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
- Noncompliance: Behavior of person and/or caregiver that fails to coincide with a health-promoting or therapeutic plan agreed on by the person (and/or family and/or community) and health care professional. In the presence of an agreed-on health-promoting or therapeutic plan, a person’s or caregiver’s behavior is fully or partially nonadherent and may lead to clinically ineffective outcomes.
Common related factors for this nursing diagnosis:
- Financial limitation
- Denial of the condition
- Perceived negative consequences of the therapeutic regimen
The common assessment cues that could serve as defining characteristics or part of your “as evidenced by” in your diagnostic statement.
- Behavior suggestive of failure to comply to a therapeutic recommendation
- Evidence of development of complications
- Evidence of exacerbation of symptoms
- “Revolving-door” hospital admissions
- Missed checkups and consultations
- Therapeutic effect not achieved or maintained
Common goals and expected outcomes:
- Patient will verbalize knowledge regarding the illness and therapeutic regimen.
- Patient will recognize negative effects of continued non adhering behaviors.
- Patient will explain the experience that caused altering of the prescribed behavior.
- Patient will describe appropriate treatment of side effects or appropriate alternatives.
- Patient will exhibit health care measures that reflect this knowledge, following an agreed-on plan of care.
Nursing Interventions and Rationales
Here are the nursing assessment and interventions for this seizure nursing care plan.
|Assess the patient’s knowledge about seizure, its medical management, and treatment plan.||This allow nurses to explain or clarify information as indicated and facilitates development of an individualized care plan that encourages adherence.|
|Assess for causes of nonadherence, such as history of noncompliance, socioeconomic status, forgetfulness, side effects of medications, confusion about medication instructions, or difficulty making significant lifestyle changes.||Determining these causes enables the nurse to focus on the patient’s care plan and provide appropriate actions.|
|Allow the patient to vent feelings such as indifferent, helplessness, powerlessness, shame. Evaluate the patient’s view of the effectiveness or ineffectiveness of the recommended treatment.||Enable the nurses to shed light on the patient’s view of vulnerability to the disease process and signs of denial of the illness.|
|Assess the support system of the patient.||Helps identify if a problem in the family pattern influences patient’s nonadherence.|
|Explain ways of dealing with common problems of nonadherence such as financial constraints and workplace discrimination.||Removing and overcoming these barriers is vital in achieving patient’s adherence to treatment.|
|Discuss and clarify myths and stigmas. Give realistic assessment of risks, and correct misconceptions.||This will help identify factors that may affect adherence such as culture, spiritual belief, or personal value.|
|Provide information regarding the following:||Intermittent use of medications may be an effort to gain control. Understanding the consequences of nonadherence helps ensure awareness that stopping antiseizure medications can cause severe and life threatening reactions.|
|Assist in the identification of available support systems such as the local epilepsy centers and epilepsy-specific organizations.||Individuals may be able to understand better and feel the support through the experiences of others with the same condition.|
|Once the factors of nonadherence are identified, discuss the possibility of revising the therapeutic plan with the health care provider. Give instructions about measures in controlling the side effects of anti-seizure medications||These interventions encourages adherence.|
|Suggest referral to counseling or psychotherapy if indicated.||Helps improve the quality of life and psychological well-being of patients who are struggling with disease that may be a reason of non-adherence.|
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]
You may also like the following posts and care plans:
- 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:
- Alzheimer's Disease | 13 Care Plans
- Brain Tumor | 3 Care Plans
- Cerebral Palsy | 7 Care Plans
- Cerebrovascular Accident | 8+ Care Plans
- Guillain-Barre Syndrome | 6 Care Plans
- Meningitis | 7 Care Plans
- Multiple Sclerosis | 9 Care Plans
- Parkinson's Disease | 9 Care Plans
- Seizure Disorder | 4 Care Plans
- Spinal Cord Injury | 12 Care Plans