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how to rehab a seizure patient

by Lonie Buckridge Published 2 years ago Updated 1 year ago
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Medication

Feb 11, 2021 · The best thing you can do is make sure the person is safe and comfortable and will not get injured during the seizure by: Helping them move into a safe position on the floor or a chair Rolling them onto their side Loosening any clothing that is tight around their neck or could restrict breathing (buttons, ties, etc.) Removing eyeglasses

Procedures

Ask questions to see if the person knows his/her name, where he/she is, what time of day it is, and what happened. If the person can not answer these questions, tell her the information and offer reassurance that she is okay. This may help decrease confusion and …

Therapy

Check with your doctor before taking other medicines or supplements. Keep a record of your seizures and seizure triggers to track patterns and learn how to avoid seizure triggers. Get at least 7 to 8 hours of sleep each night. Exercise regularly and safely each day. Follow a well-balanced diet and keep a healthy weight.

Self-care

Patients who have a reversible (non-structural) cause of their seizures should have this treated, therefore anticonvulsant therapy is unlikely to be required. Initially, high dose dexamethasone and referral for brain radiotherapy should be considered for patients with brain metastases, in addition to an anticonvulsant (see below).

Nutrition

Apr 01, 1998 · Successful management of patients with recurrent seizures begins with the establishment of an accurate diagnosis of epilepsy syndrome followed by treatment using an appropriate medication in a...

How long should you rest after having a seizure?

Place them on their side, to help keep their airway clear. Look at your watch at the start of the seizure, to time its length. Don't put anything in their mouth. Contrary to a popular myth, you ...

What is the recovery time after a seizure?

Don’t try to stop the seizure or use any restraint, such as holding them down. Don’t put anything in their mouth. Don’t let them eat or drink anything until they’re fully awake and alert.

What happens to your body after a seizure?

What to do when someone has a seizure?

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What is the best way to recover from a seizure?

Stay Calm; Most Seizures Only Last a Few MinutesA person's response to seizures can affect how other people act. If the first person remains calm, it will help others stay calm too.Talk calmly and reassuringly to the person during and after the seizure – it will help as they recover from the seizure.Aug 10, 2018

What are you supposed to do in helping a patient to recover after a seizure?

Things to DO:Do call for emergency assistance when needed.Do safely cushion the person's head.Do protect the person from any nearby objects.Do time the length of the seizure.Do stay with the person until they recover.

How do you treat a patient with seizures?

These are general steps to help someone who is having any type seizure:Stay with the person until the seizure ends and he or she is fully awake. ... Comfort the person and speak calmly.Check to see if the person is wearing a medical bracelet or other emergency information.Keep yourself and other people calm.More items...

How long does it take someone to recover from a seizure?

Some people feel better after an hour or 2, but for some people it can take several days to feel 'back to normal'. Some people find they have temporary weakness or can't move part of their body after they've had a seizure.

What activities should epileptics avoid?

People with uncontrolled seizures should avoid dangerous activities like scuba diving, rock climbing, skydiving, hang gliding, and mountain climbing. These sports require full concentration, and any episode of loss of consciousness may lead to injury and possible death.

What food should epileptics avoid?

If you have a sudden spike or crash in blood sugar, this could cause seizures. This is why it is generally best to avoid high sugar, processed foods such as cookies, cakes, candy and white bread. Ideally you should aim to follow a balanced diet which will release energy into your bloodstream at a slower, steadier rate.Feb 3, 2022

What foods are good for seizures?

A low glycemic index diet focuses on foods with a low glycemic index, meaning they affect blood glucose levels slowly, if at all. Although it's not understood why, low blood glucose levels control seizures in some people. Foods on this diet include meat, cheese, and most high-fiber vegetables.

What can trigger a seizure?

12 most common seizure triggersMissing medication. The most common reason for a seizure is forgetting to take your anti-epileptic drugs (AED) or deliberately not taking it. ... Alcohol. ... Recreational drugs. ... Caffeine. ... Lack of sleep / tiredness. ... Stress / anxiety. ... Boredom. ... Dehydration.More items...•Dec 20, 2019

How long can a seizure last before brain damage?

A seizure that lasts longer than 5 minutes, or having more than 1 seizure within a 5 minutes period, without returning to a normal level of consciousness between episodes is called status epilepticus. This is a medical emergency that may lead to permanent brain damage or death.

Can you fully recover from a seizure?

Ending: As the seizure ends, the postictal phase occurs - this is the recovery period after the seizure. Some people recover immediately while others may take minutes to hours to feel like their usual self.

Should you let someone sleep after a seizure?

After the seizure: they may feel tired and want to sleep. It might be helpful to remind them where they are. stay with them until they recover and can safely return to what they had been doing before.Feb 16, 2020

Do people remember seizures?

In focal aware seizures (FAS), previously called simple partial seizures, the person is conscious (aware and alert) and will usually know that something is happening and will remember the seizure afterwards. Some people find their focal aware seizures hard to put into words.Mar 15, 2020

What to do after a seizure?

After a seizure, your doctor will thoroughly review your symptoms and medical history. Your doctor may order several tests to determine the cause of your seizure and evaluate how likely it is that you'll have another one. Tests may include: A neurological exam.

