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Epilepsy Management Plans

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Our suite of epilepsy resources have been developed for people living with epilepsy and their families and carers.
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How to Develop your Management Plan

STEP 1:
CHOOSE YOUR PLAN
  1. If you or the person you support have a diagnosis of epilepsy select an Epilepsy Management Plan (EMP) template. Choose the template based on how many different seizures types you or the person you support experience.
  2. If you or the person you support experience seizures but do not have an epilepsy diagnosis (e.g. febrile seizures), choose a Seizure Management Plan (SMP) template. Choose the template based on how many different seizures types you or the person you support experience.

Forms are below and must be opened in Adobe Acrobat Reader. 

This is an editable PDF for you to complete. We recommend completing this form on the computer and not completing it by hand to allow for any revisions by your medical practitioner

 

STEP 2:
THREE WAYS TO HAVE YOUR PLAN COMPLETED
  1. Complete by yourself:  After downloading the plan you can complete the document yourself or with your family.
  2. Seek support from your local epilepsy organisation:  For support with completing the plan, you can contact the National Epilepsy Support Service on 1300 761 487 who can refer you to a local epilepsy support organisation, if required.
  3. Complete with your medical practitioner or other support person.

You can access Guidelines on how to complete these documents by clicking here.

 

STEP 3:
GET YOUR PLAN ENDORSED

All plans need to be endorsed by a medical practitioner.

The plan can be endorsed by a GP, neurologist, paediatrician or other relevant medical practitioner.

 

STEP 4:
IS EMERGENCY MEDICATION PRESCRIBED?

If no – you are all done!  Provide your endorsed management plan to those who may need to support you or the person you are supporting during a seizure.

If yes – you will require an Emergency Medication Management Plan (EMMP) relevant to the emergency medication you have been prescribed. Contact your medical practitioner for assistance in completing and endorsing this document. Alternatively, you can contact the National Epilepsy Support Service on 1300 761 487 for a referral to a local epilepsy support organisation.

 

STEP 5:
REVIEW YOUR PLAN

Your plan will need to be reviewed annually according to the date on the document unless there are any changes to seizure presentations or if emergency medication has been introduced. 

 

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Epilepsy Management Plan

An Epilepsy Management Plan (EMP) is a document that you can develop with others involved in your life and care. It describes:
  • Your seizure types
  • Seizure triggers
  • How you would like to be supported during seizures
  • Emergency procedures that should be followed in the event of a seizure

An EMP is a great way of ensuring that all the people in your life understand your epilepsy and how you want to be supported. The plan must be endorsed by your doctor. It’s important to update your plan at least once a year, or earlier if anything related to your epilepsy and treatment changes.

Click the link below to download the Epilepsy Management Plan template.

We recommend completing this form on the computer and not completing it by hand to allow for any revisions by your medical practitioner.

Epilepsy Management Plan Guidelines (Editable PDF)

Epilepsy Management Plan – 1 Seizure Type (Editable PDF)

Epilepsy Management Plan – 2 Seizure Type (Editable PDF)

Epilepsy Management Plan – 3 Seizure Type (Editable PDF)

Epilepsy Management Plan – 4 Seizure Type (Editable PDF)

Epilepsy Management Plan – 5 Seizure Type (Editable PDF)

Seizure Management Plan Guide (Editable PDF)

Seizure Management Plan – 1 Seizure Type (Editable PDF)

Seizure Management Plan – 2 Seizure Type (Editable PDF)

If the person with epilepsy has more than two seizure types please contact us via our contact us form or phone our National Epilepsy Support Service on 1300 761 487.

Emergency Medication Management Plan

Some people with seizures that are difficult to control are prescribed emergency medication. If have been prescribed emergency medication, it is highly recommended that you work with your doctor to complete an Emergency Medication Management Plan (EMMP). An EMMP describes:

  • The medication
  • Method of administration
  • Dose
  • Instructions for administering the dose
  • Emergency procedures

 

Your EMMP should be updated annually, or earlier if anything related to your epilepsy and emergency medication changes. Your EMMP should be attached to your EMP so that all the information related to your epilepsy is kept in one place.

Click on the link below to download the Emergency Medication Management Plan template.

We recommend completing this form on the computer and not completing it by hand to allow for any revisions by your medical practitioner.

Emergency Medication Management Plan Guide (Editable PDF)

Emergency Medication Management Plan – Midazolam (Editable PDF)

Emergency Medication Management Plan – Midazolam Zyamis (Editable PDF)

Emergency Medication Management Plan – Clobazam (Editable PDF)

Emergency Medication Management Plan – Clonazepam (Editable PDF)

Emergency Medication Management Plan – Rectal Valium(Editable PDF)

Generic Emergency Medication Management Plan (Editable PDF)

Our Epilepsy Support Workers are available to assist you to understand and complete an EMP and EMMP. Contact our National Epilepsy Support Service on 1300 761 487 for assistance.

 

The information on this page is part of a suite of resources that are targeted for people living with epilepsy, their family, carers, and support workers. This information provides general information about epilepsy. It does not provide specific advice. Specific health and medical advice should always be obtained from an appropriately qualified health professional.
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The Epilepsy Smart Australia program received funding from the Australian Government.