D

Health Professionals Who Care for People with Epilepsy: Possible Roles and Relevant Boards and Organizations

Profession Possible Roles in Caring for People with Epilepsy Relevant Certifying Boards and Professional Organizations
Medical Physicians
Child and adolescent psychiatrists Similar care as adult psychiatrists (described below), but focused on children and adolescents and their specific needs

•  American Academy of Child and Adolescent Psychiatry

•  American Board of Psychiatry and Neurology

•  American Psychiatric Association

Critical care specialists or intensivists Critical care services, such as lifesupport or
organ-support systems in acute care settings,
which may be relevant for people with epilepsy
in life-threatening situations or those who have
serious comorbidities or seizure etiologies, such as
brain tumors or stroke

•  American Board of Anesthesiology

•  American Board of Emergency Medicine

•  American Board of Internal Medicine

•  American Society of Anesthesiologists

•  Society of Critical Care Medicine

•  See also boards and associations listed for emergency physicians



The National Academies | 500 Fifth St. N.W. | Washington, D.C. 20001
Copyright © National Academy of Sciences. All rights reserved.
Terms of Use and Privacy Statement



Below are the first 10 and last 10 pages of uncorrected machine-read text (when available) of this chapter, followed by the top 30 algorithmically extracted key phrases from the chapter as a whole.
Intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text on the opening pages of each chapter. Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.

Do not use for reproduction, copying, pasting, or reading; exclusively for search engines.

OCR for page 517
D Health Professionals Who Care for People with Epilepsy: Possible Roles and Relevant Boards and Organizations Relevant Certifying Possible Roles in Caring for Boards and Professional Profession People with Epilepsy Organizations Medical Physicians Child and Similar care as adult psychiatrists • American Academy of Child adolescent (described below), but focused on and Adolescent Psychiatry psychiatrists children and adolescents and their • American Board of specific needs Psychiatry and Neurology • American Psychiatric Association Critical care Critical care services, such as life- • American Board of specialists or support or organ-support systems Anesthesiology intensivists in acute care settings, which may be • American Board of relevant for people with epilepsy in Emergency Medicine life-threatening situations or those • American Board of Internal who have serious comorbidities Medicine or seizure etiologies, such as brain • American Society of tumors or stroke Anesthesiologists • Society of Critical Care Medicine • See also boards and associations listed for emergency physicians 517

OCR for page 517
518 EPILEPSY ACROSS THE SPECTRUM Relevant Certifying Possible Roles in Caring for Boards and Professional Profession People with Epilepsy Organizations Emergency • Diagnosis, assessment, and • American Academy of physicians treatment of new-onset seizures Emergency Medicine if a patient visits the emergency • American Board of department Emergency Medicine • Diagnosis, assessment, and • American College of treatment for epilepsy-related Emergency Physicians emergencies, including status • Emergency Medicine epilepticus and seizure-related Residents Association injuries • Society for Academic • Non-epilepsy-related emergency Emergency Medicine situations for people with epilepsy • Referrals to follow-up and other health services • Initial patient and family education and counseling Epileptologists • Diagnosis, assessment, treatment, • American Academy of and management of epilepsy, Neurology often difficult or refractory cases • American Board of Clinical • Patient and family education and Neurophysiology counseling • American Board of • Referrals to health and human Psychiatry and Neurology services • American Clinical • Care primarily for people with Neurophysiology Society epilepsy and are often affiliated • American Epilepsy Society with an epilepsy center • American Neurological Association Family physicians • Often first point of contact with • American Academy of the health care system Family Physicians • Diagnosis, assessment, treatment, • American Board of Family and management of epilepsy Medicine • Referrals to specialists and other health and human services • Coordination of care, monitoring of general health status • Patient and family education and counseling General Similar care as family physicians • American Academy of pediatricians (described above) and internists, Pediatrics but focused on children and • American Board of adolescents and their specific needs Pediatrics General surgeons • General surgical procedures and • American Board of Surgery care, usually not epilepsy related • American College of in nature Surgeons • Vagus nerve stimulation implants • American Society of and maintenance General Surgeons

