{"id":11467,"date":"2023-10-23T19:43:25","date_gmt":"2023-10-23T17:43:25","guid":{"rendered":"https:\/\/filadelfia.dk\/?page_id=11467"},"modified":"2026-02-16T15:21:54","modified_gmt":"2026-02-16T14:21:54","slug":"care-pathways","status":"publish","type":"page","link":"https:\/\/filadelfia.dk\/en\/care-pathways\/","title":{"rendered":"Care Pathways"},"content":{"rendered":"\n<section class=\"wp-block-fil-sub-cover mt-sub-cover mt-sub-cover--has-pattern is-style-light\"><div class=\"page-container mt-sub-cover__inner\"><div class=\"mt-sub-cover__image-container object-fit\"><div class=\"mt-sub-cover__image-wrapper\"><img decoding=\"async\" src=\"https:\/\/filadelfia.dk\/wp-content\/uploads\/2024\/05\/Filadelfia_forloebsprogrammer_neurofysiologiskudstyr_2024.jpg\" alt=\"\"\/><\/div><\/div><div class=\"mt-sub-cover__text-container\"><p class=\"mt-sub-cover__tagline tagline\">Care Pathways<\/p><h1 class=\"mt-sub-cover__title\">Professional descriptions of care pathways<\/h1><div class=\"mt-sub-cover__wysiwyg wysiwyg\">\n<p>The hospital&#8217;s care pathways are described here for professionals.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button download-icon button-icon button-icon--left\" id=\"\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/issuu.com\/filadelfiahospital\/docs\/filadelfia_ydelseskatalog_2026_197e9b1b12fb11?fr=sNWVhMzg0MTg3NDA\" target=\"_blank\" rel=\"noreferrer noopener\">Service catalogue 2026 (in danish)<span class=\"sr-only\"> (Download)<\/span><\/a><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-primary-outline button-icon--left phone-icon no-arrow button-icon button-iconu002du002dleft\" id=\"\"><a class=\"wp-block-button__link wp-element-button\" href=\"tel:+4558264200\">5826 4200<span class=\"sr-only\"> (Ring)<\/span><\/a><\/div>\n\n\n\n<div class=\"wp-block-button is-style-primary-outline mail-icon button-icon button-icon--left\" id=\"\"><a class=\"wp-block-button__link wp-element-button\" href=\"mailto:filadelfia@filadelfia.dk\">filadelfia@filadelfia.dk<span class=\"sr-only\"> (Mail)<\/span><\/a><\/div>\n<\/div>\n<\/div><\/div><\/div><\/section>\n\n\n\n<section class=\"wp-block-fil-kpi-line mt-kpi-line is-style-white mtSpacing-bottom-medium mtSpacing-top-medium\"><div class=\"page-container swiper\"><div class=\"mt-kpi-line__wrapper swiper-wrapper\">\n<div class=\"wp-block-fil-kpi mt-kpi swiper-slide\"><p class=\"mt-kpi__title\">Care Pathways<\/p><div class=\"mt-kpi__kpi-wrap\"><p class=\"mt-kpi__kpi\">23<\/p><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-kpi mt-kpi swiper-slide\"><p class=\"mt-kpi__title\">Number of employees<\/p><div class=\"mt-kpi__kpi-wrap\"><p class=\"mt-kpi__kpi\">725<\/p><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-kpi mt-kpi swiper-slide\"><p class=\"mt-kpi__title\">Founded<\/p><div class=\"mt-kpi__kpi-wrap\"><p class=\"mt-kpi__kpi\">1897<\/p><\/div><\/div>\n<\/div><\/div><\/section>\n\n\n\n<section class=\"wp-block-fil-faq mt-faq mtSpacing-top-medium mtSpacing-bottom-medium is-style-light\"><div class=\"mt-faq__inner page-container\"><div class=\"mt-faq__text-container\"><p class=\"mt-faq__tagline tagline\">Care Pathways<\/p><h2 class=\"mt-faq__title\">Children with Epilepsy<\/h2><p class=\"mt-faq__text wysiwyg\">The Neuropediatric Department has 9 care pathways for children and adolescents under 18 years old.<\/p><\/div><div class=\"mt-faq__faqs-wrapper\">\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-0c2f83ca-5e17-4a89-9422-b953cd718e68\" id=\"faq-button-0c2f83ca-5e17-4a89-9422-b953cd718e68\">Continuous Spikes and Waves during slow Sleep<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-0c2f83ca-5e17-4a89-9422-b953cd718e68\" role=\"region\" aria-labelledby=\"faq-button-0c2f83ca-5e17-4a89-9422-b953cd718e68\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>CSWS\/ESES are characterized by changes in sleep EEG, neuropsychological symptoms, and possibly language\/motor difficulties.<\/p>\n\n\n\n<p>Children referred to a program based on CSWS\/ESES are received for an initial examination by a specialist. The department plans hospitalization to monitor seizures and conduct an overnight EEG. If the patient is diagnosed with CSWS\/ESES, adjustments are made to the medical treatment. A neuropsychological baseline assessment is conducted during hospitalization shortly after CSWS\/ESES has ceased. Additionally, throughout the course of the illness, it is continuously assessed whether there is a need for a neuropsychological evaluation with school observation (pedagogical psychological social course).