Thesis Statement: What are the impacts and benefits of carrying out a universal clinical monitoring and management programs for those infants that have been diagnosed with seizures?
Introduction
Understanding of seizures
Different signs of seizers in infants, and the occurrence levels of infants with seizures
Significance of the importance of early clinical management of infants suffering from seizers.
Seizers in infants
Medical features
Prevalence of seizers
Guidelines used to diagnose seizure
Early management and recognition of infant seizures
Clinical complications
Risks of seizers in infants
The dangerous types of seizers in infants
Seizers in relation to epilepsy
Muscle spams
Damages to the developing brain of infants
Clinical Supervision
Monitoring the diagnosis
Educating young mothers on infant seizers
Referral for neurologists and neonatologists
Keeping of progress reports (management flow chart)
Clinical management
Initial support
Acute management that is se of drugs like phenobarbital, Benzodiazepines, and lidocainecollaboration among neurologists and neonatologists
Cranial imaging and Continuous monitoring of seizers in infants
Policy implementation for clinical management
Monitoring of the infants with seizers
Ongoing support in case of prolonged seizers
Seek further support if seizer is not controlled
Discussion
Early diagnosis and monitoring
Identification of high risk cases, interventions, and treatment
Referrals to neurologists and neonatologists
Summary
Preventing risks that can cause serious medical issues
Implementation of recommendations for the clinical management
Collaborative approach with specialists
Article Summaries
van Rooij, L. G., van den Broek, M. P., Rademaker, C. M., & de Vries, L. S. (2013). Clinical management of seizures in newborns. Pediatric Drugs, 15(1), 9-18.
This article by van Rooij et al. (2013) provides a summary of the current literature of diagnosis of infants with seizers, the effects seizers have on the brain and the different treatment procedures for infant seizers. Infant seizers are classified as subtle, myoclonic and clonic. Clinical diagnosis for infant seizers is not easy since a precise incidence is hard to delineate as it depends on the criteria used for the diagnosis. Controversy exists among specialists on whether seizers cause brain damage, and when the seizers are managed or treated there is debate on the appropriate treatment methods and assessment criteria on the effectiveness of the treatment used. This article provide also concludes on the ineffectiveness of therapeutic treatment. The article reviews the use of drugs such as phenobarbital, Benzodiazepines, and lidocaine in treating infant seizers. However, randomized, prospective trials, controlled trials ought to be done so as to assess the effectiveness and safety of each drug in treating infant seizers.
Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., & Wilson, D. (2013). Maternal child nursing care. Elsevier Health Sciences.This book by Perry et al. (2013) features some of the most current, accurate and clinically information that is available for maternal nursing care. The book combines both the essential pediatric and maternal nursing information. This book is important in this study because it provides among others the health care needed for children. Health care problems such as psychological dysfunctions and infants with special illnesses are featured. This book provides the readers with family centered health care approach that is aware of the importance of collaborations especially when providing family health care.
References
Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., & Wilson, D. (2013). Maternal child nursing care. Elsevier Health Sciences.van Rooij, L. G., van den Broek, M. P., Rademaker, C. M., & de Vries, L. S. (2013). Clinical management of seizures in newborns. Pediatric Drugs, 15(1), 9-18.
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