Do patients feel they are given sufficient information about ECT?
One review from 2005 found that only about half of patients felt they were given sufficient information about ECT and its adverse effects and another survey found that about fifty percent of psychiatrists and nurses agreed with them.
Why did the use of electroconvulsive therapy (ECT) decline?
The steady growth of antidepressant use along with negative depictions of ECT in the mass media led to a marked decline in the use of ECT during the 1950s to the 1970s.
Is electrical stimulation the only treatment I need during physical therapy?
Electrical stimulation should never be the only treatment you receive during physical therapy. Research indicates that active engagement in your physical therapy program with or without electrical stimulation yields the best results.
What is electroconvulsive therapy used to treat?
Brain stimulation techniques such as electroconvulsive therapy (ECT), for example, can be used to treat major depression that hasn't responded to standard treatments. ... ECT is generally used when severe depression is unresponsive to other forms of therapy.
When is ECT used?
ECT is generally used when severe depression is unresponsive to other forms of therapy. Or it might be used when patients pose a severe threat to themselves or others and it is too dangerous to wait until medications take effect. Although ECT has been used since the 1940s and 1950s, it remains misunderstood by the general public.
What is electroconvulsive therapy?
When medication fails to ease the symptoms of clinical depression, there are other options to try. Brain stimulation techniques such as electroconvulsive therapy (ECT), for example, can be used to treat major depression that hasn't responded to standard treatments.
How does ECT work?
With ECT, an electric current is briefly applied through the scalp to the brain, inducing a seizure. In addition, alternative therapies such as yoga and hypnosis sometimes work for mild depression.
How often is ECT given?
The confusion typically lasts for only a short period of time. ECT is usually given up to three times a week for a total of two to four weeks.
Why does TMS work?
The current is caused by the magnetic field created by an electromagnetic coil that delivers the pulses through the forehead. Approved by the FDA in 2008 for treatment-resistant depression, TMS works best in patients who have failed to benefit from one, but not two or more, antidepressant treatments.
What is brain stimulation?
Brain stimulation techniques such as electroconvulsive therapy (ECT), for example, can be used to treat major depression that hasn't responded to standard treatments. The least invasive of these techniques is called transcranial magnetic stimulation (TMS), in which a magnetic field is created by a device held above the head, ...
What is experimental therapy?
Experimental therapies are treatments that are not regularly used by doctors. Their safety and effectiveness are still being studied. Some experimental therapies currently being investigated for treatment of depression include: Hormone replacement therapy (HRT) in women: Depression is more common in women than in men.
What is ECT used for?
ECT is used to treat people who have severe or prolonged mania; NICE recommends it only in life-threatening situations or when other treatments have failed and as a second-line treatment for bipolar mania.
Who performs ECT?
In the US, the medical team performing the procedure typically consists of a psychiatrist, an anesthetist, an ECT treatment nurse or qualified assistant, and one or more recovery nurses. Medical trainees may assist, but only under the direct supervision of credentialed attending physicians and staff.
How many ECT machines are there in China?
As of 2012, there are approximately 400 ECT machines in China, and 150,000 ECT treatments are performed each year. Chinese national practice guidelines recommend ECT for the treatment of schizophrenia, depressive disorders, and bipolar disorder and in the Chinese literature, ECT is an effective treatment for schizophrenia and mood disorders. Although the Chinese government stopped classifying homosexuality as an illness in 2001, electroconvulsive therapy is still used by some establishments as a form of " conversion therapy ".
How long does it take for a person to relapse from ECT?
There is little agreement on the most appropriate follow-up to ECT for people with major depressive disorder. When ECT is followed by treatment with antidepressants, about 50% of people relapsed by 12 months following successful initial treatment with ECT, with about 37% relapsing within the first 6 months.
When did ECT become popular?