<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-579fe11f-958f-4ae5-b52f-c3611583f482\" id=\"faq-button-579fe11f-958f-4ae5-b52f-c3611583f482\">Diagnosis and treatment<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-579fe11f-958f-4ae5-b52f-c3611583f482\" role=\"region\" aria-labelledby=\"faq-button-579fe11f-958f-4ae5-b52f-c3611583f482\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>Children and adolescents from 0-17 years old who need hospitalization for further diagnosis and treatment of epilepsy are part of the &#8216;Diagnosis and Treatment&#8217; program. During hospitalization, seizure monitoring with video and EEG examination is performed, and we assess whether there are psychosocial difficulties. Parents receive education about epilepsy and the management of epileptic seizures during the hospitalization.<\/p>\n\n\n\n<p>Additionally, during hospitalization, the initiation or adjustment of medical treatment can be carried out. We also admit children with developmental disabilities (Filadelfia group 1) where examination and treatment are tailored to the child&#8217;s overall situation.<\/p>\n\n\n\n<p>During the hospitalization, the patient is assigned a clinical specialist nurse who will maintain close contact with the patient and family going forward.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-a81a9ade-829d-4b7b-b74a-2ef238851464\" id=\"faq-button-a81a9ade-829d-4b7b-b74a-2ef238851464\">Short-term diagnosis without treatment<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-a81a9ade-829d-4b7b-b74a-2ef238851464\" role=\"region\" aria-labelledby=\"faq-button-a81a9ade-829d-4b7b-b74a-2ef238851464\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>Assessment without treatment can take place at a specialized regional and primary care level, depending on the examination program and the severity of the epilepsy. The patient may be briefly admitted for video recording. Another option is that the patient is admitted for an EEG examination, including EMU &#8211; 24-hour video-EEG. The results are then sent to the referring physician, who will handle the ongoing treatment.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-301f22ca-9aaf-44aa-a03d-bcaec63cf891\" id=\"faq-button-301f22ca-9aaf-44aa-a03d-bcaec63cf891\">Treatment with Everolimus for Tuberous Sclerosis<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-301f22ca-9aaf-44aa-a03d-bcaec63cf891\" role=\"region\" aria-labelledby=\"faq-button-301f22ca-9aaf-44aa-a03d-bcaec63cf891\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>It is now possible to use immunomodulatory treatment with Everolimus (Votubia) for Tuberous Sclerosis when there is also treatment-refractory epilepsy. The use of this treatment follows specifically defined criteria for patient selection and monitoring of effects and potential side effects. The treatment is managed on an outpatient basis exclusively by specialized treatment centers: Filadelfia, Rigshospitalet, and Aarhus University Hospital.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-df803a4d-05d3-4f10-a7d6-e1505d69083f\" id=\"faq-button-df803a4d-05d3-4f10-a7d6-e1505d69083f\">Treatment with Cannabidiol for Patients with severe epilepsy<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-df803a4d-05d3-4f10-a7d6-e1505d69083f\" role=\"region\" aria-labelledby=\"faq-button-df803a4d-05d3-4f10-a7d6-e1505d69083f\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>The department offers treatment with cannabidiol to selected patients with severe forms of epilepsy, using CBD oil\u2014the non-psychoactive component of cannabis. While there can be side effects with CBD treatment, they are rarely serious. Treatment initiation takes place during hospitalization with close monitoring of the patient regarding seizures, potential side effects, and blood tests.