Electroconvulsive-Therapy.ppt
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Electroconvulsive therapy involves inducing a seizure through electrodes attached to the temples by passing electrical current. It is increasingly administered on an outpatient basis to seniors for depression. A muscle relaxant is given to minimize seizure activity and prevent bone damage. A typical course is 6-12 treatments over 2-3 weeks, with maintenance therapy monthly to prevent relapse. It is used for treatment-resistant cases of major depression, bipolar disorder, and schizophrenia, as well as in emergency situations involving suicide risk. Potential side effects include confusion, memory loss, and fractures.
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ECT PROCEDUmmmmmmmmmmmmmmRE....2023.pptx
This document provides information on electroconvulsive therapy (ECT), including:
- ECT involves inducing seizures through electric currents applied to the brain, under anesthesia, to treat various mental health conditions.
- It is used when medications have not helped or caused side effects, for severe depression or suicidality, or if the patient has responded well to ECT previously.
- Risks include temporary memory loss and confusion, but ECT is considered relatively safe when administered properly by medical professionals in a clinical setting.
Eectroconvulsive therapy
content will help to healthcare community including nursing students to understand the concept of electroconvulsive therapy
Ect nursing care
ECT is a medical procedure used to treat severe mental illnesses like depression and bipolar disorder. It involves inducing a seizure through electrical stimulation of the brain under anesthesia. Nurses play an important role in ECT by providing education and support to patients, monitoring their safety and comfort during the procedure, and observing their recovery afterwards. Indications for ECT include severe depression, mania, mood disorders with psychosis, and catatonia. Contraindications are brain conditions that increase pressure. Nursing care involves preparation, treatment monitoring, and post-procedure observation and support.
PRESENTATION 8_081830.pptx
The document discusses electroconvulsive therapy (ECT) for treating mental health disorders. It defines ECT as involving electrically stimulating the brain to trigger seizures and relieve symptoms. The document outlines that ECT is indicated for severe depression, mania, and other disorders. Contraindications include raised intracranial pressure. Preparing a patient for ECT involves educating them, obtaining consent, monitoring during treatment, and providing care after to address confusion and memory loss. Complications are monitored and include temporary side effects like headache and memory issues.
ECT
This slide contains information regarding Electro Convulsive Therapy. This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated. Thank you!
ECT Part I
Electroconvulsive therapy (ECT) is a psychiatric treatment that uses electric currents to induce seizures as a way to treat certain mental illnesses. It was introduced in the 1930s and 1940s and has been modified since then to be more humane. ECT is used to rapidly treat severe depression, catatonia, mania, and psychosis when other treatments have failed or the condition is life-threatening. While its exact mechanism of action is unknown, ECT causes changes in neurotransmitter systems and hormones in the brain. Potential side effects include short-term memory loss and confusion, but mortality risks are low when administered properly by trained professionals.
Electro convulsive therapy
The document discusses the history and development of electroconvulsive therapy (ECT). It notes that ECT was first used in the 1500s using camphor, was modernized in the 1930s using camphor for catatonic schizophrenia, and the first official ECT treatment was in 1938 in Rome. It then describes the concept, definition, purpose, methods, mechanisms of action, types, applications of electrodes, techniques, ECT team, indications, contraindications, side effects, frequency, and the roles of psychiatric nurses in the ECT procedure.
Clinical teaching on electro convulsive therapy
ECT involves inducing seizures through electrical stimulation of the brain under anesthesia to treat psychiatric conditions. It was introduced in 1938 and replaced previous somatic therapies. ECT works via its effects on brain catecholamine pathways and limbic systems. The procedure involves placing electrodes on the head and passing a brief electrical current while the patient is under anesthesia and muscle relaxation to induce a seizure. Potential risks include cognitive side effects and medical complications, though memory loss is usually temporary. Informed consent is required but involuntary treatment is allowed under certain legal circumstances.
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ECT PROCEDUmmmmmmmmmmmmmmRE....2023.pptx
This document provides information on electroconvulsive therapy (ECT), including:
- ECT involves inducing seizures through electric currents applied to the brain, under anesthesia, to treat various mental health conditions.
