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Nursing Research Article Critique Essay - 1663 Words

Control is and has been a pervasive factor in the lives of many across the world, influencing the way research can be conducted or the way people try to maintain a balance in the weight or appearance. The simple principle has to ability to create complexities for a person both on an external and internal level. An example of this is eating disorders, in which a person manipulates the amount of nutrition they may receive, either by denying oneself or over indulging in it. Healthcare workers, in many aspects are at risk of developing eating disorders since a major contributing factor is perceived stress. Nurses specifically are in a unique position of susceptibility since they are in a high stressed job where control is often difficult to†¦show more content†¦The population target that this study is focusing on is nurses, either registered nurses (RNs) or license vocational nurses (LVNs). The primary problem that the researchers are focusing on is the relation between the le vels of stress a nurse has on the job to the risk of the developing or having eating disorder. In the background information, they report that in other profession in which stress is high, eating disorders are reported more often (King, Vidourek, Schwiebert, 2009). They suggest that nursing is a high-level stress job that could possibly place nurses at risk (King et al.). They justify the need and importance of study for nurses as it implicates a possible need for interventions from the management arena of nursing and possibly personal intervention as well (King et al.). The problems is researchable as it is makes use of surveys in order to create a set of statistical data. The researchers of this study do not formally imply that they utilized a conceptual framework, even more so, one can assume that they make use of the Roys Adaptation Model, in which correlates a persons ability to cope with their environmental situation (Polit Beck, 2006). The researchers in the beginning of the article discuss their literature review in order to inform the reader on the subject. Here, they use data from an array of sources, ranging from the current and primary sources, organizingShow MoreRelatedEssay on Nursing Research Article Critique 990 Words   |  4 Pagesform new types of interventions in order to give adequate care across a of number of fields within the system. Research then, has been an essential part in providing definitive data, either by disproving previous beliefs or confirming newly found data and methods. Moreover, research in itself contains its own process with a methodological approach. Of the notable methods, quantitative research is often used for its systemic approach (Polit Beck, 2006). Thus, the use of the scientific method is usedRead MoreCritique Steps (Understanding Quantitative Research)1258 Words   |  6 PagesOUTLINE OF BASIC CRITIQUE STEPS (understanding quantitative research): Brink and Wood (1994), and Burnes and Groves (1997), similarly describe the steps for quantitative nursing research process and methods. The authors include not only the basic steps to conduct nursing studies, but also translating the studies into articles for publication. According to Burnes Groves (1997), and Hamric and Spross (1992), the quantitative research method is used to describe or gain more information, test relationshipsRead MoreEssay on Research Critique Part 1659 Words   |  3 Pages Research Critique Part 1 Grand Canyon University Introduction to Nursing Research NRS-433V Mary OConnell September 5, 2013 Research Critique Part 1 This paper will critique a qualitative research study published in the Journal of Medical Ethics in 2004, By Dr Helen Aveyard, about how nurses manage patients who refuse nursing care procedures. The article explains how nurses view informed consent as not being essential to nursing care procedures. 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Patients in the intensive care unit (ICU) often require enteralRead MoreResearch Critique Part 1736 Words   |  3 PagesResearch Critique Part 1 Jenna Franz Grand Canyon University Introduction to Nursing Research NRS-433V Mary OConnell September 5, 2013 Research Critique Part 1 This paper will critique a qualitative research study published in the Journal of Medical Ethics in 2004, By Dr Helen Aveyard, about how nurses manage patients who refuse nursing care procedures. The article explains how nurses view informed consent as not being essential to nursing care procedures. Problem Statement The clinicalRead MoreReflection Paper In Nursing1033 Words   |  5 PagesPaper 2 Furthering nursing research is essential, as it forms the basis for evidence-based practice in healthcare today. With this in mind, developing the skills to critically appraise research articles is of the utmost importance in order to determine the relevance of research findings for clinical practice. As I pursue a doctorate degree in nursing practice, I am reminded of the necessity of these skills. Thus, in the following paragraphs, I will reflect on the research goals I developed at theRead MoreCritical Analysis of the Article Transforming Workplace