Electroconvulsive Therapy in Palliative Care
Department of Psychiatry and Psychology, Hospice and Palliative Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN55905, USA.The American journal of hospice & palliative care (Impact Factor: 1.38). 11/2010; 28(5):375-7. DOI: 10.1177/1049909110390203
Electroconvulsive therapy (ECT) is a highly effective psychiatric treatment for states of depression, mania, psychosis, or behavioral agitation in dementia. As it does involve intravenous access, general anesthesia, and significant side effects, it may be viewed as too ''invasive'' for patients on palliative care measures. However, we describe several patients treated on our busy ECT service at a tertiary hospital, who were receiving palliative care who, on balance, were felt to have better quality of life with continued use of ECT. We conclude that ECT should not be automatically discarded in patients receiving palliative care and offer some guidelines for its use in this population.
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ABSTRACT: Psychiatric conditions are common among patients with advanced illness who are referred to palliative care services. Psychiatric illness can cause considerable distress to both patients and their families. In order to improve end-of-life care for patients, it is necessary to diagnose psychiatric conditions and treat them appropriately. This review considers delirium, dementia, depression, anxiety, and suicidal ideation. It considers the prevalence, aetiology, diagnosis and management of these conditions.Medicine 11/2011; 39(11):656-659. DOI:10.1016/j.mpmed.2011.08.004 · 4.35 Impact Factor
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Article: Depression in Medically Ill Patients[Show abstract] [Hide abstract]
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