- It is used when medications have not helped or caused side effects, for severe depression or suicidality, or if the patient has responded well to ECT previously.
- Risks include temporary memory loss and confusion, but ECT is considered relatively safe when administered properly by medical professionals in a clinical setting.
Eectroconvulsive therapy
content will help to healthcare community including nursing students to understand the concept of electroconvulsive therapy
Ect nursing care
ECT is a medical procedure used to treat severe mental illnesses like depression and bipolar disorder. It involves inducing a seizure through electrical stimulation of the brain under anesthesia. Nurses play an important role in ECT by providing education and support to patients, monitoring their safety and comfort during the procedure, and observing their recovery afterwards. Indications for ECT include severe depression, mania, mood disorders with psychosis, and catatonia. Contraindications are brain conditions that increase pressure. Nursing care involves preparation, treatment monitoring, and post-procedure observation and support.
PRESENTATION 8_081830.pptx
The document discusses electroconvulsive therapy (ECT) for treating mental health disorders. It defines ECT as involving electrically stimulating the brain to trigger seizures and relieve symptoms. The document outlines that ECT is indicated for severe depression, mania, and other disorders. Contraindications include raised intracranial pressure. Preparing a patient for ECT involves educating them, obtaining consent, monitoring during treatment, and providing care after to address confusion and memory loss. Complications are monitored and include temporary side effects like headache and memory issues.
ECT
This slide contains information regarding Electro Convulsive Therapy. This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated. Thank you!
ECT Part I
Electroconvulsive therapy (ECT) is a psychiatric treatment that uses electric currents to induce seizures as a way to treat certain mental illnesses. It was introduced in the 1930s and 1940s and has been modified since then to be more humane. ECT is used to rapidly treat severe depression, catatonia, mania, and psychosis when other treatments have failed or the condition is life-threatening. While its exact mechanism of action is unknown, ECT causes changes in neurotransmitter systems and hormones in the brain. Potential side effects include short-term memory loss and confusion, but mortality risks are low when administered properly by trained professionals.
Electro convulsive therapy
The document discusses the history and development of electroconvulsive therapy (ECT). It notes that ECT was first used in the 1500s using camphor, was modernized in the 1930s using camphor for catatonic schizophrenia, and the first official ECT treatment was in 1938 in Rome. It then describes the concept, definition, purpose, methods, mechanisms of action, types, applications of electrodes, techniques, ECT team, indications, contraindications, side effects, frequency, and the roles of psychiatric nurses in the ECT procedure.
Clinical teaching on electro convulsive therapy
ECT involves inducing seizures through electrical stimulation of the brain under anesthesia to treat psychiatric conditions. It was introduced in 1938 and replaced previous somatic therapies. ECT works via its effects on brain catecholamine pathways and limbic systems. The procedure involves placing electrodes on the head and passing a brief electrical current while the patient is under anesthesia and muscle relaxation to induce a seizure. Potential risks include cognitive side effects and medical complications, though memory loss is usually temporary. Informed consent is required but involuntary treatment is allowed under certain legal circumstances.
Electroconvulsive therapy ppt
Electroconvulsive therapy (ECT) is a psychiatric treatment involving the induction of a seizure through the application of electric current to the brain. It is most commonly used to treat severe major depression or bipolar disorder that has not responded to other treatments. The psychiatric nurse plays an important role in ECT by providing pre-procedure education and assessment, monitoring the patient during treatment, and providing post-procedure care and observation to address any side effects like confusion, headache, or memory issues. ECT is considered a relatively safe treatment when administered properly by a trained medical team in an appropriate facility.
Electroconvulsive therapy
ECT involves inducing a seizure through electrodes placed on the head to treat severe mental illnesses like depression. It was introduced in the 1930s and involves general anesthesia. ECT is indicated for treatment-resistant major depression, catatonia, mania, and other conditions. Risks include cognitive side effects like confusion and memory loss. While side effects are usually temporary, ECT is still used as an effective treatment when other options have failed or for more severe cases.
