Tonic chronic seizure

It is a convulsive seizure with loss of consciousness , muscle stiffening followed by jerking movements.

Seizure with Impaired Awareness

It is a non-convulsive seizure with outward signs of confusion, unresponsiveness or inappropriate behavior.

Nursing care

• Keep calm and reassure other people who may be nearby.
• Do not restrain the person, stop jerking or put anything in the mouth during seizure.
• Note the time the seizure started and and the end of seizure.
• Protect the head and use pillow or cushion to support the head.
• Turn the person gently to side lying position. This will help to keep the airway clear.
• Do not try to force the mouth open with any hard objects or finger. A person having a seizure cannot swallow his tongue. Efforts to hold the tongue down can injure teeth or jaw.
• Remove any harm or hazardous object near patient  that may cause injury.
• Do not attempt artificial respiration (mouth to mouth breaths, CPR) except in the unlikely event that a person does not start breathing again after the seizure has stopped.. People usually start breathing again on their own after seizure.
• Loosen ties or anything around the neck that may make it hard to breath.
• Remove eye glasses.
• Monitor vital signs.
• Talk to the person to make sure the person has regained full consciousness.
• Reassure and re-orient the patient.
• Do not offer the person water or food until he/she is fully alert.
• Stay with the person during the time of seizure and until they have recovered.