somatic therapy & ECT

Question 1

Definitions of somatic therapy

Answer 1

treatment approaches that use physiological or physical intervention to affect behavioural changes

Question 2

Common forms of somatic therapy

Answer 2

• psychopharmaco
• ECT
• restraints
• seclusions

Question 3

Types of restraints

Answer 3

1. Physical
   - cannot be easily removed
2. Chemical
   - when client hurt self or others

Question 4

Restraints for how long?

Answer 4

• no longer hurting self or others

- till client improves

Question 5

What are some physical issues from restraints?

Answer 5

• formation of blood clots (DVT)
• decreased bone strength; bone fractures
• damage to muscles & nerves

Question 6

ECT causes changes in _______

Answer 6

monoamine neurotransmitter system

Question 7

The seizure from ECT must last approx. ____ to be of therapeutic value

Answer 7

30-60secs

Question 8

Indications for ECT (At least 5)

Answer 8

• high suicide potential
• delusions
• severe manic not controlled by meds
• non-response to anti depressants
• depressive stupor
• catatonic

Question 9

Nursing responsibilities after ECT

Answer 9

• nurses need to monitor pt and slowly intro food & drinks (As pt usually will be confused, headaches)
• MONITOR RESPIRATORY STATUS!!! IMPT

Question 10

Do these conditions respond to ECT?

anxiety disorder, mild depression, personality disorder, etc

Answer 10

Nope