Electroconvulsive Therapy (ECT)
Electroconvulsive therapy (ECT) is a psychiatric treatment where seizures are electrically induced under anesthesia to treat severe mental illnesses. While ECT was originally portrayed as dangerous in media, modern ECT is a safe and effective treatment when other options have failed. ECT involves placing electrodes on the head to deliver a brief electric stimulus while the patient is under anesthesia and muscle relaxation. This causes a seizure and can rapidly relieve severe depression or mania when administered in a series of sessions. While cognitive side effects like temporary confusion and memory loss are risks, ECT is considered low-risk when properly administered by a trained team. It remains a controversial treatment due to its portrayal in media and the small risk of cognitive impacts.
electroconvulsivetherapy-150603071823-lva1-app6892 (1).pdf
This document discusses electroconvulsive therapy (ECT), including its definition, types, indications, contraindications, side effects, and procedures. ECT involves inducing a seizure through electrical stimulation of the brain under anesthesia to treat various mental health conditions such as severe depression, bipolar disorder, and schizophrenia. It can cause short-term memory loss and other potential side effects but is considered an effective treatment when other options have failed. The document provides detailed information on administering and monitoring ECT according to established guidelines.
Electroconvulsive therapy
This document discusses electroconvulsive therapy (ECT), including its definition, types, indications, contraindications, side effects, and procedures. ECT involves inducing a seizure through electrical stimulation of the brain under anesthesia to treat various mental health conditions such as severe depression, bipolar disorder, and schizophrenia. It can cause short-term memory loss and other potential side effects but is considered an effective treatment when other options have failed. The document provides detailed information on administering and monitoring ECT according to established guidelines.
ECT- Electroconvulsive Therapy
Electroconvulsive therapy (ECT) was developed in the 1930s-40s as a safer alternative to inducing seizures through chemicals. It involves inducing a seizure through electric currents passed through the brain under anesthesia. Modern ECT uses brief pulse machines and muscle relaxants to reduce side effects. While its exact mechanism is unclear, leading theories involve anticonvulsant effects and neurochemical changes impacting neurotransmitters like serotonin, dopamine, and GABA. ECT remains an effective treatment for severe depression, mania, and catatonia when other options have failed or risks are high. Guidelines recommend its use in such situations.
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This document provides an overview of electroconvulsive therapy (ECT), including its definition, brief history, indications and contraindications, types and techniques, pre, intra, and post-procedure roles of nursing, proposed mechanisms of action, complications and side effects, physical setup requirements, and treatment team members. ECT involves applying electric currents to the brain via electrodes on the temples to induce a seizure as a somatic treatment for various mental health conditions.
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Therapeutic modalities
This document provides information on various therapeutic modalities and psychosocial interventions including electroconvulsive therapy (ECT), psychotherapies, group therapies, and biophysical interventions. It describes the procedures, indications, contraindications, advantages, and disadvantages of ECT. It also discusses individual psychotherapy, group therapy, family therapy, education groups, support groups, and self-help groups.
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Electroconvulsive therapy (ECT) involves inducing a seizure through electrodes placed on a patient's head to treat various mental disorders like depression, schizophrenia, and mania. There are different types of ECT based on technique and electrode placement. ECT is indicated for severe cases when rapid recovery is needed or drugs cannot be used. Risks include temporary memory loss and fractures, so thorough screening is required. The mechanism is not fully understood but may involve changes in neurotransmitters, neuroendocrine function, or brain damage/placebo effects. Precise administration and monitoring during treatment aims to reduce risks and side effects.
E.C.T.pptx
ECT (electroconvulsive therapy) involves inducing a seizure through electric currents applied to the brain via electrodes on the temples. It is used to treat severe depression, mania, schizophrenia, and other conditions when other treatments are ineffective. Nursing care involves preparing the patient physically and emotionally, monitoring them during treatment, and observing them after to ensure safety and comfort as side effects like confusion and memory loss may occur. The exact mechanism is unknown but it increases neurotransmitter levels in the brain.
