Avaliação do risco clínico da intervenção eletroconvulsivoterapia: um estudo de caso

Abstract

Introduction: Electroconvulsive therapy (ECT) is a medical procedure in which electrical currents are applied to the brain to induce controlled seizures. It is currently a safe and effective treatment option to treat certain psychiatric conditions, particularly in treatment-resistant depression. It is often combined with pharmacology and psychotherapy. The use of clinical settings is a great resource to maintain the safety and quality of care. Objective: To describe the decision-making process in Nursing in the elaboration of a map for the evaluation of the care of the Specialist Nurse in Mental Health and Psychiatric Nursing (EEESMP), associated with treatment with ECT. Methodology: Simulated clinical scenario of a descriptive case study, articulating the directives of the New Mental Health Law (Law 35/2023, of 21 July). Nursing diagnoses were identified before, during and after ECT. An analysis of the associated advantages and disadvantages/risks was carried out, proceeding to the elaboration of evaluation maps and action plans for EEESMP care. Results and Discussion: Female client, 35 years old, with treatment-resistant depression, with several hospitalizations, self-destructive behaviours/suicide attempts. The decision-making process in Nursing met the needs/specificities of the clients, and the priorities of the procedure. Conclusions: This study highlights the importance of personalized nursing care, which considers the various clinical and pathological contexts. The use of simulation scenarios makes it possible to practice responding to emergencies, such as adverse reactions to anaesthesia or cardiovascular complications. It is suggested that future investigations, including quantitative analyses, be carried out to strengthen the available evidence.