Which statement should be included during the educational preparation of a patient who will undergo ECT (electroconvulsive therapy) in 1 week?
a. "The induced seizure will last approximately 2 minutes and will be very mild.".
b. "We encourage a family member to stay with the patient during the treatment.".
c. "I'd be happy to arrange for you to speak with a patient who has experienced ECT.".
d. "There may be a small amount of permanent memory loss, but it is usually related to the time of the seizure itself.".
C
It is helpful to have the patient speak with another individual who has undergone ECT to alleviate anxiety. The motor seizure induced as part of the ECT treatment should last about 20 seconds but should not exceed 2 minutes to prevent a postictal state. Family members should be encouraged to come with the patient for at least the first few treatments but are not generally present during the actual treatment. Memory loss is temporary in most cases, and if it occurs it is usually related to the entire treatment.
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