SEIZURE ACTION PLAN

Patient Name:                 Date:
Date of Birth:                 ECC Number:
To Whom It May Concern:

General Activity: The child should participate in all age appropriate activities with special precautions using extreme caution with water, heights and heavy machinery. He/she should take showers rather than baths and should not swim in a pool, lake or ocean without supervision (if seizures remain uncontrolled). He/she should not climb heights taller than their own height. He/she should not use heavy machinery, equipment or drive a car. He/she should be encouraged to participate in as many normal childhood activities with the above exceptions according to their own age appropriate developmental abilities.

He/She should be allowed to sleep or rest after the seizure and then rejoin activities once he/she feels able.

Current medication: All medications and doses are subject to change. We would appreciate any special consideration that you could provide to this child to enjoy as normal a childhood and life as possible. If we can provide you with any further recommendations, please contact us at 404-727-5756 with any questions, problems or concerns.

Sincerely,

Physicians and Nurses of Emory Child Neurology