Observation points for patients with epilepsy 1. Seizure period: pay attention to seizure time, number of seizures on the same day or week, state of consciousness, pupil changes, seizure onset site, duration, and accompanying symptoms. 2. Observation of the condition after seizure: state of consciousness, pupil recovery, presence of headache and fatigue. 3. Observation of the condition during interictal seizures: presence of emotional and cognitive changes; presence of seizure aura manifestations, such as hallucinations (seeing flashes, hearing buzzing sounds), abdominal pain, sweating. The care measures and precautions for seizures 1. Protect the tongue: Once the patient is found to have the aura symptoms of seizures, a gauze covered tongue depressor should be immediately placed between the patient’s upper and lower molars to prevent the patient from biting his tongue. The tongue depressor not only prevents the patient from biting the tongue, but also prevents the tongue from falling back and blocking the airway. Do not put your fingers into the patient’s mouth. In the hospital, you can use tongue depressor and special tools for tongue pliers, or use popsicle sticks, spoons, chopsticks, room keys and other utensils when there is no condition. 2.Lie down quickly: When you find that the patient has the symptoms of seizure aura, you should quickly make the patient lie down on the bed or lie down on a flat place nearby. If the above arrangement cannot be made in time, then immediately hold the patient and make him lie down in a smooth manner to prevent a sudden fall causing more serious injury. 3. Protect the head and neck: When the patient has an ankylosing attack, the head will be tilted back excessively and the jaw will be over-opened, which is very likely to cause a cervical compression fracture or dislocation of the jaw. In this case, one hand should hold the patient’s occipital area with slight force to stop his neck from over-extension; one hand should hold his jaw to counteract his jaw over-extension. 4, keep the respiratory tract open: when epileptic patients have seizures, respiratory secretions will increase, easily causing respiratory obstruction or aspiration pneumonia. Therefore, when a grand mal seizure begins, the patient’s head should be turned to the side so that respiratory secretions flow naturally, and then the patient’s collar buttons should be opened to keep the respiratory tract open. Do not forcibly instill medicine to prevent suffocation. 5, prevent trauma: should quickly move around hard objects, sharp objects, to prevent injury to the patient’s body. Some patients have seizures with muscle contraction of the limbs, which can easily cause joint dislocation and bruising of the limbs. In this case, you can press the large joints of the limbs (such as shoulders, elbows, hips, knees) with appropriate force to limit their twitching amplitude. However, it should be noted that do not use excessive force or forceful control, otherwise it may cause fracture or muscle damage. 6, close observation: Follow the doctor’s instructions for medication, while closely observing the patient’s consciousness, breathing, heart rate and blood pressure changes. Seizures usually resolve on their own within 5 minutes, if continuous seizures or frequent seizures should promptly notify the doctor.