OCR for page 517
519 APPENDIX D Relevant Certifying Possible Roles in Caring for Boards and Professional Profession People with Epilepsy Organizations Geriatricians Similar care as family physicians • American Board of Family (described above) and internists, Medicine but focused on older adults and • American Board of Internal their specific needs Medicine • American Geriatrics Society Hospitalists • Attending physicians for hospital • American Board of Family inpatients Medicine • Diagnosis, assessment, treatment, • American Board of Internal and management of epilepsy in Medicine the inpatient setting • American Board of • Referral to specialists and other Pediatrics health and human services • Society of Hospital • Coordination with patients’ usual Medicine care providers Internists See description of family physician • American Board of Internal above Medicine • American College of Physicians • Society of General Internal Medicine Neurologists • Diagnosis, assessment, treatment, • American Academy of and management of epilepsy Neurology • Patient and family education and • American Board of counseling Psychiatry and Neurology • Referrals to other health and • American Epilepsy Society human services • American Neurological • Also provision of care for patients Association with a wide array of neurological conditions beyond epilepsy Neurosurgeons • Epilepsy-related surgeries, • American Association of pre- and post-surgery care, Neurological Surgeons determination of surgery • American Board of candidacy Neurological Surgery • Referral to specialists and other • American Epilepsy Society health and human services • Congress of Neurological Surgeons • Society of Neurological Surgeons

OCR for page 517
520 EPILEPSY ACROSS THE SPECTRUM Relevant Certifying Possible Roles in Caring for Boards and Professional Profession People with Epilepsy Organizations Obstetrician- • Possible role as primary care • American Board of gynecologists provider for women Obstetrics and Gynecology • Preventive care, diagnosis, • American Congress assessment, treatment, and of Obstetrics and management of conditions of Gynecologists the female reproductive system, including care that takes into account the specific needs and concerns of women with epilepsy related to reproductive health, pregnancy, and the use of seizure medications • Referrals to specialists and other health and human services • Patient and family education and counseling Osteopathic • Similar care as family physicians • American College of physicians (described above) and internists Osteopathic Family when practicing as primary care Physicians physicians • American College of • 60 percent fill primary care Osteopathic Internists roles, but the other 40 percent • American Osteopathic specialize and subspecialize Association in areas such as neurology, • American Osteopathic psychiatry, and pediatrics Board of Family Physicians • American Osteopathic Board of Internal Medicine • American Osteopathic Board of Neurology and Psychiatry • American Osteopathic Board of Pediatrics Pediatric Similar care as adult neurologists • American Academy of neurologists (described above), but focused on Neurology children and adolescents and their • American Board of specific needs Psychiatry and Neurology • American Epilepsy Society • American Neurological Association • Child Neurology Society Physical and • Diagnosis, assessment, treatment, • American Academy of rehabilitation and management of physical Physical Medicine and medicine disabilities and limitations, which Rehabilitation could be the result of a seizure, • American Board of Physical a seizure-related injury, or a Medicine and Rehabilitation comorbidity • American Congress of • Referral to specialists and other Rehabilitation Medicine health and human services • American Pain Society • Association of Academic Physiatrists

