Seizures - FY14


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Seizures - FY14

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Seizures - FY14

  1. 1. Seizure Smart Schools Epilepsy Foundation of Georgia
  2. 2. What is epilepsy? • Epilepsy is a disorder characterized by recurring seizures • seizures are a brief, temporary disturbance in the electrical activity in the brain • it is not contagious in any way • a child with epilepsy typically gets good seizure control with the use of medication
  3. 3. Epilepsy by the numbers • 1 in every 100 people in the general population • 1 in every 50 people under the age of 18 • 1 in every 3 people who have a developmental disability • 10% of the population will have at least one seizure during their lifetime • 3 million people in the USA have epilepsy
  4. 4. Types of Seizures • There are more than 30 types of seizures • Seizures are either Generalized: affect the whole brain and cause a loss of consciousness or Partial: affect only part of the brain and may or may not affect consciousness
  5. 5. Absence / Petit Mal Seizures • Absence seizures are the most common type of seizure in pre-school, primary and elementary age students • characterized by brief stare, glazed look on the face, may appear to be day dreaming, unaware of their surroundings • lasts just a matter of seconds, but may occur hundreds of times a day if left untreated • student is unable to process any information during the time the seizure lasts, resulting in academic difficulty
  6. 6. First Aid for Absence Seizures • Does not require medical first aid • Protocol Observe- note how frequently these disconnects occur, length of time Document – write down, keep count of occurrences Report – make a school counselor/school nurse aware of the situation These types of seizures are very well controlled by meds !
  7. 7. Accommodations for Absence Seizures • send home lesson notes so parents can review material child may have missed during seizure • allow additional time to complete time - regulated tests (as allowed) • may require tutoring or summer school to keep pace
  8. 8. Partial Seizures • Simple partial seizures result in an impairment related to the part of the brain affected by the seizure (i.e. memory, motor function, emotions, etc) • Complex partial seizures result in a lack of awareness of surroundings, but person maintains their mobility.
  9. 9. First Aid: Complex Partial • guard the child from harm; steer them gently away from dangerous areas such as stairways, outside doors of buildings or areas where they may encounter hard or sharp objects • allow the child “walk out” the seizure (typically 2-4 minutes) • DO NOT tightly physically restrict child’s movements as they may resist, resulting in injury • Accommodation: send lesson plan home with child so parent can review material with them
  10. 10. Tonic-Clonic Seizures • formerly called grand mal • most systemic form of seizure • typically lasts 2-4 minutes, but can last much longer • symptoms include convulsions, loss of bladder control, shallow breathing, grinding motion to the teeth, loss of awareness
  11. 11. First Aid: Tonic Clonic • protect from harm by moving away any objects the student may strike during convulsive activity • protect their head from hitting any hard surfaces; use soft materials as a barrier or cradle gently; do not hold head rigidly • turn the person on their side to allow fluids to escape their mouth and keep their tongue from blocking airway • time the seizure • DO NOT put anything a person’s mouth when they are having a seizure… do not give any fluids for 45 minutes after a seizure ends
  12. 12. Seizure Emergencies 911 should be called in the event of any of the following situations: • First time seizure • Seizures lasting more than 4 minutes • Seizures occur in clusters • Student is pregnant or has diabetes • Student is injured • When defined as a seizure emergency in the Seizure Action Plan/IEP/ 504 plan
  13. 13. Seizure Action Plan • One page quick reference plan put together by school, student’s physician and parents • Provides quick access to important information(phone contacts, meds, doctor’s phone #, what constitutes a seizure emergency • Describes what that individual child’s seizures look like • Should be developed in conjunction with the child’s IEP/504/SST
  14. 14. Resources • Epilepsy Foundation of Georgia (800) 527-7105 • Epilepsy Classroom • Childrens Healthcare of Atlanta • • Centers for Disease Control (CDC)