A comprehensive, interdisciplinary approach to the care of the institutionalized person with epilepsy

Brian Patrick O'Neill, B. Ladon, L. M. Harris, H. L. Riley IIIrd, F. E. Dreifuss

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

This report summarizes the experience of a comprehensive, interdisciplinary pilot program for improved care of institutionalized persons with epilepsy. From a hospital population of nearly 3,000 persons with diseases of the nervous system, virtually all having varying degrees of retardation, 892 persons were identified as epileptic and classified by seizure frequency: 13% uncontrolled, 24% partially controlled, and 63% controlled. These 3 categories were similar in respect to levels of retardation and functional disability. The project personnel consisted of a full time nurse specialist in epilepsy, a part time health resource analyst, and neurological consultants. Effects on health status were identified by comparing demographic and health data collected during the project. The typical patient was an adult epileptic, functioning at a severely to profoundly retarded level and institutionalized for over 15 yr. A significant reduction in anticonvulsant toxicity was observed. A 48% decrease in episodes of status epilepticus and a 73% decrease in the number of seizure related deaths were demonstrated. During the 2nd yr, 23% of the uncontrolled group, representing all retardation levels, became seizure free. In addition to improved care, an effective model for dealing with institutionalized epileptics is proposed.

Original languageEnglish (US)
Pages (from-to)243-250
Number of pages8
JournalEpilepsia
Volume18
Issue number2
StatePublished - 1977
Externally publishedYes

Fingerprint

Institutionalization
Epilepsy
Seizures
Status Epilepticus
Health Resources
Consultants
Nervous System Diseases
Anticonvulsants
Health Status
Demography
Health
Population

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

O'Neill, B. P., Ladon, B., Harris, L. M., Riley IIIrd, H. L., & Dreifuss, F. E. (1977). A comprehensive, interdisciplinary approach to the care of the institutionalized person with epilepsy. Epilepsia, 18(2), 243-250.

A comprehensive, interdisciplinary approach to the care of the institutionalized person with epilepsy. / O'Neill, Brian Patrick; Ladon, B.; Harris, L. M.; Riley IIIrd, H. L.; Dreifuss, F. E.

In: Epilepsia, Vol. 18, No. 2, 1977, p. 243-250.

Research output: Contribution to journalArticle

O'Neill, BP, Ladon, B, Harris, LM, Riley IIIrd, HL & Dreifuss, FE 1977, 'A comprehensive, interdisciplinary approach to the care of the institutionalized person with epilepsy', Epilepsia, vol. 18, no. 2, pp. 243-250.
O'Neill, Brian Patrick ; Ladon, B. ; Harris, L. M. ; Riley IIIrd, H. L. ; Dreifuss, F. E. / A comprehensive, interdisciplinary approach to the care of the institutionalized person with epilepsy. In: Epilepsia. 1977 ; Vol. 18, No. 2. pp. 243-250.
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