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-5183190e-1491-4851-865e-7af3fd0d8b31\" id=\"faq-button-5183190e-1491-4851-865e-7af3fd0d8b31\">Outpatient Functional Assessment of children and adolescents<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-5183190e-1491-4851-865e-7af3fd0d8b31\" role=\"region\" aria-labelledby=\"faq-button-5183190e-1491-4851-865e-7af3fd0d8b31\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>The target group is children and adolescents under 18 years old with epilepsy and accompanying cognitive and\/or psychosocial functional impairments who need specialized assessment of current support needs, preventive measures, and development opportunities. The program is a collaboration between the Epilepsy Hospital, Filadelfia, and the patient&#8217;s municipality of residence. The Epilepsy Hospital will handle the diagnostic and assessment part during outpatient visits. Here, we conduct a neuropsychological test to determine which areas the patient needs support and assistance with at home. After the assessment, we hold a multidisciplinary meeting across sectors to establish an action\/rehabilitation plan in collaboration with the patient and their relatives. We then prepare a consensus report, which is sent to the home municipality. Referral is through the patient&#8217;s general practitioner.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-b2d47f52-3015-492d-8286-0842568e23db\" id=\"faq-button-b2d47f52-3015-492d-8286-0842568e23db\">Psychosocial Assessment Program<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-b2d47f52-3015-492d-8286-0842568e23db\" role=\"region\" aria-labelledby=\"faq-button-b2d47f52-3015-492d-8286-0842568e23db\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>Children may be offered a psychosocial assessment program during hospitalization, lasting 2-3 weeks, upon medical referral. The purpose of the hospitalization is to evaluate the child&#8217;s cognitive, intellectual, academic, social, and psychological functional levels and provide any guidance regarding support measures and educational initiatives at home. The multidisciplinary assessment typically includes observations, tests, questionnaires, a review of available records, and interviews with the child&#8217;s parents and other relevant parties. During the admission process, a decision is made on the composition of the multidisciplinary assessment team, which may involve neuropsychologists, school consultants, educators, nurses, occupational and physical therapists, among others.<\/p>\n\n\n\n<p>After hospitalization, a comprehensive multidisciplinary report is prepared and sent to the parents and the responsible physician, and upon agreement, to the PPR, the home school, and other relevant parties.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-9aed0fb8-c182-4341-b183-9d4f7e19fda6\" id=\"faq-button-9aed0fb8-c182-4341-b183-9d4f7e19fda6\">VNS initiation<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-9aed0fb8-c182-4341-b183-9d4f7e19fda6\" role=\"region\" aria-labelledby=\"faq-button-9aed0fb8-c182-4341-b183-9d4f7e19fda6\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>Treatment with a vagus nerve stimulator (VNS) is offered to patients with severe epilepsy for whom neurosurgical treatment is not an option. Filadelfia has extensive experience in selecting patients for VNS treatment and performing the subsequent optimization of the stimulator. The implantation itself is performed through surgery at Rigshospitalet or Aarhus University Hospital. The initial adjustment of the stimulator is carried out during hospitalization at Filadelfia.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-bb7e3ecf-f592-4aae-8dea-7d9d067ddda6\" id=\"faq-button-bb7e3ecf-f592-4aae-8dea-7d9d067ddda6\">Epilepsy Surgery pathways<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-bb7e3ecf-f592-4aae-8dea-7d9d067ddda6\" role=\"region\" aria-labelledby=\"faq-button-bb7e3ecf-f592-4aae-8dea-7d9d067ddda6\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>A specialist begins with an outpatient examination. Here, we plan a multidisciplinary assessment process, where a specialist and a clinical specialist nurse serve as the primary contacts.<\/p>\n\n\n\n<p>The process includes:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hospitalization for seizure monitoring with 24-hour video EEG (EMU), possibly accompanied by SPECT scanning.<\/li>\n\n\n\n<li>Hospitalization for neuropsychological testing before surgery.<\/li>\n\n\n\n<li>Hospitalization after 12 and 24 months to evaluate the effectiveness of the surgery.