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When the Chelmsford Private Hospital in Australia reported the death of 24 patients between 1963 and 1979 due to this treatment, deep sleep therapy was generally rejected as a treatment option. [7] Insulin shock therapy was discontinued due to critical concerns over its safety and effectiveness.
The numbers of patients were restricted by the requirement for intensive medical and nursing supervision and the length of time it took to complete a course of treatment. For example, at one typical large British psychiatric hospital, Severalls Hospital in Essex, insulin coma treatment was given to 39 patients in 1956. In the same year, 18 ...
In the US, this doctrine places a legal obligation on a doctor to make a patient aware of the reason for treatment, the risks and benefits of a proposed treatment, the risks and benefits of alternative treatment, and the risks and benefits of receiving no treatment. The patient is then given the opportunity to accept or reject the treatment.
Simone D., a pseudonym for a psychiatric patient in the Creedmoor Psychiatric Center in New York, [10] who in 2007 won a court ruling which set aside a two-year-old court order to give her electroshock treatment against her will [11] [12] Duplessis Orphans Orphans of the 1950s in the province of Quebec, Canada, endured electroshock.
With each successive treatment, the patient is left with an ongoing loss of memory which will gradually clear after the course of therapy is finished”. [7] “Patients usually receive 6 to 12 treatments for full therapeutic benefit, but the number of ECT applications is titrated individually for each case”. [5]
ECT originated as a new form of convulsive therapy, rather than as a completely new treatment. [5] Convulsive therapy was introduced in 1934 by Hungarian neuropsychiatrist Ladislas J Meduna who, believing that schizophrenia and epilepsy were antagonistic disorders, induced seizures in patients with first camphor and then cardiazol.
Passive leg raise, also known as shock position, is a treatment for shock or a test to evaluate the need for further fluid resuscitation in a critically ill person. [1]It is the position of a person who is lying flat on their back with the legs elevated approximately 8–12 inches (200–300 mm).
History and physical can often make the diagnosis of hypovolemic shock. For patients with hemorrhagic shock, a history of trauma or recent surgery is present. [4] For hypovolemic shock due to fluid losses, history and physical should attempt to identify possible GI, renal, skin, or third-spacing as a cause of extracellular fluid loss. [4]