as well as care during a seizure.
Perhaps the most valuable facets are education and efforts to modify the attitudes
of the patient and family toward the disorder.