<\/li>\n<\/ul>\n\n\n\n<p>The assessment may include MRI scans of the brain, SPECT scans, PET scans, and MEG. Additionally, evaluations are conducted by a child psychiatrist, ophthalmologist, and physiotherapist\/occupational therapist. The results of all examinations form the basis for the final recommendation for surgery in collaboration with Rigshospitalet.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-952f5f28-a5e5-4633-9399-4415ddbb3cca\" id=\"faq-button-952f5f28-a5e5-4633-9399-4415ddbb3cca\">Dietary treatment and monitoring<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-952f5f28-a5e5-4633-9399-4415ddbb3cca\" role=\"region\" aria-labelledby=\"faq-button-952f5f28-a5e5-4633-9399-4415ddbb3cca\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>After an initial examination and blood tests, we assess which diet will be most suitable. The diet is reviewed with the family\/network.<\/p>\n\n\n\n<p>A specialist, clinical specialist nurse, and clinical dietitian provide continuous guidance and education throughout the process.<\/p>\n\n\n\n<p>Classic Ketogenic Diet and Medium Chain Triglycerides (MCT)<\/p>\n\n\n\n<p>The family is admitted to the department for five days, where the diet is initiated and adjusted with guidance. The admission is often accompanied by video recording of epileptic seizures and possibly additional diagnostics\/treatment. Subsequent treatment is primarily outpatient with a specialist, nurse, and clinical dietitian.<\/p>\n\n\n\n<p>Modified Atkins Diet (MAD)<\/p>\n\n\n\n<p>The initiation of MAD is done on an outpatient basis with a clinical dietitian and clinical specialist nurse. The ongoing follow-up of the diet is managed by a specialist, clinical dietitian, and clinical specialist nurse.<\/p>\n<\/div><\/div><\/div>\n<\/div><\/div><\/section>\n\n\n\n<section class=\"wp-block-fil-faq mt-faq mtSpacing-top-medium mtSpacing-bottom-medium is-style-white\"><div class=\"mt-faq__inner page-container\"><div class=\"mt-faq__text-container\"><p class=\"mt-faq__tagline tagline\">Care Pathways<\/p><h2 class=\"mt-faq__title\">Adults with Epilepsy<\/h2><p class=\"mt-faq__text wysiwyg\">The Neurology Department has 9 care pathways.<\/p><\/div><div class=\"mt-faq__faqs-wrapper\">\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-0ad919be-3323-4aaf-bf2a-e63ee384136d\" id=\"faq-button-0ad919be-3323-4aaf-bf2a-e63ee384136d\">Diagnosis and treatment<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-0ad919be-3323-4aaf-bf2a-e63ee384136d\" role=\"region\" aria-labelledby=\"faq-button-0ad919be-3323-4aaf-bf2a-e63ee384136d\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>The target group is patients from 17 years old who require prolonged hospitalization of up to three weeks for detailed diagnosis and treatment. Specially trained nursing staff conduct clinical observations. In connection with the initial outpatient examination, relevant tests are ordered: video recording of seizures, additional EEG diagnostics, including possible 24-hour hospitalization in the epilepsy monitoring unit (EMU), and possibly an MRI scan of the brain.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-86ed2237-ed9d-4094-a671-62ab5d0e951d\" id=\"faq-button-86ed2237-ed9d-4094-a671-62ab5d0e951d\">Diagnosis without treatment<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-86ed2237-ed9d-4094-a671-62ab5d0e951d\" role=\"region\" aria-labelledby=\"faq-button-86ed2237-ed9d-4094-a671-62ab5d0e951d\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>We offer 24-hour video and EEG diagnostics during hospitalization. After discharge, we send the examination results to the referring physician.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-5e6bbb5e-9c94-4701-a7e3-c48d10670f70\" id=\"faq-button-5e6bbb5e-9c94-4701-a7e3-c48d10670f70\">Disabling epilepsy<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-5e6bbb5e-9c94-4701-a7e3-c48d10670f70\" role=\"region\" aria-labelledby=\"faq-button-5e6bbb5e-9c94-4701-a7e3-c48d10670f70\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>Diagnosis and specialized medical treatment for patients with combined developmental disabilities and epilepsy.