BookRebecca Case, Sinead Blake.
Summary: This book is a practical guide, with rationale to supporting people with epilepsy. It encompasses epilepsy guidance such as NICE (2012, revised 2019), The Equality Act (2010), the children and families act (2014), current evidence based-practice, and regulatory organisation standards. It is predominantly aimed at nurses and student nurses, especially, those studying learning disability nursing but also residential, respite and supported living services, schools and family carers, to enable them to offer appropriate and evidence-based support to people with epilepsy of all ages. It is estimated there are approximately 1200 epilepsy related deaths each year in the UK. Many of these are considered to be preventable. High-profile cases have led to an increase in anxiety in people providing services, and greater scrutiny of those services by regulatory bodies. Over the years, the authors have been asked the same questions and witnessed the same misunderstandings and mistakes, by people supporting individuals with epilepsy. So they looked at the common themes and the resources available. It became clear that the information to address these gaps is available, but not easily accessible. There is lots of information in the public domain, however much of it is factual, rather than practical. This book provides practical information and resources with the focus on "what needs to happen"," how to make it happen" and "who needs to do it". This book is useful for supporting people with epilepsy wherever they live (both within and outside the United Kingdom).
Contents:
Intro
Contents
Chapter 1: What Is Epilepsy?
1.1 What Is Epilepsy?
1.1.1 Not All Seizures Are Due to Epilepsy (Differential Diagnosis)
1.1.2 Dissociative Seizures (Also Referred to as Non-epileptic Attack Disorder, Psychogenic Seizures, Organic Seizures, Functional Seizures, Pseudo-Seizures)
1.2 How Common Is Epilepsy?
1.2.1 Patterns
1.2.2 Causes
1.2.2.1 Genetic Causes
1.2.2.2 Symptomatic
1.2.2.3 Unknown
1.3 Diagnosis
1.3.1 Witness Account
1.3.2 Investigations
1.3.2.1 EEG
What Does It Mean?
1.3.2.2 Radiology: MRI or CT Scans 1.3.2.3 MRI Scan (Magnetic Resonance Imaging)
1.3.2.4 CT Scan (Computer Topography)
1.3.2.5 Blood Tests
1.4 Prognosis
1.5 Summary
References
Resources
Chapter 2: Seizures, Syndromes and Status
2.1 Seizures
2.2 Focal Seizures
2.2.1 Focal Aware Seizures
2.2.2 Focal Impaired Awareness Seizures
2.2.3 Common Focal Symptoms
2.2.3.1 Motor
2.2.3.2 Non-motor
2.2.4 Focal to Bilateral Tonic Clonic Seizure
2.3 Generalised Seizures
2.3.1 Tonic Clonic Seizures
2.3.2 Tonic Seizures
2.3.3 Clonic Seizures
2.3.4 Atonic Seizures
2.3.5 Myoclonic Seizures 2.3.6 Absence Seizures
2.3.7 Epileptic Spasms
2.4 Unknown Onset Seizures
2.5 Seizure Syndromes
2.5.1 Genetic Epilepsies (Previously Called Idiopathic Generalised Epilepsies)
2.5.2 Childhood Absence Epilepsy (CAE)
2.5.3 Dravet Syndrome
2.5.4 Epileptic Encephalopathies
2.5.5 Juvenile Absence Epilepsy
2.5.6 Juvenile Myoclonic Epilepsy
2.5.7 Lennox Gastaut Syndrome
2.5.8 Panayiotopoulos Syndrome
2.5.9 West Syndrome (Infantile Spasms)
2.6 Summary
References
Resources Epilepsy Society (2018) Seizures. https://www.epilepsysociety.org.uk/seizure-types. Accessed 08 Jan 2020
Chapter 3: Medication: Epilepsy
3.1 The Likelihood of Getting Seizure Control
3.2 When Are Antiseizure Medications Prescribed?
3.3 How Antiseizure Medications Work
3.4 Choosing a Medication
3.5 Cost of Medication
3.6 Monitoring Medications
3.7 Common Medications
3.8 Medications with Specific Considerations
3.8.1 Controlled Antiepileptic Medications
3.8.2 Sodium Valproate
3.8.3 Medical Cannabis and CBD Oil 3.8.4 Enzyme-Inducing Medications (and Contraception)
3.9 Adjusting Medications
3.10 Withdrawing Medications
3.11 Side Effects
3.12 Interactions
3.13 Addiction
3.14 Brands of Medication
3.15 Overdose/Incorrect Dose/Missed Dose
3.16 Supply Issues
3.17 Formulations
3.18 Off Licence Use (Named Patient Basis)
3.19 Travelling with Antiseizure Medication
3.20 Summary
References
Resources
Chapter 4: Emergency Medication
4.1 Overview of Emergency Medications
4.1.1 Community Treatments
4.2 Types of Emergency Treatments