November 8 2018 efmnorg What do you know about the people in your program facility and under your care efmnorg When older adults have epilepsy There are 300000 older adults in the US that have epilepsy ID: 734271
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Stroke and Seizures
Minnesota Stroke Association
November 8, 2018
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What do you know about the people in your program, facility, and under your care?
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When
older adults have epilepsy…
There are 300,000 older adults in the U.S. that have epilepsy
.
Epilepsy
happens to people over the age of 65 almost as often as it does to children aged ten and under
.
If
you’re not trained to recognize seizures, you might not be aware they’re happening.
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True or False
Epilepsy is contagious?
Epilepsy is a mental illness?
Epilepsy exists on a spectrum?Epilepsy is a cognitive impairment?
If a person has a seizure, they have epilepsy?
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What is
a Seizure?Slide7
Epilepsy is…
A neurological
condition that causes people to have recurring seizures
Also known as a
s
eizure
d
isorder
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When do seizures happen after a stroke
?
Varies for every person
43% of individuals with post stroke seizures have within 24 hours of the stroke
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Why do seizures occur after stroke?
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Possible seizure
t
riggers
What are some triggers you can think of?
https://
www.youtube.com/watch?v=zOmLPQ3WIGs
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How many seizure types are there?
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Should post-stroke seizures be treated or managed
differently?
should be managed and treated the same way as all other types of seizures and
epilepsy
Pay attention to drug
interactions with blood thinners
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Focal aware (simple partial seizures)
Uncontrollable
shaking movements
Sensory
s
eizures
No
impairment of consciousness
R
eassurance
and emotional
support is key
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Focal impaired awareness
(complex partial seizures)
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Most common seizure type
Displays differently for each person
Unaware of surroundings and unable to respond
Repetitive, purposeless movementSlide17
Response
Always depends on individual and situation
Stay
calm
Track time
Do not restrain
Gently direct away from hazards
Remain
until
they have
gained
full awareness
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Absence
s
eizures (formerly petit mal)
Characterized
by brief staring
and/or rapid facial movements
Starts
and ends abruptly
Quickly returns to complete awareness
Appropriate
response includes documentation
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Generalized tonic-
c
lonic
(formerly grand mal)
NOT
the most common
seizure type
Completely
unconscious; loss
of
control
There are typical progressions
Typically lasts
5 minutes or less
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Response
Turn on side
Protect their head
Don’t put anything in their mouth
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Response
Remain until
they have
regained full
awareness
If seizure lasts more than 5 minutes, call
911
or follow your internal protocol
Follow individual seizure action plan
Recovery period–
postictal
state
(not
included in timing of the
seizure)
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Call 911….
Status
Epilepticus
Breathing stops or doesn’t return to normal
First time seizure
Injury
In water
You feel you can’t respond appropriately
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Safety Issues with Epilepsy
Seizure response plans
Safety in your environment
Water safety
Fire safety
Safety proof
Seizure alert monitors
Driving
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Safety Issues with Epilepsy
SUDEP
Sudden unexpected death in epilepsy
Risk factors
Higher in people with uncontrolled seizures
SUDEP Institute
https://www.epilepsy.com/living-epilepsy/our-programs/about-sudep-institute
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Starting Medication after a post stroke seizure
Talk to
a
neurologist about the risks and benefitsthe provider may suggest watching for a while to see if more seizures happen. The risk of recurrent seizures is higher after you have had a second one.
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Seizure first aid at your fingertips
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DOWNLOAD “SEIZURE FIRST AIDE”Slide28
The Epilepsy Foundation of Minnesota
envisions a world where people with seizures realize their full potential.
Follow us to stay up to date
with our programs and events!
efmn.org | 800.779.0777Slide29
http
://onein26.org/