Epilepsy affects around one in every hundred people in the UK, so most care teams will support someone living with the condition at some point. Good support depends on knowledge, preparation and calm, confident action. When staff understand what to expect, they can keep the person safe and respond quickly when a seizure happens.
Every person with epilepsy is different. Seizures vary in type, length and severity, and the right response depends on the individual. That is why training matters. Courses such as buccal midazolam training give care workers the skills to administer emergency medication safely and correctly when it is needed.
This guide covers the key areas every care team should understand, from recognising seizures to keeping accurate records.
Recognising Seizure Types
Not all seizures look the same. Some are dramatic and easy to spot, while others are subtle and easy to miss.
- Tonic-clonic seizures involve loss of consciousness, stiffening and jerking movements.
- Absence seizures cause brief lapses in awareness that can look like daydreaming.
- Focal seizures may involve confusion, unusual movements or altered sensations while the person stays partly aware.
Learn the specific signs for each person you support. Knowing their usual pattern helps you spot when something is different or more serious.
Responding Safely During a Seizure
Stay calm and keep the person safe. Move nearby objects out of the way and cushion their head if they have fallen. Do not restrain them or put anything in their mouth.
Time the seizure from the moment it starts. Once it ends, place the person in the recovery position and stay with them until they are fully alert. Reassure them, as many people feel confused or tired afterwards.
Call 999 if a seizure lasts longer than five minutes, if one seizure follows another without recovery, or if the person is injured or struggling to breathe.
Using Emergency Medication
Some people are prescribed emergency medication, such as buccal midazolam, to stop prolonged seizures. This is given into the side of the mouth and works quickly.
Only administer emergency medication if you are trained and it is written into the person’s care plan. Follow the prescribed dose and timing exactly. Record what you gave, when you gave it and how the person responded.
Documentation and Communication
Accurate records protect the person and support their ongoing care. After every seizure, note the date, time, duration, type and any medication given.
Share this information with colleagues, family and healthcare professionals. Clear communication within the team means everyone knows the person’s history and any changes in their condition. Consistent records also help doctors adjust treatment when needed.
The Importance of Individual Care Plans
Each person should have a detailed epilepsy care plan. This sets out their seizure triggers, typical signs, medication and the steps staff must follow.
Read the plan carefully and keep it up to date. Review it regularly with the person, their family and their medical team. A well-written plan gives your care team the confidence to act quickly and support the person with dignity and respect.