NCLEX-PN

Brain Stimulation Therapies Brain stimulation therapies are specialized treatments used to alleviate certain mental health conditions by directly influencing brain activity. Three common types of brain stimulation therapies are transcranial magnetic stimulation (TMS), vagus nerve stimulation (VNS), and electroconvulsive therapy (ECT). Electroconvulsive Therapy (ECT) : ECT is often used for severe cases of depression where other treatments have been ineffective. During ECT, an electrical current is delivered to the brain through electrodes placed on the scalp. This induces a controlled seizure, and the procedure is usually done under anesthesia. ECT is administered multiple times a week for about 6 to 12 sessions. Pre-Procedure : ●​ The client is kept NPO (nothing by mouth) for at least 6 hours. ●​ Have client void prior to the procedure ●​ Necessary items like jewelry and dentures are removed.

●​ Informed consent is obtained. ●​ Ensure the bite block is in place ●​ Pre-ECT medications to reduce secretions are administered. ●​ An intravenous line is established. During the Procedure : ●​ The nurse monitors the client's physical status and seizure activity.

●​ Vital signs will be monitored throughout the procedure. ●​ Client safety is ensured throughout the procedure. Post-Procedure: ●​ The client is monitored for recovery and vital signs. ●​ Reorientation may be necessary due to confusion and amnesia. ●​ Common complications include hypertension, memory loss, confusion, headaches, cardiac rhythm changes, and muscular soreness. Transcranial Magnetic Stimulation (TMS) : TMS is used primarily for major depressive disorder. It involves the use of magnetic pulses to stimulate specific brain regions. TMS is administered daily for 4 to 6 weeks on an outpatient basis. Unlike ECT, TMS doesn't induce seizures, and the client remains awake during the procedure.

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