Final answer:
When discussing electroconvulsive therapy with an anxious client, a nurse should emphasize the safety and efficacy of ECT, the procedural expectations, and manageable side effects like memory loss. Reassurance comes from explaining that ECT is a controlled procedure with a comprehensive recovery plan and monitored treatment sessions.
Step-by-step explanation:
Discussing electroconvulsive therapy (ECT) with a client who expresses anxiety is an important responsibility for healthcare providers. The most important information a nurse should emphasize includes the safety and efficacy of ECT, what to expect during the procedure, and the potential side effects such as memory loss. ECT is a well-established treatment for severe depression and other mental health disorders when other treatments such as psychotherapy or medications, including monoamine oxidase inhibitors and selective serotonin reuptake inhibitors, have not been successful or are contraindicated.
Clients should be informed that ECT involves a series of treatment sessions, in which a controlled amount of electrical current is administered through the brain while the patient is under anesthesia. It is crucial to explain that memory loss, particularly short-term memory loss, is a common concern among patients undergoing ECT, but this side effect is typically temporary and can resolve over time. However, a small number of individuals may experience more persistent memory issues. Studies, including personal narratives by patients such as those by Donahue (2000) and research reviews on self-assessed memory complaints (Prudic et al., 2000), offer valuable insights into the patient experience after ECT.
Anxiety before ECT is understandable, and nurses should provide reassurance by clarifying any misconceptions and allaying fears about the procedure. Clients may find comfort in knowing that a team of professionals, including a surgeon, nurse, and anesthesia professional, will review the key concerns for their recovery and care. Stress management techniques can also be discussed to help clients cope with their feelings of anxiety, especially since stress can increase during treatment, as highlighted by studies such as those by Pruitt & Barile (2017) and Smith & Barile (2015). Close monitoring and ongoing assessments will be essential to adjust the treatment plan as needed for optimal care and support.