A Study to Assess the Effectiveness of Video Assisted Teaching on ECT in Improving the Knowledge and Practice of Staff Nurses Working in Selected Hospitals

The use of electricity to cause convulsions, in the hope of improving a person's mental health, is one of the most controversial issues in the mental health field. Paralleling the diverse and often strongly held beliefs about ECT, there are wide variations between and within countries in terms of usage, indications, modality, and degree of governmental or professional regulation. [1] A recent editorial in the British Journal of Psychiatry celebrates 75 years of convulsive therapy, beginning with the work of Hungarian psychiatrist Laszlo Meduna. It reports that "despite the lack of evidence at this stage of therapeutic benefits, Meduna carried on with convulsive therapy", and that his "persistence was admirable" [2] . The authors conclude that "ECT has saved and significantly improved the lives of tens of thousands of patients since the 1930s". Since Meduna's day, however, it has been recognized that medical ineffectiveness is often the consequence of poor scientific research [3] . There has been a global movement towards evidence-based medicine, defined as "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients" [4] . Advocates of this approach assume that clinical decision-making should be informed by a hierarchy of knowledge, at the top of which stands data from placebo-controlled randomized controlled trials [5] .Background of the Study: Mrs. Canners has been stated given year about 9.5% of American Adult suffer from mood with median age of onset 30 years of old and adult women are two times likely to depression than their made counterparts mood disorder frequently co-occur with other psychiatrics or medical illness client may show depression with substance abuse an anxiety disorder or eating disorder, Medical Problem often associated with depression. [7] Mood disorder can almost always be managed effectively through the combination of medication is used for up to 1 year or for lifetime, depending on the client potential for relapse. Particularly for bipolar disorder, mood stabilizes may be needed for long-term treatment several classes of antidepressant drugs affect neurotransmitter in different way. On the website, see the boxes medication for mood disorders and exercise versus a prescription Medication for Major DepressiveDisorder. [8]ECT is a viable treatment alternative for some clients with depression and may be provided in an inpatient or outpatient setting.An electrical shock is administered to a specific region of the brain to induce a seizure.General anesthesia is required, and the client does not remember the experience.The mechanism of action is not entirely understood but its effect on the neurotransmitter receptors may be similar to that ot the tricylic antidepressant.The client experiences short-term memory loss, but improvement is faster that with medication treatment respectively, the study found significant disparities by geographic location defined by income level.