Epilepsy syndrome

Concept IDDescription
38281008Self-limited neonatal epilepsy
230410004Self-limited familial neonatal epilepsy
1231282002Self-limited familial neonatal-infantile epilepsy
1237571004Self-limited familial infantile epilepsy
699688008Genetic epilepsy with febrile seizures plus
192990004Myoclonic epilepsy in infancy
1275631007Developmental and epileptic encephalopathy
723125008Epileptic encephalopathy
230429005Early infantile epileptic encephalopathy with suppression bursts
784345005Epilepsy of infancy with migrating focal seizures
1340127006Infantile epileptic spasms syndrome
230437002Dravet syndrome
15523002Self-limited focal epilepsy
44145005Self-limited epilepsy with centrotemporal spikes
230387008Self-limited epilepsy with autonomic seizures
230388003Childhood occipital visual epilepsy
1335933003Photosensitive occipital lobe epilepsy
1260407007Genetic generalised epilepsy
716278005Epilepsy with eyelid myoclonia
230422001Epilepsy with myoclonic absence
50866000Childhood absence epilepsy
230421008Epilepsy with myoclonic-atonic seizures
230418006Lennox-Gastaut syndrome
230439004Epilepsy with continuous spike wave during slow-wave sleep
725413002Febrile infection related epilepsy syndrome
230407006Hemiconvulsion-hemiplegia-epilepsy syndrome
36803009Idiopathic generalised epilepsy
6204001Juvenile myoclonic epilepsy
230413002Juvenile absence epilepsy
230414008Epilepsy with generalised tonic-clonic seizures alone
230381009Focal epilepsy
1332160004Sleep-related hypermotor epilepsy
770405003Familial mesial temporal lobe epilepsy
1332158001Epilepsy with auditory features
764522009Familial focal epilepsy with variable foci
1260117009Combined focal and generalised epilepsy
7689009Reading seizure
230191005Rasmussen syndrome
267581004Progressive myoclonic epilepsy
230425004Lafora disease
783055005Progressive myoclonic epilepsy type 5
783062001Progressive myoclonic epilepsy type 6
1208939001Progressive myoclonic epilepsy type 7
783139000Progressive myoclonic epilepsy type 8
1228857005Progressive myoclonic epilepsy type 9
763349002Progressive myoclonic epilepsy with dystonia
702326000Progressive myoclonus epilepsy with ataxia
193021002Cursive (running) epilepsy
230453004Decision-making epilepsy
721088003DEND syndrome
230441003Drug-induced epilepsy
230450001Eating epilepsy
763534009Hot water reflex epilepsy
1343613004Insular epilepsy
230393000Lateral temporal lobe epilepsy
784345005Malignant migrating partial seizures of infancy
230444006Menstrual epilepsy
230404004Occipital lobe epilepsy
230403005Parietal lobe epilepsy
734434007Pyridoxine-dependent epilepsy
763632004Startle epilepsy
193000002Temporal lobe epilepsy
763622006Thinking epilepsy
230452009Toothbrushing epilepsy
230448009Writing epilepsy

CHAT theory also explicitly addresses five areas which if addressed systematically will help overcome stakeholder differences in pursuit of the common goal:

1. Understanding the artefacts that characterise the group and its activity.
• The artefacts might be clinical settings or the forms and templates used to capture and share information. During the pilot we heard about hard copy Dialog response forms; locally generated templates for collating information from different systems; letters and emails to GPs; images, poems or other non-text artefacts that service users might want to include in their ‘about me’ or care plan.

2. Understanding the multi-views of the group. Such groups are always a community of multiple points of view, traditions and interests. 
• Different participants in the group will have different roles and will bring to the group and their roles their own histories, language, and ‘rules’. During our Stocktake preparations and workshops we worked with psychiatrists, mental health nurses, occupational therapists, social workers, transformation leads and voluntary sector representatives, all professions and interests with their own language, approaches professional ‘rules’ but united in their interest in care plans, care planning.

3. Activity systems (like the ICSs) take shape and get transformed over periods of time. ‘Historicity’ is a term coined to express how the group’s problems and potentials can only be understood against their own history. 

 

• ‘We’ve always done it this way’, ‘that didn’t work before’, ‘it’s always like this’, ‘it wasn’t always like this’, ‘they are changing things again’, are all typical statements that often frustrate those charged with overseeing change initiatives. Without addressing the experiences that lie behind such comments you risk repeating mistakes of the past, alienating your stakeholders or just not understanding the real starting point for your transformation project. This is particularly the case for the implementation of the PCSP standard, the success of which will be largely reliant on point-of-care practices and information protocols as well as having systems which are user friendly and appropriately configured.

4. The central role of contradictions as sources of change and development. Contradictions are not the same as problems or conflicts. Contradictions are historically accumulating structural tensions within and between activity systems. Collectively addressing contradictions in how policy, practice, culture and technology interact will empower teams to find genuinely novel solutions for apparently intractable challenges, like interoperability and shared care plan/planning. 

This links to the fifth principle that:

5. the possibility of expansive transformations in activity systems. As the contradictions of an activity system are aggravated, some individual participants begin to question and deviate from its established norms. In some cases, this escalates into collaborative envisioning and a deliberate collective change effort. “An expansive transformation is accomplished when the object and motive of the activity are re-conceptualised to embrace a radically wider horizon of possibilities than in the previous mode of the activity.”