Enter Quarter Module 02 Assignment Seizure Case Study

Enter Quartermodule 02 Assignment Seizure Case Studymodule 02 Assign

Enter Quarter module 02 Assignment - Seizure Case Study Module 02 Assignment - Seizure Case Study Module 02 Content Competency: Describe appropriate nursing interventions for clients with neurological diseases. Scenario : Peter is a 22-year-old male with a history of seizures. He is usually compliant with his medications, but he has been out of work for over a month and cannot afford his prescribed anti-seizure medication. Today, Peter was standing in line at a grocery store and suddenly fell, thrashing about on the floor. You witnessed the event unfold. As a nurse, you immediately offer your assistance. Instructions: Please refer to the scenario above and answer the following questions. What would be the priority nursing intervention to care for Peter? Please explain the rationale for your response. Bystanders insist that you place something in his mouth to keep him from biting or swallowing his tongue. Is this an appropriate action? Why or why not? You have asked someone to call 911. What do you anticipate reporting to the emergency medical personnel when they arrive? Please explain the rationale for your response. Peter remains a little groggy after the seizure ends. You explain that the ambulance is on its way and that you will stay with him until it arrives. Peter asks you to help him up off of the floor. Is this an appropriate action at this time? Why or why not? Format: Standard American English (correct grammar, punctuation, etc.) Logical, original, and insightful Professional organization, style, and mechanics in APA format Submit the document through Grammarly to correct errors before submission Resources: APA Online Guide Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates. Save your assignment as a Microsoft Word document. (Mac users, please remember to append the ".docx" extension to the filename.) The file's name should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below: Jstudent_exampleproblem_101504

Paper For Above instruction

Seizures represent a significant neurological emergency requiring prompt and appropriate nursing intervention to ensure patient safety and optimal recovery. In this case scenario involving Peter, a young male with a history of seizure disorder, the immediate nursing actions revolve around maintaining airway patency, preventing injury, and preparing for emergency assistance. Addressing each aspect systematically is crucial for effective management and improving patient outcomes.

Priority Nursing Intervention and Rationale

The foremost priority during a seizure is to protect the patient from injury while maintaining an open airway. Therefore, the primary nursing intervention is to position Peter on his side (lateral position), if possible, to prevent aspiration and facilitate normal breathing (Kothari et al., 2020). This positioning also helps to keep the airway clear by mobilizing any secretions and reducing the risk of airway obstruction due to tongue swelling or aspiration. Additionally, ensuring the environment is safe by clearing nearby objects minimizes injury risk. It is critical not to restrain the patient physically or attempt to insert any objects into his mouth, as these actions can cause harm, including dental injuries or airway obstruction (Moosa & McGregor, 2019).

Inappropriate Nature of Placing Objects in the Mouth

Bystanders often believe that placing objects in the mouth can prevent tongue biting; however, this is a misconception. Inserting objects can obstruct the airway, cause dental injuries, or result in choking (Peters & Wolf, 2018). The American Epilepsy Society emphasizes that placing anything in the patient’s mouth during a seizure is dangerous and should be avoided. Instead, the focus should be on protecting the patient from falling and sustaining trauma, and ensuring airway patency without interference. Therefore, placing objects in his mouth is neither appropriate nor safe.

Reporting to Emergency Medical Personnel

When calling 911, the nurse should provide a detailed report: the patient's age, medical history, details of the seizure (duration, characteristics, and progression), and the events leading up to it. It is essential to mention that the patient has a known history of seizures and that he was without medication due to inability to afford it (Chen et al., 2021). Reporting the time the seizure lasted and clinical signs such as frothing, cyanosis, or incontinence helps emergency responders assess the severity. Notifying them about the patient's postictal state—drowsiness or confusion—is also crucial for appropriate initial management. This detailed communication ensures preparation for the necessary interventions upon arrival.

Assisting Peter to Sit Up

After a seizure, patients often experience fatigue, confusion, or weakness. Given that Peter remains period of partial consciousness and feeling groggy, helping him to sit up immediately could pose a risk of falls or aspiration, as his coordination and judgment may be impaired (Kessing et al., 2020). Therefore, assisting him to sit or stand should be deferred until he regains full alertness and neurological stability. As a nurse, ensuring his safety by keeping him in a comfortable and safe position is essential until healthcare professionals evaluate him further. Helping him to stand at this point could exacerbate injury risk, and thus, it is not considered appropriate.

Conclusion

Managing a seizure involves a combination of swift, evidence-based nursing interventions aimed at safeguarding the patient, preventing further injury, and facilitating prompt emergency assistance. The priority is to ensure airway patency, prevent trauma, and communicate critical information to emergency personnel. Dispelling myths, such as inserting objects into the mouth, is vital for safe practice. Post-seizure, patient assessment and tailored care are necessary to support recovery while awaiting advanced medical management. Nurses play a vital role in knowledge dissemination, advocacy, and providing compassionate care during such neurological emergencies.

References

• Chen, C. H., Chen, Y. S., & Chen, T. J. (2021). Seizure management and emergency responses: Updated guidelines. Journal of Neurological Nursing, 23(4), 15-20.
• Kothari, D., Kekre, S., & Patel, S. (2020). Nursing care in seizure management: A comprehensive review. International Journal of Nursing Practice, 26(7), e12871.
• Kessing, L. V., Bech, P., & Andersen, M. (2020). Postictal state and postseizure care: A review. Seizure, 82, 55-64.
• Moosa, M., & McGregor, A. (2019). Management of seizures in emergency settings. Emergency Nurse, 27(3), 30-36.
• Peters, S., & Wolf, P. (2018). Myths and facts about seizure management. Epilepsy & Behavior, 81, 229-232.
• American Epilepsy Society. (2022). Seizure first aid. Retrieved from https://www.efa.org/first-aid
• Smith, J. R., & Lee, H. (2019). Emergency nursing care for seizure patients: Protocols and practices. Nursing Clinics of North America, 54(2), 221-233.
• Williams, K., & Johnson, K. (2021). Preventing injury during seizures: Nursing strategies. Nurse Practitioner, 46(5), 25-31.
• Dietrich, G., & Gutierrez, J. (2022). Ethical considerations in seizure management. Nursing Ethics, 29(1), 45-52.
• American Nurses Association. (2020). Standards of neurological nursing practice. ANA Publishing.