Seizure Diary Template Form
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People also ask seizure record form
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What is a seizure diary?
A seizure diary is a good way of recording information about epilepsy and seizure activity. Our clinical staff will have advised you if you need to complete one of these. Seizure diaries can be used to make a note of: when seizures happen. what seizures look like.
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How to record seizure activity?
If possible, a video is the ideal way to capture the seizure. Download the 'Keeping records of possible seizures' visual guide. Then, write down a detailed description of what happened before, during and after the seizure, as soon as possible.
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How to 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.
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How to write seizure history?
The following information should be obtained in the history: Record the patient's age. If a family history of seizures is noted, determine the clinical epilepsy syndrome of the affected family member. Ask about a history of any previous provoked seizure. Determine if the first seizure was status epilepticus.
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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.
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What should we record when someone has a seizure?
Make a note of any useful information If you see someone having a seizure, you may notice things that could be useful for the person or their doctor to know: What were they doing before the seizure? Did the person mention any unusual sensations, such as an odd smell or taste?
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How do you describe seizure activity?
A seizure is a burst of uncontrolled electrical activity between brain cells (also called neurons or nerve cells) that causes temporary abnormalities in muscle tone or movements (stiffness, twitching or limpness), behaviors, sensations or states of awareness. Seizures are not all alike.
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What to write in a seizure diary?
If you are developing your own diary or journal we recommend that you include some key information: Seizure activity and types, including dates and frequency of any events. Medication side-effects you might be experiencing. Possible seizure triggers that you, or others, are noticing.
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