Dementia Seizure Evaluation Framework

In dementia, seizures don't look like seizures.

Seizures in dementia can look like a blank stare, a sudden behavioral episode, or confusion that seems to come from nowhere. The Dementia Seizure Evaluation Framework (DSEF) helps you organize what you observed and compare the pattern with published dementia-seizure research. You receive a visual, evidence-supported report with separate Research Match and Concern & Timing findings, Dementia Seizure Spectrum™ (DSS) domain mapping, SeizureSafe™ guidance, and linked references. Free. Available in your browser.

Built on peer-reviewed evidence from my doctoral research: Seizure Risk Assessment in Dementia: A Literature Review of Current Evidence and Recommendations for Future Clinical Research.Russ Barker, MHA, DHSc(c)

DSEF for organizations

Move from a one-time evaluation to an organizational recognition system.

The public DSEF demonstrates the framework for individual use. A licensed implementation extends the same rules-based evaluation backbone across staff education, repeat evaluations, program oversight, and organization-specific workflows.

Memory care & long-term care · Clinical education · Health technology · Research & life sciences

Free public DSEF Available now

Understand one reported pattern.

Open access for families, caregivers, staff, clinicians, and anyone seeking a structured way to organize observations.

  • Anonymous use with no account or identifying information
  • 44 research-supported indicators plus 15 episode-pattern questions
  • Immediate visual report with DSS mapping and SeizureSafe guidance
  • Standard Seagull Health format with linked research
Licensed organizational DSEF Configured to fit

Build recognition into how your organization works.

Licensed capabilities are selected and configured around the setting, users, privacy requirements, and intended use. Options can include:

  • Organization-specific language, question flow, and reporting
  • Optional organization-approved AI for more context-aware explanations
  • Saved evaluations and longitudinal pattern tracking
  • Team, program, or site-level dashboards and exports
  • Staff training, case exercises, and competency support
  • Workflow, platform, and implementation integration
Discuss a licensed DSEF Scope and features are defined with each organization.
Free public DSEF

Two ways to use the public framework.

Both free routes work through the same evidence base — 44 research-supported indicators across the four domains of the Dementia Seizure Spectrum plus sleep and night-time patterns, and 15 questions about how episodes unfold, returning a visual, evidence-supported report you can bring to a physician or share with care staff.

Web Available now

DSEF Web Tool

Open in any browser. No account, no install, no cost.

  1. Open the tool Any device, any browser. No account, no install, nothing to download.
  2. Answer guided questions Work through the indicators one section at a time, thinking back over recent weeks rather than a single moment. Completely anonymous.
  3. Receive your report A visual, evidence-supported report connecting what you flagged to what the published research documents, with every paper named so you can look it up. Returned immediately.
Start now
WhatsApp

DSEF on WhatsApp

Works on any phone, in any country, anywhere WhatsApp reaches.

  1. Sign up below Enter your name, email, and role. Takes about thirty seconds.
  2. Receive the contact We'll send you the WhatsApp number and instructions to begin your evaluation.
  3. Start your evaluation The same guided conversation, on the device you already carry. No app to download. About five minutes.
Sign up
What you receive

What your report includes.

The browser version returns one cohesive, visual report. It shows what the framework found, what shaped the findings, and how the observations connect to the next steps—without reducing the result to a single score.

Example Dementia Seizure Evaluation Framework report showing evaluation context and visual result scales

Synthetic example. No real person or identifying information is represented.

  1. 01

    Two findings, shown separately

    Research Match shows how closely the reported pattern resembles published findings. Concern and Timing shows how promptly the pattern may need to be acted on or shared.

  2. 02

    What shaped the result

    Selected observations are mapped across the four Dementia Seizure Spectrum™ (DSS) domains, with a plain-language explanation of why each one matters.

  3. 03

    The pattern in context

    Episode timing, recurrence, recovery, sleep, background history, and medication context are organized alongside the observations.

  4. 04

    SeizureSafe™ next steps

    The report connects the findings to Recognize, Respond, Document, and Advocate, including safety priorities and what to record.

  5. 05

    Research you can open

    Supporting publications are named with clickable DOI or PubMed links. The complete report can be saved as PDF or downloaded as HTML or TXT.

For organizations

Bring the DSEF into your organization.

License the same rules-based evaluation backbone, then configure the delivery layer for your staff, workflow, reporting, analysis, training, and technology environment.

Review organizational options
What it covers

The four domains of the Dementia Seizure Spectrum.

The evaluation is built on the same clinical taxonomy as the rest of the knowledge base — the presentations standard care most often misses. Alongside the four domains it asks about sleep and night-time patterns, background history and medications, and how episodes begin, unfold, and resolve.

How to read it

An educational tool, not a diagnosis.

What it is

Anonymous — the evaluation collects no names, no contact information, and no identifying details of any kind. You are never asked who you are or who the evaluation is about. What is recorded is the anonymous clinical picture: dementia type and stage, age at onset, the indicators you flag, and how episodes unfold. That anonymized record is used for two purposes: to generate your visual, evidence-supported report, and to contribute to ongoing research into how seizure presentations in dementia are recognized in real-world settings. Nothing you submit can be traced back to you or to any individual.

What it is not

Not a diagnosis. Not a validated clinical instrument. Not a medical record. Not a substitute for clinical judgment, neurological evaluation, or a conversation with a qualified professional. Use it to recognize and inform — not to conclude.

Research foundation
Seizure Risk Assessment in Dementia: A Literature Review of Current Evidence and Recommendations for Future Clinical Research This framework is the applied expression of doctoral research into the gap between what the published literature documents about seizures in dementia and what clinical care reliably identifies. Every indicator in the evaluation is drawn from or cross-referenced against the peer-reviewed evidence reviewed in that work — 73 evidence rules resolving to 60 published papers, each one named in your summary so you can look it up yourself. The DSEF is the research, made usable.