Answer:
When preparing a client for electroconvulsive therapy (ECT), the nurse should make sure that the client:
Has given informed consent: ECT is a medical procedure that requires the client's informed consent. The nurse should ensure that the client understands the purpose, benefits, risks, and alternatives to ECT. The client should have the opportunity to ask questions and make an informed decision about the treatment.
Has completed necessary pre-procedure assessments: The nurse should ensure that the client has undergone necessary pre-procedure assessments, including physical examinations, laboratory tests, and electrocardiogram (ECG) to assess their overall health and identify any potential contraindications or risks.
Has followed pre-procedure fasting guidelines: ECT is typically performed under general anesthesia, so the nurse should ensure that the client has followed fasting guidelines. This includes abstaining from food and drink for a specific period before the procedure to reduce the risk of aspiration during anesthesia.
Is wearing appropriate attire: The nurse should ensure that the client is wearing appropriate attire, such as a hospital gown, for the procedure. This allows for easy access to the necessary monitoring and treatment areas.
Has removed any jewelry or accessories: The nurse should instruct the client to remove any jewelry, accessories, or metal objects that could interfere with the ECT procedure or pose a safety risk.
Is aware of the expected duration and recovery process: The nurse should provide the client with information about the expected duration of the procedure, including the time spent in the recovery area. The client should be informed about the potential side effects and post-procedure care, such as monitoring vital signs and remaining under observation until fully recovered from the anesthesia.
Has a support person available: It is important for the nurse to ensure that the client has a designated support person available to accompany them to and from the ECT session. This person can provide emotional support and assist with transportation after the procedure.
Has received appropriate pre-procedure medications: Depending on the facility's protocols and the client's individual needs, the nurse may administer pre-procedure medications, such as anxiolytics or muscle relaxants, to help the client relax and minimize discomfort during the procedure.
The nurse's role in preparing a client for ECT is to ensure their safety, promote informed decision-making, and provide emotional support throughout the process. Collaboration with the interdisciplinary team, including the anesthesiologist and psychiatrist, is crucial to ensuring a smooth and well-coordinated procedure.
Step-by-step explanation: