title: General-practice-based nurse specialists-taking a lead in improving the care of people with epilepsy.
abstract: Epilepsy is almost as common as diabetes and some 750 people with epilepsy die suddenly and prematurely each year. Unfortunately, the management of epilepsy has been much neglected and services often remain fragmented and difficult for patients to understand. We employed a nurse specialist in epilepsy to work with practice nurses in a group of general practices to promote better care, to make patients aware of sources of help and support, and to provide information about issues such as driving, employment and pregnancy. Over 70% of patients with epilepsy attended 'clinics' run by the specialist nurse and many previously unidentified problems were successfully resolved-including misdiagnosis, over-medication and lack of awareness of the side-effects of antiepileptic drugs. Nurse specialists in epilepsy, working with groups of general practices but in collaboration with hospital specialists and voluntary organizations, can take a lead role in facilitating joint working between all those involved in service provision, in training practice nurses and others in the special needs of people with epilepsy and in providing support in hospital clinics.
authors.affiliation: Research and Information Officer, Epilepsy Association of Scotland, 48 Govan Road, Glasgow, G51 1JL.
authors.forename: D
authors.initials: D
authors.lastname: MacDonald
authors.forename: N
authors.initials: N
authors.lastname: Torrance
authors.forename: S
authors.initials: S
authors.lastname: Wood
authors.forename: J
authors.initials: J
authors.lastname: Womersley
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D004509:Education, Nursing, Continuing / Q000379:methods*; D004827:Epilepsy / Q000451:nursing* / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009720:Nurse Clinicians / Q000458:organization & administration*; D017063:Outcome Assessment, Health Care; D010346:Patient Care Management / Q000379:methods*; D010353:Patient Education as Topic; D011247:Pregnancy; D011320:Primary Health Care / Q000379:methods / Q000458:organization & administration*; D012606:Scotland; D011795:Surveys and Questionnaires