amethystJsmn

After reading a lot of comments showing a lack of knowledge on thos topic and personally experiencing even fellow ICU nurses assume these are the same, I find it imperative to have the nursing community realize the difference between pseudo seizure and Psychogenic Nonepileptic Seizures. One is a sub clinical diagnosis for underlying somatoform disorder from psychological trauma ect, that creates a non epileptic seizure appearing like a seizure but actually having no impact on the electrical activity of the brain. A pseudoseizure is not epilepsy. It is a generalized term for any seizure being caused from a source other than epilepsy. Rather it be hypoglycemia, overdose, or unknown origin. Please dont treat the patients as "fakers". Even if and only if the neurologist gives a diagnosis of somatoform seizures, please have compassion and patience for this very very real and troubling experience the patient is going through. To assume you know why and what is going on with a patients complex neurological system that is difficult for even skilled neurologists to detect is beyond your scope of practice and as I have seen changes the quality of care and compassion provided for the patient. Just a little side note. I know a lot of nurses are aware of this detail amd there are many who are even more skilled than I, but please know that we are nurses, with the purpose of caring and protecting our patients mentally and psychologically as much as we are able.. We are not here to judge and definitely not capable of determining what neurological process is going on in a person. Even epileptic patients sometimes have odd symptoms and no eeg activity found yet... doesn't mean a thing. If seizure meds start helping the reoccurence of seizures in an atypical or partial complex seizure patient that is a pretty good clue tht it's epilepsy but it doesn't give a 100 percent definitive answer even to the neurologist. Listen to docs. And love your patients especially if they have such a troubled past that they create a protective method for emotional trauma. I hope I have taught some people and not offended as many. But I'm sure there will be both responses.. as there usually is in life.

So so many nurses dont get a pseudo seizure is a seizure. For example if a patient Ods on a med and seizes... pseudo seizure. Also, dont assume you have a pet who isnt having seizures just because they can function. You obviously need to study more on the subject if you believe you are capable of determining a false seizure. A dx of pseudoseizure is real. Also a partial complex seizure isnt shown to have tell tell signs you can see. Listen to your pets. Stop pretending to be a neurologist.

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