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022 _a0279-3695
040 _cOCT
100 _aTanner, Andrea
240 _aJournal of psychosocial nursing /
_hOctober 2023
245 _aAdolescents' perceptions of functional seizure self-management strategies, facilitators, and barriers in the school environment /
_cAndrea Tanner, Jane von gaudecker, Janice Buelow, Ukamaka Oruche, and Wendy Miller
260 _aThorofare, New Jersey ;
_bSlack Incorporated ,
_c2023
300 _avol.61(10) : pages 19-27
500 _aABSTRACT Adolescents with functional (psychogenic nonepileptic) seizures encounter many struggles within the school environment, including stress, bullying, stigmatiza-tion, and accusations of faking seizure events. Mental health nurses and school personnel are poised to support school-based self-management; unfortunately, to date, no evidence exists to detail effective school-based self-management strategies for adolescents with functional seizures. Therefore, in the current qualitative study, we examined adolescents' functional seizure self-management, perceived effectiveness, and facilitators and barriers using semi-structured interviews analyzed using content analysis. We interviewed 10 adolescent females aged 12 to 19 years. Themes of proactive (prior to seizure warning symptoms) and reactive (after seizure warning symptoms) self-management, involving protection, perseverance, and progress monitoring, emerged. Adolescents perceived proactive strategies as primarily effective, whereas reactive strategies were less effective. Adolescents identified school nurses and personnel, family, and peers as facilitators and barriers to self-management. Mental health nurses are positioned to provide care, co-create plans, and advocate for adolescents with functional seizures in collaboration with school nurses and personnel.
653 _afunctional seizure
700 _aGaudecker, Jane von
700 _aBuelow, Janice
700 _aOruche, Ukamaka
700 _aMiller, Wendy
942 _2ddc
_cCR
_n0
999 _c9464
_d9464