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PRESENTD BY
COMMUNITY PSYCHIATRIC NURSE
EPILEPSY BY emmanuelsevor@yahoo.com
1
CARE & PREVENTION OF EPILEPSY
OUTLINE OF EPILEPSY
EPILEPSY BY emmanuelsevor@yahoo.com
2
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
INTRODUCTION
EPILEPSY BY emmanuelsevor@yahoo.com
3
It was very pathetic to have witnessed a young lady
fitting during one of the renounced shopping mall in
Accra Metropolis just last weekend. Whilst some people
run helter-skelter, others did their best to catch glimpse
of the victim without offering any assistance to this
lady. It was later realized that the bystanders lack of
care to give to her and were also afraid due to sigma
attached to the disease. With this, lets discuss care and
prevention of epilepsy in our various home.
DEFINITION OF EPILEPSY
EPILEPSY BY emmanuelsevor@yahoo.com
4
Epilepsy is a manifestation of abnormal rapid and
uncontrolled neural electric discharges in the brain.
The person is almost always unconscious, fully or half
way, during the seizure.
Incidence: Common between 4-14 years of age. It
occurs normally before 20 years of age.
MISCONCEPTIONS
EPILEPSY BY emmanuelsevor@yahoo.com
5
Not contagious
Not a curse
Not caused by evil spirits
CAUSES OF EPILEPSY
EPILEPSY BY emmanuelsevor@yahoo.com
6
No specific cause (idiopathic)
Hereditary
Head injury {concussion, compression}
Increased intracranial pressure {cerebral oedema,
cerebral haemorrhage, brain tumour}
Infections {meningitis and brain abscess- leading to
scar tissue formation: this may form a focus}
CAUSES CONT…
EPILEPSY BY emmanuelsevor@yahoo.com
7
Systemic conditions {hepatic encephalopathy e.g.
hepatitis and liver failure; renal disease e.g. renal
failure and glumerulonephritis; hypoglycaemia;
hypoxia}
Drugs {Alcohol, amphetamines}
Pregnancy and child birth {poor diet/ nutrition;
radiations e.g. X-rays; iatrogenic drugs e.g. septrin and
chloroquine}
EPILEPSY BY emmanuelsevor@yahoo.com
8
Asphyxia neonatorium
Congenital malformations
Eclampsia
CARE AT HOME
EPILEPSY BY emmanuelsevor@ya.com
9
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 if
necessary.
CARE DURING A FIT
EPILEPSY BY emmanuelsevor@yahoo.com
10
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
EFFECTS OF FREQUENT
Irritability {verbal and physical aggression}
Retardation in all activities {physical and verbal}
Labile mood changes {euphoria, depression and
confusion}
Automatic behaviours {violent and panic attacks}
Intellectual impairment {amnesia and mental
retardation}
Vegetative life
EPILEPSY BY emmanuelsevor@yahoo.com
11
PREVENTION OF FITS
Talk to client soothingly
Avoid quarrels with client
Tactfully separate client from stimulating environment
Avoid heights, swimming, operating automobile machines, closer
to fire.
Continuous observation and care
Serve prescribed drugs judiciously
Provide social warmth and comfort
Avoid drug abuse and alcohol
EPILEPSY BY emmanuelsevor@yahoo.com
12
PREVENTION CONT…
Pregnant mothers should attend ANC regularly and
also do well to deliver in hospital.
Strict compliance and adherence to prescribed
medication.
EPILEPSY BY emmanuelsevor@yahoo.com
13
QUESTIONS FOR CLARIFICATION
EPILEPSY BY emmanuelsevor@yahoo.com
14
QUESTIONS TIME
EPILEPSY BY emmanuelsevor@yahoo.com 15
WHAT HAVE WE LEARNT?
CONCLUSION
We have come to the end of the presentation. We
learnt that Epilepsy is abnormal rapid and
uncontrolled electrical neural discharges in the brain.
Misconceptions, causes, care and prevention of
Epilepsy were extensively discussed.
