Nursing time to program and assess deep brain stimulators in movement disorder patients

J Neurosci Nurs. 2005 Aug;37(4):204-10. doi: 10.1097/01376517-200508000-00006.

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.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Alberta
  • Algorithms
  • Clinical Competence
  • Communication
  • Decision Trees
  • Deep Brain Stimulation / instrumentation
  • Deep Brain Stimulation / methods
  • Deep Brain Stimulation / nursing*
  • Equipment Design
  • Humans
  • Monitoring, Physiologic / nursing
  • Movement Disorders / therapy*
  • Nurse Clinicians / education
  • Nurse Clinicians / organization & administration*
  • Nurse's Role
  • Nursing Administration Research
  • Nursing Assessment / organization & administration*
  • Nursing Evaluation Research
  • Patient Education as Topic / organization & administration
  • Perioperative Care / nursing
  • Perioperative Care / organization & administration
  • Prospective Studies
  • Time and Motion Studies
  • Workload* / statistics & numerical data