K.G. is a 5 year old kindergarten student that is brought to the ER by his mothe
ID: 124262 • Letter: K
Question
K.G. is a 5 year old kindergarten student that is brought to the ER by his mother after she witnessed apparent seizure activity. His mother describes it as jerking of both arms and legs, and that he wouldn’t answer when she called his name. She doesn’t remember much else, thinks it might have lasted a few minutes, but she is not sure “it seemed like forever”. She doesn’t know any family history, K.G. is adopted and health records were not provided. He has never had an episode like this before. Upon examination K.G. appears lethargic, makes eye contact when his name is called, but quickly drifts back to sleep. Vital Signs are unremarkable, shorts are damp and there is a urine smell. K.G.’s right arm is in a cast and there is ecchymosis on his right chest and abdomen. Upon questioning his mother reports he fell off the jungle gym at school last week.
How should the nurse explain what a seizure is to K.G.?
Explanation / Answer
K.G is a 5 year old kindergarten student facing frequent seizures but at his age it is very difficult to make him understand what seizure is as he won't get the medical terminologies at this age. So, nurse should have ability to explain the child about the seizure in layman's term, so that he could know what is going with him. The nurse can use stories that includes funny things like superhero stories and compare the situation with the superhero so the K.G would feel good about that. From the questioning you found out that he fell of jungle gym last week, so you can add the jungle gym story and tell him that this is a very usual thing and can make positive outcomes. If you compare the situation with a cartoon character he follows then the child won't get depressed and will feel positive about the seizures.
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