<\/p>\n\n\n\n<p>The assessment and treatment include an initial outpatient examination by a specialist with specific knowledge in this area. We plan a multidisciplinary assessment process during hospitalization. Experienced staff conduct observations of the patient. We also record seizures with extended EEG, such as during a 24-hour stay in the epilepsy monitoring unit (EMU). We may refer the patient for an MRI scan of the brain, genetic testing, and other relevant examinations. Based on these results, we optimize the medical treatment. Subsequently, the patient may be referred for other treatments (surgical\/VNS\/diet).<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-d803832a-1ded-414b-bb9a-f85fbba527e6\" id=\"faq-button-d803832a-1ded-414b-bb9a-f85fbba527e6\">Psychosocial Assessment Program<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-d803832a-1ded-414b-bb9a-f85fbba527e6\" role=\"region\" aria-labelledby=\"faq-button-d803832a-1ded-414b-bb9a-f85fbba527e6\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>Adult patients with epilepsy who face challenges related to education, employment, or managing daily life can be offered a psychosocial assessment program during hospitalization, lasting 1-3 weeks, upon medical referral.<\/p>\n\n\n\n<p>The medical history is supplemented with the creation of a social history, where the patient&#8217;s social situation and resources are analyzed in the context of epilepsy. The patient and their relatives are informed about strengths and weaknesses, and possible compensatory measures are identified in collaboration with the patient and their relatives.<\/p>\n\n\n\n<p>The following examinations may be included in the program: 24-hour observation during hospitalization, neuropsychological testing, assessment of educational skills and potential for further education, fatigue level related to work functions, and evaluation of the patient&#8217;s ability to manage daily activities.<\/p>\n\n\n\n<p>Upon discharge, we hold a network meeting where the patient, the multidisciplinary team, and all relevant municipal and other stakeholders participate as much as possible\u2014often virtually or by phone.<\/p>\n\n\n\n<p>We prioritize verbal communication highly. The written report follows in a comprehensive multidisciplinary document a few weeks after discharge. It is securely sent to all parties as the patient wishes.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-9f064cb2-80f8-4c71-b1da-e378d84fc60d\" id=\"faq-button-9f064cb2-80f8-4c71-b1da-e378d84fc60d\">Specialized rehabilitation for epilepsy<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-9f064cb2-80f8-4c71-b1da-e378d84fc60d\" role=\"region\" aria-labelledby=\"faq-button-9f064cb2-80f8-4c71-b1da-e378d84fc60d\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>We admit adults aged 18 and older with epilepsy and accompanying limitations in cognitive, psychosocial, and\/or physical functioning. The program lasts 6 weeks and includes observation, support, and training of the patient&#8217;s skills and ability to manage daily activities. The hospitalization is planned as two weeks inpatient + two weeks at home + two weeks inpatient. This allows the patient to try the recommended strategies at home. Upon discharge, we provide a status and assessment of the patient&#8217;s functional ability and developmental potential based on observations and examinations during hospitalization. We also assess the need for compensatory support measures at home.<\/p>\n\n\n\n<p>We have good experience with involving relatives and municipal stakeholders in the final meeting.<\/p>\n\n\n\n<p>As part of the cross-sectoral collaboration, we prepare a written rehabilitation plan based on the patient&#8217;s resources and needs. This plan can be sent to relevant professionals in the municipal sector with documentation to support the patient&#8217;s wishes and needs for rehabilitation at home. This is done in agreement with the patient.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-bf5ac70c-b5e6-40cf-b24e-8a0eab3f26d8\" id=\"faq-button-bf5ac70c-b5e6-40cf-b24e-8a0eab3f26d8\">PNES with or without concurrent epilepsy and psychiatric comorbidity<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-bf5ac70c-b5e6-40cf-b24e-8a0eab3f26d8\" role=\"region\" aria-labelledby=\"faq-button-bf5ac70c-b5e6-40cf-b24e-8a0eab3f26d8\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>The treatment is aimed at diagnostically clarified patients with PNES with or without epilepsy.