HISTORY OF EPILEPSY|My essay solution

SOLUTION

1. On the initial home visit by the nurse, the following assessments should be made:

• Assessment of vital signs, including blood pressure, heart rate, and temperature.
• Assessment of the client’s level of consciousness, orientation, and cognitive function, as well as any signs of confusion or agitation.
• Assessment of the client’s mobility, gait, and balance, including any history of falls.
• Assessment of the client’s nutritional status, including weight, height, and dietary habits.
• Assessment of the client’s medication regimen, including adherence to prescribed dosages, potential side effects, and drug interactions.
• Assessment of the client’s seizure history, including frequency, duration, and triggers.
• Assessment of the client’s support system, including family members, caregivers, and community resources.

2. The following teaching should be included for the wife and daughter about the antiepileptic medication phenytoin (Dilantin):

• The importance of taking the medication exactly as prescribed and at the same time each day.
• The potential side effects of the medication, such as dizziness, drowsiness, and confusion.
• The importance of not abruptly stopping the medication without consulting with the healthcare provider, as this can increase the risk of seizures.
• The need to monitor for signs of toxicity, such as nausea, vomiting, and coordination difficulties.
• The importance of maintaining adequate hydration and a balanced diet while taking the medication, as these factors can affect the medication’s effectiveness.