Nursing Care Plan for Epilepsy
Nursing Diagnosis : Risk for Injury
Risk for Injury related to uncontrolled seizure activity (balance disorder).
- Clients can identify the precipitation of an attack and to minimize / avoid it, creating a state that is safe for the client, avoid any physical injury, avoid falling.
- no physical injury to the client,
- client is in a safe condition,
- no bruises,
- no fall.
Nursing Diagnosis and Interventions Risk for Injury - Seizures
1. Identification of environmental factors that allow the risk of injury.
The stuff around the patient may be harmful during the seizure.
2. Monitor neurological status every 8 hours
Identify deviations of development or expected results
3. Keep objects that could cause injury to the patient during a seizure.
Reduce the occurrence of injury as a result of uncontrolled seizure activity.
4. Install the barrier the patient's bed.
Safeguards for security, to prevent injury or fall
5. Place the patient in a low and flat.
Areas of low and flat to prevent injury to the patient.
6. Together with the patient in some time after the seizure.
Providing safeguards for patient safety for the possibility of back spasms.
7. Prepare a soft cloth to prevent biting the tongue occurs during seizures.
Potentially bitten tongue during seizures because of sticking out.
8. Ask the patient if there are unusual feelings experienced just before a seizure.
To identify early manifestation before the occurrence of seizures in patients.
9. Provide anti-convulsive fit your doctor's advice.
Reduce prolonged seizure activity, which could reduce the supply of oxygen to the brain
10. Instruct patient to tell if there is something that does not feel comfortable, or experience something unusual for a start having seizures.
For information on the nurses to take immediate action before the seizures continued.
11. Provide information to the family about what to do during the patient's seizures.
Involving families to reduce the risk of injury.