For patients with known epilepsy , a system must be in place to ensure that medications will continue without interruption. The definition of disease control is not based on any consensus contemporary standard. Rather it is an attempt to quantify, as evidenced by the experience of correctional physicians, a measure of control that directs frequency of visits, medication monitoring, and consultation requests. Good control is characterized by an absence of seizure activity since prior visit. Fair control is characterized by one seizure since last visit.
Poor control is characterized by greater than one seizure since last visit.
Frequency of Follow Up Visits A. Patients in good control need not be seen very frequently then every four to six months if they had no seizures for a six month period. B. Patients whose seizure control is fair or poor should be assess for medication adherence and other exacerbating factors. The greater the frequency of seizures the greater the frequency of visits. Content of Follow Up Visits History . The clinician should inquire about the frequency and description of occurring seizures since the patient s last visit.