<\/p>\n\n\n\n<p>It is also aimed at patients with epilepsy and psychiatric comorbidities such as stress reactions, anxiety, depression, ADHD, and autism spectrum disorders. The treatment consists of a 4-week psychotherapeutic program during hospitalization.<\/p>\n\n\n\n<p>Referred patients are assessed for motivation and indications for a potential course of treatment. We plan the hospitalization in collaboration with the patient.<\/p>\n\n\n\n<p>The program includes patient observation to identify stress factors and multidisciplinary cognitive milieu therapy with metacognitive interventions, such as psychoeducation, mindfulness, sensory room exercises, cognitive body therapy, self-esteem and competence training.<\/p>\n\n\n\n<p>In collaboration with the patient, we develop a multidisciplinary cognitive problem formulation, which we use as a dynamic treatment plan.<\/p>\n\n\n\n<p>After discharge, there is an option for a follow-up phone call with the contact person.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-9ca066e4-b360-4b4c-8d50-c6f6ca8fd7b9\" id=\"faq-button-9ca066e4-b360-4b4c-8d50-c6f6ca8fd7b9\">Dietary treatment<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-9ca066e4-b360-4b4c-8d50-c6f6ca8fd7b9\" role=\"region\" aria-labelledby=\"faq-button-9ca066e4-b360-4b4c-8d50-c6f6ca8fd7b9\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>The purpose of the treatment is to shift the brain&#8217;s energy metabolism from being carbohydrate-based to fat-based, achieving a ketogenic state that can reduce or completely alleviate epileptic seizures.<\/p>\n\n\n\n<p>Epilepsy patients can be referred for treatment with the Ketogenic Diet by internal neurologists or external doctors, including the patient&#8217;s general practitioner.<\/p>\n\n\n\n<p>During the initial examination by a specialized neurologist and clinical specialist nurse, it is assessed whether the patient is a candidate for the treatment.<\/p>\n\n\n\n<p>The patient&#8217;s resources\u2014cognitive functions and social network\u2014are evaluated if they are considered a candidate.<\/p>\n\n\n\n<p>The Classic Ketogenic Diet is always initiated during hospitalization and can eventually transition to the Modified Ketogenic Diet, which is less restrictive.<\/p>\n\n\n\n<p>The Ketogenic Diet is offered either as food the patient eats or as tube feeding.<\/p>\n\n\n\n<p>From the start, the treatment is managed by a multidisciplinary team including a specialist doctor, clinical dietitian, nursing staff, occupational therapist, and clinical specialist nurse.<\/p>\n\n\n\n<p>The treatment continues on an outpatient basis after the patient is discharged. The treatment typically lasts 2-3 years.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-c8882f71-4184-472f-80c2-9b0fce4775cc\" id=\"faq-button-c8882f71-4184-472f-80c2-9b0fce4775cc\">Epilepsy Surgery pathways<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-c8882f71-4184-472f-80c2-9b0fce4775cc\" role=\"region\" aria-labelledby=\"faq-button-c8882f71-4184-472f-80c2-9b0fce4775cc\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>The process begins with an initial neurological examination. The subsequent steps involve multidisciplinary collaboration between a specialist and a clinical specialist nurse. The pathway includes multiple hospitalizations.<\/p>\n\n\n\n<p>Hospitalization for seizure monitoring using video EEG, such as in the epilepsy monitoring unit (EMU), possibly during medication tapering.<\/p>\n\n\n\n<p>Hospitalization for neuropsychological testing.<\/p>\n\n\n\n<p>During the assessment process, we refer patients for an MRI scan of the brain and, if necessary, SPECT scanning, PET scanning, and MEG.<\/p>\n\n\n\n<p>The results of all examinations form the basis for the final recommendation for surgery in collaboration with Rigshospitalet. The surgeries are performed at Rigshospitalet, while post-operative follow-ups are conducted at the Epilepsy Hospital, Filadelfia.