EXCELLENCE
IN HEALTH AND FITNESS EDUCATION

airway management

anaphylaxis

asthma basics

asthma figures

asthma treatment

bites and stings

bleeding

burns

chemical splash to eye

concussion

contusion - bruise

 CPR

diabetes

dislocation

electric shock

fainting

first aid principles

foreign object in the eye

fractures

heart problems

hyperthermia

hypothermia

making assessments

poisoning

primary survey

respiration

secondary survey

seizures

shock

soft tissue injuries

stroke

tooth loss

unconscious patient

wounds

home page

 

Email: mhts

Phone: 95637222     

Mobile: 0412656837

9a.m. - 5 p.m.
Monday - Friday


Map of location of training room

EPILEPSY MANAGEMENT EPILEPSY MANAGEMENT

Introduction

Epilepsy is a chronic disorder of the brain that causes a tendency to have recurrent seizures. Two or more seizures must occur before a person can receive the diagnosis of epilepsy, also known as a seizure disorder. It's not uncommon for children to have a single seizure — especially associated with a high fever — and an estimated one in 10 people will experience a seizure at some time in life.

Seizures occur when there's a sudden change in the normal way your brain cells communicate through electrical signals. During a seizure, some brain cells send abnormal signals, which stop other cells from working properly. This abnormality may cause temporary changes in sensation, behaviour, movement or consciousness.

The onset of epilepsy is most common during childhood and after age 65, but the condition can occur at any age. Treatments may be able to leave you free of seizures, or at least reduce their frequency and intensity. Many children with epilepsy outgrow the condition with age.

Signs and symptoms

Because abnormal brain cell activity causes seizures, having a seizure can result in the sudden occurrence of any activity that's coordinated by your brain. This can include:

  • temporary confusion

  • complete loss of consciousness

  • a staring spell, or uncontrollable

  • jerking movements of the arms and legs.

Causes

The onset of epilepsy can often be traced to an accident, disease or medical trauma — such as a stroke — that injures your brain or deprives it of oxygen, often causing a small scar in your brain. In rare occasions, epilepsy may be caused by a tumor in your brain. However, in many cases there's no identifiable cause for the disease.

Epilepsy isn't a mental disease, although mental health can influence the control of seizures in epilepsy. Epilepsy doesn't cause psychiatric problems or mental retardation, even though people with epilepsy may also have those conditions.

Risk factors

Research suggests that genetic abnormalities contribute significantly to epilepsy. If you have a family history of the disease, you may be at increased risk.

Head injuries are responsible for many cases of epilepsy. You can reduce your risk by always wearing a seat belt while riding in a car and by wearing a helmet while bicycling, skiing, riding a motorcycle, or engaging in other activities with a high risk of head injury.

Stroke and other diseases that affect your vascular system can lead to brain damage that may trigger epilepsy. You can take a number of steps to reduce your risk of these diseases, including limiting your intake of alcohol, following a healthy diet, managing your weight, exercising regularly and avoiding cigarettes.

Other epilepsy risk factors include:

  • Alzheimer's disease

  • Brain infections

  • Poisoning from exposure to lead, carbon monoxide and other toxins

When to seek medical advice

Having a known diagnosis of epilepsy may not mean you need to seek medical help each time you have a seizure, as long as you and your family members are well versed in what to do when a seizure occurs. Seek medical advice if you experience a seizure for the first time. Also, seek medical help if any of the following occur:

  • The seizure lasts more than five minutes.

  • Recovery from your seizure is slow.

  • A second seizure follows immediately.

  • You're pregnant or have diabetes.

  • Signs of injury or illness are present.

  • Your seizures change in frequency and severity.

  • There's a change in the way you feel during and after the seizures occur.

  • Your seizure is preceded by a sudden, severe headache or other signs and symptoms of stroke, including weakness or numbness on one side of your body, vision loss, confusion, coordination or speech problems.

  • You change your seizure medication or begin taking other medicines.

If you see someone having a seizure, call 0-0-0 immediately and then follow these tips:

  • Remove dangers so the patient remains safe. Put something soft under his or her head.

  • Loosen tight neckwear.

  • Don't try to put your fingers or anything else in the person's mouth to prevent the swallowing of his or her tongue. The tongue can't be swallowed, and you can cause harm to the person having a seizure or to yourself by trying to put something in his or her mouth.

  • Don't try to restrain the person or shake or shout at him or her. If the person is moving, remove dangerous objects from his or her path.

  • Look for a medical alert bracelet. The bracelet should state who to contact in an emergency and what medications the person uses. Allergies to medications may be noted.

  • Stay with the person until medical personnel arrive. If possible, observe the person closely so that you can provide details on his or her signs and symptoms and how long the seizure lasted.

  • Monitor airway, breathing and circulation until the person regains full consciousness

  • Provide change of clothing if they have been soiled- patients sometimes urinate of deficate.