In this guide are five nursing diagnosis for seizures nursing care plans including their nursing interventions and nursing assessment. Learn about the goals, related factors of nursing diagnosis and rationale for each nursing intervention for seizure.
What are seizures?
Seizures are physical findings or changes in behavior caused by uncontrolled electrical firing or discharges from the nerve cells of the cerebral cortex and are characterized by sudden, brief attacks of altered consciousness, motor activity and sensory phenomena. The term “seizure” is often used interchangeably with “convulsion.”
Seizures can be caused by head injuries, brain tumors, lead poisoning, maldevelopment of the brain, genetic and infectious illnesses, and fevers. Sensory symptoms arise from the parietal lobe; motor symptoms arise from the frontal lobe.
Nursing Care Plans
Nursing care plan goals for patients with seizure includes maintaining a patent airway, maintaining safety during an episode, and imparting knowledge and understanding about the condition. The nurse should monitor the patient for signs of toxicity: nystagmus, ataxia, lethargy, dizziness, slurred speech, nausea, and vomiting. It is also the duty of the nurse to provide support to the family and answering questions and correcting misconceptions that surround it.
Here are five (5) nursing diagnosis for seizure nursing care plans:
- Risk for Trauma or Suffocation
- Risk for Ineffective Airway Clearance
- Situational Low Self-Esteem
- Deficient Knowledge
- Situational Low Self-Esteem: Development of a negative perception of self-worth in response to current situation.
Common related factors for this nursing diagnosis:
- Stigma associated with the condition
- Perception of being out of control
- Social role changes
- Feelings of abandonment
- Inconsistent behavior
The common assessment cues that could serve as defining characteristics or part of your “as evidenced by” in your diagnostic statement.
- Verbalization about changed lifestyle
- Fear of rejection; negative feelings about body
- Change in self-perception of role
- Change in usual patterns of responsibility
- Lack of follow-through or nonparticipation in therapy
- Expressions of helplessness or uselessness
- Evaluation of self as unable to deal with situations or events
Common goals and expected outcomes:
- Patient will identify feelings and methods for coping with the negative perception of self.
- Patient will verbalize an increased sense of self-esteem in relation to diagnosis.
- Patient will verbalize realistic perception and acceptance of self in changed role or lifestyle.
- Patient will express positive self-appraisal
- Patient will demonstrate behaviors to restore positive self-esteem.
- Patient will participate in the treatment regimen or activities to correct factors that precipitated a crisis.
Nursing Interventions and Rationales
Here are the nursing assessment and interventions for this seizure nursing care plan.
|Determine individual situation related to low self-esteem in the present circumstances.||Verbalization of concerns about future implications can help the patient begin to accept or deal with the situation.|
|Explore feelings about diagnosis, the perception of threat to self. Encourage expression of feelings.||Reactions vary among individuals, and previous knowledge or experience with this condition affects acceptance of therapeutic regimen.|
|Analyze possible or anticipated public reaction to the condition. Encourage patient to refrain from concealing the problem.||Provides an opportunity to problem-solve response, and provides a measure of control over the situation. Concealment is destructive to self-esteem (potentiates denial), blocking progress in dealing with a problem, and may actually increase the risk of injury or negative response when a seizure does occur.|
|Discuss with patient current and past successes and strengths.||Concentrating on positive aspects can help alleviate feelings of guilt and self- consciousness and help patient begin to accept manageability of the condition.|
|Refrain from over protecting the patient; encourage activities, providing supervision and monitoring when indicated.||Participation in as many experiences as possible can lessen depression about limitations. Observation and supervision may need to be provided for such activities as gymnastics, climbing, and water sports.|
|Know the attitudes or capabilities of SO. Help the individual realize that his or her feelings are normal; however, guilt and blame are not helpful.||Contradictory or unfavorable expectations from SO may affect a patient’s sense of competency and self-esteem and interfere with support received from SO, limiting the potential for optimal management and personal growth.|
|Elaborate on the positive effect of staff and SO remaining calm during seizure activity.||Tension and anxiety among caregivers are contagious and can be conveyed to the patient, increasing or multiplying the individual’s own negative perceptions of situation or self.|
|Refer patient and SO to support group (Epilepsy Foundation of America, National Association of Epilepsy Centers, and Delta Society’s National Service Dog Center).||Provides an opportunity to gain information, support, and ideas for dealing with problems from others who share similar experiences. Note: Some service dogs have the ability to sense or predict seizure activity, allowing a patient to institute safety measures, increasing independence and personal sense of control.|
|Talk over and explain referral for psychotherapy with the patient and SO.||Seizures have a profound effect on personal self-esteem, and patient or SO may feel guilt over perceived limitations and public stigma. Counseling can help overcome feelings of inferiority and self-consciousness.|
Other Possible Nursing Care Plans
Below are possible nursing diagnosis you can add for your seizure nursing care plans:
- Risk for Injury related to weakness, balancing difficulties, cognitive limitations or altered consciousness, loss of large or small muscle coordination.
- Situational Low Self-Esteem related to stigma associated with condition, perception of being out of control, personal vulnerability, negative evaluation of self or capabilities.
- Ineffective Therapeutic Regimen Management related to ineffective management, social support deficits, perceived benefit (versus side effects of medication), perceived susceptibility (possible long periods of remission).
References and Sources
The following are the references and sources for the nursing diagnosis and nursing care plan for seizure disorder:
- Ackley, B. J., Ladwig, G. B., Msn, R. N., Makic, M. B. F., Martinez-Kratz, M., & Zanotti, M. (2019). Nursing Diagnosis Handbook E-Book: An Evidence-Based Guide to Planning Care. Mosby. [Link]
- Joyce, B. M., & Jane, H. H. (2008). Medical surgical nursing. Clinical management for positive outcome. Volume 1. Eight Edition. Saunders Elsevier. St. Louis. Missouri. [Link]
- Carpenito-Moyet, L. J. (2006). Handbook of nursing diagnosis. Lippincott Williams & Wilkins. [Link]
- Crocker, J. (1999). Social stigma and self-esteem: Situational construction of self-worth. Journal of experimental social psychology, 35(1), 89-107. [Link]
- Kavanagh, A., & McLoughlin, D. M. (2009). Electroconvulsive therapy and nursing care. British journal of nursing, 18(22), 1370-1370. [Link]
- Videbeck, S. L. (2010). Psychiatric-mental health nursing. Lippincott Williams & Wilkins. [Link]
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- Nursing Care Plan: The Ultimate Guide and Database – the ultimate database of nursing care plans for different diseases and conditions! Get the complete list!
- Nursing Diagnosis: The Complete Guide and List – archive of different nursing diagnoses with their definition, related factors, goals and nursing interventions with rationale.
Neurological Care Plans
Nursing care plans for related to nervous system disorders:
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