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Sozialmedizinische Aspekte der Epilepsien im Schulalter

  • Astrid Bertsche
  • Thilo Bertsche
Leitthema
  • 4 Downloads

Zusammenfassung

Epilepsiepatienten stehen im Schulalter vor besonderen Herausforderungen. Die Epilepsie selbst und unerwünschte Arzneimittelwirkungen von Antikonvulsiva wie Müdigkeit und Verhaltensänderungen können den Schulerfolg und die soziale Teilhabe negativ beeinflussen. Dabei können Schüler mit Epilepsie ihre Anfälle oft gut beschreiben und schildern den Kontrollverlust als entscheidendes Kriterium. In Bildern werden oft Notfallsituationen und häufig auch Schulsituationen gezeichnet. Um die Situation für die Kinder mit Epilepsie zu verbessern, sollten Lehrer und Erzieher in der Lage sein, bei einem Anfall adäquat zu reagieren. Schulungen leisten einen wichtigen Beitrag zur Verbesserung der Patientensicherheit, indem das Wissen der Betreuungspersonen verbessert und die Bereitschaft der Lehrer und Erzieher erhöht wird, ein verschriebenes Notfallmedikament auch anzuwenden. Zudem steigen die Kenntnisse über notwendige Vorsichtsmaßnahmen zur Prävention von Unfällen im Rahmen eines Anfalls. Gleichzeitig kann die Teilhabe verbessert werden, indem Kinder nicht mehr unnötig von Aktivitäten ausgeschlossen werden. Spezifische Förderung oder Maßnahmen wie ein Nachteilsausgleich können die Situation zusätzlich verbessern. Ärztliche Maßnahmen wie die Optimierung der Epilepsietherapie, um eine optimale Wirksamkeit bei individuell möglichst vertretbaren unerwünschten Arzneimittelwirkungen zu erreichen, stellen dabei die Grundlage all dieser Strategien dar.

Schlüsselwörter

Schüler Lehrer Notfallarzneimittel Vorsichtsmaßnahmen Unerwünschte Arzneimittelwirkungen 

Social medical aspects of epilepsy in school age

Abstract

Epilepsy patients of school age face special challenges. Epilepsy itself and adverse drug events of anticonvulsants, such as fatigue and behavioral changes can have a negative impact on school success and social participation. Schoolchildren with epilepsy can often describe their seizures well and describe the loss of control as a decisive criterion. Emergency situations and also school situations are often depicted in pictures. In order to improve the situation for children with epilepsy, teachers should be able to react adequately to a seizure. Training makes an important contribution to improving patient safety by improving the knowledge of caregivers and increasing the willingness of teachers to administer a prescribed rescue medication. In addition, knowledge of the precautions needed to prevent accidents in the event of a seizure will increase. At the same time, participation can be improved by no longer excluding children unnecessarily from activities. Specific support or measures, such as compensation for disadvantages, can further improve the situation. Medical measures, such as the optimization of epilepsy treatment in order to achieve optimum efficacy with individually justifiable adverse drug events are the basis of all these strategies.

Keywords

Students Teachers Rescue medication Safety precautions Adverse drug reactions 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

A. Bertsche und T. Bertsche geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.Kinder- und Jugendklinik, NeuropädiatrieUniversitätsmedizin RostockRostockDeutschland
  2. 2.Zentrum für Arzneimittelsicherheit, Abteilung für Klinische Pharmazie, Institut für PharmazieUniversität LeipzigLeipzigDeutschland

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