sample medical report of patient with epilepsy resulting in coma

by Adrian Sipes 9 min read

Epilepsy Reports | CDC

15 hours ago  · This brief highlights epilepsy-related data from the 2014 School Health Profiles survey and shares resources for schools, parents, and communities. This 2014 report provides the ILAE’s recent guidelines for diagnosing epilepsy. The MEW Network is one of CDC’s Prevention Research Centers Program thematic networks. >> Go To The Portal


What is the difference between epileptic seizures and coma?

After severe injury the patient may have seizures that need intense medications that induce coma. Post seizures (post ictal) coma may be intense but fully recover. Usual epileptic seizures do not cause coma.

What is the 2006 regional report on epilepsy?

This 2006 regional report is a modified and shortened version of the Global Campaign Against Epilepsy report. It describes the public health issues of epilepsy in North America and the need for a regional plan to address these issues.

What types of seizures respond well to LTG?

clonic, and absence seizures. Her diagnosis was con- firmed by EEG, which demonstrated generalized 4.5-Hz polyspike-and-wave discharges. All of these seizure types responded well to LTG. This permitted her physician to reduce the potential risk for NTDs by using LTG as an alternative to VPA. The other patient was historically

What is the living with epilepsy Task Force?

This 2009 report from the Living with Epilepsy Task Force updates their goals and objectives for improving the lives of people with epilepsy and their families. This 2007 World Health Organization (WHO) Report addresses important public health aspects of epilepsy and other neurological disorders.

Can epilepsy make you go into a coma?

But continuous seizures -- called status epilepticus -- can. Repeated seizures can prevent the brain from recovering in between seizures. This will cause prolonged unconsciousness and coma.

What is a medically induced coma for seizures?

Coma Induction, as its name implies, is a treatment in which a temporary coma is deliberately induced (using drugs) to “rest the brain” in a variety of situations, including reducing swelling after head injury.

What should be documented when a patient has 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.

How do you assess a patient after a seizure?

After the seizure, assess him for respirations and a pulse. If they're present and he's unresponsive, turn him onto his side to help keep his airway patent. If necessary, insert an oral airway and use suction to remove secretions. Take his vital signs.

What part of the brain is damaged in a coma?

Comas are caused by damage to the brain, especially if there's bilateral damage to the cerebral cortex (which means damage on both sides), or damage to the reticular activating system. The reticular activating system controls arousal and awareness of the cerebral cortex.

What are the stages of a coma?

Three stages of coma DOC includes coma, the vegetative state (VS) and the minimally conscious state (MCS).

How do you write a seizure report?

If known, when the seizure started, was the person awake or asleep? Was the person restless or did they cry out before the seizure started? Was there any trigger for the seizure (such as feeling tired or stressed)? What position were they in when the seizure happened or when they were found?

Where would you record information about a clients seizure?

A seizure diary is a good way of recording information about your epilepsy.

What is the nursing diagnosis for epilepsy?

Nursing Diagnosis Based on the assessment data, the major nursing diagnoses are: Risk for trauma or suffocation related to loss of large or small muscle coordination. Risk for ineffective airway clearance related to neuromuscular impairment. Situational low self-esteem related to stigma associated with the condition.

What is epilepsy assessment?

Your doctor may test your behavior, motor abilities, mental function and other areas to diagnose your condition and determine the type of epilepsy you may have. Blood tests. Your doctor may take a blood sample to check for signs of infections, genetic conditions or other conditions that may be associated with seizures.

Do you give oxygen during a seizure?

Administer oxygen via non-rebreather mask at 12-15 liters per minute to any patient who is actively seizing or is postictal, regardless of their pulse-ox reading, to help with the increased metabolic demands of the brain for oxygen [4].

What is the initial assessment of a patient who may have experienced a seizure?

In the United States, most patients are initially evaluated in an emergency department and almost invariably undergo a CT head. MRI should be performed to identify the presence of an epileptogenic structural abnormality in patients with single unprovoked seizures.

How long does it take to wake up from a medically induced coma?

Normally a patient in a medically induced coma would wake up over the course of a day. Some COVID patients are taking nearly a week to wake up.

Can induced coma cause death?

Does a medically induced coma mean death? No. A person in a medically induced coma is unconscious and does not react to external stimuli, such as light, sound, or touch. The brain may process stimuli to some degree, but the person cannot wake up to the stimuli, such as pain.

Is a medically induced coma the same as being sedated?