Relationships1134 Words   |  5 PagesAnalyze Critique State the purpose of the study and identify the problem. In the article, Macphee (2010) is studying the impact that leadership is having on a health care environment. This is designed to identify the best practices and help nurses to implement these concepts. The problem that is being studied is: how most facilities have their own policies and procedures (which will have an impact on quality). To determine the best practices, actuaries are focusing on what attributes can improveRead MoreQuantitative Critique Essay1200 Words   |  5 PagesRunning head: QUANTITATIVE RESEARCH CRITIQUE 1 Quantitative Research Critique By Elisabeth Bryant A Paper Submitted in partial fulfillment of the requirements for NU 533 Advanced Nursing Research University of South Alabama College of Nursing Spring 2011 QUANTITATIVE CRITIQUE 2 Quantitative Research Critique This is a critique of the quantitative research article titled Influence of Obesity and Type 2 Diabetes on Gluconeogenesis and Glucose Output in Humans studied by Amelia GastaldelliRead MoreResearch Critique of New Graduates Perceptions of Clinical Practice651 Words   |  3 PagesResearch Critique of New Graduates Perceptions of Clinical Practice The article involved in this research critique focuses on the stresses and challenges experienced by graduate nurses in clinical practice during their initial orientation period and examines the relationship of social support to these stresses (Oermann, 1997). The critiquing of this article will address the purpose of the article, the design of the research, the presentation of the findings in the study and the significanceRead MoreWhat Makes A Excellent Mental Health Nurse?1564 Words   |  7 Pagespurpose of this assignment, these students have chosen the article, â€Å"What makes a excellent mental health nurse? A pragmatic inquiry initiated and conducted by people with lived experience of service use† (2013). For this written critique we have decided to use Polit and Beck’s (2010), ‘Guide to an overall critique of a qualitative research report’ that was presented within the resource, ‘Essentials of Nursing Research: Appraising Evidence for Nurs ing Practice’. This guide was chosen due to our familiarities

Timeline free essay sample

October 7,1763 The Proclamation of 1763, signed by King George III of England, prohibits any English settlement west of the Appalachian mountains and requires those already settled in those regions to return east in an attempt to ease tensions with Native Americans. April 5,1764 The Sugar Act is passed by the English Parliament to offset the war debt brought on by the French and Indian War and to help pay for the expenses of running the colonies and newly acquired territories. This act doubles the duties to imported sugar, textiles, coffee, and other items. This is more work for the colonies, for a war that they didn’t want to happen. 1764 The English Parliament passes a measure to reorganize the American customs system to better enforce British trade laws, which have often been ignored in the past. In the past, the English Parliament has ignored to pass a measure to reorganize the American customs system to better enforce British trade laws. But now, after the Proclamation of 1763 and the Sugar Act, the colonies are seeing a pattern now. 1764 The Currency Act prohibits the colonists from issuing any legal tender paper money. This act threatens to destabilize the entire colonial economy of both the industrial North and agricultural South, thus uniting the colonists against it. March of 1765, the Stamp Act is passed by the English Parliament imposing the first direct tax on the American colonies, to offset the high costs of the British military organization in America. In the first time, Americans will not pay taxes to their own local legislatures, but directly to England. Also happening; The Quartering Act requires colonists to house British troops and supply them with food. 765 In July, the Sons of Liberty, an underground organization opposed to the Stamp Act. They used violence and intimidation to eventually force all of the British stamp agents to resign, as well to stop many American merchants from ordering British trade goods. 1765 In October, the Stamp Act Congress convenes in New York City, with representatives from nine of the colonies. The Congress prepares a resolution to be sent to King Georg e III and the English Parliament. The petition requests the repeal of the Stamp Act and the Acts of 1764. The petition asserts that only colonial legislatures can tax colonial residents and that taxation without representation violates the colonists basic civil rights. 1765 In December, British General Thomas Gage, commander of all English military forces in America, asks the New York assembly to make colonists comply with the Quartering Act and house and supply his troops. Also in December, the American boycott of English imports spreads, as over 200 Boston merchants join the movement. 1766 In January, the New York assembly refuses to completely comply with Gen. Gages request to enforce the Quartering Act. March of 1766 King George III repealed the Stamp Act; the English Parliament passes the Declaratory Act stating that the British government has total power to legislate any laws governing the American colonies in all cases whatsoever. 