For those with DBS, the diathermy energy can be conveyed through the implanted system which can cause tissue destruction at the site of the implanted electrodes, consequential to serious injury or even death (Yeoh, 2016). Neuro-stimulator system can also be destroyed by diathermy components resulting in loss of therapy.
Summary of Deep Brain Stimulation (DBS)
Deep brain stimulation comprises implanting electrodes that remain inside the brain as circuits to help confine the activity of these circuits, to drive underactive output and subdue pathological neuronal activity (Lazano, 2012). Patients risk approximately 1% occurrence of severe intraoperative events and stimulation-related adverse effects.
Collecting suggestion proposes that the symptoms and signs of numerous other neurological diseases- such as, depression and epilepsy are related to disorder of brain-circuits activity and the irregularity of brain normal activity are related to DBS. Situations for which the use for examination of stimulation are anorexia nervosa, obsessive-compulsive disorder, minimally conscious states, epilepsy, depression, , Alzheimer’s disease, Tourette’s syndrome, pain, addiction, bipolar disorder, the control of pressure of the blood and obesity which is frequently recorded in DBS (Liu, 2006). DBS encompasses one to one involvement of the brain; hence it poses a lot of risk to the person. It uses conductors that are connected to a stimulator that is driven by battery fixed in the torso that is switched off and on at the skin.
Why DBS is relevant to PMHNP practice.
The Deep-brain stimulation has been used to correct progressive neurological, psychiatric conditions that have not reacted to other treatments and Parkinson disease (Glannon, 2009). DBS can control overactive or underactive areas that makes the brain and thus increase function of the motor; it also helps to cause variations in a person’s personality and thought.
- Glannon, W., 2009. Stimulating Brains, Altering Minds. Journal of Medical Ethics 5(35), 289- 292.
- Liu, X., 2006. Neurophysiologic Intervention in Deep Brain Stimulation Treatment for Movement Disorders. Journal for the Neuromodulation: Technology at the Neural Interface 2(9), 115-122.
- Lozano, M., 2012. Deep Brain Stimulation Therapy: Effectively Treats Movement Disorders and Could Work in Neuropsychiatric Conditions. British Medical Journal 7855(344), 10-10.
- Yeoh, Y., 2016. Anesthesia considerations for patients with an implanted deep brain stimulator undergoing surgery. Canadian Journal of Anesthesia 3(64), 308-319.