“Substantial variation or behavioural violation that can be caused due to electrical discharge from nerve cells of the brain is known as Seizures.”
Many physicians used a term of “Convulsion” for seizure because it can diagnose by sudden behavioural change, irregular body moves or brain disorders and breakdowns. You can define seizure as neurological disease results from dispersing movement of charges in cerebral cortex nerve cells. This disease can be caused by a brain tumor, sudden illness, genetics, head injuries, acute fevers, or poisoning. Various type of seizures like elliptical, on-set, and off-set in shape are also there. These seizures can be dangerous for lives if they consist of grand-mal, and their status is indicated as epileptics. But mini seizures are not even noticeable.
For seizure treatment, nursing diagnosis for seizures, and some follow-ups must be considered so such diseases can be cured at early stages. Early stages not only help to cure epileptics’ stage but also stop its propagation. So seizure precautions nursing is necessary and should be maintained regularly.
Types and Causes of Seizures:
It is challenging to identify the exact reason behind seizures. From America, John Hopkins Epilepsy Center introduced two classes of seizure.
- Provoked Seizures: That may result from some accident or medication.
- Unprovoked Seizures: That is naturally propagated in humans (genetically/ Naturally).
Causes of Provoked Seizures:
- Brain tumors
- Head injury
- Drugs removal
- Propagated mental disease
Causes of Unprovoked Seizures:
- Metabolic problems
- Alzheimer’s Issue
- Acute Fevers
- Mental retardation/Autism
Symptoms of Seizures:
Seizures can be diagnosed by the following signs and symptoms in patients. Make sure to checkmark this list before confirming about seizures.
- Uncertainty and confusion
- A jerk in muscle
- Stinging sensation
- Loss of awareness
- Uncontrollable movements
- Panic attacks
- Short staring on elements
Nursing care Plan for Seizures:
A seizure can be treated by permitting the patient to behave normally. By using anti-convulsion therapies, future seizures can be reduced. Nurses and caretaker should be appointed for 24 hours. They should be guided to examine the patient so toxicity signs can be observed. These signs are unconsciousness, nausea, weakness, vomiting, mumbling words, and nystagmus. Nurses should support the patient and his relations and clear their ambiguous statements related to the disease.
To treat the disease, four nursing diagnosis for seizures patient as depicted in the following.
1) The threat to Trauma or Inability to Breathe
In this nursing care plan, the patient is at danger of getting an injury at nerve tissues. Such injuries can be accidental e.g., fracture, burn or damage, etc. These mishaps can result in Loss of emotions, Poor muscle coordination, unclear Vision, noisy sensation.
2) The threat to unproductive Airway Endorsement
Such a nursing care plan for seizures identifies any inability of the respiratory region and problems in secretion removal to keep airway productive and precise. These risks can lead to neuromuscular damage and poor cognition.
3) Conditional Low Dignity:
In the current situation, nursing diagnosis for seizures decides that either any development of negative thoughts in patients has been raised or not. If yes, they can be responded in terms of change in social behaviour, solitary attitude, behavioural variations, or drop in confidence level.
4) Deficiency of Knowledge:
This care plan needs to implement when the patient lacks cognitive evidence. Such defects can occur because of blur vision, misinterpretation of facts and figures, unfamiliar thoughts, and loss of memory.
Goals and Outcomes of Nursing Care Plan for Seizures:
Target goals and outcomes of implementing a nursing care plan for seizures patient are described below.
- When seizure attacks, the patient will know all the measures to adopt. In such a way, risky conditions can be avoided.
- The patient will describe the factors verbally that can cause trauma or anxiety. And then nurses and doctor can take correct steps towards the patient’s treatment.
- In the environment, the patient will be able to identify all threatening factor that can cause a seizure.
- The patient will be willing to change the surroundings according to seizure’s precautions. So nurses would arrange the environment accordingly.
- The affected patient will have to support the treatment for removal of seizures.
- The patient will able to elaborate on all safety precautions and can protect himself from accidents or injuries.
- If nurses found any increment in seizure frequency, the patient will be rushed into the hospital immediately.
- The patient will have a brief knowledge about the emergency. He must know how to react to such issues.
- Train the patient to take medicines only after prescription.
Seizure’s Precautions during Nursing:
Injury can be reduced by following seizure precaution during nursing. These include the availability of oxygen suctions, floor bedding, etc. Important ones are mentioned below:
- Teach the patient not to lift from the bed without the nurse’s help.
- Availability of oxygen suctions mandatory. These are used to supplemental oxygen during breathing difficulty and saliva removal after seizures.
- Environment stimulant should be eliminated because it can trigger the seizure. So stimuli should be removed or minimized.
- For some patients, ambience can also trigger the disorder — for example, extraordinary visuals, verbal audios, or some unusual sensation that can threaten the patient.
- All sides of the beds must be padded. During seizures attack, a person’s movement is arbitrary so to avoid any injury; mattresses should be appropriately covered.
- Sleep deprivation, stress, or change in the surroundings can trigger the on-set seizure. Nursing care plan for seizures should consist of identifying major causes and activities that arise these situations.
- Patient’s bed should be at a lower position. Otherwise, during a seizure, the patient will be at risk of downfall. In seizure precautions nursing, it is suggested to arrange a mattress on the floor.
Nursing Interventions for Seizures:
Interventions can help to reduce the risk of seizures. Nursing diagnosis for seizures and the nursing care plan for seizures play a vital role in treatment. Following guidelines must follow by nurses or patient themselves.
- Monitor patient while having anti-seizure medicines to evaluate threat for seizures.
- Free the patient’s room from all extra and un-needed equipment.
- Record the progression of seizure, mobility, and behaviour change in patients.
- Daily check the neurological status of a patient’s brain so nurses can estimate about deficiency in the result of seizures.
- Determine all factors that threaten towards patient’s condition.
- Write down patient activities, cognitive development, age, decisive ability, bearing capacity, and ability to handle seizures.
- Notice patient’s response towards nursing interventions for seizures.
- Instruct how to tackle patient after seizures attacks. Learn SO about risk factor and warning conditions to take care of the patient.
- Loose clothing and padded beds must be arranged for such patients that have on-set seizures. And all hazardous elements should be apart from patients because they can cause injury.
- Guide the patient about precautions and gently request him to avoid smoking if not supervised.
- When it is necessary to measure body temperature, use a tympanic thermometer instead of using a regular thermometer. Ordinary thermometer having a risk of breakage so it can harm the patient.
- A caretaker should be 24/7 along with the patient, especially after and during a seizure.
- Nursing interventions for seizures helps nurses to reduce risks and threats about seizures. And after their implementation, the patient will be feeling will comfortable and relaxed. So proper treatment is suggested in all situations.