ASSESSMENT S> ok naman na siya pero minsan nahihilo siya tapos kahapon nagseizure siya as verbalized by the mother

EXPLANATION OF THE PROBLEM Seizures are disturbances in normal brain function resulting from abnormal electrical discharges

OBJECTIVES STO: After 8hrs of nursing interventions the significant other will be able to demonstrate behaviors to protect client from injury.

INTERVENTIONS
Explore with the patient the various stimuli that may precipitate seizure activity. Keep side rails up with bed in the lowest position. Maintain adequate rest periods Discuss seizure warning signs and usual seizure pattern. Keep padded side rails up with bed in the lowest position. Evaluate need for protective head gear. Maintain strict bed rest if prodromal signs or aura experienced. Lack of sleep, flashing lights and prolonged television viewing

RATIONALE

EVALUATION

O>facial grimace; episodes of loss of vision; muscle weakness, no episode of seizures noted at the moment; muscle strength of 3/5 3/5 4/5 4/5 ; constant and inconsolable cring noted; able to consume of food served; v/s are as

in the brain, which can cause loss of consciousness, uncontrolled body movements, changes in behaviors and sensation, and changes in the autonomic system. LTO: After 3 days of nursing interventions, the significant other of the client will be able to: 1. Keep the environment safe from hazards 2. Manage daily activity livings of the child like playing with her

follows: T: 37.3, P: 110,R: 20, BP: 120/90; no episodes of nausea and vomiting

3. Identify relaxation techniques such as watching television, and

A>risk for injury related to loss of muscle coordination

deep brathing exercises for the client

may increase brain activity that may cause potential seizure activity. Enables the patient to protect self from injury. Minimizes injury should seizure occur while patient is in bed. Use of helmet may provide added protection for individuals during aura or seizure activity. Patient may feel restless to ambulate or even defecate during aural phase, that inadvertently removing self from safe environment and easy observation. After 8 hours of nursing interventions, the patient was able to demonstrate behaviors, lifestyle

changes to reduce risk factors and protect self from injury. Student Nurses Community Turn head to side or suction airway as indicated. Insert plastic bite block only if jaw are relaxed. Cradle head, place on soft area, or assist to floor if out of bed. Reorient patient following seizure activity. Collaborative: Administer medications as indicated