1766 In August, violence breaks out in New York between British soldiers and armed colonists, including Sons of Liberty members. The violence erupts as a result of the continuing refusal of New York colonists to comply with the Quartering Act. In December, the New York legislature is suspended by the English Crown after once again voting to refuse to comply with the Act. 1767 In June, The English Parliament passes the Townshend Revenue Acts, imposing a new series of taxes on the colonists to offset the costs of administering and protecting the American colonies. Items taxed include imports such as paper, tea, glass, lead and paints. 1768 In February, Samuel Adams of Massachusetts writes a Circular Letter opposing taxation without representation and calling for the colonists to unite in their actions against the British government. The letter is sent to assemblies throughout the colonies and also instructs them on the methods the Massachusetts general court is using to oppose the Townshend Acts. May of 1768, a British warship armed with 50 cannons sails into Boston harbor after a call for help from custom commissioners who are constantly being harassed by Boston agitators. In June, a customs official is locked up in the cabin of the Liberty, a sloop owned by John Hancock. Imported wine is then unloaded illegally into Boston without payment of duties. Following this incident, customs officials seize Hancocks sloop. After threats of violence from Bostonians, the customs officials escape to an island off Boston, and then request the intervention of British troops. 1768 In July, the governor of Massachusetts dissolves the general court after the legislature defies his order to revoke Adams circular letter. In August, in Boston and New York, merchants agree to boycott most British goods until the Townshend Acts are repealed. In September, at a town meeting in Boston, residents are urged to arm themselves. Later in September, English warships sail into Boston Harbor, then two regiments of English infantry land in Boston and set up permanent residence to keep order. 1769 In March, merchants in Philadelphia join the boycott of British trade goods. In May, a set of resolutions written by George Mason is presented by George Washington to the Virginia House of Burgesses. The Virginia Resolves oppose taxation without representation, the British opposition to the circular letters, and British plans to possibly send American agitators to England for trial. Ten days later, the Royal governor of Virginia dissolves the House of Burgesses. However, its members meet the next day in a Williamsburg tavern and agree to a boycott of British trade goods, luxury items and slaves. 1770 Violence erupts in January between members of the Sons of Liberty in New York and 40 British soldiers over the posting of broadsheets by the British. Several men are seriously wounded. March 5, 1770 The Boston Massacre occurs as a mob harasses British soldiers who then fire their muskets pointblank into the crowd, killing three instantly, mortally wounding two others and injuring six. After the incident, the new Royal Governor of Massachusetts, Thomas Hutchinson, at the insistence of Sam Adams, withdraws British troops out of Boston to nearby harbor islands. The captain of the British soldiers, Thomas Preston, is then arrested along with eight of his men and charged with murder. 1770 In April, the Townshend Acts are repealed by the British. All duties on imports into the colonies are eliminated except for tea. Also, the Quartering Act is not renewed. 1770 In October, trial begins for the British soldiers arrested after the Boston Massacre. Colonial lawyers John Adams and Josiah Quincy successfully defend Captain Preston and six of his men, who are acquitted. Two other soldiers are found guilty of manslaughter, branded, then released. 1772 In June, a British customs schooner, the Gaspee, runs aground off Rhode Island in Narragansett Bay. Colonists from Providence row out to the schooner and attack it, set the British crew ashore, then burn the ship. In September, a 500 pound reward is offered by the English Crown for the capture of those colonists, who would then be sent to England for trial. The announcement that they would be sent to England further upsets many American colonists. 1772 In November, a Boston town meeting assembles, called by Sam Adams. During the meeting, a 21 member committee of correspondence is appointed to communicate with other towns and colonies. A few weeks later, the town meeting endorses three radical proclamations asserting the rights of the colonies to self-rule. 1773 In March, the Virginia House of Burgesses appoints an eleven member committee of correspondence to communicate with the other colonies regarding common complaints against the British. Members of that committee include, Thomas Jefferson, Patrick Henry and Richard Henry Lee. Virginia is followed a few months later by New Hampshire, Rhode Island, Connecticut and South Carolina. 