26 Tex. Admin. Code § 307.505 - Definitions
The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise.
(1) Chemical or
gaseous agents--Those substances which may be capable of inducing a seizure and
including, but not limited to, pentylenetetrazol (Metrazol) and flurothyl
(Indoklon).
(2) Chief executive
officer--The superintendent or director of a state hospital, state school, or
state center; the executive director of a community mental health and mental
retardation center; or the person responsible for management and operation of a
hospital or other health care facility or entity providing ECT.
(3) Commissioner--The commissioner of the
Texas Department of Mental Health and Mental Retardation.
(4) Community mental health and mental
retardation center--A community mental health and/or mental retardation center
established by the Texas Health and Safety Code, Chapter 534.
(5) Department--The Texas Department of
Mental Health and Mental Retardation.
(6) ECT--Electroconvulsive therapy.
(7) Electroconvulsive therapy (ECT)--A
treatment in which controlled, medically applied electrical current results in
a therapeutic seizure, usually attenuated by anesthesia and muscle
relaxants.
(8) Fully qualified
psychiatrist--A physician, licensed to practice medicine in Texas, who has
completed approved residency training in psychiatry.
(9) Informed consent--The knowing consent of
a patient or the guardian of the person of the patient in keeping with the
provisions of § 405.108 of this title (relating to Informed Consent to
ECT), so situated as to be able to exercise free power of choice without undue
inducement or any element of force, fraud, deceit, duress, or other form of
constraint or coercion. If consent is given by the guardian of the person of a
patient who has been adjudicated incompetent to manage his or her own personal
affairs, then the decision must be based on knowledge of what the patient would
desire, if known.
(10) Insulin coma
treatment--The production of a coma for therapeutic purposes through the
administration of insulin.
(11)
Maintenance therapy--Treatment with electroconvulsive therapy on an
individually determined intermittent schedule for purposes of preventing
relapse.
(12) Multiple-monitored
ECT--The induction of more than one adequate seizure during one episode of
anesthesia.
(13) Nurse
anesthetist--A nurse credentialed by the Board of Nurse Examiners as a nurse
anesthetist.
(14) Prefrontal sonic
sound treatment--A treatment, not described or defined in biomedical
literature, which is defined in California statutes governing ECT and other
treatments as "The direct stimulation and/or destruction of brain cells or
brain tissue by ultrasound for therapeutic purposes."
(15) Psychosurgery--Surgical intervention to
sever fibers connecting one part of the brain with another or to remove or to
destroy brain tissue with the intent of modifying or altering severe
disturbances of behavior, thought content, or mood. For purposes of this
subchapter, the term does not include such surgery for the relief of
intractable physical pain or the treatment of neurological disease or
abnormality.
(16) Regressive or
depatterning ECT--The prolonged use of daily or more frequent
treatments.
(17) Reportable
therapies--Electroconvulsive therapy, insulin coma treatment, "prefrontal sonic
sound treatment," psychosurgery, multiple-monitored ECT, "regressive" or
"depatterning" ECT, or any other convulsive or coma-producing therapy to treat
mental illness.
(18) Series of
treatments--Usually six-15 treatments.
(19) TXMHMR medical director--The
department's medical director.
(20)
Treatment--The administration of electroconvulsive therapy, unilaterally or
bilaterally, with anesthesia, under appropriate clinical conditions for
monitoring, safety, and efficacy.
Notes
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