J.G. is a 38-year-old woman who underwent an emergency cesarean…J.G. is a 38-year-old woman who underwent an emergency cesarean delivery after a prolonged labor, during which she exhibited a sudden change in neurologic functioning and started seizing. Since that time, she has experienced three tonic-clonic (grand mal) seizures. She was diagnosed with a basal ganglion hematoma with infarct and was started on phenytoin (Dilantin). Postdelivery, J.G. demonstrated dyskinesia, resulting in frequent falls during ambulation. Once the seizure disorder appeared to be under control, she was transferred to a rehabilitation facility for evaluation and 2 weeks of intensive physical therapy (PT). She is now home. She still has occasional falls but has had no seizures. She is receiving PT three times a week in her home. As case manager for J.G.’s health maintenance organization, you make a home visit with her and her family for evaluation of long-term follow-up care. 1.A seizure is not a disease in itself but a symptom of a disease. What is the term for chronically recurring seizures? 2.Does J.G. have epilepsy? 3.In addition to the brain injury, what are some other possible conditions that could be contributing to J.G.’s lowered seizure threshold? 4.They ask how phenytoin (Dilantin) works in preventing seizures. How would you respond? Health ScienceScienceNursing NU NSG6002
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