Module Details
Module Code: |
n/a |
Full Title:
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Caring for the Adult Undergoing Electro Convulsive Therapy
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Valid From:: |
Semester 2 - 2022/23 ( January 2023 ) |
Language of Instruction: | English |
Module Owner:: |
Myles Hackett
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Departments: |
Nursing Midwifery & Early Years
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Module Description: |
no description provided
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Module Learning Outcome |
On successful completion of this module the learner will be able to: |
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Module Learning Outcome Description |
MLO1 |
Integrate and synthesize knowledge of the role of the nurse in ECT and to demonstrate the knowledge and skills required to assess, plan, implement and evaluate the care of a service user undergoing a programme of ECT. |
MLO2 |
Critically discuss the knowledge, skills and professional behaviours required in the management of the risks of ECT and anaesthesia for patient safety and the competences to manage a patient’s recovery needs post anaesthesia and integrate and synthesize knowledge of anaesthesia and the care of the service user who has had an anaesthetic. |
MLO3 |
Interpret and implement new and existing knowledge through evidence-based practices of the professional, legal and ethical aspects of ECT administration and the principles of research, best practice, quality improvement and audit in relation to ECT. |
MLO4 |
Demonstrate knowledge and skills concerning implications of the risks of ECT and anaesthesia for patient safety and the competences to manage a patient’s recovery needs post anaesthesia and demonstrate the ability to discuss the principles of research, best practice, quality improvement and audit in relation to ECT. |
MLO5 |
Synthesize new knowledge to enhance the practitioners ability to recognise and interpret abnormal clinical observations and the procedure of reporting them to relevant personnel and synthesize new knowledge and skills required to undertake intermediate life support. |
MLO6 |
Integrate and synthesize knowledge to inform and educate service users and their family regarding purpose and benefit of ECT and critically discuss the knowledge, skills and professional behaviours of the merits of ECT as a therapeutic treatment and the wider debate surrounding the use of ECT; |
MLO7 |
Critically appraise the proposed neurobiological mechanisms responsible for the therapeutic effects of ECT. |
Pre-requisite learning |
Module Recommendations
This is prior learning (or a practical skill) that is strongly recommended before enrolment in this module. You may enrol in this module if you have not acquired the recommended learning but you will have considerable difficulty in passing (i.e. achieving the learning outcomes of) the module. While the prior learning is expressed as named DkIT module(s) it also allows for learning (in another module or modules) which is equivalent to the learning specified in the named module(s).
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No recommendations listed |
Module Indicative Content |
Electro Convulsive Therapy
Introduction to ECT, the role of the Nurse in ECT, the clinical indications for ECT, the practical applications of ECT.
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Communication
Communication skills and Psychological Preparation of service user for ECT, as well as including the use of MECCs, the Brief Psychiatric rating scale and the Montreal Cognitive assessment.
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Law and Ethics
The legal underpinning of practice for ECT and the ethical considerations pertaining to ECT as a therapy for the Nurse and the service user. Inclusion of the Assisted Decision Making Capacity act.
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Biological Considerations (Old heading)
Aspects of Anaesthesia, physical and psychological preparation of the service user for anaesthesia and ECT. Neurobiology and pathophysiology.
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Proposed Neurobiological Mechanisms
Neurophysiological theory (changes in cerebral blood flow, regional metabolism, blood brain barrier, EEG). Neurobiochemical theory (changes in hormones, neurotransmitters, epigenetics, neurotrophic factors, immune system). Neuroplasticity theory (changes in brain volume, functional connectivities).
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Service User Considerations
Service users’ perspective of ECT, peer advocacy, service user education about ECT.
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Professional Issues
Promoting Evidence based practice and promotion of ECT among staff
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Skills training
Assessment of cardiac and respiratory systems, cognitive Assessment of service user pre and post ECT, Intermediate Life Support and venipuncture and cannulation.
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Module Assessment
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Assessment Breakdown | % |
Course Work | 40.00% |
Practical | 60.00% |
Module Special Regulation |
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AssessmentsPart-time
Reassessment Requirement |
No repeat examination
Reassessment of this module will be offered solely on the basis of coursework and a repeat examination will not be offered.
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DKIT reserves the right to alter the nature and timings of assessment
Module Workload
This module has no Full-time workload. |
Workload: Part-time |
Workload Type |
Contact Type |
Workload Description |
Frequency |
Average Weekly Learner Workload |
Hours |
Practical |
Contact |
Face to face sessions in the lab |
Every Month |
2.00 |
8 |
Online (Contact) |
Contact |
No Description |
Every Week |
3.00 |
3 |
Directed Reading |
Non Contact |
Directed Study |
Every Week |
5.00 |
5 |
Independent Study |
Non Contact |
Student responsibility to organize and manage own study space and time and commitment to supplement classroom input with additional reading and interpretative reflection |
Every Week |
9.00 |
9 |
Total Weekly Learner Workload |
19.00 |
Total Weekly Contact Hours |
5.00 |
Module Resources
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Recommended Book Resources |
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Lynn S Bickley,Lynn S. Bickley. (2016), Bates' Guide to Physical Examination and History Taking, 12th. [ISBN: 9781451175646].
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Nicol Ferrier, I. and Waite, J. (2019), The ECT Handbook, 4th. Chapter 2: Mechanism of action of ECT, Cambridge University Press, p.241, [ISBN: 978-1911623168].
| Recommended Article/Paper Resources |
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Ryan, K.M. and McLoughlin, D.M. (2018), From molecules to mind: Mechanisms of
action of electroconvulsive therapy, Acta Psychiatrica Scandinavica, 138, p.177,
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Singh, A. and Kar, S.K. (2017), How electroconvulsive therapy works?:
Understanding the neurobiological
mechanisms, Clinical Psychopharmacology and
Neuroscience, 15 (3), p.210,
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Valadas, M.T. and Braganca, M. (2017), Electroconvulsive therapy's mechanisms
of action: A review, Clinical Neuropsychiatry, 14 (2), p.159,
| Other Resources |
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Web site, Royal College of Psychiatrists. (2020), ECT Accreditation Service (ECTAS)
Standards for the administration of ECT, London,
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Web site, Mental Health Commission. (2021), The Administration Of
Electro-Convulsive Therapy in Approved
Centres: Activity Report 2020, Dublin,
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Web site, Mental Health Commission. (2016), Rules Rules Governing the Use of
Electro-Convulsive Therapy, Dublin,
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Web site, Government of Ireland. (2001), Mental Health Act 2001, Dublin,
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