ECT anaesthesia
This document discusses anaesthesia for electroconvulsive therapy (ECT). It describes ECT as the artificial induction of a grand mal seizure through electrical stimulation of the brain to treat severe mental illnesses. It notes the common indications for ECT and outlines the anaesthetic considerations and techniques used to control physiological responses and complications during the procedure, including preoxygenation, induction agents like methohexital or propofol, and muscle relaxants like succinylcholine to prevent injury during seizures. Risks associated with ECT like increased intracranial pressure, blood pressure changes, and memory loss are also summarized.
Ect
Electroconvulsive therapy (ECT) involves applying electric current to the brain through electrodes placed on the head to induce seizures. It is used to treat severe depression, bipolar disorder, schizophrenia and other conditions. The document outlines the history, mechanism of action, administration process, monitoring, side effects and nurse's role in ECT. ECT remains an effective treatment for severe mental illnesses when other options have failed or cannot be used.
Therapeutic modalities
ECT involves inducing seizures through electric currents to treat severe mental illnesses like depression. It requires anesthesia and muscle paralysis during treatment. While fast-acting, it carries risks of memory loss and physical side effects. Individual psychotherapy explores one's feelings through a therapeutic relationship, while group therapy involves learning from shared experiences in a structured setting.
Role of ECT in psychiatry
The document provides a historical overview of convulsive therapies including ECT. It discusses key developments such as the first reported use of inducing seizures with camphor in the 1500s and the accidental discovery by Sakel in the 1920s that insulin-induced seizures were effective for psychosis. The modern technique of ECT was developed in 1938 by Cerletti and Bini using electricity to induce seizures. The document then covers indications, contraindications, adverse effects, the ECT procedure and stimulus, and mechanisms of action and effectiveness of ECT.
Electroconvulsive therapy and its present status
Electroconvulsive therapy and its present status.
A Short seminar on the indications, process of Electroconvulsive therapy and its current status in society as a form of treatment.
Electroconvulsive therapy (ECT)
Electroconvulsive therapy (ECT) is a treatment for certain mental illnesses. During this therapy, electrical currents are sent through the brain to induce a seizure.
The procedure has been shown to help people with clinical depression. It’s most often used to treat people who don’t respond to medication.
Electro convulsive therapy
Electroconvulsive therapy (ECT) is a procedure, done under general anesthesia, in which small electric currents are passed through the brain, intentionally triggering a brief seizure. ECT seems to cause changes in brain chemistry that can quickly reverse symptoms of certain mental health conditions.
Electro convulsive therapy (ECT)
ECT, also known as electroconvulsive therapy, is a psychiatric treatment where seizures are electrically induced in anesthetized patients for therapeutic effects. It was first introduced in 1938 and has been established for treating severe depression, bipolar disorder, schizophrenia, and other conditions when other treatments have failed. The document discusses the procedure of ECT, including electrode placement, electrical dosage, risks and side effects like cognitive impairment and memory loss. It also covers indications, contraindications, the process before, during, and after treatment, and notes that some patients may undergo ECT against their will if deemed a risk to themselves or others.
Electroconvulsive Therapy ECT Group 1.pdf
The document discusses electroconvulsive therapy (ECT), providing information on its history, procedures, indications, and key figures in its discovery. ECT was introduced in the 1930s in Italy as a treatment involving electric currents passed through the brain to trigger seizures. It is indicated for severe depression, schizophrenia, and other mental illnesses when other treatments are unsuccessful. The procedure is safer now than in the past and aims to provide benefits with minimal risks. Ugo Cerletti and Lucio Bini are credited with first using ECT to treat patients in Rome.
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Electroconvulsive therapy ppt
Electroconvulsive therapy (ECT) is a psychiatric treatment involving the induction of a seizure through the application of electric current to the brain. It is most commonly used to treat severe major depression or bipolar disorder that has not responded to other treatments. The psychiatric nurse plays an important role in ECT by providing pre-procedure education and assessment, monitoring the patient during treatment, and providing post-procedure care and observation to address any side effects like confusion, headache, or memory issues. ECT is considered a relatively safe treatment when administered properly by a trained medical team in an appropriate facility.
Electroconvulsive therapy
ECT involves inducing a seizure through electrodes placed on the head to treat severe mental illnesses like depression. It was introduced in the 1930s and involves general anesthesia. ECT is indicated for treatment-resistant major depression, catatonia, mania, and other conditions. Risks include cognitive side effects like confusion and memory loss. While side effects are usually temporary, ECT is still used as an effective treatment when other options have failed or for more severe cases.
