Nursing care for pediatric patients with Drug Resistant Epilepsy and developmental delays : 2 case studies

Abstract

Epilepsy in children is a neurological disorder. When there is a stimulus, seizures may occur again. And if not treated correctly Affecting patients and families Because when there is a sudden seizure Children cannot control consciousness. and has abnormal movements. Seizures therefore affect the child's daily life. by children who seize regularly It was found that brain function deteriorated. Affects development and treating epilepsy takes a long time and has a high cost per patient. Providing standardized and effective nursing care, starting with appropriate screening assessments, will help ensure patient safety. Reduce complications and have a greater chance of returning to normal. This case study of drug resistant epilepsy. Comparative study of 2 cases at out of patient in Khon Kaen Hospital. The tools used study: data information recording, medical records, observation and interviews with patients and families. Analyze pathological signs and symptoms and 11 Gordon's patterns Determine diagnosis and nursing care, including evaluating nursing results in 3 phases: screening phase, treatment phase, and planning for continued rehabilitation care at home.

Results: Case study 1: Multiple localized seizures. Case study 2: Generalized seizures. Muscles weakness, frequent choking problems and lung infections. Both patients had seizures every day, used 4 types of Epilepsy drugs, had brain atrophy, and developmental delay. learn  slowly.The family's economic status is poor. and follow up every month to adjust the dosage. From the case study, it can be seen the important role of nurse. To assess and find patient problems from the beginning Ensuring patients receive appropriate medical care Including educating caregivers when entering the recovery period and continuing treatment at home.