Electroconvulsive therapy

Electroconvulsive therapy treatment for severely depressed adults is increasing because it economically and rapidly reduces symptoms in most patients. Improved administration and unilateral electrode placement have decreased complications. However, concern exists about cognitive and other adverse effects of electroconvulsive therapy. Nurses are in a critical position to educate patients about electroconvulsive therapy, to be advocates for patients' rights, and to monitor responses to treatment. Because both depression and electroconvulsive therapy may impair cognitive functioning, nurses should renegotiate patients' consent during electroconvulsive therapy. Nurses who know, research, and evaluate memory and confusion can effectively observe and diminish the side effects of electroconvulsive therapy.