How to control seizures?

Dietary therapy. Following a diet that's high in fat and very low in carbohydrates, known as a ketogenic diet, can improve seizure control. The ketogenic diet is very strict and can be challenging to follow, as there is a limited range of foods allowed.

What is EEG brain activity?

EEG brain activity. An EEG records the electrical activity of your brain via electrodes affixed to your scalp. EEG results show changes in brain activity that may be useful in diagnosing brain conditions, especially epilepsy and other seizure disorders. High-density EEG. Open pop-up dialog box.

What is the best medication for seizures?

Treatment for seizures often involves the use of anti-seizure medications. There are many different options for anti-seizure medication. One of the more recent medications approved by the Food and Drug Administration, cannabidiol (Epidiolex), is derived from marijuana. It's approved to treat certain seizures in children age 2 and older.

What to do if you witness someone having a seizure?

If you're at risk of having seizures in the future, pass this information along to family, friends and co-workers so that they know what to do if you have a seizure.

What test is used to test for a seizure?

An electroencephalogram (EEG). In this test, doctors attach electrodes to your scalp with a paste-like substance.

Can a seizure cause anxiety?

If you're living with a seizure disorder, you may feel anxious or stressed about what your future holds. Stress can affect your mental health, so it's important to talk with your health care professional about your feelings and seek ways you can find help.

How to stop a seizure from a person from breathing?

Loosening any clothing that is tight around their neck or could restrict breathing (buttons, ties, etc.) Removing eyeglasses. Moving them away from hard or sharp items that could cause injury, but only if you can do so safely. Staying with them until the seizure is over.

How long does a seizure last?

Most seizures last between 30 seconds and two minutes and will not require any emergency medical attention. However, if someone is experiencing a seizure that lasts longer than two minutes, or they lose consciousness and it does not come back right after the seizure, you should call 911 right away.

What causes a seizure after a stroke?

Seizures can occur after a head injury, after a stroke, or as a result of certain infections and illnesses , such as meningitis. It’s important to recognize the signs of a seizure and understand what to do if you or someone around you is experiencing one.

What is a seizure in 2021?

Feb 11, 2021 3:30 PM. A seizure is a medical condition that causes abnormal activity and/or body movements after a sudden and uncontrolled disturbance in your brain. Most people associate seizures with a condition called epilepsy, but you can experience a seizure even without having this condition. Seizures can occur after a head injury, ...

How do you know if you have a seizure?

The most common symptoms prior to seizure include: A sound or tone that is the same each time. Changes in your hearing that might feel like you’re under water.

How many years after a seizure can you have another seizure?

While it is possible to experience just one seizure the risk of having another seizure within two years of your first one is between 21% and 45%. Depending on the cause of the seizure, your risk could be even higher.

Do you need medical attention for a seizure?

Most of the time a seizure does not require urgent medical attention. The best thing you can do is make sure the person is safe and comfortable and will not get injured during the seizure by: Loosening any clothing that is tight around their neck or could restrict breathing (buttons, ties, etc.)

How long does it take for seizures to go away?

If your seizures are difficult to control, meaning you continue to have seizures after one year or after two anti-seizure medications have been tried, we recommend seeking more specialized care. Epilepsy centers provide a team approach to caring for people with seizures and epilepsy.

What are the best ways to treat epilepsy?

Not every person will reach that goal right now, but research and specialty care help more people achieve it each year. While seizure medicines are the mainstay of epilepsy treatment, there are other approaches to think about too, including. Surgery. Neurostimulation devices. Dietary therapy.

What is an epileptologist?

Epilepsy centers provide a team approach to caring for people with seizures and epilepsy. Testing is available to diagnose whether a person has seizures and the type of epilepsy they may have. Epilepsy experts (called epileptologists) can help explore all treatment options, .

What to do when you have a seizure?

You also can help someone get the help they may need and stay safe.

Can not knowing what happens during a seizure cause fear?

Not knowing what happens during a seizure can worsen the loss of control and fear of seizures. Right after a seizure most people aren’t ready to talk much about the seizures, but telling them what happened very simply and matter-of-factly can help. If the person’s not remembering things well, write down what happened for them.

How to manage epilepsy?

You manage your epilepsy well if you*: Know about your condition. Take your seizure medicines as prescribed. Check with your doctor before taking other medicines or supplements. Keep a record of your seizures and seizure triggers to track patterns and learn how to avoid seizure triggers. Get at least 7 to 8 hours of sleep each night.

Can epilepsy get in the way of life?

minus. Related Pages. Epilepsy can get in the way of life, mostly when seizures keep happening. You can learn how to manage your epilepsy to feel better and have a more active and full life. Practice these self-management strategies to better control your seizures and your health.

Why is it important to classify seizures?

This is in part based on neuroimaging findings which may be less relevant to us in palliative care, however it remains important for us to classify seizures in order to aid diagnosis and management.

Can you take anticonvulsants after a seizure?

Patients with a likely irreversible structural cause for their seizures should be commenced on a long-term anticonvulsant following their first seizure, as their risk for a further seizure will persist. There is no evidence for their routine prophylactic use.

