Members of the Group

1
Ade Alfian
Fransiska Luciana sada
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Dialogue 1
Nurse : Hello, I'm Hannah, how can I help you today?
Grandmother : I've come in today because I wanted to ask a few questions
about my grandson Mark's condition. He's got epilepsy.
Nurse : I see. Can you tell me a bit more about the epilepsy? I mean, how
long has Mark had epilepsy?
Grandmother : He started getting fits three years ago. So he's had it for four years
now.
Nurse : I see. Can you tell me what kind of fits he has?
Grandmother : Well, I don't think they are the big ones. You know, the serious fits. He
hasn't had many fits, I don't think just a couple. They didn't last long and he doesn't
fit all the time. And it's just happened a few times. He just sort of stares for a while.
Nurse : Okay, it sounds as though he has petty miles or absence seizures. They are
not as serious as grant miles. Is he taking any medication at the moment?
Grandmother : Oh, yes. He has tablets that he takes every day. He has to take t
them to prevent the fits. I don't think they cure the epilepsy.
Nurse : Oh. When was the last time he had a fit?
Grandmother : It was six months ago. He hasn't had one since. The thing is
that his grandfather and are looking after him while his parents are on
holidays. I don't really know much about epilepsy. I just know that kids
can have fits if they have epilepsy. I've never seen him have a fit. That's
what worries me. It's a big responsibility for his grandfather and I and
think it might be too much.
Nurse : I understand your concerns. Perhaps I can explain about
Mark's epilepsy. So it won't seem so difficult for you and your husband to
have mark for the holidays.
Grandmother : Yes. Okay. I really don't know much about it at all. I'm just
worried in case he has a fit and we won't know what to do.
Nurse : That's all right. I'm sure you will feel better if explain epilepsy
and give you some advice about how to care for your
grandson. Epilepsy describes several types of brain seizures. Some people
have small fits where they may stare into space for a short while. Those
are the flutes that your grandson has been having. There are also grand
mal seizures. People who have these seizures may lose consciousness
for a short time, fall down and have convulsions. Your grandson doesn't
appear to have had any of these fits.
Grandmother : Yes, but what if he has one while he's with us?
Nurse : It's unlikely. But if it does happen, there are some simple
things you can do to make sure your grandson is safe until he
comes out of the fit. You said your grandson takes medication to
prevent the fits, didn't you?
Grandmother : Yes, he takes medication every day. He's very good about it.
You know, he never makes a fuss at all.
Nurse : That's good. Taking anti epileptic medication is very important.
Many epileptics get a warning a few minutes before the Fit starts. Some may see a
bright light or notice a smell. Some notice a change in the way they feel. Does
your grandson get a warning before the Fit starts?
Grandmother : I'm not sure. I have to ask my daughter about that. What if he has
a fit when we're out or even at home? What should I do? I'm not sure that I
could hold him still. He's a very strong child.
Nurse : You shouldn't ever restrain him during a fit. Just clear away
anything which could hurt him. During the fit his lips may turn a bit blue because
it will be more difficult for him to breathe. Remember that he won't stop
breathing altogether. So don't worry. Don't ever try to put anything in his mouth
and don't try to move him during the fit. If you can put something soft
under his head to protect it from injury. Take a note of how long the Fit lasts.
If it lasts more than five minutes, you should call an ambulance. Otherwise, when
the fit is over, roll your grandson onto his side and lift his jaw up to make sure he
is breathing easily.
Grandmother : Oh, I don't think I could do that. What if I do the wrong thing? Or
what if it happens when he's outside playing
Nurse : Your grandson is unlikely to have a problem if he takes his
medication in the event that your grandson has a fit. There is nothing you have
to do apart from making sure that the area around him is clear of anything that will
hurt him. Stay with him until he recovers and reassure him that all is well. You only
need medical help if the fit lasts more than five minutes and medical help is always
close by. It's important that your grandson feels that you are confident
having him stay.
Grandmother : Yes, I see that. I think I can do it. I just hope everything is OK.
Nurse : I'm sure you'll manage well. I'll give you the phone number of the
epilepsy helpline. You may find them useful. They also have a website.
Grandmother : Yes, that's a good idea. Thank you for explaining it to me. I feel a bit
better about having our grandson over now.
Patient Note
NAME : Mark
NEXT-OF-KIN : Grandmother, Kayla (same address)
OCCUPATION : StudentDOB : 22 November 2018AGE : four years old
ADMITTED : six month ago
PRESENTED WITH : Convulsions
PROGNOSIS : Epilepsy
PAS MEDICAL HISTORY : 3 years ago with the same diagnosis
MEDICATION : Anti-epileptic tablets
TREATMENT :
Direct : "the child has epilepsy give anti-epileptic drugs" nurse said
Indirect : The nurse said that if the child is epileptic then give him anti-epileptic
drugs
CARE :
Direct : The nurse Said “By giving anti-epileptic drugs if the child has seizures.
Just clear away anything which could hurt him. Don't ever try to put

