TAKING OVER EPILEPSY FROM THE PAEDIATRIC NEUROLOGIST
| Autor: | Sheila J Wallace, Philip E. M. Smith |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Male
Aging medicine.medical_specialty Coping (psychology) Adolescent Social stigma media_common.quotation_subject Epilepsy Journal Article medicine Humans Epilepsy surgery Child Psychiatry media_common business.industry Self-esteem Disease Management Community Health Centers Prognosis medicine.disease Chronic disorders Paediatric neurologist Psychiatry and Mental health Anxiety Anticonvulsants Female Surgery Neurology (clinical) medicine.symptom business |
| Zdroj: | Journal of Neurology, Neurosurgery & Psychiatry. 74:37i-41 |
| ISSN: | 0022-3050 |
| Popis: | The problems of coping with adolescence are greatly increased by an additional chronic disorder. This is particularly so for those with epilepsy, where there is social stigma and the need for potentially sedative and damaging medication. Epilepsy is the most common neurological condition among patients transferred from paediatric to adult care. Many of the problems encountered in the teenager with epilepsy are shared by those with other chronic disabilities.1,2 This review considers the paediatric environment that the adolescent is leaving, the rationale for a teenage clinic, and the facets of this which make it a desirable facility. Even when relatively mild, the impact of epilepsy on the teenager and on other members of the family may be profound. Epilepsy has important differences from other chronic disorders, particularly that the disability is intermittent, and so can be hidden. The perceived need to conceal epilepsy, and concern about seizures occurring in public, can induce great anxiety. The consequences of missing epilepsy, or treating it inappropriately, can be disastrous in terms of impaired education, employment, and driving prospects, unnecessary medication, and diminished self esteem. Perhaps these factors are of greater importance for teenagers than for those in other age groups: Complete control achieved before adult social and vocational responsibilities can help to avoid these problems. A relatively aggressive approach to treatment, including early consideration of epilepsy surgery, is therefore justified. Taking over … |
| Databáze: | OpenAIRE |
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