Is phenobarbitone less sedating than benzodiazepines?

Is less sedating than the benzodiazepines or phenobarbitone. This is being used more often but has not been enough trials and there is no standardised protocol as of yet .

What should be the focus of a seizure evaluation?

After a first seizure, evaluation should focus on excluding an underlying neurologic or medical condition, assessing the relative risk of seizure recurrence and determining whether treatment is indicated.

Why is refractory seizures important?

The problem of refractory seizures is important since patients with ongoing seizures are subject to considerable physical risk. Studies consistently suggest that people with epilepsy, especially those who experience convulsions, are at risk of dying as a consequence of their seizures.

What is the goal of treating epilepsy?

The goal of treating patients with epilepsy is to control seizures completely without causing unacceptable side effects. In the past several years, a number of new antiepileptic drugs have become available, and more will soon be released.

What is the goal of epilepsy therapy?

The goal of therapy is to completely control seizures without producing unacceptable medication side effects. Patients who do not achieve complete seizure control should be referred to an epilepsy specialist, since new medications and surgical treatments offer patients unprecedented options in seizure control.

What is the most common procedure for epilepsy?

Anterior temporal lobe resection is the most common procedure performed for the treatment of epilepsy. Since surgery often results in complete seizure control, studies of epilepsy surgery differ from medication trials in that they typically recognize complete control of seizures as a primary outcome measure.

Is juvenile myoclonic epilepsy a syndromic diagnosis?

The importance of making a syndromic diagnosis is illustrated by juvenile myoclonic epilepsy, a common idiopathic generalized epilepsy syndrome in which patients may experience absence, myoclonic and convulsive (clonic-tonic-clonic or tonic-clonic) seizures. If phenytoin (Dilantin) or carbamazepine (Tegretol) is used for treatment, ...

Is epilepsy a surgical candidate?

In determining whether a patient with intractable epilepsy is a surgical candidate, it is important to confirm an anatomic and syndromic diagnosis appropriate for surgical treatment ( Table 2). Patients with progressive metabolic or neurodegenerative conditions are generally considered poor candidates for surgery.

How to help a seizure?

You're most likely to need it for a generalized tonic-clonic seizure. Keep other people out of the way. Clear hard or sharp objects away from the person. Don't try to hold them down or stop the movements. Place them on their side, to help keep their airway clear.

What is a generalized seizure?

Generalized seizures involve multiple areas of the brain at once. People are rarely aware of what's happening. The most well-known type falls in this group: the generalized tonic-clonic seizure, also known as a grand mal seizure. These are frightening to watch and can be an emergency.

Why is a generalized seizure dangerous?

Any generalized seizure can be dangerous because the person is unaware of their surroundings and can't protect themselves from harm. The uncontrolled thrashing movements during a generalized tonic-clonic seizure increase the chances of injury. This type is most likely to result in a trip to the emergency room.

Where do focal onset seizures start?

Focal onset seizures start in a single part of the brain. Their arm might start to move or their face start to twitch. And even though they're awake and aware, they can't control it. They might seem to zone out or stare at nothing as the seizure becomes complex. Afterward, they may not remember a thing.

Can you swallow your tongue during a seizure?

Contrary to a popular myth, you can't swallow your tongue during a seizure. But if you put an object in their mouth, they could damage their teeth or bite you. Milder seizures -- like brief periods of staring or shaking of the arms or legs -- aren't emergencies. But you should gently guide the person away from threats.

Can you stop a seizure with epilepsy?

First Aid. Witnessing someone with epilepsy having a seizure can be truly frightening. But most seizures aren't an emergency. They stop on their own with no permanent ill effects. There isn't much you can do to stop a seizure once it starts. But there are simple steps you can take to protect someone from harm during a seizure.

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Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Medications are the first choice of treatment for epilepsy. Other methods, including surgery, are recommended when medications fail.
Medication

Anti-seizure medications: To reduce the frequency and intensity of seizures.

Carbamazepine . Valproate . Lamotrigine

Procedures

Brain surgery: The portion of the brain that causes seizure is removed.

Therapy

Vagus nerve stimulation:A device is implanted in the chest to stimulate the vagus nerve to reduce seizures.

Ketogenic diet:Has been found to help children in reducing seizures.

Self-care

Always talk to your provider before starting anything.

  • Take your medications as prescribed and in right doses
  • Never stop taking your medications without consulting the doctor
  • Notify your doctor regarding any side effects from medications
  • Get adequate rest

Nutrition

Foods to eat:

  • Ketogenic diet: a diet high in fat, but low in carbohydrates, as recommended by the doctor

Foods to avoid:

  • NA

Specialist to consult

Neurologist
Specializes in treating diseases of the nervous system, which includes the brain, the spinal cord, and the nerves.

Coping and Support

Preparing For Your Appointment

  • Not everyone who has one seizure will have another one, and because a seizure can be an isolated incident, your doctor may not decide to start treatment until you've had more than one. The optimal goal in seizure treatment is to find the best possible therapy to stop seizures, with the fewest side effects.
See more on mayoclinic.org

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