Written seizure action plans for adult patients with epilepsy: Distilling insights from emergency action plans for other chronic conditions
•Seizure emergencies can occur in adults with epilepsy on stable therapy.•Patient action plans for non–epilepsy-related conditions improve outcomes.•Seizure action plans (SAPs) promote care and safety but are underutilized in adults.•New rescue therapies and guidance on seizure clusters support the...
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Veröffentlicht in: | Epilepsy & behavior 2023-03, Vol.140, p.109002-109002, Article 109002 |
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creator | Herman, Susan T. Detyniecki, Kamil O'Hara, Kathryn Penovich, Patricia Rao, Vikram R. Tatum, William Long, Lucretia Stern, John M. Carrazana, Enrique Rabinowicz, Adrian L. |
description | •Seizure emergencies can occur in adults with epilepsy on stable therapy.•Patient action plans for non–epilepsy-related conditions improve outcomes.•Seizure action plans (SAPs) promote care and safety but are underutilized in adults.•New rescue therapies and guidance on seizure clusters support the use of adult SAPs.•Concrete efforts to improve the uptake of SAPs among adults with epilepsy are needed.
Seizure emergencies and potential emergencies, ranging from seizure clusters to prolonged seizure and status epilepticus, may affect adults with epilepsy despite stable antiseizure therapy. Seizure action plans (SAPs) are designed for patients and their caregivers/care partners to provide guidance on the individualized treatment plan, including response to potential seizure emergencies and appropriate use of rescue therapy. The use of pediatric SAPs is common (typically required by schools), however, most adults with epilepsy do not have a plan. Patient-centered action plans are integral to care for other chronic conditions and may offer insights applicable to the care of adults with epilepsy. This review analyzes the potential benefits of action plans for medical conditions by exploring their utility in conditions such as asthma, diabetes, chronic obstructive pulmonary disease, heart disease, and opioid overdose. Evidence across these conditions substantiates the value of action plans for patients, and the benefits of adult SAPs in epilepsy are emerging. Because wide implementation of SAPs has faced barriers, other conditions may provide insights that are relevant to implementing SAPs in epilepsy. Based on these analyses, we propose concrete steps to improve the use of SAPs among adults. A recent consensus statement promoting the use of formal SAPs in epilepsy and advances in rescue therapy delivery methods provides support to engage patients around the value of SAPs. The precedent for use of SAPs for pediatric epilepsy patients serves as the foundation to support increased usage in adults. Seizure action plans in the context of improved clinical outcomes are expected to reduce healthcare utilization, improve patient quality of life, and optimize epilepsy management. |
doi_str_mv | 10.1016/j.yebeh.2022.109002 |
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Seizure emergencies and potential emergencies, ranging from seizure clusters to prolonged seizure and status epilepticus, may affect adults with epilepsy despite stable antiseizure therapy. Seizure action plans (SAPs) are designed for patients and their caregivers/care partners to provide guidance on the individualized treatment plan, including response to potential seizure emergencies and appropriate use of rescue therapy. The use of pediatric SAPs is common (typically required by schools), however, most adults with epilepsy do not have a plan. Patient-centered action plans are integral to care for other chronic conditions and may offer insights applicable to the care of adults with epilepsy. This review analyzes the potential benefits of action plans for medical conditions by exploring their utility in conditions such as asthma, diabetes, chronic obstructive pulmonary disease, heart disease, and opioid overdose. Evidence across these conditions substantiates the value of action plans for patients, and the benefits of adult SAPs in epilepsy are emerging. Because wide implementation of SAPs has faced barriers, other conditions may provide insights that are relevant to implementing SAPs in epilepsy. Based on these analyses, we propose concrete steps to improve the use of SAPs among adults. A recent consensus statement promoting the use of formal SAPs in epilepsy and advances in rescue therapy delivery methods provides support to engage patients around the value of SAPs. The precedent for use of SAPs for pediatric epilepsy patients serves as the foundation to support increased usage in adults. Seizure action plans in the context of improved clinical outcomes are expected to reduce healthcare utilization, improve patient quality of life, and optimize epilepsy management.</description><identifier>ISSN: 1525-5050</identifier><identifier>EISSN: 1525-5069</identifier><identifier>DOI: 10.1016/j.yebeh.2022.109002</identifier><identifier>PMID: 36822041</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Child ; Emergencies ; Epilepsy - drug therapy ; Humans ; Pulmonary Disease, Chronic Obstructive ; Quality of Life ; Rescue therapy ; Seizure action plan ; Seizure clusters ; Seizure emergency ; Seizures - therapy ; Status Epilepticus</subject><ispartof>Epilepsy & behavior, 2023-03, Vol.140, p.109002-109002, Article 109002</ispartof><rights>2022 The Authors</rights><rights>Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c404t-e104f1715b1f57cab5beeb91497ad837641346226e39cf2a86ec84589c087ea43</citedby><cites>FETCH-LOGICAL-c404t-e104f1715b1f57cab5beeb91497ad837641346226e39cf2a86ec84589c087ea43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1525505022004516$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36822041$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Herman, Susan T.</creatorcontrib><creatorcontrib>Detyniecki, Kamil</creatorcontrib><creatorcontrib>O'Hara, Kathryn</creatorcontrib><creatorcontrib>Penovich, Patricia</creatorcontrib><creatorcontrib>Rao, Vikram R.</creatorcontrib><creatorcontrib>Tatum, William</creatorcontrib><creatorcontrib>Long, Lucretia</creatorcontrib><creatorcontrib>Stern, John M.</creatorcontrib><creatorcontrib>Carrazana, Enrique</creatorcontrib><creatorcontrib>Rabinowicz, Adrian L.</creatorcontrib><title>Written seizure action plans for adult patients with epilepsy: Distilling insights from emergency action plans for other chronic conditions</title><title>Epilepsy & behavior</title><addtitle>Epilepsy Behav</addtitle><description>•Seizure emergencies can occur in adults with epilepsy on stable therapy.•Patient action plans for non–epilepsy-related conditions improve outcomes.•Seizure action plans (SAPs) promote care and safety but are underutilized in adults.•New rescue therapies and guidance on seizure clusters support the use of adult SAPs.•Concrete efforts to improve the uptake of SAPs among adults with epilepsy are needed.