anything in his mouth and don't try to move him as long as he is fit. If you
can put something soft under his head to protect it from injury”
Indirect : The nurse said that anti-epileptic drugs were given if the child had a
seizure. Get rid of anything that could hurt him. Don't try to mix anything in
your mouth and move it. You can put something soft under your head to
protect it from injury.
Dialogue 2
Oma: i need to ask a few question about my grandson, Mark his got epilepsy
Nurse : I see how long has Mark had epylepsi?
Oma: his had it for four years now
Nurse : is he taking any medication at the moment?
Oma: he takes tablets everyday to prevent the fits
Nurse : when was the last time he had a fit?
Oma: the last time he had a fits was six months ago, his grandfather and i are looking after
him while his parents are on holidays, we don't know what to do if he has a big fit
Nurse : i understand your concerns, i can explain what to do if he has a big fit
Oma: what should i do if he has a fit when were out?
Nurse : first check there was nothing around, which could hurt him
Oma: I see, should i put something in his mouth?
Nurse : No, don't ever try to put anything in his mouth, don't try to move him during
the fit. If you can put something soft under his head to protect it from injury, like a cushion
pillow
Oma: okay, i won't move him
Nurse : take it note how long the fits last. if the fits lasts more than five minutes, you should
can call an ambulance
Oma: allright, i see
Nurse : your grandson should also wear an identity bracelet to say he has epilepsy.
Oma: Yes, He wears one all the time, is there anything else I should do?
Nurse : when the fit its over roll your grandson onto the side until he comes round. Oma :
Just roll him on his side until he comes out of the fit?
Nurse : That's all you have to do. it's also extremely important not to give him anything
to eat or drink until he has completely recovered.
Oma: thank you. think I understand now, I just hope everything is okay
Nurse : i'm sure you will manage well, I'll give you the phone number of the
epilepsy helpline. you may find them useful, They also have a website
Oma: Yes, that's a good idea. Thank you explaining it to me. I feel a bit better about having
our grandson over now
Patient Note
NAME : Mark
NEXT-OF-KIN : Grandmother, Mona (same address)
OCCUPATION : Student
DOB : 10 April 2016
AGE : six years old
ADMITTED : PRESENTED WITH : Convulsions
PROGNOSIS : Epilepsy
PAS MEDICAL HISTORY : four years ago with the same diagnosis
MEDICATION : Gabapentin
TREATMENT
Direct : "Give antiepileptic drugs if seizures occur" Nurse said

Indirect : the nurse said that give antiepileptic drugs if seizures occur
CARE
Direct : "By giving seizure relievers if the child has seizures. Don't put anything
in when the child has a seizure. If the child has a seizure put something soft under
his head such as a cushion pillow. monitor how long the seizure lasts" Nurse
said
Indirect : The nurse says that if the child has a seizure, give him a seizure reliever
and put a pillow under his head, monitor how long the seizure lasts
 
Thank You For Your Attention
Mayapada Nursing Academy