When your child has a focal onset seizure, your role boils down to three basic things: stay calm, offer comfort, and keep her safe. If you start there, and keep in mind some important dos and don'ts, you'll be in good shape. Give it some time and practice, and it'll become second nature.
Things to Do
When a focal onset seizure, which used to be called a partial seizure, starts up in your child, follow these tips:
Keep your cool. It might be hard at first, but it gets easier as you learn what to expect. Staying calm lets you think clearly, and you'll find that your attitude has a way of spreading. Your child and anyone else who might be around will take their cues from you. So speak gently and offer plenty of reassurance.
Keep your child company. Seizures can be scary, so just being there matters. You'll also help prevent injury during one and give her comfort afterward. Plus, you can see how the seizure played out and share those details with your child's doctor.
Keep your child safe. Move any hazards out of the way, like hot objects, furniture with sharp edges, and anything your child might trip over. If she wanders around, you might need to act as a moving barrier to steer her away from stairs, traffic, or anything else harmful.
Try to make your child comfortable. If possible, guide your child to a safe place to sit, but don't force it. If she wears glasses, remove them if you can. If your child is on the ground, try to get her on her side with her mouth facing down. It makes breathing easier and keeps her from choking on saliva.
Time it. How long a seizure lasts and how long it takes your child to return to normal is good information for the doctor to have. Also, a seizure that goes on for over 5 minutes is an emergency. If your doctor gave you rescue treatment medicine for these cases, you'll need to use it.
Help your child recover. After a seizure, the last thing any kid wants is a crowd of anxious faces looking in. When you have things under control, calmly ask people to make room. Then, let your child know what happened. Keep it simple. Tell her where she is, that you're there, and that she's safe.
Keep a log. When your child first starts having seizures, write down as much as you can about them. If you're able to, taking a video can help your doctor, too. Note things like the time of day, the length of the seizure, and what happened before, during, and after. Try to be specific about symptoms. Maybe you notice your child's head turns to the side. If you see any twitching or jerking, write down which side of the body it was on.
Things to Avoid
Here are some things you don't want to do:
Don't put anything in your child's mouth. Food, water, and medicine are all choking hazards. Wait until your child totally gets back to normal before you offer anything.
Don't shout or make quick movements. It can seem threatening or alarming. Slow, calm, and steady is the way to go.
Don't restrain or try to move your child. If your child wanders around, try to make the area as safe as possible. Only move her if she's in danger where she is, like near stairs or in the water.
Those last two don'ts are especially important for kids who have focal onset impaired awareness seizures, which used to be called complex partial seizures. During one, your child may not know what she's doing or what's happening around her. Because of that, you don't know how she'll respond if you talk to her or try to touch her.
If you need to touch your child for any reason, approach gently from the side and softly speak to her first. You want to do your best to make sure she doesn't feel threatened or alarmed.
If your child has a seizure in the water, support her body and keep her head above the surface. Try to get her out of the water as soon as possible. And even if your child seems fine afterward, it's smart to have a doctor check things out.