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Developmental Disabilities: Epilepsy

Developmental Disabilities: Epilepsy. KNR 270. DEVELOPMENTAL DISABILITIES. Defined Severe, chronic disability Attributable to mental or physical impairment Manifested before age 22 0-18/22, during developmental stages Likely to continue indefinitely

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Developmental Disabilities: Epilepsy

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  1. Developmental Disabilities:Epilepsy KNR 270

  2. DEVELOPMENTAL DISABILITIES • Defined • Severe, chronic disability • Attributable to mental or physical impairment • Manifested before age 22 • 0-18/22, during developmental stages • Likely to continue indefinitely • Results in substantial limitations in life activities • May need life long services • Range from mild to severe

  3. DEVELOPMENTAL DISABIITIES • Intellectual disability • (Mental retardation) • Cerebral palsy • Epilepsy • Autism

  4. SEIZURE • Seizure defined • Sudden alteration in behavior or motor function, consciousness • Involuntary motor activities • Caused by abnormal electrical discharge from brain • Any one can have a seizure under the right circumstance, if threshold is passed • Not everyone who has a seizure has epilepsy

  5. EPILEPSY • Defined • 2 or more seizures • Not provoked • Provoked • Seizure has a defined cause • Once cause disappears, no more seizures • Tendency to experience recurrent seizures • Electrical system in brain malfunctions

  6. EPILEPSY • 70-80% have seizures controlled • Medications like Phenobarbital, Dilantin, Tegretol • Episodic disability • Psychological and social problems connected • Often secondary disability (MR, CP, TBI)

  7. Epilepsy • No single cause • 50% unknown • Scar tissue • Head injury • Genetic • Lack of oxygen at birth • Infectious disease

  8. TYPES OF SEIZURES • Generalized • Effects all of brain • Tonic - clonic / Grand Mal / Convulsive • Auras • Tonic: stiffening of body, hold breath • Clonic: rhythmic contractions • Post-ictal: confused, sore muscles, fatigued • Most common seizure • Lasts several to 5 minutes

  9. TYPES OF SEIZURES • Generalized continued • Absence / Petit Mal / Nonconvulsive • Simple starring • Twitching of hand, arm, eyelids • Automatisms: picking at clothes • 5-30 seconds • Showers of seizures • 50-100 times/day

  10. TYPES OF SEIZURES • Partial / focal/ local • Effects only part of brain • Febrile seizure • Fever with childhood illness • Convulsions are generalized • Relatively common • Not connected with epilepsy

  11. STATUS EPILEPTICUS • 1 seizure after another • Prolonged seizure • 5 minutes • Or 2-3 minutes longer than normal • Medical emergency

  12. Considerations/Accommodations

  13. What would you do if someone had a seizure in your program?

  14. Considerations/Accommodations • Strobe lights can trigger in some people • Once seizures are controlled, person should be able to participate in sports & physical activity • Watch (supervise/buddy system) • Swimming & water activities • Climbing & falls • Direct contact (e.g., soccer)

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