Electroconvulsive Therapy (ECT)
Electroconvulsive therapy (ECT) is a psychiatric treatment where seizures are electrically induced under anesthesia to treat severe mental illnesses. While ECT was originally portrayed as dangerous in media, modern ECT is a safe and effective treatment when other options have failed. ECT involves placing electrodes on the head to deliver a brief electric stimulus while the patient is under anesthesia and muscle relaxation. This causes a seizure and can rapidly relieve severe depression or mania when administered in a series of sessions. While cognitive side effects like temporary confusion and memory loss are risks, ECT is considered low-risk when properly administered by a trained team. It remains a controversial treatment due to its portrayal in media and the small risk of cognitive impacts.
electroconvulsivetherapy-150603071823-lva1-app6892 (1).pdf
This document discusses electroconvulsive therapy (ECT), including its definition, types, indications, contraindications, side effects, and procedures. ECT involves inducing a seizure through electrical stimulation of the brain under anesthesia to treat various mental health conditions such as severe depression, bipolar disorder, and schizophrenia. It can cause short-term memory loss and other potential side effects but is considered an effective treatment when other options have failed. The document provides detailed information on administering and monitoring ECT according to established guidelines.
Electroconvulsive therapy
This document discusses electroconvulsive therapy (ECT), including its definition, types, indications, contraindications, side effects, and procedures. ECT involves inducing a seizure through electrical stimulation of the brain under anesthesia to treat various mental health conditions such as severe depression, bipolar disorder, and schizophrenia. It can cause short-term memory loss and other potential side effects but is considered an effective treatment when other options have failed. The document provides detailed information on administering and monitoring ECT according to established guidelines.
ECT- Electroconvulsive Therapy
Electroconvulsive therapy (ECT) was developed in the 1930s-40s as a safer alternative to inducing seizures through chemicals. It involves inducing a seizure through electric currents passed through the brain under anesthesia. Modern ECT uses brief pulse machines and muscle relaxants to reduce side effects. While its exact mechanism is unclear, leading theories involve anticonvulsant effects and neurochemical changes impacting neurotransmitters like serotonin, dopamine, and GABA. ECT remains an effective treatment for severe depression, mania, and catatonia when other options have failed or risks are high. Guidelines recommend its use in such situations.
Electroconvulsive therapy
This document provides an overview of electroconvulsive therapy (ECT), including its definition, brief history, indications and contraindications, types and techniques, pre, intra, and post-procedure roles of nursing, proposed mechanisms of action, complications and side effects, physical setup requirements, and treatment team members. ECT involves applying electric currents to the brain via electrodes on the temples to induce a seizure as a somatic treatment for various mental health conditions.
Ect (1)
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Therapeutic modalities
This document provides information on various therapeutic modalities and psychosocial interventions including electroconvulsive therapy (ECT), psychotherapies, group therapies, and biophysical interventions. It describes the procedures, indications, contraindications, advantages, and disadvantages of ECT. It also discusses individual psychotherapy, group therapy, family therapy, education groups, support groups, and self-help groups.
ECT - electroconvulsive therapy
Electroconvulsive therapy (ECT) involves inducing a seizure through electrodes placed on a patient's head to treat various mental disorders like depression, schizophrenia, and mania. There are different types of ECT based on technique and electrode placement. ECT is indicated for severe cases when rapid recovery is needed or drugs cannot be used. Risks include temporary memory loss and fractures, so thorough screening is required. The mechanism is not fully understood but may involve changes in neurotransmitters, neuroendocrine function, or brain damage/placebo effects. Precise administration and monitoring during treatment aims to reduce risks and side effects.
E.C.T.pptx
ECT (electroconvulsive therapy) involves inducing a seizure through electric currents applied to the brain via electrodes on the temples. It is used to treat severe depression, mania, schizophrenia, and other conditions when other treatments are ineffective. Nursing care involves preparing the patient physically and emotionally, monitoring them during treatment, and observing them after to ensure safety and comfort as side effects like confusion and memory loss may occur. The exact mechanism is unknown but it increases neurotransmitter levels in the brain.
