Seizure diary pdf 2025

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The document is a seizure diary designed for individuals with epilepsy to track their seizures, medication, and related health information. It provides structured sections for personal details, seizure descriptions, medication changes, appointments, and feelings about managing epilepsy. Users can record the frequency and type of seizures, triggers, recovery times, and any side effects from medications. The diary aims to facilitate communication with healthcare providers and improve seizure management.

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Click ‘Get Form’ to open the seizure diary PDF in the editor.
Begin by filling in your personal details in the 'My Details' section. Include your name, postcode, address, and contact information. This helps tailor the diary to your specific needs.
On pages 3 to 6, record details of your seizures. Use one line per day for each seizure, noting the date at the top. If you experience multiple seizures in a day, feel free to use one line per seizure instead.
Utilize the summary chart on pages 4 and 6 titled 'My seizures at a glance.' Fill in a box for each seizure you have had against the corresponding date. You can color-code these boxes for different types of seizures if desired.
In the 'My Seizures' section, describe each type of seizure you experience. Assign codes (A, B, C) for easy reference when filling out other sections.
Document any changes to your medication and side effects in the 'My Epilepsy Medication' section. This is crucial for tracking your treatment progress.

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What to write in a seizure diary?

You can use a seizure diary to make a note of: When your seizures are happening. The types of seizures youre having. How long they last. Whether you have any video evidence of the seizure. Whether there are any possible triggers that might be affecting your seizures.

How to keep a seizure journal?

If you are developing your own diary or journal we recommend that you include some key information: Seizure activity and types, including dates and frequency of any events. Medication side-effects you might be experiencing. Possible seizure triggers that you, or others, are noticing.

What is the rule of 3 for seizures?

A recent ILAE task force proposed using a Rule of Three as an operational definition of seizure freedom, ing to which a patient should be considered seizure-free following an intervention after a period without seizures has elapsed equal to three times the longest pre-intervention inter-seizure interval over

How to write seizure history?

The following information should be obtained in the history: Record the patients age. If a family history of seizures is noted, determine the clinical epilepsy syndrome of the affected family member. Ask about a history of any previous provoked seizure. Determine if the first seizure was status epilepticus.