ECT became popular in the US in the 1940s. At the time, psychiatric hospitals were overrun with patients whom doctors were desperate to treat and cure. Whereas lobotomies would reduce a patient to a more manageable submissive state, ECT helped to improve mood in those with severe depression. A survey of psychiatric practice in the late 1980s found that an estimated 100,000 people received ECT annually, with wide variation between metropolitan statistical areas. Accurate statistics about the frequency, context and circumstances of ECT in the US are difficult to obtain because only a few states have reporting laws that require the treating facility to supply state authorities with this information. In 13 of the 50 states, the practice of ECT is regulated by law. In the mid-1990s in Texas, ECT was used in about one third of psychiatric facilities and given to about 1,650 people annually. Usage of ECT has since declined slightly; in 2000–01 ECT was given to about 1500 people aged from 16 to 97 (in Texas it is illegal to give ECT to anyone under sixteen). ECT is more commonly used in private psychiatric hospitals than in public hospitals, and minority patients are underrepresented in the ECT statistics. In the United States, ECT is usually given three times a week; in the United Kingdom, it is usually given twice a week. Occasionally it is given on a daily basis. A course usually consists of 6–12 treatments, but may be more or fewer. Following a course of ECT some patients may be given continuation or maintenance ECT with further treatments at weekly, fortnightly or monthly intervals. A few psychiatrists in the US use multiple-monitored ECT (MMECT), where patients receive more than one treatment per anesthetic. Electroconvulsive therapy is not a required subject in US medical schools and not a required skill in psychiatric residency training. Privileging for ECT practice at institutions is a local option: no national certification standards are established, and no ECT-specific continuing training experiences are required of ECT practitioners.
When was the ECT procedure first used?
The ECT procedure was first conducted in 1938 by Italian psychiatrist Ugo Cerletti and rapidly replaced less safe and effective forms of biological treatments in use at the time. ECT is often used with informed consent as a safe and effective intervention for major depressive disorder, mania, and catatonia.
Where is the Electroconvulsive Therapy Machine?
Electroconvulsive therapy machine on display at Glenside Museum in Bristol, England. ECT device produced by Siemens and used for example at the Asyl psychiatric hospital in Kristiansand, Norway from the 1960s to the 1980s.
Why is physical therapy important?
10 Reasons Why Physical Therapy is Beneficial. Physical therapy helps people of all ages who have medical conditions, illnesses or injuries that limit their regular ability to move and function. A customized physical therapy program can help individuals return to their prior level of functioning, and encourage activities and lifestyle changes ...
How can a physical therapist help a stroke patient?
Physical therapists can also improve stroke patients’ ability to transfer and move around in bed so that they can be more independent around the home, and reduce their burden of care for toileting, bathing, dressing and other activities of daily living. Recover from or prevent a sports injury.
How to reduce pain in the body?
Reduce or eliminate pain. Therapeutic exercises and manual therapy techniques such as joint and soft tissue mobilization or treatments such as ultrasound, taping or electrical stimulation can help relieve pain and restore muscle and joint function to reduce pain. Such therapies can also prevent pain from returning.
What can a physical therapist do to help with balance problems?
When the balance problem is caused by a problem in one’s vestibular system, Physical therapists can perform specific maneuvers that can quickly restore proper vestibular functioning, and reduce and eliminate symptoms of dizziness or vertigo. Manage diabetes and vascular condition s.
What is the role of a physical therapist?
Physical therapists are experts in helping patients recover from joint replacement, and manage arthritic or osteoporotic conditions conservatively. Manage heart and lung disease.
Does physical therapy help with injuries?
Yes, physical therapy helps people of all ages who have medical conditions, illnesses or injuries. It's always better to consult with professional physical therapist for effective treatment. see more. Show more replies.
Can you get physical therapy after a heart attack?
While patients may complete cardiac rehabilitation after a heart attack or procedure, you also may receive physical therapy if your daily functioning is affected. For pulmonary problems, physical therapy can improve quality of life through strengthening, conditioning and breathing exercises, and help patients clear fluid in the lungs.
Why is hospital quality rated 9/10?
via Gallup. This is because quality health facilities and services lead to better overall health. So when patients are more comfortable, they are more likely to have better healing and can recover faster.
Why do people avoid medical care?
Around one-quarter of people who avoid medical care said that they do so because they feel uncomfortable. This discomfort could be physical or emotional. People are already uncomfortable in the hospital due to physical irritations from illness or injury. But the atmosphere can make it worse by also contributing to emotional discomforts, ...
Why is biophilic design important?
For example, adding biophilic design to patient spaces since people feel more relaxed in nature. It has proven health impacts, including reducing the production of stress hormones. And it has other benefits as well such as lowered blood pressure, heart rate, and muscle tension.
