Hi nice to meet you I\'m doing my homework now Because my professor is a tough g

Question

Hi nice to meet you
I'm doing my homework now
Because my professor is a tough grader I literally need a help
I need to answer according to those questions
The answers need to have at least 5 sentences per each sentence
My professor doesn't like a common answer.
The answers have to be creative.
Please give me some ideas I'm definitely sure that would be really helpful for me

 The assistant director of the Cactus Kids Child Care Center was surprised one morning when a child
care licensing surveyor from the local public health department paid an unannounced visit. She was
confident that her center was in tip-top shape and would have no problem passing its annual safety
inspection. As the surveyor entered one of the classrooms, she observed teachers attending to a child
who appeared to be having a seizure. The director thought the child had a history of seizures, but ran
back to the office to check her file.

 1. What first aid measures should the teachers be administering?

 2. How would their management strategies differ if the child has had no previous history of seizures?

 3. Should the child’s family be called? Why?

 4. What conditions in the classroom could potentially trigger a seizure?

 5. If the child’s seizure continues longer than 5 minutes, what should the teachers do?

 6. What information should be recorded during and following the seizure?

Explanation / Answer

Answer:

2.      How would their management strategies differ if the child has had no previous history of seizures?- review presents a comprehensive approach is needed to children and adults with a first seizure, and this event may have profound emotional, social, and vocational consequences. Some management tips are given here:

·         After handling the child with first aid and handed over to medical professionals, doctors go for counseling of the person (counseling of the parents or care givers in case of child).

·         Finding out “provoking triggers” that caused seizure. It can be provoked by brain insult or a metabolic or toxic disturbance of brain function, fever, head injury, excessive alcohol or drugs intake.   

·         Investigations are conducted to know the cause and type of seizure. Investigations involve blood, urine tests and cerebrospinal fluid test in children with EEG and brain MRI.

·         Starting medical treatment for the same.

·         Avoiding all those activities at least for 6 months that can trigger seizures again. For example; driving, swimming, scuba diving, and climbing carry a higher risk for injury than do cross-country skiing, long distance running, or soccer. Individuals should probably be suspended from working with dangerous machines for at least six months.

·         Follow up is very important aspect for seizure treatment and follow up should be done as per doctor’s advice.

3.      Should the child’s family be called? Why?

·         Yes child’s family should be called and informed so that they could take proper and timely treatment for the child.

·         Family also feel depressive, helpless, frustrated and low self esteem at that time so they also need professional counseling to handle it properly.

·         Family need to take care of some measures that child has to follow while being in the school or away from the home.

·         When children are older, having epilepsy can impact many parts of their lives, including how well they do in school, what sports they can play, and how they are treated by friends. The more parents can do to help their child lead an active, normal life, the better by implementing following tips;

o    Make sure your child gets enough sleep to lower the risk of seizures.

4.      What conditions in the classroom could potentially trigger a seizure?

·         Fast-moving or flashing images on the screen used in the classroom could be a trigger for seizure. Other photosensitive triggers include flickering overhead lights and sunlight creating patterns through blinds. Computers’ light does not trigger seizures.

·         Stressful situations like exams or test can also cause seizure but it depends upon the individual epilepsy/seizure type.

·         Some activities like swimming that exert child can also cause seizure but not in all cases. It is essential that the swimming teacher and lifeguards fully understand a child's epilepsy so they can quickly see if the child is having a seizure in the water.

·         Negative feedback or maltreatment (given ‘status’) by the teacher can give emotional stress to the child can further enhance chances of seizures.

5.      If the child’s seizure continues longer than 5 minutes, what should the teachers do? – Teacher should immediately call for emergency medical service.

6.      What information should be recorded during and following the seizure?-

Before the seizure:

·         How did the seizure start?

·         If known, when the seizure started, was the person awake or asleep?

·         Was the child restless or did child cry out before the seizure started?

·         Was there any trigger for the seizure (such as feeling tired or stressed)?

·         What position was he in when the seizure happened or when he was found? For example, was he standing, lying on their front, lying on their back, lying on their side, or sitting?

·         Did he appear to have any warning beforehand? If so, what form did the warning take?

·         Did he have any unusual sensations, such as a taste or smell, a rising feeling in the stomach, numbness or pins and needles? When did he experience this?

During the seizure

·         Was there any change in muscle tone (did they become stiff or floppy)?

·         Did he fall down and, if so, forwards or backwards?

·         Did he lose awareness, appear dazed or confused or lose consciousness?

·         Was there any change in his breathing pattern? Did it become noisy or appear difficult or laboured?

·         Was he any change in their facial colour? Did he become pale, blue around the mouth or flushed?

·         Were his eyes open or closed during the seizure? If open, were the eyes turned to one side (which side)?

·         Was there any movement, such as jerking or twitching? If so, was this rhythmical? Was it on both sides of the body or on one side only and, if so, which side? Was it symmetrical (exactly the same on both sides) or not symmetrical?

·         Were there any automatisms (automatic behaviours) such as wandering around, making strange movements or postures, picking up objects for no reason or fiddling with clothing?

·         Did he make any noises, such as mumbling, speaking incoherently or repeating words or phrases?

·         How long did the seizure last?

·         Was he incontinent (did he wet himself)?

·         Did he bite the inside of his cheek or their tongue?

After the seizure

·         How was he afterwards? Was he confused or sleepy? If he slept afterwards, for how long?

·         How long did it take him to fully recover from the seizure and return to normal activities?

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