Epilepsy: know me, support me Learning about Epilepsy An easy English booklet Information for your support person or family is at the back of this booklet. Seizures 1 2 What is epilepsy? • The messages in your brain get all mixed up for a short time. This is called a seizure. They used to be called fits. • Your body does strange things or feels strange. 3 4 What seizures could I have? People have different seizures. For example, you might: Walk around and talk to yourself Feel scared, sick or worried in your stomach Chew or lip-smack Play with your clothes Your body might go stiff You may fall over and you shake. This is called a tonic-clonic seizure. You may stare 5 6 Some people have seizures when: • awake • asleep Some people have seizures every day. Some people only have a seizure sometimes. Can I stop my seizure? No. Will I know the seizure is coming? Some people know. For example they might: • have a strange taste • have a strange smell • feel sick • feel worried 7 8 Why do I feel funny after a seizure? The messages in your brain get all mixed up for a short time. You may feel: • tired and sleepy • confused • angry After a rest you feel better. How do I feel? Some people with epilepsy can get sad or worried. This can be part of having epilepsy. Always talk to your doctor about how you feel. 9 10 How can I look after my epilepsy? If you know a seizure is coming, tell people. Make notes about your seizures. For example, use: • a diary • mobile phone and iPad apps Name of person living with Date to review epilepsy: Date plan written: Date of birth: al inform 1. Gener ation Medication records locate Seizure record d: s located: General suppo rt needs docum ent locate d: (if known): No Yes d*, if you ed and followe prescribed? be attach ation been plan must sy medic medication ency epilep or emergency 2. Has emerg authority medication If yes, the d: ents are locate These docum triggers) no known k wn write Epilepsy diagnosis Have an Epilepsy Management Plan. You can say how you want help in this Plan. Visit your doctor about your epilepsy 1 time every year, or sooner if you have more seizures. Use the My Epilepsy Medical Review document to get ready for your visit. The doctor will: • check your health • say what medication to take 11 12 Medication 13 14 Do I have to take medication? Yes. Take your medication every day. Most people take medication in the morning and at night. Do not forget. If you forget talk to your chemist or doctor. You may need emergency medication to stop a seizure. Your doctor can talk to you about this. 15 16 What side effects might I feel from my medication? • stomach ache • tired • feeling sad • angry • staying awake at night • put on or lose weight • If you get a rash on your skin from new medication, you must tell your doctor quickly. Tell your doctor about how your medication makes you feel. 17 18 Seizure triggers 19 20 A trigger is something that might bring on a seizure. What might trigger a seizure? If you: • miss your seizure medication • are sick or hot • drink too much alcohol 21 22 If you: • don’t get enough sleep • get angry • see flashing lights or flickering television screens For women it may be before or during your period. Safety 23 24 How can I be safe in the bathroom? • Have showers not baths • Tell someone before you shower • Fit a temperature control for your hot water • Have a shower door that opens out, not in • Use a shower chair if your seizures make you fall 25 26 How can I be safe at home and in the community? You can do the things you like. To stay safe you can: • Wear a helmet when you ride a bike AND ride with another person • Swim with another person AND tell the lifeguard you have epilepsy • Ask someone to help you with safe cooking ideas. For example, keep the pan handle over the stove • Wait for a train behind the yellow line • Check with your doctor if you can drink alcohol • Keep your personal emergency information on you 27 28 Can I die from epilepsy? A very small number of people can die from a seizure. Look after yourself: • Visit your doctor regularly • Take your medication • Do not miss medication • Make notes about your seizures. Give your notes to the doctor • Be safe. Refer to the Safety section in this booklet Can I get a job? Yes. If you do not get a job because of your epilepsy it is against the law. All people in the workplace need to be safe. Some jobs may not be safe for you to do. There are support services that can help you get or keep your job. Call the Epilepsy Helpline on 1300 852 853 for more information. 