The ability of the child to take AEDs regularly, and the responsibility for doing so, are also significant factors, particularly in adolescents and in families who cannot afford to purchase medication regularly. The presence of an additional diagnosis, such as a physical or mental handicap, may also be a confounding factor in determining the need for limitations. The following restrictions may be considered in individual children when the degree of risk from a seizure is weighed against the consequences of the restriction. Younger children should never be left alone in the bath. Older children should be encouraged to use a shower and should be reminded not to lock the bathroom door.
Loss of consciousness can lead to falls and drowning.
Open fires, hot stoves or ovens, and stairs should be avoided. The babysitter, personnel in daycare centers, and the school, and any persons responsible for the child should be informed of the seizure disorder. It is important that caregivers be acquainted with basic facts, issues, and precautions concerning the child's epilepsy. Caregivers often have fears that they will not recognize a seizure or be able to administer proper first aid if a seizure occurs. The parents should provide all caregivers with a description of the child's seizures and information on first aid and when and whom to call if a seizure occurs.