Seizure emergencies and potential emergencies, ranging from seizure clusters to prolonged seizure and status epilepticus, may affect adults with epilepsy despite stable antiseizure therapy. Seizure action plans (SAPs) are designed for patients and their caregivers/care partners to provide guidance on the individualized treatment plan, including response to potential seizure emergencies and appropriate use of rescue therapy. The use of pediatric SAPs is common (typically required by schools), however, most adults with epilepsy do not have a plan. Patient-centered action plans are integral to care for other chronic conditions and may offer insights applicable to the care of adults with epilepsy. This review analyzes the potential benefits of action plans for medical conditions by exploring their utility in conditions such as asthma, diabetes, chronic obstructive pulmonary disease, heart disease, and opioid overdose. Evidence across these conditions substantiates the value of action plans for patients, and the benefits of adult SAPs in epilepsy are emerging. Because wide implementation of SAPs has faced barriers, other conditions may provide insights that are relevant to implementing SAPs in epilepsy. Based on these analyses, we propose concrete steps to improve the use of SAPs among adults. A recent consensus statement promoting the use of formal SAPs in epilepsy and advances in rescue therapy delivery methods provides support to engage patients around the value of SAPs. The precedent for use of SAPs for pediatric epilepsy patients serves as the foundation to support increased usage in adults. Seizure action plans in the context of improved clinical outcomes are expected to reduce healthcare utilization, improve patient quality of life, and optimize epilepsy management.</description><subject>Adult</subject><subject>Child</subject><subject>Emergencies</subject><subject>Epilepsy - drug therapy</subject><subject>Humans</subject><subject>Pulmonary Disease, Chronic Obstructive</subject><subject>Quality of Life</subject><subject>Rescue therapy</subject><subject>Seizure action plan</subject><subject>Seizure clusters</subject><subject>Seizure emergency</subject><subject>Seizures - therapy</subject><subject>Status Epilepticus</subject><issn>1525-5050</issn><issn>1525-5069</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctO3DAUhi1EVS7tEyAhL9nM1HbsXCp1UU0LrYTEBsTScpyTyRkldmo7oOkr8NJkOsAGqatzdPSd2_8TcsbZkjOef9kst1BDtxRMiLlSMSYOyDFXQi0Uy6vDt1yxI3IS44YxzlXGP5KjLC-FYJIfk6f7gCmBoxHw7xSAGpvQOzr2xkXa-kBNM_WJjiYhuBTpI6aOwog9jHH7lf7AmLDv0a0puojrbkba4AcKA4Q1OLt9P9GnDgK1XfAOLbXeNbgj4ifyoTV9hM8v8ZTcXf68Xf1aXN9c_V59v15YyWRaAGey5QVXNW9VYU2taoC64rIqTFNmRS55JnMhcsgq2wpT5mBLqcrKsrIAI7NTcrGfOwb_Z4KY9IDRQj8fCH6KWhQlY7mSqpjRbI_a4GMM0Oox4GDCVnOmdy7ojf7ngt65oPcuzF3nLwumeoDmredV9hn4tgdgfvMBIehoZ3ktNBjAJt14_O-CZ0axnFY</recordid><startdate>202303</startdate><enddate>202303</enddate><creator>Herman, Susan T.</creator><creator>Detyniecki, Kamil</creator><creator>O'Hara, Kathryn</creator><creator>Penovich, Patricia</creator><creator>Rao, Vikram R.</creator><creator>Tatum, William</creator><creator>Long, Lucretia</creator><creator>Stern, John M.</creator><creator>Carrazana, Enrique</creator><creator>Rabinowicz, Adrian L.</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202303</creationdate><title>Written seizure action plans for adult patients with epilepsy: Distilling insights from emergency action plans for other chronic conditions</title><author>Herman, Susan T. ; Detyniecki, Kamil ; O'Hara, Kathryn ; Penovich, Patricia ; Rao, Vikram R. ; Tatum, William ; Long, Lucretia ; Stern, John M. ; Carrazana, Enrique ; Rabinowicz, Adrian L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c404t-e104f1715b1f57cab5beeb91497ad837641346226e39cf2a86ec84589c087ea43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Child</topic><topic>Emergencies</topic><topic>Epilepsy - drug therapy</topic><topic>Humans</topic><topic>Pulmonary Disease, Chronic Obstructive</topic><topic>Quality of Life</topic><topic>Rescue therapy</topic><topic>Seizure action plan</topic><topic>Seizure clusters</topic><topic>Seizure emergency</topic><topic>Seizures - therapy</topic><topic>Status Epilepticus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Herman, Susan T.