OCR for page 517
521 APPENDIX D Relevant Certifying Possible Roles in Caring for Boards and Professional Profession People with Epilepsy Organizations Psychiatrists • Diagnosis, assessment, treatment, • American Board of and management of comorbid Psychiatry and Neurology mental health conditions in • American Psychiatric patients with epilepsy Association • Treatment and management of patients with seizure-like events with a psychological basis Radiologists or • Neuroimaging services that aid • American Board of neuroradiologists in diagnosis, treatment, and Radiology determination of candidacy for • American College of epilepsy-related surgery Radiology • Radiological Society of America Nurses Licensed practical • Basic nursing care, including • National Association for or vocational monitoring vital signs, performing Practical Nurse Education nurses (LPNs, ordered treatments (e.g., dressing and Service LVNs) changes), and dispensing • National Council of State medications in many states (IOM, Boards of Nursing 2011) • National Federation • Possible employment in long- Licensed Practical Nurses term care and home health and Association in physicians’ offices; LPNs and • Many states have LVNs may encounter people with associations for LPNs or epilepsy and their families in LVNs as well those settings Neuroscience Similar care as registered nurses • American Association of nurses (described below), as well as Neuroscience Nurses diagnosis and treatment of patients • American Board of with disorders and conditions Neuroscience Nursing related to the nervous system, such • American Epilepsy Society as epilepsy • Association of Child Neurology Nurses • See also organizations included below for registered nurses

OCR for page 517
522 EPILEPSY ACROSS THE SPECTRUM Relevant Certifying Possible Roles in Caring for Boards and Professional Profession People with Epilepsy Organizations Nurse practitioners • An advanced practice registered • American Academy of nurse who often provides primary Nurse Practitioners care services • American College of Nurse • Scopes of practice vary by state Practitioners (IOM, 2011) • American Epilepsy Society • Provision of a wide spectrum of • American Nurses health care services, including Association physical examinations, health • American Nurses assessments, and diagnosis and Credentialing Center treatment of acute and chronic • National League for Nursing conditions, such as epilepsy • Many states have • Patient and family education, associations for nurse counseling, and instruction in self- practitioners as well management • Referrals to specialists and other health and human services Nursing aides or • Similar care as direct care workers • National Council of State certified nursing (described below), including Boards of Nursing assistants providing assistance with daily • National Network of Career living activities, such as bathing, Nursing Assistants dressing, eating, and moving • Many states have patients associations for nursing • Possible employment in home assistants health care and long-term care facilities; they may encounter people with epilepsy and their families in those settings Registered nurses • Provision of holistic, patient- • American Association of centered care, including health Colleges of Nursing assessment and monitoring, • American Epilepsy Society administration of prescribed • American Nurses treatments and medications, and Association care coordination • Commission on Collegiate • Patient and family education, Nursing Education counseling, and instruction in self- • National Council of State management Boards of Nursing • Employment in virtually all • National League for Nursing health care and residential • Many states have settings, including emergency associations for nursing as departments, inpatient units, well outpatient departments, clinics, schools, public health departments, group homes, nursing homes and long-term care facilities, and workplaces; registered nurses may encounter people with epilepsy and their families in those settings

OCR for page 517
523 APPENDIX D Relevant Certifying Possible Roles in Caring for Boards and Professional Profession People with Epilepsy Organizations School nurses • Assessment of student health • American Epilepsy Society • Education of students and their • National Association of families School Nurses • Referrals to available services and • National Board for resources, especially those in the Certification of School community Nurses • Administration of medication, • See also organizations including seizure medications and included above for emergency medications, such as registered nurses diazepam Examples of Other Health Professionals Clinical health • Provision of support for • American Board of Clinical psychologists rehabilitation of illness, injury, Health Psychology and disability by applying and • American Board of understanding how biological, Professional Psychology psychological, and social factors • American Psychological affect health and illnesses and Association, Division of disorders, such as epilepsy Health Psychology • Possible provision of care in • Counsel of Specialties in comprehensive epilepsy centers, Professional Psychology hospitals and clinics, community mental health settings, or private practice Clinical • Assessment and treatment of • American Academy of psychologists a wide range of mental health Clinical Psychology conditions, including mental, • American Board of Clinical emotional, and behavioral Psychology disorders, which may include • American Board of comorbid conditions of epilepsy Professional Psychology • Possible provision of care in • American Psychological comprehensive epilepsy centers, Association, Society of hospitals and clinics, community Clinical Psychology mental health settings, or private • Counsel of Specialties in practice Professional Psychology Counseling • Provision of counseling services • American Board of psychologists to individuals and groups for a Counseling Psychology range of emotional, behavioral, • American Psychological and mental health conditions, Association, Society of which may include comorbid Counseling Psychology conditions of epilepsy • Counsel of Specialties in • Possible provision of care in Professional Psychology comprehensive epilepsy centers, hospitals and clinics, community mental health settings, or private practice

