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MANAGING CHILDREN WITH EPILEPSY >> SCHOOL NURSE GUIDE

SPECIAL CONCERNS

MEDICALERT
A person with epilepsy should wear a medical-alert bracelet or necklace that gives critical information in order to medically treat a student correctly. The MedicAlert emblem is engraved with important information such as: diagnosis, medications, telephone numbers of the doctor, and the person to call in case of an emergency. It can help avoid costly medical bills and unnecessary actions. The MedicAlert organization may be contacted at www.medicalert.org or (888) 633-4298. See insert provided


HELMETS
Some students with epilepsy need to wear a helmet to provide protection from falling due to seizures. Bicycle helmets do not provide the best protection for students with seizures. A helmet should be chosen by observation of seizure behaviors. A student who tends to fall forward during seizures will need a helmet with a face guard, face bar, or visor. A student that falls backward will need occipital protection. The helmet is most effective if it is secure on the head with a snug chin strap. Hockey helmets made by Cooper give good protection. Helmets are available through sporting good stores, medical supply companies, and the rehabilitation departments of some hospitals.


DRIVING
Medication compliance is crucial, especially for teenagers desiring to get their driving licenses. Typically, students must be seizure free for one year before they will be granted a driving license. In California a “mandatory reporting law” requires physicians to report people who have epilepsy to the DMV and their frequency of seizures. A student with epilepsy who has a motor vehicle accident may be civilly or criminally liable. In addition, doctors may be held responsible if they failed to notify the DMV of the medical condition.


EMPLOYMENT AND THE LAW
Gainful employment provides a powerful source of self esteem and can increase quality of life. Employers may discriminate against those with epilepsy for a variety of reasons. The Americans with Disabilities Act (ADA) passed in 1990 to help protect people with certain disabilities from discrimination when applying for a job or while on the job. Students with epilepsy who are considering a part time job should be encouraged to contact Epilepsy Foundation (www.efa.org). They can provide valuable information to those with epilepsy


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