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-6e70d38b-bfbb-4347-b9dd-d4656fb93fc7\" id=\"faq-button-6e70d38b-bfbb-4347-b9dd-d4656fb93fc7\">VNS initiation<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-6e70d38b-bfbb-4347-b9dd-d4656fb93fc7\" role=\"region\" aria-labelledby=\"faq-button-6e70d38b-bfbb-4347-b9dd-d4656fb93fc7\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>The implantation of a vagus nerve stimulator (VNS) can be offered to patients who are not suitable candidates for epilepsy surgery. Filadelfia has extensive experience in selecting patients for VNS implantation and the subsequent optimization of the stimulator.<\/p>\n\n\n\n<p>The implantation itself is performed at Rigshospitalet or Aarhus University Hospital, while the initial adjustment of the stimulator is usually done on an outpatient basis at Filadelfia.<\/p>\n\n\n\n<p>In special cases, the adjustment of the stimulator may be best carried out during hospitalization.<\/p>\n<\/div><\/div><\/div>\n<\/div><\/div><\/section>\n\n\n\n<section class=\"wp-block-fil-faq mt-faq mtSpacing-top-medium mtSpacing-bottom-medium is-style-light\"><div class=\"mt-faq__inner page-container\"><div class=\"mt-faq__text-container\"><p class=\"mt-faq__tagline tagline\">Care Pathways<\/p><h2 class=\"mt-faq__title\">Neurophysiology Clinic<\/h2><p class=\"mt-faq__text wysiwyg\">The clinic offers 7 services for children and adults.<\/p><\/div><div class=\"mt-faq__faqs-wrapper\">\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-9d0deec6-7318-4dbd-a038-387e26a1805b\" id=\"faq-button-9d0deec6-7318-4dbd-a038-387e26a1805b\">Electroneurography (ENG General) UCGG00<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-9d0deec6-7318-4dbd-a038-387e26a1805b\" role=\"region\" aria-labelledby=\"faq-button-9d0deec6-7318-4dbd-a038-387e26a1805b\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>Examination of the peripheral motor and sensory nerves. A neurophysiology assistant conducts the examination, and a specialist evaluates it. Indications: Carpal tunnel syndrome, nerve compression, polyneuropathy.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-1356b3fc-5b5f-46ef-bb19-0d34c13eac89\" id=\"faq-button-1356b3fc-5b5f-46ef-bb19-0d34c13eac89\">Electromyography (EMG\/ENG) UCGG01\/UCGG02<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-1356b3fc-5b5f-46ef-bb19-0d34c13eac89\" role=\"region\" aria-labelledby=\"faq-button-1356b3fc-5b5f-46ef-bb19-0d34c13eac89\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>Examination of the peripheral nerves and muscles using surface and needle electrodes. If needed, we can supplement with an ultrasound examination. A specialist, and possibly a neurophysiology assistant, conducts the examination. Indication: Clinical suspicion of involvement of the peripheral nerves and\/or muscles.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-da38ad9f-70c9-44ad-916c-01844cc67d3e\" id=\"faq-button-da38ad9f-70c9-44ad-916c-01844cc67d3e\">Visual Evoked Potentials (VEP) UCGK01<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-da38ad9f-70c9-44ad-916c-01844cc67d3e\" role=\"region\" aria-labelledby=\"faq-button-da38ad9f-70c9-44ad-916c-01844cc67d3e\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>Examination of the visual pathways using light stimulation (checkerboard pattern stimulation). A neurophysiology assistant conducts the examination, and a specialist evaluates it. Indication: Multiple sclerosis.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-3dd8397c-6ace-456c-a78a-bc859dc8c757\" id=\"faq-button-3dd8397c-6ace-456c-a78a-bc859dc8c757\">Somatosensory Evoked Potentials (SSEP) UCGM<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-3dd8397c-6ace-456c-a78a-bc859dc8c757\" role=\"region\" aria-labelledby=\"faq-button-3dd8397c-6ace-456c-a78a-bc859dc8c757\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>Examination of the peripheral and central pathways using electrical stimulation. A neurophysiology assistant conducts the examination, and a specialist evaluates it. Indication: Clinical suspicion of lesions in the central motor pathways in the spinal cord or brain.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-9ea5d1e7-fc8b-46b8-a65f-03ce283645c0\" id=\"faq-button-9ea5d1e7-fc8b-46b8-a65f-03ce283645c0\">Motor Evoked Potentials (MEP) UCGN<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-9ea5d1e7-fc8b-46b8-a65f-03ce283645c0\" role=\"region\" aria-labelledby=\"faq-button-9ea5d1e7-fc8b-46b8-a65f-03ce283645c0\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>MEP is used to examine motor nerve pathways from the cerebral cortex through the spinal cord to the muscles. A neurophysiology assistant conducts the examination, and a specialist evaluates it.