Nursing Care Plan (NCP) for Seizures

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Seizure Precautions (Picmonic)
Seizure Interventions (Picmonic)
Types of Seizures (Picmonic)
Seizure Patho Chart (Cheat Sheet)

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Transcript

Today, we're going to talk about seizures for our nursing care Plan. First, we have to collect the information, so we are going to gather that data. Remember, we have subjective and objective data. Our subjective data is what the client's reporting. Maybe they are saying that they feel more confused than normal, if they're aware of that. Maybe they have an aura that occurs before a seizure occurs, that one is coming, or maybe they have experienced that postictal state where they're super drowsy and tired. They have had some nausea and vomiting with that, or a headache.

 

Our objective data are things that we've observed. So let's say we actually see the seizure. You see either twitching happening, you see those convulsions, so, you know it's a seizure. Remember all kinds of different seizures can happen. You could have that blank stare occur on your patient, or they have a loss of consciousness. Just any of those,you know, tightness, those contractions that they have, the stiffness, or maybe even an EEG is done showing brain waves that show that a seizure is occurring. Those are going to be our objective data. 

 

So next, we're going to look at the information. We are going to diagnose and prioritize by analyzing the information. So what's the problem? Well, the patient is seizing and that is a safety risk, right? Huge safety risk. What needs to be improved? What can we do? So, we could do medications to help this seizure stop, whatever it may be, as soon as possible. Really, we want to minimize any damage, anything we can do to minimize damage, which would be things like our seizure precautions that we can put patients on. So, like padded side rails, those kinds of things, having suction available, or an ambu bag, and that will help improve our outcomes. Then what's our priority? So for me with seizures, the biggest thing if they're seizing is going to be patient safety is our priority, as well as getting it to stop, right? We want to stop that seizure from happening. 

 

Alright, so now we're going to plan, implement and evaluate. This is our asking, how, how do we know it was a problem? Well, this is where you kind of are linking your data together. All those symptoms that objective data and subjective data that we gathered, you're linking it to this. That's how we knew it was a problem. The patient sees an aura, whatever it may be, that's how we knew, and how are we going to address it? Well, hopefully they have an anti-epileptic drug ordered. Those anti-seizure medications that we can give to stop the seizure from happening. We can put the patient on those seizure precautions and this will help to keep the patient safe during a seizure. Then, how would I know it gets better? Well, they remain safe during a seizure, or depending on what's happening with this patient, the seizure stops, then we would know that it got better. 

 

Alright, so onto the translation. So these are our high-level nursing concepts where you're really concise. So for me, our concepts would be safety, I would go with coping and comfort because more so for the family, which they are patient to when this situation occurs, it can be super scary. So, just allowing for coping and comfort and helping that family through this, and then patient education, of course, always a good one. Alright, so now we have to go in and we transcribe, this is where you're going to put those problems, those priorities. You're going to link your data together that told you what the problem was. We are going to intervene. This is the why, why are we intervening, and then, what do we expect to see happen? 

 

So, here our priorities are safety, comfort, coping and patient education. Next is objective data, subjective data. The patient said they had an aura coming on. So we know this patient's about to cease, so we can intervene. We would intervene by padding the side rails, turning the patient because remember, the patients can vomit a lot. They have nausea and vomiting. They can vomit during the seizure. We don't want them to aspirate, so turning them on the side, having suction available and an ambu bag to keep our good airway, and oxygenate the patient. These are interventions that we can do, all of our seizure precautions. 

 

Now our rationale. So why, well, this is going to, we're going to do this, and it is going to provide safety for that client, and then our expected outcome. So our expected outcome is that the patient will remain safe during the seizure. Okay, our comfort and coping. Our data we have, the patient maybe has a lack of understanding of what's happening, or maybe they're scared. We want interventions to be empathetic, right? It's scary. Just listening to the patient, helping them feel supported about it, and then helping them devise a seizure action plan could be an intervention, because when a patient feels prepared for something, or the family feels prepared, it helps give them that confidence. 

 

Onto our rationale. So, why are we doing this? Well, it's going to help them feel supported, and then having a plan will help them feel comforted. The expected outcome is for them to have that plan and feel supported. Next, our patient education. Perhaps it's on epileptic medications, they need education on that. They need education on the aura, like who to call for help when a seizure is coming, what to do when they get that aura. Our intervention here is going to be, we're going to educate on the medications and when to take, and of course, if there's any drug interaction that could happen with those medications. We also want them to notify if they have that aura, so that they can go ahead and take medication, or know when to take it. Usually, if the seizures last more than like two minutes, we would give medication to the family. To know that, will be important. Then also, if they or somebody that has epilepsy, then they might be given medication to be taken daily, so they need to know about that. They need to know when to take that med. 

 

Our rationale, so we'll understand when to take the meds, like we said, and how these meds are going to interact with other drugs, foods, anything that could cause an interaction and then the aura so that they are aware, this is going to give them the reason. Why we want them to know is, we want them to be aware of seizures coming, so that they know when to medicate themselves. Our expected outcomes. So, with our education, usually we can let them verbalize or demonstrate that the education has been successful, that they have an understanding. 

 

Alright guys, let's look at our key points. So, we have to collect information. This is going to be our assessment data, that subjective and objective data. We want to analyze that information, which is going to allow for diagnosing and prioritizing our tasks, ask how and this is how we are going to plan, implement and evaluate. It's going to help us do all that. Translate, so concise terms, those concepts, and then transcribe, describe whatever form you prefer, whatever works for you, just to lay it all out and link everything together. 

 

Alright guys, thanks for listening to this. Check out all the care plans that we have available for you to look at on NURSING.com. We love you. Now, go out and be your best selves today and as always, happy nursing!

 
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