1.

PENGERTIAN

Epilepsy is defined as disorder or when the brains function stopped

periodically that is caused by excessive discharge of electrical charge
and not ordered by brain cells, so that the process of receiving and
delivering impulses between parts of the brain and from the brain to
other parts of the body is diturbed (Mutiawati, 2008)

Epilepsy, often called ayan or sawan, is a center nervous system

disorder that is caused by the release of electrical cell charge
repeatedly, with symptomps such as decreased awareness, motoric,
sensoric, and mental disorder, with or without convulsive (Ramali,
2005:114)

2. The Factor why Epilepsi happens on children (PENYEBAB

EPILEPSI)

a. The Lack of Oxygen while the children were born.

b. The children’s head is injured while they were born.

c. Having a brain tumor

d. The occurrence of brain injury which is caused by genetic

conditions such as tuberous sclerosis.

e. The occurrence of an infection such as meningitis

f. The glucose and the sodium is in abnormal level.

3. The Indication of Epilepsy (TANDA GEJALA)

The Indication of epilepsy depends on the type of epilepsy that they

have. Generally, The Indication of epilepsy which is often happened ;

a. Loss of senses
 b. Convulsions.

c. The Production of Saliva increases.

d. Fall asleep for 2-3 hours after the attack, recover after a few
minutes, hours or even days

e. Complaining the headache, getting tired after the attack.

f. There will be the increasing of blood pressure and pulse while the
attack’s happened.

g. Before the attack, the patient will get the "aura" such as being
fearful, sick, and feels somethings strange happens on their body.

h. There will be the disorders of behavior such as getting angry and

offended easier for hours or even days before the attack.

4. Epilepsy Treatment (PERAWATAN EPILEPSI)

a. To know the trigger factors for epilepsy such as exhausting,

starving, watching TV, etc.)

b. To avoid the trigger factors

c. To stop getting tired

d. To Take a well-organized medicine

e. To sleep in a flat surface and tilt your head while the attack occurs

f. To Throw out the un useful things which can be dangerous

g. Put the soft objects in the mouth while the attack occurs

h. Loosen the clothes

 i. Recognize the indications of attack such as anger, unwillingness to
eat, the disruption of vision, hearing, etc.

j. Give the medicine as soon as possible the indications of attack

appears

k. If the children get the abnormal temperature, bring to the

puskesmas or hospital as soon as possible before the convulsions
occurs.

l. For children, to have well-organized treatment for up to 3 years,

then the medicine’s dosage will be reduced gradually within 6
months

5. First aid for children who have epilepsy (Pertolongan pertama

pada anak yang mengalami epilepsy)

a. Loosen or open the children's clothes so there wont be nothing

which can make the condition be worse

b. Let children’s head in tilt Position to make the children breathe

easily

c. Throw away the things which can make the children get hurt

d. If the convulsions gets worse, immediately bring the children to the

doctor to get the a diagnosis and the further examination.

6. The Theoritical of Nursing Diagnoses

1) The ineffectiveness of the airway clearance is related to the
blockage of tongue in the endotracheal, the enhancement of
salivary secretion, and neuromuscular disorders.
2) The Ineffectiveness of thermogulation: Hyperthermia which is
related to the abnormal metabolism and the infectious process
 3) The risk of injury is related to the change of senses, the disorders of
cognitive during the convulsions, or the disorders of self-protection
mechanisms and the controllable convulsions’ activity (the
disruption of stability)
4) The Lack of knowledge about the conditions and the rules of
treatment is related to the deficiency of indulgence,
misinterpretation, and mistakenly remembered
7. Rencana asuhan Keperawatan Teoritis

1) The ineffectiveness of the airway clearance is related to the

blockage of tongue in the endotracheal, the enhancement of
salivary secretion, and neuromuscular disorders

Purpose :After we did the nursing care in 3x24 hours, the

ineffectiveness of the airway clearance can be
resolved

Kriteria hasil : The breath will be normal (25-30 x/minutes), there

wont be aspirations, dyspnea, and the cumulation of secret

INTERVENTION RATIONAL

1. Give an recommendation to 1. Decreased the risk of

the client to make the aspiration or the entry of
mouth be clear unknown things into the bed
rest

