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Epilepsy in the elderly

S L Lannon1

  • 1University of Cincinnati Hospital, Epilepsy Monitoring Unit, Ohio 45267-0518.

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses
|October 1, 1993
PubMed
Summary

New-onset epilepsy is most common in adults over 65. Risk factors and diagnostic challenges in this population require specialized nursing care and psychosocial support for effective epilepsy management.

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Area of Science:

  • Geriatric Medicine
  • Neurology
  • Nursing Science

Background:

  • The highest incidence of new-onset epilepsy, excluding young children, occurs in individuals aged 65 and older.
  • This demographic faces unique risk factors including stroke, head trauma, dementia, infections, alcoholism, and the aging process itself.

Purpose of the Study:

  • To highlight the critical role of neuroscience nurses in managing epilepsy in the elderly.
  • To address diagnostic challenges and treatment considerations specific to older adults with epilepsy.

Main Methods:

  • Review of existing literature on epilepsy incidence, risk factors, and management in the geriatric population.
  • Analysis of clinical presentation nuances and pharmacological considerations in elderly patients.
  • Emphasis on nursing interventions for patient identification, seizure monitoring, and adverse event management.

Main Results:

  • Seizure behavior in older adults can be misdiagnosed as other neurological impairments, leading to delayed diagnosis.
  • Polypharmacy in this age group complicates the selection of appropriate antiepileptic drugs.
  • Elderly patients require modified seizure first aid and comprehensive psychosocial support.

Conclusions:

  • Neuroscience nurses are essential in identifying high-risk elderly patients, accurately documenting seizure activity, and managing adverse drug reactions.
  • Adapting nursing care, including seizure first aid and patient education, is crucial for the frail elderly population.
  • Understanding the psychosocial impact of epilepsy is vital for providing effective support to elderly patients and their families.

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