ECT anaesthesia
This document discusses anaesthesia for electroconvulsive therapy (ECT). It describes ECT as the artificial induction of a grand mal seizure through electrical stimulation of the brain to treat severe mental illnesses. It notes the common indications for ECT and outlines the anaesthetic considerations and techniques used to control physiological responses and complications during the procedure, including preoxygenation, induction agents like methohexital or propofol, and muscle relaxants like succinylcholine to prevent injury during seizures. Risks associated with ECT like increased intracranial pressure, blood pressure changes, and memory loss are also summarized.
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Electroconvulsive therapy (ECT) involves applying electric current to the brain through electrodes placed on the head to induce seizures. It is used to treat severe depression, bipolar disorder, schizophrenia and other conditions. The document outlines the history, mechanism of action, administration process, monitoring, side effects and nurse's role in ECT. ECT remains an effective treatment for severe mental illnesses when other options have failed or cannot be used.
Therapeutic modalities
ECT involves inducing seizures through electric currents to treat severe mental illnesses like depression. It requires anesthesia and muscle paralysis during treatment. While fast-acting, it carries risks of memory loss and physical side effects. Individual psychotherapy explores one's feelings through a therapeutic relationship, while group therapy involves learning from shared experiences in a structured setting.
Role of ECT in psychiatry
The document provides a historical overview of convulsive therapies including ECT. It discusses key developments such as the first reported use of inducing seizures with camphor in the 1500s and the accidental discovery by Sakel in the 1920s that insulin-induced seizures were effective for psychosis. The modern technique of ECT was developed in 1938 by Cerletti and Bini using electricity to induce seizures. The document then covers indications, contraindications, adverse effects, the ECT procedure and stimulus, and mechanisms of action and effectiveness of ECT.
Electroconvulsive therapy and its present status
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Electroconvulsive therapy (ECT) is a treatment for certain mental illnesses. During this therapy, electrical currents are sent through the brain to induce a seizure.
The procedure has been shown to help people with clinical depression. It’s most often used to treat people who don’t respond to medication.
Electro convulsive therapy
Electroconvulsive therapy (ECT) is a procedure, done under general anesthesia, in which small electric currents are passed through the brain, intentionally triggering a brief seizure. ECT seems to cause changes in brain chemistry that can quickly reverse symptoms of certain mental health conditions.
Electro convulsive therapy (ECT)
ECT, also known as electroconvulsive therapy, is a psychiatric treatment where seizures are electrically induced in anesthetized patients for therapeutic effects. It was first introduced in 1938 and has been established for treating severe depression, bipolar disorder, schizophrenia, and other conditions when other treatments have failed. The document discusses the procedure of ECT, including electrode placement, electrical dosage, risks and side effects like cognitive impairment and memory loss. It also covers indications, contraindications, the process before, during, and after treatment, and notes that some patients may undergo ECT against their will if deemed a risk to themselves or others.
Electroconvulsive Therapy ECT Group 1.pdf
The document discusses electroconvulsive therapy (ECT), providing information on its history, procedures, indications, and key figures in its discovery. ECT was introduced in the 1930s in Italy as a treatment involving electric currents passed through the brain to trigger seizures. It is indicated for severe depression, schizophrenia, and other mental illnesses when other treatments are unsuccessful. The procedure is safer now than in the past and aims to provide benefits with minimal risks. Ugo Cerletti and Lucio Bini are credited with first using ECT to treat patients in Rome.
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其他信息：根据不同的专业和学位，可能会有一些特定的信息或章节。
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综上所述，办理(mizzou毕业证书)美国密苏里大学毕业证【微信：741003700 】是证明身份和学历的高价值文件。外观简单庄重，格式统一，包括重要的个人信息和发布日期。对持有人来说，妥善保管是非常重要的。
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Covey says most people look for quick fixes. They see a big success and want to know how he did it, believing (and hoping) they can do the same following a quick bullet list.
But real change, the author says, comes not from the outside in, but from the inside out. And the most fundamental way of changing yourself is through a paradigm shift.
