Essay on the Case Study Analysis of Cecilia’s, who is Facing Impaired Consciousness

Introduction
Cecilia’s case is that of complex parts with impaired consciousness since there are visible signs of sweating, twitching noted to arms and legs and head rocking forward. Another point that depicts the diagnosis is that after regaining consciousness she could not recall the entire event. Considering Cecilia’s case she described that she did not feel and wanted to lay down which shows that she could feel the aura has begun and her condition would deteriorate. Cecilia is described to be a bus driver which is quite dangerous since now that her condition has been detected (Cofini et al., 2015).
Discussion
The patients diagnosed with this condition have to make numerous lifestyle changes. In her case, she will have to change her profession once the treatment begins. Her case describes that she already has a child but however it does not clarify whether she was on any antiepileptic medications while being pregnant if so the child must have some traces of the side effects. She will have to plan her other pregnancies with thorough considerations and while she is on her medication not having kids for some time at least until the condition is stable is her best bet (Nicolini et al., 2019). In the initial diagnosis of epilepsy and EEG is used and a neurology consultant is approached. Electroencephalography (EEG) is an electrophysiological verification technique that records the electrical movement of the mind. It is regularly non-invasive, with terminals positioned along the scalp, although intrusive anodes are occasionally used, for example, in electrocorticography Pay for law essay. EEG evaluates the influence of voltage due to ion current within brain neurons. The areas and names of the anodes are determined by universal frames 10-20. The electrical movement recorded by cathodes located at the apex or surface of the mind mainly reflects the sum of excitatory and inhibitory postsynaptic possibilities in the apical dendrites of pyramidal neurons in most superficial layers of the cortex (Neto et al., 2016).
EEG waves are designed by Delta (4Hz), Theta (4-7Hz), Alpha (713Hz), Beta (14-30Hz), Gamma (30-100Hz), Mu go (18-30). EEG is often used to analyse epilepsy with analysis of problems with rest, depth of sedation, trance, encephalopathy, and transience of the mind (Ferm Almqvist, and Christophersen, 2017). Variations of EEG relative to the norm can be organised as epileptiform or non-epileptiform. Homeless epileptic patients, for example, spikes and sharp waves, indicate an epilepsy patient intercept and EEG mark of the attack center (Bjørndal, and Ronglan, 2018) Epileptiform abnormalities lined up as peaks or sharp waves, a peak is defined as an IED of fewer than 70 milliseconds and an acute wave as an IED of 70-200 milliseconds.
In short, the release of epileptiform will generally be progressively aware of the recurrence of seizures. The EEG continues to focus on the indicative issue and seizure executors, combined with the now remarkable array of other analytical strategies created in the last 30 or more years - with the argument that this is a useful and general approach to show the physiological signs of strange cortical excitability underlying epilepsy (The role of EEG in epilepsy, 2015, pp.22-33). Anticonvulsant medications are prescribed once the magnitude of the seizure is determined. The frequency of a seizure will help determine the potency of the tablets (Titov et al., 2018).
A plan of care will be drafted to make sure the patient feels adjusted to the new lifestyle. At first, the patient will be briefed about the condition and the consultant and nurses will be there to accommodate support. The care plan will include a check on any developing psychological issues since Cecilia is an adult having a stable adjusted life. If needed she will be referred to a counselor that will help her gain more insight into the adjustment of this new routine. The nurse will make sure her tablets are taken on time since there is usually a two-hour window in anticonvulsant medications. When epilepsy is analysed and mediation is considered necessary, the mainline treatment is AED (Goldenberg, 2017, pp.392-415). The main intermediaries for SEs include route, breathing, and airflow guarantees (Lupascu et al., 2020).
Clinical administrations or DE staff will check for imperative signs and blood glucose, provide access to rescue and restart fluid medications, obtain a history of events, and perform a neurological examination. DE staff will begin checking the electroencephalogram (EEG) non-stop most of the time and receive a computed tomography (CT) scan of the patient’s head10. The goal of treatment is to determine the underlying cause of the seizures and to stop the effects of clinical and electrographic seizures (Zlatintsi et al., 2020) Royal British Essay writers. Life-saving drugs proposed in the Neurocritical Care Society (NCS) agreement include benzodiazepines (rectal diazepam, iv lorazepam (Ativan), or intramuscular midazolam), such as phenytoin (Dilantin, Phenytek), or observed heart fosphenytoin (Brophy, et al., 2015, pp.3-23).
Besides that the care plan will also include crisis prevention since epileptic patients have a high chance of falling and injuring themselves so their social support and family will be prepared for the prevention of such situations. Her treatment plan will exclusively include road safety guidelines for epileptics since she is a bus driver. As an independent adult, she will be counseled to change her profession and find the skills that can help her lead a life with stability. Family planning and pregnancy will also be included in the care instructions. The plan of care will guide her through the process and how the medications can affect the child in her future pregnancy so she will have to consult the doctor before planning children any further. For more support and awareness she will also be advised to join support groups (Lupascu et al., 2020).
Regular follow-ups in the initial time will ensure to keep a check on her progress. Regular blood tests can also help determine her level of anticonvulsants in the body and whether the potency needs to be decreased or increased. Her family can play a very important part in determining the effectiveness of the care plan once the tablets have been prescribed and if the seizures continue her family can stay alert in this situation and use technology to record the whole event. This will help the doctor understand where to modify the care plan. The doctors will be able to make adjustments according to the frequency of her seizures. Titov et al. (2018), as other authors before her, presents health as a complex construct, with several dimensions, arguing that perception influences health status and how people responded to policy interventions and other solutions and that self-reported health status and objective health status are outcomes of the socio-economic and behavioural situation of the individual (Ross, 2016, p. 10).
Besides, she says that it is expected that these two measures, objective and subjective, will reinforce each other to create a single health status perception for an individual. Unfortunately, there is evidence that this is not always the case, which leads to the gap between perception and reality (Bjørndal, and Ronglan, 2018). Determining that the care plan was successful can only be seen through her condition.
Conclusion
If the care plan was implemented perfectly then Cecilia’s seizures will diminish. Instead of occurring I intervals, they will not occur at all. This will mean that the medication prescribed to Cecilia has worked according to the mechanism and does not need any further modifications. Apart from follow-ups and blood-level considerations the nursing staff can also schedule an on-call follow to inquire about her current state and determine her progress in her condition this will help keep a constant check on her progress.
References
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Ferm Almqvist, C. and Christophersen, C., 2017. Inclusive arts education in two Scandinavian primary schools: a phenomenological case study. International Journal of Inclusive Education, 21(5), pp.463-474.
Lupascu, M., Varkkey, H. and Tortajada, C., 2020. Is flooding considered a threat in the degraded tropical peatlands?. Science of The Total Environment, 723, p.137988.
Neto, L.B., Grijalva, F., Maike, V.R.M.L., Martini, L.C., Florencio, D., Baranauskas, M.C.C., Rocha, A. and Goldenstein, S., 2016. A kinect-based wearable face recognition system to aid visually impaired users. IEEE Transactions on Human-Machine Systems, 47(1), pp.52-64.
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Zlatintsi, A., Dometios, A.C., Kardaris, N., Rodomagoulakis, I., Koutras, P., Papageorgiou, X., Maragos, P., Tzafestas, C.S., Vartholomeos, P., Hauer, K. and Werner, C., 2020. I-Support: A robotic platform of an assistive bathing robot for the elderly population. Robotics and Autonomous Systems, 126, p.103451.