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Brain Stimulation Therapies: Transcranial Magnetic Stimulation (Active Learning Template - Therapeutic Procedure, RM MH RN 10.0 Chp 10) TMS is a noninvasive therapy that uses magnetic pulsations to s... timulate the cerebral cortex of the brain TMS is approved by the United States Food and Drug Administration (FDA) for the treatment of major depressive disorder for clients who are not responsive to pharmacological treatment. TMS is commonly prescribed daily for a period of 4 to 6 weeks.●TMS can be performed as an outpatient procedure.●The TMS procedure lasts 30 to 40 min.●A noninvasive electromagnet is placed on the client’s scalp, allowing the magnetic pulsations to pass through.●The client is alert during the procedure.●Clients might feel a tapping or knocking sensation in the head, scalp skin contraction, and tightening of the jaw muscles during the procedure. Common adverse effects include mild discomfort or a tingling sensation at the site of the electromagnet and headaches.●Monitor for lightheadedness after the procedure.●Seizures are a rare but potential complication.●TMS is not associated with systemic adverse effects or neurologic deficits. Suicide: Risk Factors for Suicide (Active Learning Template - Basic Concept, RM MH RN 10.0 Chp 30) • While females are more likely to attempt suicide, adolescent, middle, and older adult males are more likely to have a completed suicide. Other individuals at increased risk for suicide include active military personnel/veterans; those who are lesbian, gay, bisexual, or transgender; and people who have a comorbid mental illness, such as depressive disorders, substance use disorders, schizophrenia, bipolar disorder, and personality disorders. OLDER ADULT CLIENTS: Untreated depression●Loss of employment and finances●Feelings of isolation, powerlessness●Prior attempts at suicide (older adult clients are more likely to succeed)●Change in functional ability●Alcohol or other substance use disorder●Loss of loved ones. BIOLOGICAL FACTORS●Family history of suicide●Physical disorders, such as AIDS, cancer, cardiovascular disease, stroke, chronic kidney disease, cirrhosis, dementia, epilepsy, head injury, Huntington’s disease, and multiple sclerosis. ENVIRONMENTAL FACTORS●Access to lethal methods, such as firearms●Lack of access to adequate mental health care●Unemployment. Medications for Psychotic Disorders: Assessment Tools to Determine Adverse Effects of Medication (Active Learning Template - Medication, RM MH RN 10.0 Chp 24). Abnormal Involuntary Movement Scale (AIMS): This tool is used to monitor involuntary movements and tardive dyskinesia in clients who take antipsychotic medication. World Health Organization Disability Assessment Schedule (WHODAS): This scale helps to determine the client’s level of global functioning. [Show More]

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