That paradigm shift is a new way of looking at the world. The 7 Habits of Highly Effective People presents an approach to effectiveness based on character and principles.
The first three habits indeed deal with yourself because it all starts with you. The first three habits move you from dependence from the world to the independence of making your own world.
Habits 4, 5 and 6 are about people and relationships. The will move you from independence to interdependence. Such, cooperating to achieve more than you could have by yourself.
The last habit, habit number 7, focuses on continuous growth and improvement.
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Electroconvulsive-Therapy.ppt
- 1. Electroconvulsive Therapy - is passing an electrical current through electrodes that are attached to the temples. TREAMENT MODALITIES
- 2. ELECTROCONVULSIVE THERAPY consists of inducing a grand mal (tonic- clonic) seizure by passing an electrical current through electrodes that are attached to the temples
- 3. Copyright ©2008 Canadian Medical Association or its licensors Hoag, H. CMAJ 2008;178:1264-1266 Electroconvulsive therapy is increasingly being delivered on an outpatient basis and being administered to seniors as treatment for depression
- 4. ELECTROCONVULSIVE THERAPY administration of a muscle relaxant ex. Succinylcholine (Anectine), minimizes seizure activity, preventing damage to long bones and cervical vertebrae
- 5. ELECTROCONVULSIVE THERAPY The usual course is 6 to 12 treatments given two to three times per week Maintenance ECT once a month may help to decrease the relapse rate for the client with recurrent depression Usual relief is seen after 2-3 ECTs
- 6. ELECTROCONVULSIVE THERAPY At-risk clients include: 1. Post MI 2. Pregnant women *The resultant seizure from ECT can cause transient increases in blood pressure, myocardial oxygen consumption, heart rate, and intracranial pressure.
- 7. Uses of ECT Clients with major depressive and bipolar depressive disorders psychotic symptoms are present such as delusions of guilt, somatic delusions, and delusions of infidelity
- 8. Uses of ECT Manic clients whose conditions are resistant to lithium and antipsychotic medications clients who are rapid cyclers (a client with a bipolar disorder who has many episodes of mood swings close together) Clients with schizophrenia (especially catatonia), those with schizoaffective syndromes, and psychotic clients.
- 9. Uses of ECT When antidepressant medications have no effect When there is a need for a rapid definitive response, such as when a client is suicidal or homicidal The client is in extreme agitation or stupor
- 10. ECT: Pre-procedure Explain the procedure to the client Encourage the client to discuss feelings, including myths regarding ECT Teach the client and family what to expect Informed consent must be obtained when voluntary clients are being treated
- 11. ECT: Pre-procedure For involuntary clients, when informed consent cannot be obtained, permission may be obtained from the next of kin, although in some states the permission for ECT must be obtained from the court NPO after midnight or at least 4-8 hours prior to treatment
- 12. ECT: Pre-procedure Baseline vital signs are taken The client is requested to void Hairpins, contact lenses, and dentures are removed Administer preoperative medication if prescribed; glycopyrrolate (Robinul) or atropine sulfate may be prescribed to prevent aspiration and bradyarrhythmias
- 13. ECT: DURING procedure The nurse must obtain an IV line BP and Vitals taken ECG and EEG electrodes are attached to the body SHORT acting anesthetics are administered: Methohexital, Thiopental Muscle relaxant is administered_ Succinylcholine
- 14. ECT: DURING procedure Oxygen is given by mask Tongue guard may be placed on the mouth 110-150 volts of electricity is delivered for 0.5 to 2 seconds to initiate a tonic- clonic seizure, usually lasting for 1- minute
- 15. ECT: POST procedure Continue monitoring of vital signs Patient is usually brought to the recovery room where emergency drugs and equipments are available RE-ORIENT the client when he is awake Provide reassurance that the amnesia is ONLY temporary
- 16. ECT: POST procedure The patient is returned to the room after all vitals are stable Mental status examination NPO temporarily and introduce foods once GAG reflex will return
- 17. Potential side-effects Confusion Disorientation Short term memory loss- which may last up to 6 months Fractures Arrhythmias