Presentation about ECT in Psych Nursing

1. ELECTROCONVULSIVE
THERAPY

2. ELECTROCONVULSIVE
(ELECTROSHOCK)
THERAPY

3. It's a barbaric treatment
- basically torture.
The ECT experience is
painful and horrifying.
This procedure causes
brain damage!
It will wipe off all of your
memory permanently.
ELECTROCONVULSIVE THERAPY
ELECTROCONVULSIVE THERAPY
IMPRESSIONS, MYTHS, AND MISCONCEPTIONS

4. Electroconvulsive therapy
(ECT) is a procedure in which
electric currents are passed
through the brain, deliberately
triggering a brief seizure.
Electroconvulsive therapy
seems to cause changes in
brain chemistry that can
immediately reverse symptoms
of certain mental illnesses.

5. 2 KINDS OF ELECTROCONVULSIVE THERAPY
2 KINDS OF ELECTROCONVULSIVE THERAPY

6. Often works when other treatments are unsuccessful and when
the full course of treatment is completed, but it may not work for
everyone.
ECT is much safer today. Although ECT may still cause some side
effects, it now uses electric currents given in a controlled setting
to achieve the most benefit with the fewest possible risks.

7. ELECTROCONVULSIVE THERAPY IS INDICATED IN:
Schizophrenia
Severe Depression
Aggression and agitation in dementia
Catatonia
Treatment-resistant Depression
Severe Postpartum Depression and Psychosis

8. KEY PEOPLE IN THE DISCOVERY OF ECT
KEY PEOPLE IN THE DISCOVERY OF ECT
Electroconvulsive therapy
(ECT), one of the oldest
treatment methods in the field
of psychiatry, was first
introduced 80 years ago in
Rome when Ugo Cerletti and
Lucio Bini used an electric
current to elicit an epileptic
seizure for therapeutic
purposes.

9. An Italian neurophysiologist
Building upon his systematic and
comprehensive analysis of
mental diseases, Cerletti
introduced electroshock.
"The main beneficial feature of
electroshock was that it
ameliorated refractory mental
illnesses such as depression,
mania, and schizophrenia. "
Cerletti filmed the first scientific
movie on electroshock.
UGO CERLETTI

10. An Italian psychiatrist and
professor
Together with Ugo Cerletti, he
researched and discovered the
method of electroconvulsive
therapy, a type of shock therapy
for mental diseases.
LUCIO BINI

11. ECT
PROCESS

13. Before the procedure
Check the patient's informed consent.
Ascertain if the client and the family have received a
full explanation, including the option to withdraw the
consent at any time.
Withhold food and fluids for 6 to 8 hours before
treatment.
NURSING CONSIDERATION
NURSING CONSIDERATION

14. Before the procedure
The patient’s hair should be clean and dry before doing
the procedure.
Hairpins, bracelets, body piercing should be removed.
Prostheses, dentures, glasses, hearing aids, contact
lenses, should be removed.
Have the client void before the treatment.
NURSING CONSIDERATION
NURSING CONSIDERATION

15. During the procedure
Check if the bite block is placed to prevent biting of the
tongue.
Do suction immediately
NURSING CONSIDERATION
NURSING CONSIDERATION

16. After the procedure
Observe and record the vital parameters.
Record vital signs every 15 min for 30 min and once in
every 30 min till the patient recovers to the normal
stage.
Provide side rails and be with the client.
Check the gag reflex before giving client
fluids, medications or breakfast.
NURSING CONSIDERATION
NURSING CONSIDERATION

17. Patient assessment
Pre-procedure preparation
Medication administration
Monitoring VS
NURSING RESPONSIBILITIES
NURSING RESPONSIBILITIES

18. Assisting with the procedure
Post-procedure care
Patient education and support
NURSING RESPONSIBILITIES
NURSING RESPONSIBILITIES

19. THANK YOU!