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Related Concept Videos

Electroconvulsive Therapy01:30

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Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
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Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
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Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
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Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy
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Improving ECT practice with a care pathway: hits and misses.

Demi Onalaja1, Mahnoor Sultana, Syed Saifullah Afghan

  • 1Coventry & Warwickshire Partnership NHS Trust, Caludon Centre, Coventry, UK.

International Journal of Psychiatry in Clinical Practice
|June 17, 2014
PubMed
Summary
This summary is machine-generated.

A new care pathway for electroconvulsive therapy (ECT) improved some clinical practices in a UK psychiatric unit. However, its overall impact was inconsistent, with some areas needing further attention.

Keywords:
Electro-convulsive therapyclinical auditconsent documentscritical pathwaysstandards

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Area of Science:

  • Psychiatry
  • Clinical Audit
  • Healthcare Quality Improvement

Background:

  • Electroconvulsive therapy (ECT) is a vital treatment for severe mental health conditions.
  • Standardized care pathways can improve the consistency and quality of ECT administration.
  • Evaluating the effectiveness of such pathways is crucial for optimizing patient care.

Purpose of the Study:

  • To assess the impact of a specific care pathway on the clinical practice of electroconvulsive therapy (ECT) within a UK psychiatric inpatient setting.
  • To identify areas of improvement and inconsistencies in ECT delivery following the implementation of the care pathway.

Main Methods:

  • A clinical audit cycle was conducted to review the implementation and adherence to the ECT care pathway.
  • Data from sixty courses of ECT treatment were analyzed, focusing on consent, clinical assessments, and treatment indications.
  • Variances from the established care pathway were identified and examined.

Main Results:

  • The care pathway was associated with improved documentation of consent and regular clinical assessments during ECT.
  • All reviewed ECT courses were for severe depressive disorder, with no cases for schizophrenia.
  • Maintenance ECT was still utilized despite recent National Institute for Health and Care Excellence (NICE) guidance.

Conclusions:

  • The implemented care pathway positively influenced specific aspects of ECT clinical practice, such as patient assessment.
  • The overall effectiveness of the care pathway was found to be inconsistent, indicating a need for refinement.
  • Adherence to guidelines regarding maintenance ECT requires further attention.