Question

Electro-conculsive Therapy (Please fill every box)

ACTIVE LEARNING TEMPLATE: Therapeutic Procedure STUDENT NAM PROCEDURE NAME Electroconvulsive Therapy REVIEW MODULE CHAPTER Description of Procedure Indications CONSIDERATIONS Nursing Interventions (pre, intra, post) Outcomes/Evaluation Client Education Potential Complications Nursing Interventions ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A13

Answer 1

Ans) Electroconvulsive therapy:

Description of procedure:

- 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.

Indication:

- Need for a rapid antidepressant response.
- Failure of drug therapies.
- History of good response to ECT.
- Patient preference.
- High risk of suicide.
- High risk of medical morbidity and mortality.

Nursing Intervention:

Pre ect care:

- Informed consent

- Fully explaination of the procedure- Risk, benefits, etc.

- Administeration of drugs.

- Information sheet

Intra ECT care:

- Transfer the Patient on a trolly

- Apply electrodes, BP cuff, pulse oximeter sensor.

- Give the dose of Anaesthetic.

- Assist the Doctor in ECT procedure.

Post treatment nursing care:

- Have the client go to a properly staffed recovery room.

- Once the client is awake, talk to the client and check the vital signs.

- Give frequent orientation and reassurance to allay confusion.

- Check the gag reflex before giving client fluids, medications or breakfast.

Outcome/Evaluation:

- ECT is an effective medical treatment option, helping as many as 80-85 percent of patients who receive it. Most patients remain well for many months afterwards.

Client education:

- You must not eat or drink anything after midnight the night before your scheduled treatment. If you smoke, do not smoke the morning of your treatment. Smoking before hand could cause problems during the treatment.

Potential complication:

- Cardiac: Irregularities in rhythm, heart rate, elevated blood pressure at the most severe cardiac ischemia or asystole. The electricity causes a strong cholinergic response and the seizure causes a profound sympathetic response.
• Oral or dental injury from patients clenching their jaw during the seizure.
• Long bone or spinal fractures

These issues are dramatically diminished by our pretreatment work ups and the use of general anesthesia.