OCR for page 517
524 EPILEPSY ACROSS THE SPECTRUM Relevant Certifying Possible Roles in Caring for Boards and Professional Profession People with Epilepsy Organizations Counselors • This profession includes a wide • American Board of Genetic range of specialties that are Counseling, Inc. relevant to the health and well- • American Counseling being of people with epilepsy and Association their families, including mental • American Mental Health health counselors, rehabilitation Counselors Association or vocational counselors, school • American Rehabilitation counselors, genetic counselors, Counseling Association gerontological counselors, • American School Counselor marriage and family counselors, Association and substance abuse or addiction • Commission on counselors Rehabilitation Counselor • Employment in a variety of Certification hospital or community-based • National Board for Certified mental health settings or private Counselors and Affiliates, practice Inc. • Mental health counselors promote • National Rehabilitation optimum mental health related Association or unrelated to a diagnosed • National Society of Genetic psychological disorder or Counselors condition, including addiction • Many states also have state or substance abuse; family, associations for a variety of parenting, or marital problems; or counseling specialties other concerns associated with mental and emotional health, which may include comorbid conditions of epilepsy • Rehabilitation counselors work with people with disabilities to help achieve personal, social, psychological, and vocational goals and assist with psychosocial adjustment and coping, benefits planning, and educational and vocational planning and services Direct care • Provision of assistance with daily • National Alliance for Direct workersa living activities, including bathing, Support Professionals dressing, eating, and moving • National Association of patients Health Care Assistants • Possible assistance with • Many states have direct household activities, including care worker associations cleaning, laundry, and meal and associations for nursing preparation aides • Possible assistance with medication management • Possible employment in group homes, private homes, long- term care, and nursing home settings; direct care workers may encounter people with epilepsy and their families in those settings

OCR for page 517
525 APPENDIX D Relevant Certifying Possible Roles in Caring for Boards and Professional Profession People with Epilepsy Organizations Electroneuro- • Recording, monitoring, and • American Association diagnostic analysis of nervous system of Electrodiagnostic technologists function using a variety Technologists (sometimes of electroneurodiagnostic • American Board known as electro- procedures, such as an EEG, of Registration of encephalography intraoperative neuromonitoring, Electroencephalographic [EEG] and long-term monitoring, which and Evoked Potential technologists) may be part of epilepsy diagnosis Technologists and assessment • American Clinical • Preparation of relevant Neurophysiology Society information for physician • American Society of interpretation Electroneurodiagnostic • Employment in a variety of Technologists, Inc. settings, including hospitals, • Committee on intensive care units, clinics, Accreditation for Education research facilities, operating in Electroneurodiagnostic rooms, and epilepsy monitoring Technology units Emergency medical • Profession includes a range • International Association of services (EMS) of personnel with varying EMTs and Paramedics personnel backgrounds and education and • National Association training, such as medical first of Emergency Medical responders, emergency medical Technicians technicians (EMTs)—basic, • National Association of EMS intermediate, and paramedic Educators • Provision of medically supervised • National Highway Traffic transportation in out-of-hospital Safety Administration settings, which may include • National Registry of transportation for people with Emergency Medical new onset seizures, status Technicians epilepticus, or seizure-related • Many states also have state injuries associations for emergency • Part of emergency medical response personnel organizations that respond to emergency calls