</creatorcontrib><creatorcontrib>Detyniecki, Kamil</creatorcontrib><creatorcontrib>O'Hara, Kathryn</creatorcontrib><creatorcontrib>Penovich, Patricia</creatorcontrib><creatorcontrib>Rao, Vikram R.</creatorcontrib><creatorcontrib>Tatum, William</creatorcontrib><creatorcontrib>Long, Lucretia</creatorcontrib><creatorcontrib>Stern, John M.</creatorcontrib><creatorcontrib>Carrazana, Enrique</creatorcontrib><creatorcontrib>Rabinowicz, Adrian L.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Epilepsy & behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Herman, Susan T.</au><au>Detyniecki, Kamil</au><au>O'Hara, Kathryn</au><au>Penovich, Patricia</au><au>Rao, Vikram R.</au><au>Tatum, William</au><au>Long, Lucretia</au><au>Stern, John M.</au><au>Carrazana, Enrique</au><au>Rabinowicz, Adrian L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Written seizure action plans for adult patients with epilepsy: Distilling insights from emergency action plans for other chronic conditions</atitle><jtitle>Epilepsy & behavior</jtitle><addtitle>Epilepsy Behav</addtitle><date>2023-03</date><risdate>2023</risdate><volume>140</volume><spage>109002</spage><epage>109002</epage><pages>109002-109002</pages><artnum>109002</artnum><issn>1525-5050</issn><eissn>1525-5069</eissn><abstract>•Seizure emergencies can occur in adults with epilepsy on stable therapy.•Patient action plans for non–epilepsy-related conditions improve outcomes.•Seizure action plans (SAPs) promote care and safety but are underutilized in adults.•New rescue therapies and guidance on seizure clusters support the use of adult SAPs.•Concrete efforts to improve the uptake of SAPs among adults with epilepsy are needed.
Seizure emergencies and potential emergencies, ranging from seizure clusters to prolonged seizure and status epilepticus, may affect adults with epilepsy despite stable antiseizure therapy. Seizure action plans (SAPs) are designed for patients and their caregivers/care partners to provide guidance on the individualized treatment plan, including response to potential seizure emergencies and appropriate use of rescue therapy. The use of pediatric SAPs is common (typically required by schools), however, most adults with epilepsy do not have a plan. Patient-centered action plans are integral to care for other chronic conditions and may offer insights applicable to the care of adults with epilepsy. This review analyzes the potential benefits of action plans for medical conditions by exploring their utility in conditions such as asthma, diabetes, chronic obstructive pulmonary disease, heart disease, and opioid overdose. Evidence across these conditions substantiates the value of action plans for patients, and the benefits of adult SAPs in epilepsy are emerging. Because wide implementation of SAPs has faced barriers, other conditions may provide insights that are relevant to implementing SAPs in epilepsy. Based on these analyses, we propose concrete steps to improve the use of SAPs among adults. A recent consensus statement promoting the use of formal SAPs in epilepsy and advances in rescue therapy delivery methods provides support to engage patients around the value of SAPs. The precedent for use of SAPs for pediatric epilepsy patients serves as the foundation to support increased usage in adults. Seizure action plans in the context of improved clinical outcomes are expected to reduce healthcare utilization, improve patient quality of life, and optimize epilepsy management.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>36822041</pmid><doi>10.1016/j.yebeh.2022.109002</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Child Emergencies Epilepsy - drug therapy Humans Pulmonary Disease, Chronic Obstructive Quality of Life Rescue therapy Seizure action plan Seizure clusters Seizure emergency Seizures - therapy Status Epilepticus |
title | Written seizure action plans for adult patients with epilepsy: Distilling insights from emergency action plans for other chronic conditions |
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