ABSTRACT
PURPOSE: Three aims were addressed: (a) Evaluate properties of the items comprising the Life Changes in Epilepsy Scale-Pilot (LCES-P), (b) use item analysis to optimize the scale, (c) evaluate construct and criterion-related validity of the optimized LCES. METHODS: The LCES-P was administered to 174 adults with epilepsy. Item analysis and exploratory factor analysis were performed. Internal consistency reliability, construct validity, and criterion-related validity were evaluated. RESULTS: 17 items were retained in the optimized LCES. Internal consistency reliability was supported. Path analysis was used to evaluate construct validity. Criterion-related validity was supported by correlations with the Medical Outcomes SF-36 Survey (SF-36) General Health subscale and a criterion variable. CONCLUSIONS: The optimized version of the LCES can serve as a valuable outcome measure in clinical and research environments.
Subject(s)
Epilepsy/psychology , Life Change Events , Psychometrics/standards , Epilepsy/nursing , Female , Humans , Interviews as Topic , Male , Middle Aged , Reproducibility of Results , Surveys and Questionnaires/standards , United StatesABSTRACT
Digital EEG recording systems are now widely available and relatively inexpensive. They offer multiple advantages over previous analog/paper systems, such as higher fidelity recording, signal postprocessing, automated detection, and efficient data storage. This document provides guidance for the creation of digital EEG recordings including (1) documentation of patient information, (2) notation of information during the recording, (3) digital signal acquisition parameters during the recording, (4) storage of digital information, and (5) display of digital EEG signals.
Subject(s)
Electroencephalography/standards , Medical Informatics Applications , Neurophysiology/standards , Practice Guidelines as Topic/standards , Societies, Medical/standards , Humans , United StatesABSTRACT
This revision to the EEG Guidelines is an update incorporating current EEG technology and practice. The role of the EEG in making the determination of brain death is discussed as are suggested technical criteria for making the diagnosis of electrocerebral inactivity.
Subject(s)
Brain Death/diagnosis , Electroencephalography/standards , Neurophysiology/standards , Practice Guidelines as Topic/standards , Societies, Medical/standards , Humans , United StatesABSTRACT
This revision to the EEG Guidelines is an update incorporating current EEG technology and practice. The role of the EEG in making the determination of brain death is discussed as are suggested technical criteria for making the diagnosis of electrocerebral inactivity.
Subject(s)
Brain Death/diagnosis , Electroencephalography/standards , Electroencephalography/instrumentation , Electroencephalography/methods , Humans , Neurophysiology , Physical Stimulation , Sensitivity and Specificity , Societies, Medical , United StatesABSTRACT
Digital EEG recording systems are now widely available and relatively inexpensive. They offer multiple advantages over previous analog/paper systems, such as higher ï¬delity recording, signal postprocessing, automated detection, and efï¬cient data storage. This document provides guidance for the creation of digital EEG recordings including (1) documentation of patient information, (2) notation of information during the recording, (3) digital signal acquisition parameters during the recording, (4) storage of digital information, and (5) display of digital EEG signals.
Subject(s)
Electroencephalography , Electronic Health Records , Neurophysiology/methods , Video Recording , HumansABSTRACT
PURPOSE/OBJECTIVES: Epilepsy is the most common chronic neurological disease in the United States. Adults with epilepsy suffer downturns in quality of life. The development of self-management interventions aimed at improving the quality of life of adults with epilepsy is hindered by the lack of a sensitive, patient-centered outcome measure. The purpose of this study was to develop the Life Changes in Epilepsy Scale (LCES); a second purpose was to establish evidence of the content and face validity of the LCES. METHODS: The LCES was developed based on existing qualitative data and a theoretical framework derived from the literature; items were developed to measure perceived changes in the areas of social functioning, somatic health, and subjective well-being since epilepsy onset. Content validity indices were calculated based on evaluation of the scale by 3 experts in the field of epilepsy, whereas face validity was evaluated by 5 adults with epilepsy who were recruited from a Midwestern epilepsy clinic; qualitative data regarding the appropriateness of outcomes included in the LCES were also collected. RESULTS: The initial version of the LCES included 41 items. Following review of the LCES by experts in which both scale- and item-content validity indices of 1.0 were achieved, the number of items was reduced to 35. All 35 items were maintained following review of the LCES by adults with epilepsy. Qualitative comments from participants supported the inclusion of outcomes measured by the LCES. CONCLUSIONS/IMPLICATIONS: Results of this study provide evidence of both content and face validity of the LCES. Further psychometric testing of the scale is ongoing. In addition to being used as an outcome measure in intervention studies, the psychometrically tested LCES can serve as a valuable tool for advanced practice nurses caring for adults with epilepsy in inpatient, outpatient, and community settings. The LCES can allow for a brief assessment of ways in which patients' lives have been affected by epilepsy, thus allowing nurses to develop targeted nursing interventions for these patients.
Subject(s)
Epilepsy/psychology , Life Change Events , Quality of Life/psychology , Surveys and Questionnaires , Adult , Advanced Practice Nursing , Epilepsy/nursing , Epilepsy/therapy , Humans , Nursing Assessment , Psychometrics , Reproducibility of Results , Self Care/psychology , Treatment OutcomeABSTRACT
Neurocardiogenic syncope is not an uncommon occurrence in the general population and affects people across a wide range of age groups. Several sub-specialties are involved in the management of this phenomenon and quite often a multidisciplinary approach is needed for arriving at the final diagnosis and deciding on the optimal treatment for this condition. Often, a thorough history and physical examination will aid in narrowing the differential of syncope and, in the right setting, both passive and provocative testing can be complementary. Neurocardiogenic syncope with a malignant course is a serious entity and usually needs prompt identification of its underlying etiology. It has been generally attributed to a severe cardioinhibitory or vasodepressor mechanism and most cases required tailored therapy. We describe a case which has many of the elements described above - a multidisciplinary approach, malignant neurocardiogenic syncope with profound asystole from a cardioinhibitory response, simplistic bed-side provocative testing, and tailored therapy.
