According to Doengoes (1999: 259-261 and 871-872) includes:
History of causative factors:
- Idiopathic no cause is known.
- Post-trauma, head injury, inflammation of the lining of the brain, high fever.
- Since what age?
- How long seizures occur?
- How many times a seizure occurs within 1 hour?
- When was the last seizures experienced?
a. Activity / rest.
Symptoms:
- Fatigue, general weakness.
- Limitations in activities / work caused by self-/ significant other / nursing care giver or others.
- Change of tone / muscle strength.
- Involuntary movements / muscle contraction.
Symptoms:
- Ictal: hypertension, increased pulse and cyanosis.
- Post-ictal: normal vital signs or depression with decreased pulse and respiration.
- Heart sound: disratmia and development can lead to myocardial dysfunction, effects of acidosis / electrolyte imbalance.
- The skin is warm, dry, luminous, pale, moist, and mottled.
c. Ego integrity
Symptoms:
- Stressor external / internal related to the state and or a treatment.
- Receptors: feeling no / not helpless, changes in relationships.
- Widening of emotional response.
d. Elimination
Symptoms:
- Episodic urinary incontinence.
- Ictal: increased pressure bladder and sphincter tone.
- Post-ictal: muscle relaxation resulting in urinary incontinence.
Symptoms:
- Sensitivity to food, anorexia, nausea, vomiting associated with seizure activity.
- Weight loss, decreased subcutaneous fat.
- Decreased urine output concentration, progress towards oligoria and anuria.
- Soft tissue damage / teeth (injury during a seizure).
- Gingival hyperplasia.
f. Neurological
Symptoms:
- Headache, dizziness, fainting, history of head trauma, cerebral anoxia and infection.
- Post-ictal: weakness, muscle pain, paralysis area.
- Anxiety, fear, mental chaotic, disorientation, delirium / coma.
- Involuntary movements / muscle contraction.
Symptoms:
- Headache, muscle pain / back to the post-ictal period abdominal seizures.
- Localization of pain / discomfort urticaria.
- Attitude / behavior that careful changes in muscle tone.
- Agitated behavior.
Symptoms:
- Ictal phase: teeth shut, cyanosis, decreased breathing rapidly, increased secretion mokus.
- Post-ictal phase: apnea.
- Temperatures generally rising to 37.5 0C or more.
- Chills.
i. Security
Symptoms:
- History dropped / trauma or invoice.
- Trauma to the soft tissue / ecchymosis overall decrease in muscle strength.
Symptoms:
- Related interpersonal problems in the family or social environment.
Symptoms:
- A history of seizures or epilepsy in the family.
- The use of antibiotic drugs recently or long term.