<\/p>\n\n\n\n<p>Indication: Diseases affecting the central motor pathways from the brain to the spinal cord.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-8e54d3ce-f4c5-40cb-bb7a-435399f613ff\" id=\"faq-button-8e54d3ce-f4c5-40cb-bb7a-435399f613ff\">Electroencephalography (EEG)<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-8e54d3ce-f4c5-40cb-bb7a-435399f613ff\" role=\"region\" aria-labelledby=\"faq-button-8e54d3ce-f4c5-40cb-bb7a-435399f613ff\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>Standard EEG ZZ141470B<br>EEG with Sleep ZZ1470A<\/p>\n\n\n\n<p>Examination of the brain&#8217;s electrical activity using surface electrodes. The examination includes special provocation methods such as light stimulation and hyperventilation. A neurophysiology assistant conducts the examination, and a specialist evaluates it.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-fil-faqitem mt-faq-item slide-toggle-wrapper\" data-slide-toggle-breakpoint=\"9999\"><button class=\"mt-faq-item__label slide-toggle-button arrow-right-dark\" aria-expanded=\"false\" aria-controls=\"faq-content-18450693-5708-455f-8918-cea8fc4d82c2\" id=\"faq-button-18450693-5708-455f-8918-cea8fc4d82c2\">Long-term EEG Recording 1-8 Hours ZZ1470C<\/button><div class=\"mt-faq-item__content-wrapper slide-toggle-content\" id=\"faq-content-18450693-5708-455f-8918-cea8fc4d82c2\" role=\"region\" aria-labelledby=\"faq-button-18450693-5708-455f-8918-cea8fc4d82c2\"><div class=\"mt-faq-item__content wysiwyg\">\n<p>Used for patients with frequent seizures that are likely to occur during a few hours of recording. The brain&#8217;s electrical activity is recorded using surface electrodes along with video recording of the patient.<\/p>\n\n\n\n<p>A neurophysiology assistant conducts the examination, and a specialist evaluates it.<\/p>\n<\/div><\/div><\/div>\n<\/div><\/div><\/section>\n\n\n\n<section class=\"wp-block-fil-text-image mt-text-image mtSpacing-top-medium mtSpacing-bottom-medium\"><div class=\"page-container mt-text-image__inner\"><div class=\"mt-text-image__image-container object-fit\"><img decoding=\"async\" src=\"https:\/\/filadelfia.dk\/wp-content\/uploads\/2024\/05\/Filadelfia_forloebsprogrammer_CenterforNeurorehabilitering_benoevelse_2024.jpg\" alt=\"\"\/><\/div><div class=\"mt-text-image__text-container\"><p class=\"mt-text-image__tagline tagline\">Care Pathways<\/p><h2 class=\"mt-text-image__title\">Centre of<br>Neurorehabilitation<\/h2><div class=\"mt-text-image__wysiwyg wysiwyg\">\n<p>We begin all admissions with an intensive, multidisciplinary assessment, goal setting, and concurrent rehabilitation lasting one week. We offer rehabilitation programs at a severe or moderate level. The rehabilitation level is reassessed every four weeks. We maintain regular contact with the municipality and hold a planning meeting at the end, where the municipality receives a multidisciplinary status report.<\/p>\n\n\n\n<p>A constant attendant is included for severe cases. If two attendants are necessary, it requires the referring authority&#8217;s acceptance of payment for one of them.<\/p>\n<\/div><\/div><\/div><\/section>\n\n\n\n<section class=\"wp-block-fil-contact-section mt-contact-section mt-contact-section--left-aligned mtSpacing-top-medium mtSpacing-bottom-medium is-style-light\"><div class=\"page-container mt-contact-section__inner\"><div class=\"mt-contact-section__image-container object-fit\"><img decoding=\"async\" src=\"https:\/\/filadelfia.dk\/wp-content\/uploads\/2024\/05\/Filadelfia_forloebsprogrammer_sygeplejersker_2024.jpg\" alt=\"\"\/><\/div><div class=\"mt-contact-section__text-container\"><p class=\"mt-contact-section__tagline tagline\">Care Pathways<\/p><h2 class=\"mt-contact-section__title title\">Get in Touch with<br>Filadelfia<\/h2><div class=\"mt-contact-section__form-container wysiwyg\">\n<p><a href=\"tel: +4558264200\">Phone: <strong>5826 4200<\/strong><\/a><br><a href=\"mailto:filadelfia@filadelfia.dk\">Email: <strong>filadelfia@filadelfia.dk<\/strong><\/a><\/p>\n<\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"wf_page_folders":[79],"class_list":["post-11467","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - 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