Peter Hulme

Question 1

Peter is having a number of increased seizures.
(2 marks)

Answer 1

> Likely an electrical hypersensitivity in the brain leading to malfunction and seizure activity.

> Could be caused by illness, age, dose or effect of medication.

Question 2

Peter is urinary incontinant during seizures.
(1 mark)

Answer 2

> Seizures lead to lack of conscious control of muscles leading to incontinence.

Question 3

Peter is at risk of harm when he has a seizure.
(2 marks)

Answer 3

> Electrical impulses misfire, causing peter to lose conscioussness while seizing.

> Unable to fall safely or avoid obstacles.

Question 4

Peter is not eating well at present.
(2 marks)

Answer 4

> Post seizure nausea and fear or fear of aspiration.

> Anxiety causes stress hormone surge which leads to lack of appetitte.

Question 5

Name one concern to Peters mental wellbeing.
(1 mark)

Answer 5

> Bullying is affecting his mental wellbeing.

Question 6

What action will you take if PEWS score is;
1?
(1 mark)

Answer 6

> Treat as prescribed, 60-minute obs, escalate to 2 if not responding.

Question 7

Explain the process you would follow in preparation for prioritising care and writing a plan of care.
(6 marks)

Answer 7

> Review Peter’s History

> Review assessment and clinical observations and decide which are out with acceptable limits.

> Decide the ADLs with which Peter needs support.

> Consider the priority of importance of Peter’s needs.

> Write the care plan, ensuring each element is SMART.

> Ensure evaluation date is set.

Question 8

From the history and assessment, outline four physiological concerns you have for Peter, and relate them to the pathophysiology of epilepsy.
(4 marks)

Answer 8

> Peter is not eating well at present.
Peter is at risk of harm when he has a seizure.
Peter is having a number of increased seizures.
Peter is unrinary incontinant during seizures.