Electroconvulsive therapy in the elderly
| Autor: | Mansi Somaiya, Sandeep Grover |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
lcsh:RC435-571 medicine.medical_treatment Population Disease lcsh:Geriatrics behavioral disciplines and activities elderly electroconvulsive therapy Electroconvulsive therapy Pharmacotherapy Elderly population lcsh:Psychiatry mental disorders Medicine Dementia In patient education education.field_of_study business.industry Cognitive deficits Cognition medicine.disease lcsh:RC952-954.6 Physical therapy business |
| Zdroj: | Journal of Geriatric Mental Health, Vol 4, Iss 2, Pp 74-82 (2017) |
| ISSN: | 2395-3322 2348-9995 |
| Popis: | Electroconvulsive therapy (ECT) is one of the treatment modalities in psychiatry that has stood the test of time for years. ECT has been used in various psychiatric conditions in the elderly. Comorbid medical conditions and cognitive deficits have been the prime concerns in this population. The indications and contraindications of use of ECT in the elderly population are same as that in an adult. ECT has also been found to be effective in patients with Parkinson's disease and dementia. Pre-ECT evaluation and cognitive evaluation prior and during ECT are inevitable. The determination of right technique, dose, frequency, and assessment of side effects are prerequisites to the usage of ECT in elderly. Owing to risk of cognitive side effects, right unilateral ECT is preferred. In carefully selected indications, ECT may be a superior management modality than pharmacotherapy. |
| Databáze: | OpenAIRE |
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