A patient scheduled for an initial ECT (electroconvulsive therapy) treatment asks a nurse, "Isn't the electrical current dangerous?" Which response would be the most therapeutic?
a. "The amount of electricity is very small and used for only a few seconds.".
b. "The chance of you being shocked is minimal; you won't feel anything.".
c. "There's a small chance of something going wrong; the risk is about the same as with minor surgery.".
d. "You're worried about being electrocuted, aren't you? Don't worry; there is no chance of that happening.".
A
Patients who undergo ECT treatment often worry about the possibility of electrocution. However, it is best if the patient identifies fears by the facilitative communication technique of the nurse. The most therapeutic technique is that which provides information using a matter-of-fact communication style and a sense of authority that is reassuring but not overbearing. Trivialization is disrespectful, and using the word electrocution can often create anxiety rather than alleviate it. It is important for the patient to identify concerns rather than for the nurse to identify them; talking to a supportive nurse will alleviate a patient's anxiety.
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