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Postictal Psychosis: Implications for Nursing

Hartshorn, Jeanette C.; Martino Maze, Claire D.

Journal of Neuroscience Nursing: April 2013 - Volume 45 - Issue 2 - p 71–76
doi: 10.1097/JNN.0b013e3182829054

ABSTRACT Postictal psychosis (PIP) is a serious outcome of epilepsy, which may be preventable. Once the symptoms are identified, rapid diagnosis and treatment will prevent further deterioration in the patient’s condition. The nurse plays a critical role in this process. The specific presentation of PIP, along with clarification of potential causes and strategies to prevent the occurrence of this complication, will be discussed. Through a case study format and emphasis on the role of the nurse, the specifics of case finding and rapid intervention will be described.

Questions or comments about this article may be directed to Jeanette C. Hartshorn, PhD, at She is Clinical Services Director, Telemedicine Epilepsy Management Program of Texas, Epilepsy Foundation of Texas, and Professor of Nursing, College of Nursing and Public Health, South University, Savannah, GA.

Claire D. Martino Maze, PhD, is an Assistant Professor of Nursing in the College of Nursing and Public Health at South University, Savannah, GA.

The authors declare no conflicts of interest.

© 2013 American Association of Neuroscience Nurses