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, Davao City SY 2009 – 2010
An Article of Absence Seizures in Adults
In Partial Fulfillment of the Requirements In Nursing Care Management 102
Presented by: Von Ramcy P. Garcia,SN Group 26 BSN-14C
Heart Mae Gatmaitan Unggui, RN
(August 12, 2010)
Absence Seizures in Adults
By Batul Nafisa Baxamusa Published: 7/22/2010
Little John was a 7 year old naughty boy who did well in school. One day he just blanked out for about 20 seconds or so. His teacher repeatedly called out his name, but all John did was blinking his eyes continuously. He came back to normalcy as if nothing happened and was not aware of blacking out. His teacher thought this was one of his many mischiefs. However, John began to have these spells regularly in the class as well as on the playground and his teacher thought there was something terribly wrong. His parents were contacted who took him to a doctor. Little John was diagnosed with absence seizures in children. This was a typical case of a child being diagnosed with absence seizures in children. Many parents are worried when they hear this condition being diagnosed for their children. Most of the time absence seizures are controlled with proper medications. We shall dwell into this later, but before that let us go into the details of what are absence seizures in children. What are Absence Seizures in Children Absence seizures are a type of seizures that are also known as petit mal. This is a French term that stands for 'little illness'. There is no jerking or twitching of the body involved with absence seizures. The child seems to start into space with a slight twitch in the eye muscles. The period of absence seizures may last for a few seconds up to 10 seconds. Some children can have over a dozen of seizures in a single day. The absence seizures are mild as compared to other different types of seizures. However, they are just as dangerous and the child should be restricted from bathing, swimming, cycling unsupervised. There are two types of absence seizures in children. The simple absence seizures is a condition where the child just stares. In case of complex absence seizure there is a change in the muscle activity like, eye blinks, tasting movement in the mouth, fingers being rubbed together, and even contractions and relaxation of the muscles. These complex seizures can last more than 10 seconds. Children in the age group of about 4 to 14 are mostly affected with absence seizures. These children have normal growth and intelligence pattern. Children who develop absence seizures before the age of 9, out-grow this condition by the time they are 10 to 12 years of age. The complex absence seizures can rarely occur more than several times a day or in a week. Whereas the simple absence seizures are seen many times in a day. Absence Seizures in Children - Symptoms There are certain absence seizures in children symptoms that parents as well as teachers should watch out for. There can be different causes of seizures as well as symptoms. These signs and symptoms of absence seizures in children include the following: • • • • • • Staring into space without any unusual movement Smacking of lips Fluttering eyelids Chewing Fidgeting with hands Walking around aimlessly
These absence seizures in children symptoms last for only a few seconds. Once the child recovers from the seizure he is neither confused nor has a memory of undergoing these seizures. Some children may have over 100 episodes of absence seizures that leads to many problems in their school work. This is one of the reasons that leads to behavioral problems, learning problems and social awkwardness in children with absence seizures.
The episodes of absence seizures in children is generally very brief. A child who is walking or standing having an episode of absence seizure probably will not fall down. This brief periods makes it very difficult for parents or teachers to catch the absence seizures in children symptoms. The child too has no memory of these seizures and will probably never complain having experienced one. This disorder is generally spotted when a child fails to cope up with school work and the teachers constantly complain of inability to pay attention in class or day dreaming. Treatment for Absence Seizures in Children Most of the time there is no first aid required for absence seizures in children. If the child continues to perform activities like eating or moving or walking around without being aware of the surroundings, you need to seek immediate medical attention. This is a symptom of a dangerous seizure type called the absence status epilepticus. Also, if the seizures last for more than 5 minutes instead of the maximum episode period of 10 - 20 seconds seek advice from a epilepsy specialist. There are no medications that can help cure epilepsy. However, there are medications that help in bringing down the number of seizures a child has or may even put a stop to these absence seizures. These medications fortunately have little or no side effects. You need to speak to the doctor regarding the dose and type of medication that will suit your child. Do not administer any medication or drug to your child without your doctors advice. Most of the children stop having absence seizures by the time they are about 12 years old. Some children may stop having absence seizures episodes and develop other types of seizures in rare cases. Most children do not require any medications for epilepsy for the rest of their life. There are cases of absence seizures in adults that are not unheard of. These adults are restricted from driving, operating heavy machinery and carrying out jobs that require mental alertness. If you have any doubts regarding absence seizures in children and its impact on their overall health, you can speak to an epilepsy doctor for information on this matter. Disclaimer
The information in this article is intended as a supplement to, not as a substitute for, the expert and professional medical prevention, diagnosis, or treatment of a healthcare professional. The reader is advised to consult with a medical consultant before taking any home remedies, supplements or following any treatment advised. A medical consultant will be able to provide the reader with an advice that is safe and effective for an individual's specific needs and diagnose a particular health problem based on their personal medical history.
Unfortunately, When I was scanning an article about seizures and able found out one in which its new to me that refresh my mind because there are different class of seizures “Pala” and one of them was the absence seizure which make shock that “ meron palang ganto”. I’m happy and gladly that I skim this kind of article were made an additional knowledge in my intellectual concept. Indeed, the article was tackling about Absence Seizures in children and for me it was good information to have even though it needs further information to the advice from an epilepsy specialist of someone with this kind of disorder. As a future health care provider someday I need to be knowledgeable and keep updated to information related to my field such as this illness. In order for me to have a accurate and concise assessment with these quite difficult condition to identify because which last a seconds or minutes and even the patient itself most of the time didn’t know that he/she undergone with such illness. Assessment is the key of the nursing profession because it’s the one will tell into our intervention. So it is the key for us to help the patient for the better procurement of there diseases because if we fail to assess properly our patient it could lead to worse or even death. We as nurses we are the first and last defense of our patients who give there faith to us and so we need also to be competent and good to our job as possible. It is good that most of the children stop having absence seizures by the time they are about 12 years old but some children may stop having absence seizures episodes and develop other types of seizures in rare cases but there are still hope for them for proper medical intervention or approach. As what the article says”This was a typical case of a child being diagnosed with absence seizures in children. Many parents are worried when they hear this condition being diagnosed for their children”. But we nurses know that most of the time absence seizures are controlled with proper medications. We help parents understand and do further health teaching for the condition of the patient along with the supervision of a physician.
Von Ramcy P. Garcia
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