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Nursing Time to Program and Assess Deep Brain Stimulators in Movement Disorder Patients

Hunka Karen; Suchowersky, Oksana; Wood, Susan; Derwent, Lorelei; Kiss, Zelma H. T.
Journal of Neuroscience Nursing: August 2005
Nursing Time to Program and Assess Deep Brain Stimulators in Movement Disorder Patients: PDF Only

Abstract:

The use of deep brain stimulation (DBS) to treat movement disorders such as Parkinson's disease, essential tremor, and dystonia is increasing. Although some published literature describes the methods for DBS programming, the time and nursing requirements to run a DBS surgical program have not been examined previously. For this study, we prospectively recorded the time required for both assessments and programming of the DBS from the preoperative period to 1 year after surgery in a variety of patients. Results showed that the mean total time spent programming the stimulator and assessing these patients ranged from 18.0-36.2 hours per patient. It took twice as long to program the stimulator in patients with Parkinson's disease as it did in patients with essential tremor or dystonia. When setting up a program for movement disorders surgery, nursing time spent on patient assessment and programming should be considered in the workload.

Direct correspondence to Karen Hunka, RN, Area 3, Health Sciences Centre, 3350 Hospital Drive NW, Calgary, AB T2N 4N1, Canada, or contact her via e-mail at Karen.Hunka@calgaryhealthregion.ca. She is the surgical nurse clinician at the Movement Disorders Program, University of Calgary, Calgary, Alberta.

Oksana Suchowersky, MD FRCPC, is professor and director of the Movement Disorders Program at the Department of Clinical Neuroscience of the University of Calgary/Calgary Health Region in Calgary, Alberta.

Susan Wood, RN, is a research nurse for the Movement Disorders Program, University of Calgary, Calgary, Alberta.

Lorelei Derwent, RN, is a research nurse for the Movement Disorders Program, University of Calgary, Calgary, Alberta.

Zelma H. T. Kiss, MD PhD FRCP, is an assistant professor with the Department of Clinical Neuroscience Division of Neurosurgery at the University of Calgary/Calgary Health Region in Calgary, Alberta.

© 2005 American Association of Neuroscience Nurses