Discharge And Home Healthcare Guidelines

Review with the patient and family proper care techniques for wounds and lacerations. Discuss the recommended activity level, and explain rehabilitative exercises. Teach the patient and family to recognize symptoms of infection or a deteriorating level of consciousness, and stress the need to contact the physician if such signs or symptoms appear. Teach the patient the purpose, dosage, schedule, precautions, and potential side effects, interactions, and adverse reactions of all prescribed medications. Review with the patient and family all follow-up appointments that have been arranged. Review with the patient and family information regarding the use of safety restraints.

DRG Category: 024 Mean LOS: 4.8 days Description: MEDICAL: Seizure and Headache, Age > 17 with CC

Epilepsy is a paroxysmal neurological disorder and is characterized by recurrent episodes of convulsive movements or other motor activity, loss of consciousness, sensory disturbances, and other behavioral abnormalities. Because epilepsy occurs in more than 50 diseases, it is considered a syndrome rather than a disease. Each year approximately 180,000 new cases of epilepsy occur.

Convulsive seizures are the most common forms of attacks of epilepsy. Seizures occur with abnormal electrical discharges from brain cells, and these discharges are caused by the movement of ions across the cell membrane. Although seizures are the dominant manifestation of epilepsy, patients can have a seizure and not have epilepsy. The current classification for seizures that is commonly used was redefined in the 1980s (Table 1). The characteristics of the seizure vary and depend on the focus or location of brain involvement. Seizures can vary from almost imperceptible alterations in the level of consciousness to a sudden loss of consciousness with tonic-clonic convulsions of all extremities accompanied by urinal and fecal incontinence and amnesia for the event.

Status epilepticus is defined as more than 30 minutes of unconsciousness with continuous or intermittent convulsive seizure activity. Usually, status epilepticus results when more than six seizures occur in 24 hours or when the patient progresses from one seizure to the next without resolution of the postictal period. Pseudoseizures are the physical appearance of seizure activity without the cerebral electrical activity.

Headache Happiness

Headache Happiness

Headache Happiness! Stop Your Headache BEFORE IT STARTS. How To Get Rid Of Your Headache BEFORE It Starts! The pain can be AGONIZING Headaches can stop you from doing all the things you love. Seeing friends, playing with the kids... even trying to watch your favorite television shows. And just think of how unwelcome headaches are while you're trying to work.

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