2007 Publications

Permanent URI for this collection

Browse

Recent Submissions

Now showing 1 - 2 of 2
  • Item
    Can teaching simple relaxation techniques to people with epilepsy improve their seizure, frequency and quality of life?
    (2007) Tittensor, Phil
    On a smaller scale, the study has shown that a focus on anxiety management can be helpful when managing the care of people with refractory epilepsy. Clinicians within the Department of Neurology are increasingly aware of the impact life pressures have on the individual. The study has served to focus attention on seizure triggering behaviours which should be addressed during routine clinic visits. While this falls far short of the intense intervention described above, it is achievable and in the short term may be the only way of delivering any form of non-pharmacological intervention to patients with refractory epilepsy.
  • Item
    Audit of healthcare provision for UK prisoners with suspected epilepsy.
    (Elsevier., 2007-08-28) Tittensor, Phil
    Purpose: To describe the prevalence and nature of epileptic seizure disorders in a typical UK prison and compare the care offered to prisoners to the recommendations of the National Institute for Clinical Excellence (NICE). Methods: Over a 14-month period, all prisoners identified as having epilepsy were registered by prison primary healthcare services at a category 'C' prison holding 640 male adults. Prison and National Health Service health records were reviewed, prisoners were re-assessed by members of a specialist secondary care service based in the local general hospital NHS. Results: Twenty-six prisoners were thought to have epilepsy. 61.5% of diagnoses had not been made by epilepsy specialists, 73.1% had uncontrolled seizures, only 19.2% had had computed tomography, none magnetic resonance imaging. At review, 30.8% of prisoners were thought to require neuroimaging, 19.2% cardiac investigations. The diagnosis of epilepsy was confirmed in only 57.9% of those prisoners considered to have the condition by prison healthcare services. 53.8% of those prisoners confirmed as having epilepsy had not had a medical review in the past 12 months; 63.2% required a change in their antiepileptic drugs (AEDs). Conclusion: Although the prevalence of epilepsy in this prison population appeared high at first sight, a critical review of the diagnoses reduced the difference to the prevalence of epilepsy in the population at large. Fewer prisoners than expected achieved seizure control. Collaboration with specialist epilepsy services was poor. There were significant discrepancies between the healthcare provision in prison and the NICE epilepsy guidelines.