Symptoms of Epilepsy and Seizures

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Symptoms of Epilepsy and SeizuresEpilepsy SymptomsWhile many types of repetitive behavior may represent a neurological problem, a doctor needs to establish whether or not they are seizures.• Generalized seizures: All areas of the brain (the cortex) are involved in a generalized seizure. Sometimes these are referred to as grand mal seizures.o The person experiencing such a seizure may cry out or make some sound, stiffen for several seconds to a minute and then have rhythmic movements of the arms and legs. Often the rhythmic movements slow before stopping.o Eyes are generally open.o The person may appear to not be breathing and actually turn blue. This may be followed by a period of deep, noisy breathes.o The return to consciousness is gradual and the person may be confused for quite some time -- minutes to hours.o Loss of urine is common.o The person will frequently be confused after a generalized seizure.• Partial or focal seizures: Only part of the brain is involved, so only part of the body is affected. Depending on the part of the brain having abnormal electrical activity, symptoms may vary. o If the part of the brain controlling movement of the hand is involved, then only the hand may show rhythmic or jerky movements.o If other areas of the brain are involved, symptoms might include strange sensations like a full feeling in the stomach or small repetitive movements such as picking at one's clothes or smacking of the lips.o Sometimes the person with a partial seizure appears dazed or confused. This may represent a complex partial seizure. The term complex is used by doctors to describe a person who is between being fully alert and unconscious.• Absence or petit mal seizures: These are most common in childhood.o Impairment of consciousness is present with the person often staring blankly.o Repetitive blinking or other small movements may be present.o Typically, these seizures are brief, lasting only seconds. Some people may have many of these in a dayEpilepsy SymptomsWhile many types of repetitive behavior may represent a neurological problem, a doctor needs to establish whether or not they are seizures.• Generalized seizures: All areas of the brain (the cortex) are involved in a generalized seizure. Sometimes these are referred to as grand mal seizures.• The person experiencing such a seizure may cry out or make some sound, stiffen for several seconds to a minute and then have rhythmic movements of the arms and legs. Often the rhythmic movements slow before stopping.• Eyes are generally open.• The person may appear to not be breathing and actually turn blue. This may be followed by a period of deep, noisy breathes.• The return to consciousness is gradual and the person may be confused for quite some time -- minutes to hours.• Loss of urine is common.• The person will frequently be confused after a generalized seizure. Partial or focal seizures: Only part of the brain is involved, so only part of the body is affected. Depending on the part of the brain having abnormal electrical activity, symptoms may vary. • If the part of the brain controlling movement of the hand is involved, then only the hand may show rhythmic or jerky movements.• If other areas of the brain are involved, symptoms might include strange sensations like a full feeling in the stomach or small repetitive movements such as picking at one's clothes or smacking of the lips.• Sometimes the person with a partial seizure appears dazed or confused. This may represent a complex partial seizure. The termcomplex is used by doctors to describe a person who is between being fully alert and unconscious. Absence or petit mal seizures: These are most common in childhood.• Impairment of consciousness is present with the person often staring blankly.• Repetitive blinking or other small movements may be present.• Typically, these seizures are brief, lasting only seconds. Some people may have many of these in

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Content

Cues
Subjective:
“Gasinakit akon nga
tiyan” as verbalized
by the patient.

Objective :








Pain scale of
10
Splinting of
the
abdomen
Facial
grimace
noted
Weak
Pale

V/S
Temp.- 36c® / ax.
CR- 136 bpm
RR- 29 bpm
Wt.- 25 kg.

Nursing
Diagnosis
Acute pain
related to
enlargement
of the liver .

Objectives

Intervention

To facilitate
the
maintenance
of regulatory
mechanism
and functions.

Independent:

Assess pain
characteristics
(quality,
severity,
location,
onset,
duration,
precipitating
and relieving
factors).

Specific
objective:
After 1 hour
of nursing
intervention
the patient
will:
-Verbalize
relief from
pain and rate
it as 3/10
from 10/10.
-Absence of
facial grimace
- displays
good skin
turgor.







monitor signs
and symptoms
associated
with pain, such
as BP, heart
rate,
temperature,
color and
moisture
of skin, restless
ness, and
ability to focus.



Assess
patient’s
willingness or
ability to
explore a
range
of techniques
aimed at
controlling
pain.

Rationale




Goal met.
These data
can be
used to
identify the
extent of the
pain serve as
baseline
information.
Some people
deny the
experience of
pain when it
is
present. Atte
ntion
to associated
signs may
help the
nurse in
evaluating
pain.







Anticipate
need for pain
relief.





Evaluation

Some patients will
feel
uncomfortable
exploring
alternative
methods of pain
relief. However,
patients need to
be informed
that there are
multiple ways to
manage pain.

Respond
immediately
to complaint
of pain.
One can
most effectively

After 3 hours
of nursing
intervention
the patient
will verbalize
relief from
pain and rate
it as 3/10
from 10/10.

deal with pain by
preventing it.
Early intervention
may decrease the
total amount of
analgesic
required.

Assessment

Nursing
Diagnosis

Planning

Intervention

Rationale

Evaluation

History of Present Illness

According to Mrs. last January 08, 2013 her son was suffering constipation. Because of financial
incapacity they do not go directly to the hospital or even in clinic for consultation instead, they
dependently use over- the- counter medication/herbal medication to relieve the condition of her son.
They gave him papaya for the thought that he will relieve on it but after 4 days the child was not able to
defecate so they decide to bring him to the hospital (DRSTMH) for consultation in the OPD ward. His
diagnoses were constipation and undergo some laboratory test. The doctor decides to admit S.E for
proper monitoring of his condition. The day of admission, January 12, 2013 the doctor finds out in the
laboratory result of low haemoglobin level the following diagnosis to consider cardiomegaly, to consider
hepatomegaly and to consider pleural effusion so the doctor decides to admit him for proper monitoring
of his condition. As we interview Mrs. She verbalized that only S.E from the member of their family
encountered the condition like this.

Growth and development

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