1773 May 10, the Tea Act takes effect. It maintains a threepenny per pound import tax on tea arriving in the colonies, which had already been in effect for six years. It also gives the near bankrupt British East India Company a virtual tea monopoly by allowing it to sell directly to colonial agents, bypassing any middlemen, thus underselling American merchants. The East India Company had successfully lobbied Parliament for such a measure. In September, Parliament authorizes the company to ship half a million pounds of tea to a group of chosen tea agents. 1773 In October, colonists hold a mass meeting in Philadelphia in opposition to the tea tax and the monopoly of the East India Company. A committee then forces British tea agents to resign their positions. In November, a town meeting is held in Boston endorsing the actions taken by Philadelphia colonists. Bostonians then try, but fail, to get their British tea agents to resign. A few weeks later, three ships bearing tea sail into Boston harbor. 1773 November 29/30, two mass meetings occur in Boston over what to do about the tea aboard the three ships now docked in Boston harbor. Colonists decide to send the tea on the ship, Dartmouth, back to England without paying any import duties. The Royal Governor of Massachusetts, Hutchinson, is opposed to this and orders harbor officials not to let the ship sail out of the harbor unless the tea taxes have been paid. December 16, 1773 About 8000 Bostonians gather to hear Sam Adams tell them Royal Governor Hutchinson has repeated his command not to allow the ships out of the harbor until the tea taxes are paid. That night, the Boston Tea Party occurs as colonial activists disguise themselves as Mohawk Indians then board the ships and dump all 342 containers of tea into the harbor. 1774 In March, an angry English Parliament passes the first of a series of Coercive Acts (called Intolerable Acts by Americans) in response to the rebellion in Massachusetts. The Boston Port Bill effectively shuts down all commercial shipping in Boston harbor until Massachusetts pays the taxes owed on the tea dumped in the harbor and also reimburses the East India Company for the loss of the tea. 1774 May 12, Bostonians at a town meeting call for a boycott of British imports in response to the Boston Port Bill. May 13, General Thomas Gage, commander of all British military forces in the colonies, arrives in Boston and replaces Hutchinson as Royal governor, putting Massachusetts under military rule. He is followed by the arrival of four regiments of British troops. 1774 May 17-23, colonists in Providence, New York and Philadelphia begin calling for an intercolonial congress to overcome the Coercive Acts and discuss a common course of action against the British. 1774 May 20, The English Parliament enacts the next series of Coercive Acts, which include the Massachusetts Regulating Act and the Government Act virtually ending any self-rule by the colonists there. Instead, the English Crown and the Royal governor assume political power formerly exercised by colonists. Also enacted; the Administration of Justice Act which protects royal officials in Massachusetts from being sued in colonial courts, and the Quebec Act establishing a centralized government in Canada controlled by the Crown and English Parliament. The Quebec Act greatly upsets American colonists by extending the southern boundary of Canada into territories claimed by Massachusetts, Connecticut and Virginia. 1774 In June, a new version of the 1765 Quartering Act is enacted by the English Parliament requiring all of the American colonies to provide housing for British troops in occupied houses and taverns and in unoccupied buildings. In September, Massachusetts Governor Gage seizes that colonys arsenal of weapons at Charlestown. 1774 September 5 to October 26, the First Continental Congress meets in Philadelphia with 56 delegates, representing every colony, except Georgia. Attendants include Patrick Henry, George Washington, Sam Adams and John Hancock. On September 17, the Congress declares its opposition to the Coercive Acts, saying they are not to be obeyed, and also promotes the formation of local militia units. On October 14, a Declaration and Resolves is adopted that opposes the Coercive Acts, the Quebec Act, and other measure taken by the British that undermine self-rule. The rights of the colonists are asserted, including the rights to life, liberty and property. On October 20, the Congress adopts the Continental Association in which delegates agree to a boycott of English imports, effect an embargo of exports to Britain, and discontinue the slave trade. 1775 February 1, in Cambridge, Mass. , a provincial congress is held during which John Hancock and Joseph Warren begin defensive preparations for a state of war. February 9, the English Parliament declares Massachusetts to be in a state of rebellion. March 23, in Virginia, Patrick Henry delivers a speech against British rule, stating, Give me liberty or give me death! March 30, the New England Restraining Act is endorsed by King George III, requiring New England colonies to trade exclusively with England and also bans fishing in the North Atlantic. 1775 In April, Massachusetts Governor Gage is ordered to enforce the Coercive Acts and suppress open rebellion among the colonists by all necessary force.

