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Activity Professionals and EPILEPSY IN SENIORS

By David H. Jones, ADC, AD Ravenwood ALF

Most of us have been in the Activity Profession long enough to see small seizures, however, the trouble is, even people in nursing sometimes have trouble recognizing symptoms or small seizures.

According to the Epilepsy Foundation of America, as many as 300,000 Americans over the age of sixty are affected by seizures. This is the population we serve and enough for us to take notice. People who develop epilepsy at this time of life have many questions about causes, treatments, and most of all how seizures affect their lives. Anyone at any age can start having seizures. Seizures can best be described as a brief electrical disturbance in your brain. The cause can be a scar, a long ago injury, the after affects of stroke, a growth or some other change in the brain~ that is hard to pinpoint. There used to be what was called Idiopathic Epilepsy, which meant there was no evidence of scar tissue or any thing else that would cause the seizure. Seisures are the third most common disorder of the nervous system affecting the elderly.

TIA's, (Transit Ischemic Attacks) are sometimes confused for seizures. According to Rodney D. Quinn M.D., a neurologist at Ferrell Duncan Clinic for Strokes, TIA's are negative neurological events. During a TIA there is not much action and the person leans to one side. Seizures will be more active. During a mild seizure which most of us have seen, the person will seem to pick at their clothes and give a blank stare.

Dr. Quinn shared with me how we, as Activity Professionals, can help clients and residents with seizure disorders and other neurological problems. He suggested using stimulation, exercise, and social activities.

STIMULATION
There are several games and activities that I would suggest. Trivia and You Be the Judge are good for stimulating the mind. To keep the mind active, Dr. Quinn offered crossword puzzles, word search, reading and journaling (these are excellent for independent and small group activities). Playing card games such as Uno and Yatzee can help you determine which residents may have hearing or memory problems.

EXERCISE
From a Medical standpoint, exercise in moderation is always good for everyone participating. Exercise can be especially beneficial to someone with seizure disorders because of the stimulation it provides. For residents who like being outside, I suggest a walk around the building, or a walk roll activity. Occasionally doctors and therapist will suggest attending exercise classes as part of therapy for some residents. These are all activities that can be good for you as well.

SOCIAL ACTIVITIES
An event called the Red Hat Club went over very well at Ravenwood ALF. The ladies who participated sponsored several more events for the rest of the facility and included family members and staff. The holidays always provide for such social activities as parties, dances and small get-togethers. Additional events include ice cream socials, current events hour, movies and Sunday worship. Social activities give residents the opportunity to interact with and enjoy being each other's company. HOW SHOULD I TREAT PEOPLE WITH EPILEPSY?

Give the person with epilepsy the same dignity and respect you would want for yourself. Remember that often medication may cause some to feel exhausted. Many are on strong medication and sometimes they may not feel well. For many years people with epilepsy were shunned. Epilepsy is as common as heart disease and many other medical problems.

For more information call the Epilepsy Foundation of America at the Epilepsy Answer place (1-800-332-1000). Contact local hospitals for neurologist or support groups. NN


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