My photograph is a selfie of my mother, my boyfriend, and myself. …show more content…
Those clinical issues include guidelines on the diagnosis and management of patients with epilepsy and anti-epileptic drugs (AED) as a form of treatment. Guidelines are made by the following groups: the National Institute of Clinical Excellence, the Scottish Intercollegiate Guidelines Network, and the Clinical Standards Advisory Group. These guidelines all follow the same principles. A patient should be diagnosed with epilepsy by a trained specialist who routinely follows up with the patient. Services such as support groups should be made available to patients who have learning disabilities. Lastly, treatments for each condition should be made based on policy. There is a scarce amount of anti-epileptic drugs, with only 18 drugs approved and regulated. Current policy states that only using one drug at a time is preferred; if one AED fails then another substitute will be prescribed. However, specialists disagree and favor mixing two or more AEDs at the same time. From personal experience, I agree with all of the guidelines and policies set in place for epilepsy patients except monotherapy for AEDs. When I think back to all the times my mother has switched an AED because it did not control her seizures, it frustrates me that her Neurologist did not use more than one AED at a time. Once my mother and I met with the Neurosurgeon, she suggested trying two types of AEDs at the same time and that …show more content…
It is during those teenage years that one finds their niche and becomes easily influenced to do things. When I look this photograph, I am reminded of how much my teenage boyfriend has influenced who I am today. My boyfriend, James, helped me decide on a career that fit my personality best. We decided that a Nurse Practitioner would be the best career for me because Nurse Practitioners have the same job responsibilities as physicians with more patient interaction. James influenced not only my future career choice, but also my work ethic and personality. It is true what people say about relationships: opposites attract. His disorganization taught me to become more organized. His fun-hearted personality made my uptight personality disappear; I began to enjoy life and relax