OCR for page 517
526 EPILEPSY ACROSS THE SPECTRUM Relevant Certifying Possible Roles in Caring for Boards and Professional Profession People with Epilepsy Organizations Neuropsychologists • Assessment of cognitive • American Board of Clinical impairments; diagnosis Neuropsychology of neuropsychological • American Psychological conditions; and administration Association, Division of and interpretation of Clinical Neuropyschology neuropsychological tests, brain • Association of Postdoctoral mapping, and Wada testing, Programs in Clinical which may be part of diagnosis Neuropsychology and assessment for people with • Counsel of Specialties in epilepsy Professional Psychology • Assistance in rehabilitation and • National Academy of the development and provision Neuropsychology of cognitive, behavioral, and psychosocial interventions, which may be connected to comorbidities of epilepsy • Possible provision of care in comprehensive epilepsy centers, hospitals and clinics, community mental health settings, or private practice Pharmacists • Dispensing of seizure medications • American Association of and other medications Colleges of Pharmacy • Identification and prevention of • American Epilepsy Society medication errors • American Pharmacists • Provision of advice to patients Association about possible side effects, • American Society of Health adverse reactions, and drug System Pharmacists interactions, as well as specific • National Association of information and considerations Boards of Pharmacy for subpopulations such as older • National Community adults, children, and women Pharmacists Association

OCR for page 517
527 APPENDIX D Relevant Certifying Possible Roles in Caring for Boards and Professional Profession People with Epilepsy Organizations Physician assistants • Profession works under the • Accreditation Review supervision of physicians to Commission on Education provide a range of medical for the Physician Assistant services including physical • American Academy of examinations, diagnosis, Physician Assistants assessment, treatment, and • Association of Family management of a variety of acute Practice Physician and chronic conditions, such as Assistants epilepsy • National Commission on • Physician assistants often serve Certification of Physician in a primary care capacity, but Assistants also may specialize and work • Physician Assistant with medical specialists, such Education Association as surgeons, neurologists, and • Many states have obstetrician-gynecologists who associations for physician work with people with epilepsy assistants • Scopes of practice and specific practice roles and responsibilities vary by state and clinical setting • Patient and family education and counseling • Referrals to specialists and other health and human services Rehabilitation • Application of psychological • American Board of psychologists knowledge and skills to the care Professional Psychology of individuals with disabilities • American Board of and chronic conditions, such as Rehabilitation Psychology epilepsy • American Psychological • Possible provision of care in Association, Division of comprehensive epilepsy centers, Rehabilitation Psychology hospitals and clinics, community • Counsel of Specialties in mental health settings, or private Professional Psychology practice

OCR for page 517
528 EPILEPSY ACROSS THE SPECTRUM Relevant Certifying Possible Roles in Caring for Boards and Professional Profession People with Epilepsy Organizations Social workers • Provision of support, education, • American Association for coordination of referrals, and Psychoanalysis in Clinical case management, as well as Social Work counseling and therapeutic • Association of Social Work interventions Boards • Specialties that are relevant to the • Clinical Social Work health and well-being of people Association with epilepsy and their families • Council on Social Work may include areas such as clinical, Education medical, and public health social • National Association of workers Social Workers • Specific areas of practice, also • Society for Social Work relevant to the health and well- Leadership in Health Care being of people with epilepsy • Many states also have state and their families, include child associations for a variety of and adolescent health, family social work specialties dynamics, health broadly, aging, behavioral health, bereavement and end of life, diversity and equity, social justice, schools, and violence • Employment in a variety of settings, including schools, private practice, and hospital, community, and public health settings aThe title “direct care worker” often includes aides, orderlies, attendants, home health aides, and personal and home care aides, among others (IOM, 2008). REFERENCES IOM (Institute of Medicine). 2008. Retooling for an aging America: Building the health care workforce. Washington, DC: The National Academies Press. ———. 2011. The future of nursing: Leading change, advancing health. Washington, DC: The National Academies Press.