Full Answer
What is the success rate of ECT therapy?
What is the Success Rate of Electroconvulsive Therapy? 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. The tendency to relapse after a favorable treatment outcome can often be countered by medication after a series of treatments.
What are the dangers of ECT?
“ECT (electroconvulsive treatment) damages the brain and mind. In many cases, it results in huge permanent gaps in memory for important life events, educational background, and professional skills. The individual may even lose his or her identity.
Is ECT worth it?
Is ECT worth it? – The effectiveness of ECT Researchers and healthcare professionals have observed the life-changing and life-saving benefits of electroconvulsive therapy for decades and some of them describe modern ECT as the fastest and most effective way for patients to completely recover from depression.
What should you consider about electroconvulsive therapy?
You can find more information about:
- Depression by clicking here.
- Bipolar disorder by clicking here.
- Schizophrenia by clicking here.
What should I do before ECT treatment?
Before ECT, patients are asked not to eat or drink from midnight the night before treatment. During the procedure, the patient receives a short acting anesthetic agent which puts the patient to sleep for approximately 5-10 minutes.
What should I monitor during ECT?
g and should include the monitoring of vital signs (blood pressure, pulse, and respiration) and the use of electrocardiograms ( ECG ) and pulse oximetry during ECT treatment and recovery.
What should you assess first after ECT?
When possible, cognitive assessment shall be performed at least 24 hours after an ECT treatment. The presence and severity of disorientation, anterograde amnesia, and retrograde amnesia shall be monitored in terms of both objective findings and self-report.
How do you care for a patient after ECT?
Post-ECT Care Transfer the patient from recovery room . record vital signs every 15 min for 30 min and once in every 30 min till the patient recover to the normal stage.
Which of the following should the nurse obtain from a client prior to having electroconvulsive therapy ECT )?
Before beginning a series of ECT treatments, a patient should receive a thorough psychiatric assessment, including a medical examination and sometimes a basic blood test and an electrocardiogram (ECG) to check heart health.
Which of the following post ECT care should be the nurse's highest priority?
The highest priority for ECT should be patients who would gain the most potential benefit from the treatment (e.g. those with psychoses and involuntarily committed or with depression with high suicidality), have the potential for fast response (e.g. catatonia) and have the highest risk to life or long-term disability.
What is the role of the nurse before during and after ECT?
The nurse's multifaceted role in ECT is enacted by providing education and support, performing pre-treatment assessments, monitoring the procedure, and observing and interpreting posttreatment patient responses.
What is the nurses role during ECT?
The nurse serves as a liaison between the psychiatry and anesthesia departments and the outpatient and ECT treatment team. This facilitates obtaining necessary medical evaluations or preparations prior to treatments. This may involve coordinating blood tests, EKGs, x-rays, or medical consultations.
What the nurse's role is in the ECT process?
The nurse's multifaceted role is enacted by providing education and support, performing pretreatment assessments, monitoring the procedure, and observing and interpreting posttreatment patient responses.
Why is electroconvulsive therapy important?
Electroconvulsive therapy seems to cause changes in brain chemistry that can immediately reverse symptoms of certain mental illnesses. It often works when other treatments are unsuccessful. Nurses have an important role to deliver when a client is to undergo Electroconvulsive Therapy.
How long does a seizure last with a mask?
Check if the bite block is placed in prevent biting of the tongue. Electrical stimulus given ( seizure should last 30 to 60 seconds).
What to do before brady arrhythmia treatment?
Remove dentures, glasses, contact lenses, hearing aids, hair pins and etc. Have client void before the treatment. Give preoperative medications as ordered: Give either glycopyrrolate (Robinul) or atropine to prevent potential for aspiration and to help minimize brady-arrhythmias in response to electrical stimulants.
How long after electroconvulsive therapy can you drive home?
After Your Procedure. You must have an adult present to drive you home and remain with you for the next 6-8 hours. You are not to drive over the treatment course and for two weeks after treatments end. Following your electroconvulsive therapy treatment, you may experience one or more of the following side effects: Nausea.
What to wear for ECT treatment?
You’ll receive an intravenous line (IV), so dress comfortably and opt for a t-shirt or tank top. During the ECT treatment, you will receive medication through the IV that will put you to sleep for the duration of the treatment.
Can you smoke after electroconvulsive therapy?
Because electroconvulsive therapy is performed under general anesthesia, you should not eat, drink, or smoke after midnight on the days of your treatments. Do not drink alcohol or use any illegal drugs over the course of the treatment. On the day of your procedure, do not wear jewelry or contact lenses. You’ll receive an intravenous line (IV), so ...
What is electroconvulsive therapy?
Electroconvulsive therapy is the induction of a grand mal seizure through the application of electrical current to the brain for the purpose of decreasing depression. A chronically depressed and suicidal client is admitted to a psychiatric unit. The client is scheduled for electroconvulsive therapy (ECT).
What is ECT treatment?
D. Encourage high-caloric diet throughout the ECT course of treatment. ANS: A. ECT is an intervention for major depression that often includes suicidal ideations as a symptom. Continued suicide assessment is needed because mood improvement due to ECT may cause the client to act on suicidal ideations.
What is a client experiencing manic episodes of bipolar disorder?
ANS: A. A client who is experiencing suicidal ideations is in need of an immediate intervention to prevent self-harm and must be prioritized when the nurse schedules ECT. A client with cognitive deficits is extremely suicidal.
How often should a nurse monitor pulse and blood pressure after electroconvulsive therapy?
ANS: A. Immediately after electroconvulsive therapy a nurse should monitor pulse, respirations, and blood pressure every 15 minutes for the first hour, during which time the client should remain in bed.
How long does it take for an electroconvulsive patient to sleep?
After the treatment, most clients will awaken within 10 to 15 minutes and will be confused and disoriented. Some clients will sleep for 1 to 2 hours.
Can vagal stimulation cause bradycardia?
Vagal stimulation induced by ECT may cause a client to experience bradycardia. Adequate tissue perfusion would be a realistic expectation when normal cardiac output is restored. A nursing student is observing an electroconvulsive therapy (ECT) treatment. The student notices a blood pressure cuff on the client's lower leg.
Why It's Done
- Electroconvulsive therapy (ECT) can provide rapid, significant improvements in severe symptoms of several mental health conditions. ECT is used to treat: 1. Severe depression,particularly when accompanied by detachment from reality (psychosis), a desire to commit suicide or refusal to e…
Risks
- Although ECT is generally safe, risks and side effects may include: 1. Confusion.Immediately after treatment, you may experience confusion, which can last from a few minutes to several hours. You may not know where you are or why you're there. Rarely, confusion may last several days or longer. Confusion is generally more noticeable in older adults. 2. Memory loss.Some people hav…
How You Prepare
- Before having your first ECT treatment, you'll need a full evaluation, which usually includes: 1. Medical history 2. Complete physical exam 3. Psychiatric assessment 4. Basic blood tests 5. Electrocardiogram (ECG) to check your heart health 6. Discussion of the risks of anesthesia These exams help make sure that ECT is safe for you.
What You Can Expect
- The ECT procedure takes about five to 10 minutes, with added time for preparation and recovery. ECT can be done while you're hospitalized or as an outpatient procedure.
Results
- Many people begin to notice an improvement in their symptoms after about six treatments with electroconvulsive therapy. Full improvement may take longer, though ECT may not work for everyone. Response to antidepressant medications, in comparison, can take several weeks or more. No one knows for certain how ECT helps treat severe depression and other mental illness…