Why is comfort important in healthcare?
Increases Patient Traffic. As comfort leads to better satisfaction and health outcomes, there will be an increase in traffic. When people heal faster and have shorter recovery times, clients get released more quickly. If turnover rates are shorter, there’s more room to take care of more people.
What is the chance of postoperative complications?
It found that the chance of postoperative complications was 17% higher for those with moderate anxiety or depression. They also had a hospital readmission rate that was 20% higher. While a negative environment suppresses the immune system, positive experiences enhance it.
How do empowered patients communicate?
Patients know their bodies and their illnesses, and know when something’s gone wrong. Empowered patients can communicate changes and observations that can make a real difference in their medical care. To have their voices heard, patients have to speak up! This might sound obvious, but many times patients are intimidated, or sometimes bewildered, by the medical world around them. Also, it can be hard to speak up if the doctor or nurse is perceived to be rushed and ready to move on to the next patient. In ‘The Empowered Patient,’ I urge patients to realize there are times they absolutely have to advocate for themselves or their loved ones. Their lives, or the life of someone they love, may depend on it.
Why is it important to put patients needs first?
Putting patients needs first and allowing them to be the focal point and at the center of the team will foster a better patient relationship and better outcomes. By being empathetic, listening and communicating and understanding that patients are the most important part of the team; health care professionals can create a treatment plan ...
Why is it important to involve the patient in the decision making process?
After all, there is no bigger stakeholder. Involving the patient in the decision making process is essential, to both better the patient outcome and improve patient experience.
Who holds the ultimate responsibility for selecting the right team members?
Patients hold the ultimate responsibility of selecting the right team members, determining the primary objective based on their lifestyle and values, adhering to the treatment or recovery plan, and persisting, enduring until the team has reached the end of their work.
Do patients have to speak up?
To have their voices heard, patients have to speak up! This might sound obvious , but many times patients are intimidated, or sometimes bewildered, by the medical world around them. Also, it can be hard to speak up if the doctor or nurse is perceived to be rushed and ready to move on to the next patient.
What Are the Benefits?
There are many reasons your doctor might think immunotherapy is a good choice for you:
What Are the Risks?
Immunotherapy holds a lot of promise as a cancer treatment. Still, it can cause some problems.
Medical Use
Effects
Procedure
- ECT is among the safest and most effective treatments available for depression. With ECT, electrodes are placed on the patient's scalp and a finely controlled electric current is applied while the patient is under general anesthesia. The current causes a brief seizure in the brain. ECT is one of the fastest ways to relieve symptoms in severely depr...
Mechanism of Action
Use
History
- Aside from effects in the brain, the general physical risks of ECT are similar to those of brief general anesthesia; the US Surgeon General's report says that there are "no absolute health contraindications" to its use.: 259 Immediately following treatment, the most common adverse effects are confusion and memory loss. Some patients experience muscle soreness after ECT. …
Society and Culture
- The placement of electrodes, as well as the dose and duration of the stimulation is determined on a per-patient basis.: 1881 In unilateral ECT, both electrodes are placed on the same side of the patient's head. Unilateral ECT may be used first to minimize side effects such as memory loss. In bilateral ECT, the two electrodes are placed on opposite sides of the head. Usually bitemporal pl…
Special Populations
- Despite decades of research, the exact mechanism of action of ECT remains elusive. Neuroimaging studies in people who have had ECT, investigating differences between responders and nonresponders, and people who relapse, find that responders have anticonvulsant effects mostly in the frontal lobes, which corresponds to immediate responses, and neurotrophic effect…
See Also
- As of 2001, it was estimated that about one million people received ECT annually. There is wide variation in ECT use between different countries, different hospitals, and different psychiatrists.International practice varies considerably from widespread use of the therapy in many Western countries to a small minority of countries that do not use ECT at all, such as Slov…
External Links
- As early as the 16th century, agents to induce seizures were used to treat psychiatric conditions. In 1785, the therapeutic use of seizure induction was documented in the London Medical and Surgical Journal. As to its earliest antecedents one doctor claims 1744 as the dawn of electricity's therapeutic use, as documented in the first issue of Electricity and Medicine. Treatment and cur…