ABSTRACT
This chapter shows that the decision to have electroconvulsive therapy (ECT) is an individual one, with the person’s wishes being paramount. The National Institute for Health and Care Excellence is clear that ECT should be considered for severe depression that is life-threatening, where a rapid response is needed or where other treatments have failed. ECT should not be used routinely in moderate depression, but can be considered if there has been no response to multiple drug treatments and psychological interventions. Vagus nerve stimulation (VNS) involves an implanted programmable neurostimulator being wrapped around the vagus nerve to deliver small electrical stimuli. VNS has been approved by the US Food and Drug Administration as an adjunct to treatment-resistant depression. The nurse’s role in ECT involves: preparation of the patient; care during the procedure– carried out by a specialist nurse; and care following the procedure.
