Comprehensive Notes on Neurology and Seizures

Exam Schedule and Preparation

• Week 12 is currently ongoing
• Procter's week 14 scheduled for finals, typically week 15
• Farm final likely to occur the following week (early)
• Emphasis on maintaining normal schedule to avoid confusion
• Encouragement for study sessions:
  • Before finals for preparation
  • After finals for additional review
• Importance of reaching out for help and studying collaboratively

Neuro Quiz and Class Updates

• Upcoming quiz on neuro topics combined due to the breadth of content
• Introduction of neuro med-surg content.

Key Focus Areas in Neurology

• Understanding risk factors and etiology of neurologic alterations
• Impact of these alterations on patient health
• Variability in presentations of neurological conditions

Alterations in Neurologic Function

• Discussed prior knowledge of the nervous system and pain perception
• Example: Reaction to a hot surface as a demonstration of sensory input processing

Common Conditions Discussed

Diabetic Neuropathy

• Affects sensory transmission, leads to discomfort and pain.
• Implications of loss of sensation leading to injury (e.g., stepping on something sharp).

Seizures

• Definition: Abnormal electrical activity in the brain.
• Manifestations of seizures:
  • Convulsions and shaking
  • Types of seizures:
  • Formerly termed grand mal.
  • Safety considerations during seizures:
    • Risk to airway and breathing
    • Possible foaming at the mouth
    • Importance of positioning (left side) to prevent aspiration.

Risk Factors for Seizures

• Blood force trauma, metabolic disorders (thyroid), and infectious agents (septic emboli).
• Rapid increases in body temperature can induce seizures, especially in pediatric patients.
• Understanding case studies where infections lead to neurological symptoms.

Psychosocial Impacts of Seizures

• Fear of public outings, inability to drive, potential loss of bowel or bladder control during seizures.
• Emotional responses:
  • Anxiety, depression due to experiences surrounding seizures.
  • Importance of proper assessment and communication regarding mental health.

Managing Psychosocial Aspects

• Recognizing suicidal ideation in patients with seizure disorders due to the impact on their quality of life.
• Need for nurse advocacy and collaboration with mental health professionals.

Pseudo Seizures

• Definition: Non-epileptic seizures that mimic seizure activity without electrical brain disturbances.
• Associated with trauma and psychological stress (PTSD).
• Safety considerations remain critical, despite the lack of direct seizure activity.

Conclusion

• Emphasis on continuous assessment and understanding the extensive impact of seizures on patients' lives.
• Importance of interdisciplinary collaboration and mental health monitoring in the care of patients with seizure disorders.