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Example Letter of Medical Necessity
April 28, 1998,
Re:
DOB:
DX:
Physician:Victor B.
1188
Cerebral Palsy, Seizure Disorder
Dr. Jones Whom It May Concern:
Victor is a 10yearold male with cerebral palsy
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How to fill out cerebral palsy seizure disorder

How to fill out cerebral palsy seizure disorder:
01
Begin by gathering all necessary medical information such as the individual's diagnosis of cerebral palsy and their history of seizure activity. This may include medical records, doctor's notes, and any relevant test results.
02
Provide detailed information about the individual's experiences with seizures. This can include the frequency, duration, and severity of the seizures, as well as any triggers or warning signs that may be present.
03
Describe the specific types of seizures the individual experiences, such as tonic-clonic seizures, absence seizures, or focal seizures. Include any additional details about the characteristics of these seizures, such as loss of consciousness or convulsions.
04
Outline any medications or treatments currently being used to manage the seizures. This can include antiepileptic drugs (AEDs) or other seizure control measures recommended by healthcare professionals.
05
If applicable, include any information about the individual's response to medications or treatments. This may involve describing any side effects experienced or changes in seizure activity observed after starting or adjusting medication.
06
Document any additional supportive measures being used to manage the individual's seizures. This can include lifestyle modifications, such as maintaining a consistent sleep schedule or avoiding trigger factors, as well as any assistive devices or therapies being utilized.
07
Provide any relevant information about the individual's overall health status and any comorbid conditions that may impact their seizure disorder, such as intellectual disabilities or mood disorders.
Who needs cerebral palsy seizure disorder?
01
Individuals with cerebral palsy who experience seizures may need specialized attention and support for their seizure disorder.
02
Parents or caregivers of individuals with cerebral palsy who have seizures need to be aware of their loved one's condition and understand how to respond in the event of a seizure.
03
Healthcare professionals, including doctors, nurses, and therapists, who are involved in the care and treatment of individuals with cerebral palsy, should be knowledgeable about seizure disorders and their management.
04
Educational professionals, such as teachers and school staff, may need to be informed about an individual's cerebral palsy seizure disorder to ensure appropriate accommodations and support are provided in the educational setting.
05
Support groups and advocacy organizations for individuals with cerebral palsy may also provide valuable resources and information related to seizure disorders for those who need it.
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People Also Ask about
What is a seizure form?
Absence seizures, sometimes called petit mal seizures, can cause rapid blinking or a few seconds of staring into space. Tonic-clonic seizures, also called grand mal seizures, can make a person. Cry out. Lose consciousness. Fall to the ground.
Can cerebral palsy be caused by seizures?
However, the percentage of children with epilepsy who are also diagnosed with cerebral palsy is much lower. The reason for this is because, although epilepsy and cerebral palsy can both stem from the same damage to or abnormality of the brain, they are entirely separate disorders.
What are the different types of seizures in cerebral palsy?
Internal mini form Not all individuals with Cerebral Palsy have seizures, but for many, these seizures are a fact of life. Tonic-clonic seizures, or grand mal seizures. Petit mal seizures, or absence seizures. Myoclonic seizures. Atonic seizures, also known as astatic seizures, akinetic seizures or drop attack seizures.
Is cerebral palsy a type of epilepsy?
Medically reviewed by Elizabeth Denslow, OTR/L. Cerebral palsy and epilepsy are separate conditions that often co-occur as a result of extensive damage to the brain.
How do you treat cerebral palsy seizures?
Benzodiazepines that are often prescribed include Valium, Ativan, Dilantin, and Versed. These drugs are useful anticonvulsants, muscle relaxants, and anti-anxiety drugs. Anticonvulstant medications, such as Keppra, are commonly used in children with CP to prevent seizure activity.
How do you document seizure like activity?
Note any changes in the way you think, feel, talk, move, or behave. This includes your awareness of the event, any unintentional movements, changes in perception or experience, and any physical symptoms like sweating or loss of bladder or bowel control. After the seizure — What happened immediately after the seizure?
What are the most common seizures with cerebral palsy?
Children with cerebral palsy are likely to have at least one or more seizures during their lifetime. In many instances, they will experience both generalized and partial seizures. Generalized seizures affect the entire brain, whereas partial seizures affect one side or one part of the brain.
Is cerebral palsy a seizure disorder?
Seizures are common among children with cerebral palsy because CP is caused by a brain injury occurring before, during or shortly after birth. Brain injuries increase the chance for abnormal nerve activity to occur within the brain, which can result in seizures.
How do you describe seizure activity?
Seizures symptoms vary and can include a sudden change in awareness or full loss of consciousness, unusual sensations or thoughts, involuntary twitching or stiffness in the body or severe stiffening and limb shaking with loss of consciousness (a convulsion.)
How do you treat seizures in cerebral palsy?
For children with cerebral palsy phenobarbital is used as an anticonvulsant which blocks or minimizes the neurologic actions that trigger seizures. It also has the side benefit of being a sleeping aid. Phenobarbital comes in tablets or liquid form and typically must be taken multiple times daily.
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What is cerebral palsy seizure disorder?
Cerebral palsy seizure disorder refers to the occurrence of seizures in individuals who have cerebral palsy, a neurological disorder that affects movement and coordination due to brain damage.
Who is required to file cerebral palsy seizure disorder?
Typically, medical professionals, caregivers, or legal guardians are required to file reports or documentation regarding cerebral palsy seizure disorder, especially in clinical or educational settings.
How to fill out cerebral palsy seizure disorder?
To fill out documentation for cerebral palsy seizure disorder, you should provide detailed information about the individual's medical history, the type and frequency of seizures, symptoms, triggers, and any treatment plans or interventions.
What is the purpose of cerebral palsy seizure disorder?
The purpose of documenting cerebral palsy seizure disorder is to ensure proper medical care, to monitor the impact of seizures on the individual's life, and to provide essential information for treatment and educational planning.
What information must be reported on cerebral palsy seizure disorder?
Information that must be reported includes the patient's personal details, medical history, specific seizure types, frequency and duration of seizures, observed triggers, treatment history, and any impact on daily living activities.
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