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Clinical Confidence • Student Nurse Guide

Recognising Seizure Activity for Student Nurses

Learn how seizure activity may present, what to observe during an episode and how to assess, communicate and escalate concerns safely.

Key principle: seizures do not always present as dramatic whole-body convulsions. Changes in awareness, behaviour, movement or responsiveness may also be important.
Recognition

What might seizure activity look like?

The appearance of a seizure depends on which areas of the brain are affected. Student nurses should recognise that presentations can vary considerably.

Movement

Jerking or stiffening

Rhythmic limb movements, sudden stiffening or other involuntary movements may occur.

Awareness

Reduced responsiveness

The person may become unresponsive or appear unaware of their surroundings.

Subtle signs

Staring or unusual behaviour

Some seizures may involve staring, repetitive movements, altered sensations or unusual behaviour rather than convulsions.

Observe carefully

What you see before, during and after a suspected seizure can provide valuable information for the clinical team.

During the seizure

What should you observe?

  • What time did the episode begin?
  • What was the patient doing immediately beforehand?
  • Did awareness or responsiveness change?
  • Did the body stiffen?
  • Were there rhythmic or repetitive movements?
  • Did movements begin in one area or affect both sides?
  • Were the eyes open, closed or deviated?
  • Were there changes in breathing or skin colour?
  • Did urinary incontinence occur?
  • How long did the episode last?
One of the most useful observations is duration.
If it is safe to do so, note the time the suspected seizure begins and ends.
Immediate priorities

Protect the patient from harm

During convulsive seizure activity, the immediate priorities are patient safety, observation and appropriate escalation.

1

Stay with the patient

Call for appropriate assistance and maintain observation.

2

Reduce injury risk

Remove nearby hazards where this can be done safely and protect the patient from avoidable injury.

3

Observe and time

Record the duration and characteristics of the seizure where possible.

4

Follow local emergency procedures

Obtain appropriate registered or emergency support according to the clinical situation and local policy.

Do not restrain convulsive movements and do not place objects in the patient's mouth. Follow your organisation's seizure and emergency guidance.
ABCDE

Assess systematically after seizure activity

A

Airway

Assess airway patency and identify any immediate airway concern.

B

Breathing

Assess respiratory rate, breathing pattern, SpO₂ and any signs of respiratory compromise.

C

Circulation

Review pulse, blood pressure, perfusion and other relevant observations.

D

Disability

Assess consciousness, responsiveness, pupils and blood glucose according to local practice.

E

Exposure

Look for injury, fever, signs of infection or other relevant clinical clues.

!

Escalate

Communicate deterioration or ongoing concerns promptly to the appropriate clinical team.

Postictal phase

What happens after a seizure?

Following some seizures, patients may enter a recovery period often described as the postictal phase.

Consciousness

Drowsiness

The patient may remain sleepy or less responsive for a period after the seizure.

Cognition

Confusion

Disorientation or difficulty recalling what happened may occur.

Physical symptoms

Fatigue or headache

Patients may feel exhausted, sore or experience other symptoms during recovery.

Do not automatically assume persistent reduced consciousness is simply postictal. Continued or worsening impairment requires reassessment and appropriate escalation.
Clinical clues

Why might a patient develop a seizure?

Seizure activity can occur in many clinical situations. Identifying the cause requires appropriate medical assessment.

Neurological

Brain-related causes

Epilepsy, stroke, intracranial pathology or other neurological conditions may be relevant.

Metabolic

Biochemical disturbance

Abnormal glucose or electrolyte disturbances can contribute to seizure activity.

Systemic illness

Acute deterioration

Infection, hypoxia, toxic causes or other severe illness may also be associated with seizures.

Your role is not to diagnose the cause from the seizure alone. Recognise the event, assess the patient, gather useful information and escalate appropriately.
Escalation

When should seizure activity cause particular concern?

  • A suspected first seizure or unexplained seizure activity.
  • Prolonged seizure activity or repeated seizures without appropriate recovery.
  • Persistent reduced consciousness after the episode.
  • Airway or breathing compromise.
  • Cyanosis or significant oxygenation concerns.
  • Significant injury during the seizure.
  • New focal neurological abnormalities.
  • Abnormal blood glucose or other concerning observations.
  • Seizure activity in a patient who is otherwise acutely deteriorating.
Follow local emergency procedures for prolonged or repeated seizure activity. Do not delay escalation while trying to determine the exact seizure type.
Clinical scenario

Putting recognition into practice

Example

A patient suddenly becomes unresponsive and develops generalised stiffening followed by rhythmic jerking movements.

You call for assistance, note the time, reduce nearby hazards and observe the episode without attempting to restrain the patient.

The movements stop, but the patient remains drowsy and confused.

You reassess using ABCDE, obtain relevant observations including blood glucose according to local practice, and communicate the episode promptly to the appropriate clinical team.

The key is the sequence: recognise → protect → observe → reassess → escalate.

Communication

What information should you communicate?

  • When the episode started and how long it lasted.
  • What the patient was doing immediately beforehand.
  • Whether consciousness or awareness changed.
  • The movements or behaviours you observed.
  • Any changes in breathing or skin colour.
  • The patient's condition immediately afterwards.
  • Current observations and NEWS2 where applicable.
  • Blood glucose or other relevant findings.
  • Whether this represents a change from the patient's known history.

Example escalation

“Mr Jones had a witnessed episode beginning at approximately 14:20. He became unresponsive, stiffened and then developed rhythmic jerking of both arms and legs. The movements lasted approximately two minutes. They have stopped, but he remains significantly drowsy and confused compared with earlier.”

Objective observations like these can be extremely useful to the clinician reviewing the patient.

Common mistakes

Seizure assessment errors to avoid

  • Assuming every seizure involves whole-body convulsions.
  • Failing to record how long the episode lasted.
  • Trying to restrain convulsive movements.
  • Putting an object into the patient's mouth.
  • Leaving the patient without appropriate observation.
  • Assuming prolonged reduced consciousness is simply postictal.
  • Forgetting blood glucose and wider ABCDE assessment.
  • Focusing on naming the seizure instead of recognising deterioration.
Clinical Confidence Routine

Recognise → protect → assess → communicate → escalate

Recognise

Notice the pattern

Recognise changes in movement, awareness, behaviour or responsiveness that may represent seizure activity.

Assess

Protect and reassess

Reduce immediate injury risk, observe the event and reassess the patient systematically using ABCDE.

Communicate & escalate

Describe what happened

Report the duration, observed features, recovery and current clinical condition clearly.

Educational resource: this NurseNet guide supports student learning and does not replace individual clinical assessment, local seizure or emergency protocols, NEWS2 or ABCDE, prescribed emergency treatment plans, clinical supervision or professional judgement.
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