OH Epilepsy Association Seizure Documentation Form 2011-2025 free printable template

Seizure Documentation Form STUDENTS NAME SYMPTOMS OF THE SEIZURE CHECK ALL THAT APPLY What did you notice happening during the course of the seizure DATE NAME OF PERSON COMPLETING FORM AND STAFF POSITION When did the seizure start AM PM Rapid jerking body movements Body limbs stiffened and shaking began Right side of body only Left side of body only Jerking of the face or limbs that lasted more than a second or two Student cried/squealed out Student made gurgling or grunting noises Student...

How to fill out seizure documentation form

How to fill out OH Epilepsy Association Seizure Documentation Form

1. Start by downloading the OH Epilepsy Association Seizure Documentation Form from their official website.
2. Read the instructions provided on the form to understand the information required.
3. Fill out the patient's personal details at the top of the form, including name, date of birth, and contact information.
4. Record the date and time of each seizure event in the designated sections.
5. Describe the type of seizure experienced, noting any specific movements or symptoms.
6. Indicate the duration of the seizure and any aftereffects experienced by the patient.
7. Include any relevant medical history or medication information that may affect seizure activity.
8. Provide contact information for the patient's healthcare provider for further reference.
9. Review the completed form for accuracy before submission.
10. Submit the form to the appropriate health care provider or organization as instructed.

Who needs OH Epilepsy Association Seizure Documentation Form?

1. Individuals diagnosed with epilepsy who need to document their seizure events.
2. Caregivers or guardians of patients with epilepsy to maintain a detailed record of seizures.
3. Healthcare providers who require a comprehensive history of a patient's seizure activity for diagnosis and treatment.
4. Educational institutions that need documentation for students with epilepsy for safety and emergency readiness.

Video instructions and help with filling out and completing seizure documentation sample

Instructions and Help about seizure list format pdf

Music this is a basic introduction on how to recognize and respond to a seizure for people who have had a brain injury there is an increased risk of seizures our brains send messages through a complicated system of nerves these messages allow us to think feel and move during a seizure the messages are briefly disrupted in the brain causing an electrical overload in part or all of the brain seizures are most common during the first year after a brain injury when having a seizure a person is at risk for getting other injuries especially if they fall injuries can include broken bones injuries from biting their tongue further brain injury from hitting their head in extreme cases it can even lead to death Music not all seizures are alike partial seizures occur in one part of the brain and may affect only part of the body generalized seizures affect all the brain and usually all the body it's not uncommon for a partial seizure to develop into a generalized seizure Music a person having a generalized seizure may show symptoms that include muscle contractions stiff jerking muscle movements vomiting or loss of control over bladder and bowels a blank stare during the seizure loss of consciousness if you are with someone who is having a seizure there are several things you should do to help them if you are in the hospital call the staff for help immediately if you are at home or out in the community protect the person having the seizure you can do this by gently lowering them to the floor turning them on their side to prevent choking and calling 9-1-1 make sure the person is safe clear the area and make sure to remove all sharp or hard objects next check to make sure that they are breathing loosen clothing and anything else that might make it hard for them to breathe do not place anything in the person's mouth including silverware sticks or your fingers do not hold the person's tongue it is important not to restrain or leave this person alone creating a calm and quiet environment is helpful for everyone most seizures will end in less than five minutes even though it may seem longer following a seizure a person may need to rest or sleep for a while they may be confused they may have a headache they may feel weak in the arms and legs they may have a hard time speaking and previous problems from their brain injury may return for a short time things should go back to the way they were before the seizure happened do not give them anything to eat or drink until they are fully awake and able to swallow safely seizures usually can be effectively managed by you and your healthcare provider learning to recognize and respond to a seizure when it does happen is important for everyone discusses your particular risks with your physician Music

People Also Ask about

What do you note during a seizure?

During the seizure Did they lose awareness, appear dazed or confused or lose consciousness? Was there any change in their breathing pattern? Did it become noisy or appear difficult or laboured? Was there any change in their facial colour?

How do you describe a seizure in nursing notes?

A seizure is an abnormal, unregulated electrical discharge that occurs within the brain's cortical gray matter and transiently interrupts normal brain function; a seizure typically causes altered awareness, abnormal sensations, focal involuntary movements, or convulsions (widespread violent involuntary contraction of

How do you document seizure like activity?

Write down what happened as soon as you can. Include as much information as possible about the following areas: BEHAVIOR BEFORE THE SEIZURE - what was the person doing at the time of event, change in mood or behavior hours or days before, 'warning' or 'aura' shortly before event.

How do you document a seizure?

Documentation of initial medical history and physical should include the date of seizure onset, type and frequency of seizures, description of typical seizures, previous antiepileptic drugs (AEDs) used, and the date of the last seizure.

What information is needed to report and document seizure activity?

Describe what the person's seizures usually look like, what type of movements, what happens before and after, how frequent, how intense. It is important to document how long a seizure lasts, the date and time, what movements and actions you see, and what happened before and after a seizure.

What do you report during a seizure?

Only call 911 if one or more of these are true: The person has never had a seizure before. The person has difficulty breathing or waking after the seizure. The seizure lasts longer than 5 minutes. The person has another seizure soon after the first one. The person is hurt during the seizure.

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What is OH Epilepsy Association Seizure Documentation Form?

The OH Epilepsy Association Seizure Documentation Form is a standardized document used to record and track seizure activities experienced by individuals with epilepsy.

Who is required to file OH Epilepsy Association Seizure Documentation Form?

The form is typically required to be filed by individuals with epilepsy, their caregivers, and healthcare professionals involved in the management of the patient's condition.

How to fill out OH Epilepsy Association Seizure Documentation Form?

To fill out the form, individuals should accurately document each seizure episode, including details such as date, time, duration, type of seizure, any triggers, and postictal state.

What is the purpose of OH Epilepsy Association Seizure Documentation Form?

The purpose of the form is to provide a comprehensive record of seizure activity to help healthcare providers in assessing the effectiveness of treatment, identifying patterns, and making informed clinical decisions.

What information must be reported on OH Epilepsy Association Seizure Documentation Form?

The information that must be reported includes the date and time of the seizure, duration, type of seizure, any observed behaviors, triggers, and notes on the individual's recovery or postictal state.