2. Let the client in the tilt 2. Increasing the drainage flow,

position in the flat surface secret, and to prevent the
tounge falling down which
can block the airway

3. Put off the client’s clothes 3. To make clients breath easily

in neck or chest’s and
 abdomen area
4. Let out the MUKUS which is
4. Do the suction which is over can make the risk of
according to the procedure aspirations or AFEKSIA be
decreased

5. Give the oxygen which is 5. To comply the necessary of

according to the program oxygen

2) The Ineffectiveness of thermogulation: Hyperthermia which is

related to the abnormal metabolism and the infectious process
Purpose : After we did the nursing care in 3x24 hours,
the ineffectiveness of the thermogulation can be
resolved
Kriterua hasil : The fever will be resolved, the temperature will
be normal 36,5 – 37,5 ̊ C, and the skin tone will
be normal

INTERVENTION RATIONAL

1. We have to know why 1. we have to know the

there is an increase in
temperature
2. Do an observation about
the vital
3. Teach the family about
how to give the compress
factor of an increase in
temperature, because
wearing more clothes or
the blanket can hold up
the increase in
temperature
2. Monitoring the normal
vital can make us know
the progress of the next
step nursing
3. The Conduction process is
 on the head/armpit a mediator

4. Give a recommendation to
use the light clothes
5. The Client need to drink a
lot
4. It’s hard to resolved the
abnormal temperature if
we use the heavy clothes
5. The necessary of water
will increase because of
the abnormal temperature

3) The risk of injury is related to the change of senses, the disorders of

cognitive during the convulsions, or the disorders of self-protection
mechanisms and the controllable convulsions’ activity (the
disruption of stability)
Purpose : After we did the nursing care in 3x24 hours,
The risk of injury can be resolved

Kriteria Hasil : Client doesn’t have the physical injury, the client in a
good condition, there is no bruise on client and the
risk of falling

INERVENTION RATIONAL

1. Identify the factor of 1. By keeping out the

environment which things around can be
can make the risk of dangerous when the
falling be increase convulsions occurs.)

2. Put the obstacle in

bed
2. To keep the client be
3. Let the client in the safe and to avoid the
low and flat risk of injury
surface’s bed) 3. This kind of area can
prevent the risk of
 4. Prepare the soft
cloth to prevent the
tongue will be bitten
while the
convulsions occurs
5. Give the medication
injury
4. There is a possible that
the toughe will be bitten
while the convulsions
occurs
5. To decrease the long-
term
convulsions’activity
which can decrease the
supply of oxygen)

4) The Lack of knowledge about the conditions and the rules of

treatment is related to the deficiency of indulgence,
misinterpretation, and mistakenly remembered
Purpose :After we did the nursing care in 1x24 hours,
The Lack of knowledge about the conditions and
the rules of treatment can be resolved)

Kriteria hasil : We can know about the stimulation’s disruption

which has been given can change the behavior and
follow the medicine’s rules

INTERVENTION RATIONAL

1. Explain about the 1. Give the chance to

prognosis of disease clarify the mistakenly
and the necessary of perception about the
medicine disease’s condition

2. Give the real 2. The knowledge which

information about the has been given can
disease’s prognosis decrease the risk of
and the medicine disease and prevent the
dangerous of disease
3. Do a well-organized
evaluation 3. The Necessary of

4. Discuse the positive
advantage of the fault,
just like the diet and
the rest)
DAFTAR PUSTAKA
Arif, et. All.2000.Kapita Selekta Kedokteran. Edisi ke-3. Jilid 2. Jakarta :
Media Aesculaius.
terpeutik can change to
prepare somekind of
possible which can be
happen
4. The well-organized
activity can help us to
control the factor of
predisposition)
Doengoes, M.E , Moorhouse, M. F & Geissler, A. C. (2002). Rencana Asuhan
Keperawatan. Jakarta : EGC.

http://www.academia.edu/15889178/225160127-ASUHAN-
KEPERAWATAN-EPILEPSI- PADA-ANAK

Wong, Donna L., et al. 2008. Buku Ajar Keperawatan Pediatrik Wong. Volume
2. Alih bahasa Agus Sunarta, dkk. EGC : Jakarta.