Outline and evaluate two or more therapies used in the treatment of Schizophrenia Essay Example

Outline and evaluate two or more therapies used in the treatment of Schizophrenia Essay Outline and evaluate two or more therapies used in the treatment of Schizophrenia (24 marks) There is no established permanent cure for Schizophrenia, but there are a variety of therapies which help prevent schizophrenic episodes and also help sufferers deal with their mental illness. One of the main types of therapy used is drug therapy. Drug therapy involves issuing a patient psychotherapeutic drug(s) which are used to alter the chemical functioning of the brain by affecting the action of neurotransmitters. Neurotransmitters transmit signals between nerve cells called synapses. Neurotransmitters lead to changes in moods, feelings, perception and behaviour. The main category of drugs used for treating Schizophrenia is anti- psychotic drugs or neuroleptics. These lessen psychotic symptoms such as delusions and hallucinations, examples of these drugs could be chlorpromazine or clozapine. Typical antipsychotic drugs (neuroleptics) work by reducing dopamine within schizophrenia sufferers. Common forms of neuroleptics include drugs such as Thorazine, Prolixin and Haldol. These drugs actually block the activity of the dopamine neurotransmitter, the drugs take effect within 48 hours but it can be everal weeks before a noticeable difference is seen with symptom reduction. Barondess (1993) research looked into balancing the dosage of the drug, lowering the drug dosage reduced the side effects but also reduced the effectiveness of the drug meaning it wouldnt necessarily be a successful or quick recovery compared to high dosages of the neuroleptics. We will write a custom essay sample on Outline and evaluate two or more therapies used in the treatment of Schizophrenia specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Outline and evaluate two or more therapies used in the treatment of Schizophrenia specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Outline and evaluate two or more therapies used in the treatment of Schizophrenia specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Although this showed clear evidence for the effectiveness of neuroleptics in combating schizophrenia, emphasized when changing the dosage changes the effectiveness of the neuroleptics. Comers (2001) esearch study looked into the effectiveness of the drugs, and found that for the majority of schizophrenia sufferers the drugs were effective and are the most successful treatment as they are more effective as a single treatment opposed to other therapies available. Researches conducted about neuroleptics shows neuroleptics are effective in reducing the symptoms of schizophrenia especially positive symptoms such as hallucinations and delusions. Although relapse rates appear to be high and fast from coming off the drugs, meaning that essentially the patients will need to permanently ake these drugs. Neuroleptics are well known for their large set of side effects that are damaging to patients health and wellbeing, reports of sedation, grogginess, blurred vision and impaired concentration. Approximately 2% of all patients who are using neuroleptics develop neuroleptic malignant syndrome which involves the patient gaining muscle rigidity, altered consciousness and fevers which can be fatal. Another serious side effect that is a negative to neuroleptics is that around 20% or more patients who have been regularly taking the drugs for over 1 year end up imb movements and writhing of the mouth or face and even if the patient comes off the drugs these effects can be lifelong. Although Birchwood and Jacksons (2001) provided contradictory evidence as their study concluded that there was no evidence that the use of neuroleptics were effective within treating the negative symptoms. Newer drug therapy for Schizophrenia is using atypical antipsychotics such as Clozaril and Zyprexa. These drugs work in the same way as typical antipsychotics by blocking/lessening the effects of the dopamine neurotransmitter but they also alter serotonin activity. Meltzer (1999) found in his study that roughly 33% of patients whoVe had no success when using neuroleptics responded much better with the atypical drug clozapine. Awad and Vruganti (1999) also backed the atypical drugs success rates when their study showed that 85% of patients suffering with schizophrenia benefitted from being on atypical drugs compared to the 65% rate given to those using neuroleptics. As Birchwood and Jackson found that neuroleptics had no effect within treat the negative symptoms of schizophrenia Remmington and Kapur found in 2000 that atypical drugs treat the negative symptoms of chizophrenia making atypical a preferred choice in medication. Atypical drugs are favourably the better choice for when using drug therapy to treat schizophrenia as it is more effective for symptoms and also has a higher rate of success within patients. The side effects of atypical drugs are also fewer compared to those of neuroleptics. There is one serious side effect of atypical drugs which is agranulocytosis, the risk of developing this is 1-2% and involves reduction in white blood cells within the patient which can be life threatening although olanzapine a type of atypical