somatic therapy & ECT Flashcards
1
Q
Definitions of somatic therapy
A
treatment approaches that use physiological or physical intervention to affect behavioural changes
2
Q
Common forms of somatic therapy
A
- psychopharmaco
- ECT
- restraints
- seclusions
3
Q
Types of restraints
A
- Physical
- cannot be easily removed - Chemical
- when client hurt self or others
4
Q
Restraints for how long?
A
- no longer hurting self or others
- till client improves
5
Q
What are some physical issues from restraints?
A
- formation of blood clots (DVT)
- decreased bone strength; bone fractures
- damage to muscles & nerves
6
Q
ECT causes changes in _______
A
monoamine neurotransmitter system
7
Q
The seizure from ECT must last approx. ____ to be of therapeutic value
A
30-60secs
8
Q
Indications for ECT (At least 5)
A
- high suicide potential
- delusions
- severe manic not controlled by meds
- non-response to anti depressants
- depressive stupor
- catatonic
9
Q
Nursing responsibilities after ECT
A
- nurses need to monitor pt and slowly intro food & drinks (As pt usually will be confused, headaches)
- MONITOR RESPIRATORY STATUS!!! IMPT
10
Q
Do these conditions respond to ECT?
anxiety disorder, mild depression, personality disorder, etc
A
Nope