A client who has hallucinations is no longer benefiting from medication. The client's wife has heard that repetitive transcranial magnetic stimulation (rTMS) might be helpful
The nurse knows that rTMS may be promising for this client because it: 1. Acts more quickly than electroconvulsive therapy (ECT).
2. Does not cause pain and, therefore, does not require anesthesia.
3. Acts more quickly than antipsychotic medications.
4. Has been around longer than ECT and has more research evidence for its use.
2
Rationale: As a therapy, rTMS is still experimental. The most promising beneficial effects of this experimental treatment are in clients with depression and hallucinating clients who are medication-resistant. There is no pain involved with rTMS, and no anesthesia is required. rTMS is not proven to act more quickly than antipsychotic medications or ECT. rTMS is still experimental and does not have more research evidence than ECT for its use.
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