It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Message Board
THIS MESSAGE BOARD IS NO LONGER ACTIVE. TO SEE OUR ACTIVE MESSAGE BOARDS, PLEASE GO HERE





Message
Posted by Keith on February 14, 2000 at 22:05:33:

Hi, I am an occupational therapy senior at the University of Oklahoma Health Sciences Center. I am researching on the topic of Short Term Memory Loss (STM) and Epilepsy. I have been living with epilepsy for 23 years now and have had dozens of seizures. My goal is to identify if a connection exists between the seizures and STM loss. I am collecting data for my project. If would like to assist me bye answering a nine question questionnaire, that takes about 5 minutes to complete, it would be greatly appreciated. There are two ways you can do this by answering the questions below and replying back or cut and paste the questionnaire and e-mailing it to:
kparr@email.ouhsc.edu
thank you again keith
QUESTIONNAIRE
Short Term Memory Loss and Epilepsy
Please answer the following questions as they pertain to you. All findings will be used CONFIDENTIALLY as data in a research project.

1. _______ MALE _______ FEMALE

2. AGE:
_______ 18-29
_______ 30-39
_______ 40-49
_______ 50-59
_______ 60-69
_______ 70+

3. TYPE OF SEIZURES THAT YOU HAVE: ( please identify any that you have if known)
_______ Not sure
_______ Tonic-Clonic (Gran-mal)
_______ Simple partial
_______ Complex Partial
_______ Absence (Petit-mal)
_______ Acute repetitive ( 2 or more convulsions with in hours)
_______ Status Epilepticus (recurrent convulsions lasting more than 20 minutes)

4. WHEN DID YOUR LAST SEIZURE OCCUR
__________________________________________

5. FREQUENCY OF SEIZURES
_______ Daily
_______ Weekly
_______ Monthly
_______ Yearly

6. ANTICONVULSION MEDICATIONS TAKEN:
_______ Phenytoin (Dilantin)
_______ Valporate (Depakene)
_______ Phenobarbital
_______ Primidone (Mysoline)
_______ Zorantin
_______ Clonazepam (Klonopin
_______ Carbamazrpine (Tegretol, Carbatrol)
_______ Gabapentin (Neurontin)
_______ Lamotigine (Lamictal)
_______ Topiramate (Topamax)
_______ Not controlled by medication
_______ Not sure of the name

Other_________________________________________________________

7. DO YOU EXPERIENCE SHORT TERM MEMORY LOSS?
_______ YES
_______ NO

8. IF YES, WHAT PART OF YOUR DAILY ACTIVITIES IS EFFECTED BY SHORT TERM MEMORY LOSS? (Please check all that apply)
_______ Cooking
_______ Caring for child/parent
_______ Cleaning
_______ Medication routine
_______ School
_______ Shopping
_______ Work
_______ Money management
_______ Hygiene (showering /oral)
_______ Driving
_______ Leisure activities
_______ Keeping appointments
Other_________________________________________________________

9. PLEASE DESCRIBE HOW SHORT TERM MEMORY LOSS IS EFFECTING YOU.



Follow Ups

All times are GMT -7. The time now is 11:27 AM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!