During the ECT (electroconvulsive therapy) stimulus, the nurse supports the patient's chin firmly against the bite-block positioned between the upper and lower teeth. The rationale for this intervention is to prevent:
a. involuntary biting of the lips.
b. tooth damage or gum laceration.
c. involuntary swallowing of the tongue.
d. development of TMJD (temporomandibular joint disorder).
B
Although most muscles become completely relaxed during ECT, the nurse uses a bite-block between the upper and lower teeth in the patient's mouth to prevent the patient's jaw muscles, which are stimulated directly by ECT, from causing the teeth to clench. This prevents tooth damage and tongue or gum laceration during the stimulus.
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