logging in or signing up Electroconvulsive Therapy jahlersmeyer Download Post to : URL : Related Presentations : Let's Connect Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 2815 Category: Education License: All Rights Reserved Like it (1) Dislike it (0) Added: May 18, 2010 This Presentation is Public Favorites: 1 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript Electroconvulsive Therapy : Electroconvulsive Therapy What You Should Know – What You Should Do – What You Should Expect About ECT : About ECT I. ECT is a medical treatment for a psychiatric condition. Convulsive tx around many years safer than some psychotropic meds more effective than medications requires medical clearance not just for depression Slide 5: no absolute contraindications works like medications goal is to complete series & maintain taper off before stopping Slide 6: II. Patients can have too few ECT treatments to be therapeutic. missed treatments = sub-clinical response POA’s & guardians often sabotage stopping early – restarting later not good idea Slide 7: III. Patients cannot have too much ECT. no brain damage over 100 treatments no top age limit Slide 8: Patients with dementia still have emotions. ECT cannot help dementia ECT can help with emotions Slide 10: rarely, pt. will not respond reported cases of permanent memory loss Slide 11: IV. ECT is given by a psychiatrist in a controlled setting with an anesthesiologist administering oxygen. electrode placement – bilateral & unilateral sleep = Brevital, paralysis = Anectine Slide 13: bite block used current causes seizure ECT machine gives print out Slide 14: recovery period must meet criteria for discharge Before ECT : Before ECT I. Patients must be NPO before having anesthesia for ECT. nothing to eat or drink reschedule ECT if patient raids fridge give cardiac & B/P meds with sip of water only Slide 16: II. Patients should be sent to ECT in short sleeves or clothing that opens down the front. monitor before, during & after ECT cold weather, dress in layers send in clean, dry undergarments Slide 17: III. Patients who are agitated, combative or an elopement risk must be accompanied by a staff person or family member. keep in mind patient safety cannot observe 1:1 Slide 18: IV. Patients’ paperwork needs to be accurate, complete, dated & signed when they arrive for ECT. requested info. vital to patient safety report helps psychiatrist with scheduling no signature, no ownership blank reports useless Slide 21: V. Call the ECT nurses when patients are ill as treatment may need to be rescheduled. 100 degree or higher fever congested lungs or shortness of breath describe symptoms to ECT nurse reschedule missed treatment Slide 22: VI. Patients refusing ECT should be strongly encouraged to go for treatment. short of physical force legality vs. reality ask for PRN After ECT : After ECT I. Patients will likely be sleepy & unsteady on their feet the day of ECT & possibly the day after. let them rest initiate fall precautions Slide 24: normal VS encourage fluid intake Slide 25: II. After ECT, patients may be confused & have short-term memory impairment which are unfortunate side effects of ECT. emotional support normal side effects change in behavior or LOC if in doubt, shout Slide 26: III. Patients may complain of headache, jaw pain, muscle aches &/or nausea a day or two after ECT (all possible side effects). treat discomfort report pain or N&V to ECT nurse Slide 27: anesthesia & paralytic agent masseter muscles Slide 28: IV. Patients will have discharge instructions sent back with them after ECT, which will include the next appointment date & time. read carefully put on staff calendar Slide 30: schedule transportation ASAP missed treatments You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.