doesnt cause his side effect. Drug therapy in total is the most effective than any other therapy that is used within the treatment of schizophrenia and the speed of therapy with drugs is much more rapid than that of psychological therapies. Although drug therapy only treats the symptoms of schizophrenia, and doesnt manage to address the underlying reasons that are responsible for causing the illness within sufferers which means that patients will have to stay on the drugs to keep the symptoms suppressed and by coming off them most of the symptoms that the drugs are removing return relatively fast. Another issue with drug therapy for treating schizophrenia is that its not 100% effective and therefore is not working for every patient. Atypical drugs as mentioned earlier by Awad and Vruganti are 85% effective and neuroleptics even less which means that theres a minimum of of schizophrenia sufferers who drug therapy has no benefit towards creating individual differences. Also neuroleptics have no effect towards treating negative symptoms within patients so there are nowhere near as effective as using atypical drug therapy. herapy when treating schizophrenia, and helps the dopamine system because there s an imbalance in schizophrenic sufferers although this isnt necessarily the root cause. One issue with drug therapy within schizophrenics is compliance because it can be difficult to confuse someone who is deluded and not in a correct state of mind to take the drugs which reduces its appropriateness and effectiveness. Drug therapy is also a reductionist form of treatment towards schizophrenia sufferers as it focuses on biological factors contributing towards the illness and ignores the psychological approach. Another form of therapy within schizophrenia is ECT (electroconvulsive therapy), this orm of therapy was found when observing that epileptics dont develop schizophrenia, resulting in the conclusion that the two disorders could not both be had by an individual at the same time. This led to the theory that inducing seizures like those that epileptics endure could help treat schizophrenia patients. Initially this therapy was done using drugs but then it changed to electric shocks as it was found they could produce seizures and that ECT has better outcomes than using drugs such as cardiazol. An electric current is passed through the patients head which in turn causes brain eizures. Originally it could result in broken bones as the entire body of the patient would be in seizure. Modern ECT uses muscle relaxants to minimise the convulsions the patient has and a use of anaesthetics allows the patient to sleep during the treatment and so therefore has no anxiety. Chanpattana (2007) found that the effects of ECT caused a reduction in positive schizophrenia symptoms and also improves social life and functioning. However ECT actually had no effect or worsened negative symptoms of the illness. Tharyan and Adams (2005) found that the effects of ECT was eneficial short term similar to those of drug therapy however the beneficial effects were smaller than drug therapy, and it was unclear whether or not any long term improvements came from the use of ECT. ECT has moderate effectiveness; it can improve symptoms rapidly for schizophrenia sufferers but those improvements only seem to be short term and long term improvement doesnt occur generally. ECTs actual effectiveness towards the symptoms is also limited because on its own it doesnt offer the same amount of success as drugs. ECT is also less effective for negative symptoms and only effective n treating positive symptoms within sufferers, for example it doesnt help towards reducing lack of motivation, emotion and social withdrawal. Also this therapy similarly to drugs only really treats the symptoms and not what actually causes schizophrenia making it a palliative treatment. The treatment itself is quite consistent with how the biological outlook on schizophrenia works, as it appears the majority of symptoms caused by schizophrenia come from dysfunctions of the brain and therefore treatment that directly affects the brain that alters how it functions is rather appropriate in terms of ECT has side effects such as memory loss, neurological damage and cognitive impairments. This can be an issue that some patients do not want to deal with making it hard to treat a patient if drug therapy is ineffective. However most of the side effects are only short term whereas drug therapy especially with typical (neuroleptics) has some serious long lasting side effects that are damaging to the human body. Its also a reductionist form of therapy as it only focuses on one factor similar to drug therapy with is the biological factors clearly ignoring the psychological approach to treatment. Some people would say that because schizophrenia isnt exact science and as we dont know the true root cause of the illness then this treatment may not be appropriate for sufferers as the side effects as previously mentioned can be a lot to deal with when we arent even certain the treatment is actually treating the symptoms properly. ECT also has ethical issues as ECT is quite an extreme form of therapy when people undergo the treatment there are issues with whether or not the patient truly wants to undergo the therapy and that they might have been pressured into ECT.