While a medically induced coma puts a patient in a very deep unconscious state, sedation puts a patient in a semi-conscious state. Sedation is often given to allow a patient to be comfortable during a surgical or medical procedure and is administered through an intravenous catheter (IV), with minimal side effects.

How long will a hospital keep someone in a coma?

Generally, most patients at a hospital do come out of a coma. Typically, a coma does not last more than a few days or couple of weeks. In some rare cases, a person might stay in a coma for several weeks, months or even years.

Who Writes the Patient Medical Report?

Health care providers do the patient medical report. The health care professionals make the documentation for a patient. It includes all the physic...

Who Can Have Access to a Patient Medical Report?

The health care providers have the access to the patient medical report. They keep the medical report as a history of medical records. Also, patien...

Is a Patient Medical Report a Legal Document?

If it is signed by a health care professional, then it is a legal document. It is permissible in any court of law. It is an evidence that the patie...

What is the cause of epilepsy?

Many causes: Some unknown, usually attributed to some type of insult to the developing brain in childhood, like mom using drugs or alcohol during pregnancy, or a vascular insult during pregnancy , or trauma after birth through adulthood.

What causes epilepsy?

Brain hyperexcitable: The exact cause & mechanism may be unknown most of the time. Conditions such as cerebral infarct, brain tumor, increased intracranial pressure b/c of any reason, infection of the brain or meninges of brain, metabolic disturbances, eg.

What is a Patient Medical Report?

A patient medical report is a comprehensive document that contains the medical history and the details of a patient when they are in the hospital. It can also be given as a person consults a doctor or a health care provider. It is a proof of the treatment that a patient gets and of the condition that the patient has.

What You Should Include in a Patient Medical Report

A patient medical report has some important elements that you should not forget. Include all these things and you can learn how to write a patient medical report.

Importance of a Patient Medical Report

The reason why a patient medical report is always given is because it is important. Here, you can know some of the importance of a patient medical report:

How to Write a Good Patient Medical Report

A doctor is a doctor. They are not writers. They can be caught in a difficulty on how to write a patient medical report. If this is the case, turn to this article and use these steps in making a patient medical report.

Who Writes the Patient Medical Report?

Health care providers do the patient medical report. The health care professionals make the documentation for a patient. It includes all the physicians, nurses, and doctors of medicine. It also includes the psychiatrists, pharmacists, midwives and other employees in the allied health.

Who Can Have Access to a Patient Medical Report?

The health care providers have the access to the patient medical report. They keep the medical report as a history of medical records. Also, patients’ access to the patient medical report is a must. It is their right to see their medical report. It is against the law not to show them their medical report.

Is a Patient Medical Report a Legal Document?

If it is signed by a health care professional, then it is a legal document. It is permissible in any court of law. It is an evidence that the patient is under your care. Thus, it can be used in court as an essential proof. So, keep a patient medical report because you may need it in the future.

What are the different types of medical reports?

Types of Medical Report Templates 1 Patient Medical Report Example – This is what you need if you’re looking for a generic medical report template. This medical report targets any patient with certain illnesses, ideal for clinic or hospital use. This contains needed information such as patient’s complete name, address, contact details, questions about medical status/history, and other related medical questions. 2 Hospital Medical Report Template – This type of medical report is designed for hospital use. Information includes patient’s name, ward, hospital name, medical consultant, discharge summary, the reason for admission and medical diagnosis, and past medical history. 3 Medical Examination Report Example – If you’re making medical reports intended for medical examinations, perhaps you might want to download this template for more convenience. This is a complete template that targets examination reports in a medical setting. 4 Medical Incident Report Template – This type of medical report focuses on any incident or accident that may happen within a medical setting. This is filled so that recording of details about incidents that occur at the medical facility will be tracked down and certain measures or sanctions will be implemented. 5 Medical Fitness Report Template – Making medical reports for fitness progress? This template is what you need. This aims at providing a thorough and complete report for medical fitness. The template contains information such as applicant’s name, address, license number, name of the hospital/clinic who conducted the report, and questions related to medical fitness.

Why is it important to update medical reports?

In every patient’s life, change always comes, may it be a changed name, address, medical progress, or a new health diagnosis and prescription.

What should be written down in a medical history?

Effects of alcohol, intellectual, emotional, psychiatric, and other drugs taken should be written down. Regardless if there are negative findings, it should also be included. Medical History. When writing a patient’s medical history, relevant medical conditions should be considered.