29 30 Epilepsy Management Plan EMP 31 32 Name of person livi Date of bir ng with ep Date to rev ilepsy: Date plan Epilepsy: Know me, Support me. iew: written: th: informa 1. General tion Medication records loc Seizure rec Ge ated: ords locate d: ort need neral supp s docume nt located: (if known): ally tra No are specific Yes ed*, if you cribed? and follow attached been pres dication n must be me pla y on ps ati epile cy medic ergency or emergen 2. Has em authority medication If yes, the ated: loc are cuments These do triggers) no known own, write : (if not kn ggered by tri are res 3. My seizu Epilepsy diagnosis ined.. occur: g quietly) izure could t now sittin icate a se mobile bu t may ind ually very viour tha petite, us my beha ap in or s po ge , ility 4. Chan sad, irritab ple pacing, (For exam type.) ch seizure e scribe ea bulance age to de t needs: call an am ergen ncyy re suppor ncise langu When to em and seizu e brief, co cy n us en – tio trained in re erg rip er reffer Is em re desc If you are e of seizu tration* ref cy typ nis en ch mi qu on ea ad 5. My seizu fre ati pllan on pla medic dication Usual ation rate row for dic me pa me al se y cy a d pic Ty emergen riity rity (Complete prescribe of seizure the tho to au on ion ion durat s type in terms medicati thi of seizure what the ate the n for (st d tio an rip Desc scribe of seizure of seizures per of seizure? re you de g (Make su fore, durin r year (seconds/ cur ks like be month, pe d in ned ine person loo d if they typically oc untrain minutes) If you are or per day) an diccatiion, medic and after emergency ce r) en:: en Yes whe nce wh in a cluste lan ula bu mb call am No Page 1 of 1 Developing an A resource for Epilepsy Manag ement Plan support worke rs and families What is an Epilepsy Management Plan? It has information about: • a person’s seizures • how to help the person • when to call an ambulance Your support person can use the booklet Developing an Epilepsy Management Plan to help you have your say in your Plan. 33 34 Help 35 36 Where can I get more help? Your doctor A support group Epilepsy Helpline. Phone 1300 852 853 37 38 Other resources you can get from www.epinet.org.au: Seizure fir st aid C SEIZURE usness, muscle TONIC CLONI loss of conscio ents. seizure with d by jerking movem S Convulsive falling, followe TIMEUNTILITEND stiffening, URESTARTEDAND CUSHION ETIMETHESEIZ USEAPILLOWOR s .OTETH ADnIFAVAILABLE NJURY TCOULDCAUSEI s 0ROTECTTHEHE ING ARDOBJECTSTHA ORSTOPTHEJERK s 2EMOVEANYH TRAINTHEPERSON ATTEMPTTORES MOUTH s $ONOT INTHEIR IRSIDEn ORPUTANYTHING ERSONONTOTHE ENTSHAVE MOVEM SSIBLEROLLTHEP s !SSOONASPO TOWAITUNTILTHESEIZURE YOUMAYNEEDCTURES REGAINEDFULL CEASEDSEEPI URETHEYHAVE SONTOMAKES THEPER s 4ALKTO HAVERECO CONSCIOUSNESS ERSONUNTILTHEY REASSURETHEP s 3TAYWITHAND SEIZURE confus PARTIAL d signs of COMPLEX Can b with outwar e seizure behaviour. Non-convulsiv ess or inappropriate tion. unresponsivenl hol or drug intoxica TIL IT EN : epsy Epil me, w Kno e. tm por Sup • First Aid Poster • Developing an Epilepsy Management Plan for Support Workers • My Epilepsy Medical Review Appointment document Name of person living with epilepsy Date to review: : Date plan written: Date of birth: 1. General informa tion Medication records located: Seizure records located: General support needs docume nt located: • Epilepsy Management Plan and Emergency Medication Plan (midazolam or rectal valium) trained. (if known): No specifically diagnosis Yes *, if you are and followed prescribed? be attached tion been y medica ion plan must ncy epileps ncy medicat 2. Has emerge ion authority or emerge medicat If yes, the nts are located: These docume Epilepsy • Epilepsy Wellbeing Map This booklet has been designed to provide basic information about epilepsy. It is not intended to answer every question that a person may have about epilepsy. You are encouraged to talk to your doctor or telephone the Epilepsy Helpline on 1300 852 853 with any questions that you might have. This booklet can also be accessed via electronic talking book (DAISY) or audio formats via www.epinet.org.au If you are supporting a person to read this booklet here are some tips: • read the booklet first so if you want to seek additional information prior to supporting the person you can do so • choose a time when the person is relaxed and interested in reading the booklet • consider reading the booklet over several occasions so that the information is not overwhelming • if questions arise whilst reading the booklet, support the person to list these questions and talk to the doctor or telephone the Epilepsy Helpline on 1300 852 853 39 40 Thank you for the contributions and expertise of: Funded by the Australian Government Department of Families, Housing, Community Services and Indigenous Affairs, DisabilityCare Australia, the national disability insurance scheme. The opinions, comments and/or analysis expressed in this document are those of the author or authors and do not necessarily represent the views of the Minister for Disability Reform and cannot be taken in any way as expressions of government policy. © Epilepsy Foundation 2013 587 Canterbury Road, Surrey Hills, Victoria 3127 Australia Telephone: (03) 8809 0600 The contents of this publication including all text, graphics, logos and images are protected by Australian copyright laws. Copyright of the Epilepsy Foundation’s materials belongs to the Epilepsy Foundation. Other than for the purposes of and subject to the conditions prescribed under the Copyright Act 1968, no part of this publication may, in any form or by any means, be reproduced, stored in a retrieved system or transmitted without the prior written permission of the Epilepsy Foundation. The information contained in this publication provides general information about epilepsy. It does not provide specific advice. Specific health and medical advice should always be obtained from a qualified health professional.