Describe the procedure for ECT, its indications, and its potential side effects.

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CHAPTER 17, Integrative Therapies
In completing the case study, students will be addressing the following learning objective:
Construct a list of complementary and alternative therapies used to treat specific psychiatric–mental health conditions.

  • Marjorie Alin has been diagnosed with major depression and has recently been placed on antidepressants. Marjorie uses herbal medication and has always been interested in complementary and alternative medicine (CAM). She asks the nurse practitioner what CAM therapies might be effective for depression.

(Learning Objective: 4)
a. Develop an educational handout for Ms. Alin listing the CAM therapies that might be helpful with the treatment of depression and providing a description of how the therapy might be beneficial.
b. What CAM therapy might be harmful for an individual with depression being treated with antidepressants? Why?
Case Study, Mohr
CHAPTER 18, Somatic Therapies
In completing the case study, students will be addressing the following learning objectives:
Identify the nurse’s role in caring for people undergoing electroconvulsive therapy (ECT) and their families.
Describe the procedure for ECT, its indications, and its potential side effects.
1.  Julie Abrams, a married 45-year-old African American client, is admitted to the hospital for severe depression.  Although Julie is taking her antidepressant medication, she seldom leaves her bed, sleeps most of the time, and has refused to eat for 6 days.  Her psychiatrist has decided that ECT treatments are necessary to improve Julie’s depression.  Mr. Abrams, Julie’s husband, is alarmed to learn that Julie will receive ECT. The psychiatric nurse practitioner explains the ECT procedure and treatment that Julie will receive. Mr. Abrams asked the nurse practitioner what ECT is, how it will help Julie, and if there will be any harmful effects for her.
(Learning Objectives: 2, 3)
a. What information will you provide to Mr. Abrams concerning ECT, how it works, and any adverse effects?
b. Prioritize the nursing care responsibilities for Julie.

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