When preparing a client for electroconvulsive therapy (ECT), what is the highest priority concern?

The highest priority concern when preparing a client for electroconvulsive therapy (ECT) is the risk for aspiration. During ECT, patients receive anesthesia, which can suppress the gag reflex, potentially leading to aspiration if there are any stomach contents present. This risk is heightened since ECT is often performed in an outpatient setting, where patients may not have fasted adequately prior to the procedure.

Ensuring that the patient is safe prior to the treatment involves confirming that they have followed pre-procedure fasting guidelines and assessing their physical state. Preventing aspiration not only addresses immediate safety during the procedure but also aligns with broader priorities of patient care, such as minimizing complications and ensuring the efficacy of the treatment.

While fear and anxiety are valid concerns for patients undergoing ECT, they typically do not overshadow the immediate physiological risks associated with the procedure. Confusion following treatment is a common side effect but is generally short-lived and manageable. Prolonged recovery may occur as a result of various factors but is not as acute a concern as the risk of aspiration, which can have serious health consequences if not mitigated adequately.