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  • Somatic Therapy: Gladys D. Bautista

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    Glads Bautista
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    Electroconvulsive therapy (ECT) involves passing an electrical current through electrodes attached to the temples to trigger a seizure and treat severe mental health conditions like depression. It is considered a last resort treatment option after other medications have failed. While ECT has advantages like faster results than antidepressants and an 80% success rate for severe depression, side effects can include temporary memory loss and confusion. Nurses must obtain informed consent, position the patient properly, and monitor their safety and recovery during and after the ECT treatment.

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    Electroconvulsive Therapy

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    Electroconvulsive therapy (ECT) involves passing an electrical current through electrodes attached to the temples to trigger a seizure and treat severe mental health conditions like depression. It is considered a last resort treatment option after other medications have failed. While ECT has advantages like faster results than antidepressants and an 80% success rate for severe depression, side effects can include temporary memory loss and confusion. Nurses must obtain informed consent, position the patient properly, and monitor their safety and recovery during and after the ECT treatment.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
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    Download as pptx, pdf, or txt
    20 views11 pages

    Somatic Therapy: Gladys D. Bautista

    Uploaded by

    Glads Bautista
    Electroconvulsive therapy (ECT) involves passing an electrical current through electrodes attached to the temples to trigger a seizure and treat severe mental health conditions like depression. It is considered a last resort treatment option after other medications have failed. While ECT has advantages like faster results than antidepressants and an 80% success rate for severe depression, side effects can include temporary memory loss and confusion. Nurses must obtain informed consent, position the patient properly, and monitor their safety and recovery during and after the ECT treatment.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 11

    Somatic Therapy

    Gladys D. Bautista

    Electroconvulsive Therapy
    - is passing an electrical current through electrodes that are attached to the temples. ECTs mechanism of action is unclear at present

    Advantages:
    Quicker effects than antidepressants

    Safer for elderly


    8O % improvement rate of major depressive episode with vegetative aspects

    - Before ECT a major depressed client undergo the ff meds: 1. SSRi (Selective Serotonin Reuptake Inhibitor inhibitor) 2 wks 2. Antidepressants TCA 2nd Generation 3. MAOi 2 wks 4. ECT (last resort)

    Side Effects: 1. Temporary RECENT Memory Loss ANTEROGRADE amnesia Intervention: Re-orient client to 3 spheres 2. confusion/disorientation (usually hours) 24 3. Headache 02 demand, cerebral hypoxia 4. Muscle spasm 5. Wt. gain (stimulate thalamic/limbic appetite)

    Contraindicated:
    1. PPPP Post MI, Post CVA, pacemaker, pregnant women 2. Neurologic problem Alzheimers, degenerative disorder 3. Brain tumor, weakness of lumbosacral spine

    Legal/Pre-Nursing Responsibilities: Preparation: Similar to preparing a client for surgery: 1. Informed Consent if client is coherent, if not a guardian sign the consent forms. 2. No metallic objects 3. No nail polish to check peripheral circulation 4. No contact lenses it may adhere to the cornea 5. Wash & dry hair

    6. Give following medications BEFORE ECT: a. Atropine sulfate anticholinergic PRIMARY purpose to dry secretions and prevent aspiration SECONDARY purpose to prevent bradycardia (vagolytic) b. Phenobarbital (Luminal), Methohexital (barbiturate Na)- minor tranquilizer an anticonvulsant also c. Succinylcholine (Anectine) muscle relaxant 7. Priority vs. to focus ABC; check RR 12 less; LOC 8. Before ECT supine position; after ECT side-lying 9. Have patient VOID before giving ECT

    Nursing Diagnosis:
    1. Risk for Airway Obstruction/aspiration 2. Risk for Injury 3. Impaired/Altered Cognition/LOC

    Nursing Intervention 1. Safety (#1 objective) 2. Side-lying (#1 Position) 3. Side rails up 4. Stimulus (no noise & bright lights) 5. Support the head with a pillow AFTER the seizure

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