EPILEPSY BY emmanuelsevor@yahoo.com
16
THANKS FOR YOUR ATTENTION
EPILEPSY BY emmanuelsevor@yahoo.com
17

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Care & prevention of epilepsy

  • 1. PRESENTD BY COMMUNITY PSYCHIATRIC NURSE EPILEPSY BY emmanuelsevor@yahoo.com 1 CARE & PREVENTION OF EPILEPSY
  • 2. OUTLINE OF EPILEPSY EPILEPSY BY emmanuelsevor@yahoo.com 2 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. INTRODUCTION EPILEPSY BY emmanuelsevor@yahoo.com 3 It was very pathetic to have witnessed a young lady fitting during one of the renounced shopping mall in Accra Metropolis just last weekend. Whilst some people run helter-skelter, others did their best to catch glimpse of the victim without offering any assistance to this lady. It was later realized that the bystanders lack of care to give to her and were also afraid due to sigma attached to the disease. With this, lets discuss care and prevention of epilepsy in our various home.
  • 4. DEFINITION OF EPILEPSY EPILEPSY BY emmanuelsevor@yahoo.com 4 Epilepsy is a manifestation of abnormal rapid and uncontrolled neural electric discharges in the brain. The person is almost always unconscious, fully or half way, during the seizure. Incidence: Common between 4-14 years of age. It occurs normally before 20 years of age.
  • 5. MISCONCEPTIONS EPILEPSY BY emmanuelsevor@yahoo.com 5 Not contagious Not a curse Not caused by evil spirits
  • 6. CAUSES OF EPILEPSY EPILEPSY BY emmanuelsevor@yahoo.com 6 No specific cause (idiopathic) Hereditary Head injury {concussion, compression} Increased intracranial pressure {cerebral oedema, cerebral haemorrhage, brain tumour} Infections {meningitis and brain abscess- leading to scar tissue formation: this may form a focus}
  • 7. CAUSES CONT… EPILEPSY BY emmanuelsevor@yahoo.com 7 Systemic conditions {hepatic encephalopathy e.g. hepatitis and liver failure; renal disease e.g. renal failure and glumerulonephritis; hypoglycaemia; hypoxia} Drugs {Alcohol, amphetamines} Pregnancy and child birth {poor diet/ nutrition; radiations e.g. X-rays; iatrogenic drugs e.g. septrin and chloroquine}
  • 8. EPILEPSY BY emmanuelsevor@yahoo.com 8 Asphyxia neonatorium Congenital malformations Eclampsia
  • 9. CARE AT HOME EPILEPSY BY emmanuelsevor@ya.com 9 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 if necessary.
  • 10. CARE DURING A FIT EPILEPSY BY emmanuelsevor@yahoo.com 10 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. EFFECTS OF FREQUENT Irritability {verbal and physical aggression} Retardation in all activities {physical and verbal} Labile mood changes {euphoria, depression and confusion} Automatic behaviours {violent and panic attacks} Intellectual impairment {amnesia and mental retardation} Vegetative life EPILEPSY BY emmanuelsevor@yahoo.com 11
  • 12. PREVENTION OF FITS Talk to client soothingly Avoid quarrels with client Tactfully separate client from stimulating environment Avoid heights, swimming, operating automobile machines, closer to fire. Continuous observation and care Serve prescribed drugs judiciously Provide social warmth and comfort Avoid drug abuse and alcohol EPILEPSY BY emmanuelsevor@yahoo.com 12
  • 13. PREVENTION CONT… Pregnant mothers should attend ANC regularly and also do well to deliver in hospital. Strict compliance and adherence to prescribed medication. EPILEPSY BY emmanuelsevor@yahoo.com 13
  • 14. QUESTIONS FOR CLARIFICATION EPILEPSY BY emmanuelsevor@yahoo.com 14 QUESTIONS TIME
  • 15. EPILEPSY BY emmanuelsevor@yahoo.com 15 WHAT HAVE WE LEARNT?
  • 16. CONCLUSION We have come to the end of the presentation. We learnt that Epilepsy is abnormal rapid and uncontrolled electrical neural discharges in the brain. Misconceptions, causes, care and prevention of Epilepsy were extensively discussed. EPILEPSY BY emmanuelsevor@yahoo.com 16
  • 17. THANKS FOR YOUR ATTENTION EPILEPSY BY emmanuelsevor@yahoo.com 17