Date of Award

5-9-2015

Document Type

Capstone

Degree Name

Doctor of Nursing Practice (DNP)

School Name

Donna and Allan Lansing School of Nursing and Health Sciences

Department

Nursing

Major Advisor

Kathy Hager, DNP, APRN, FNP-C, CDE

Second Advisor

Michael C. Park, MD, PhD

Third Advisor

Paul Loprinzi, PhD

Fourth Advisor

Lynette Galloway, DNP, APRN, PNP-BC, FNP-C

Abstract

Abstract

Purpose: This project studied a specific group of patients with Parkinson’s disease to: determine if they were asked to verbalize expectations of DBS pre-operatively; determine if patient expectations were met post-operatively; gain information that could aid in improved pre-operative patient education for deep brain stimulation (DBS), address unrealistic expectations before surgery, and meet patient expectations post-operatively.

Methodology: This study was a retrospective, single academic center, two-part design that included a questionnaire and chart review of 29 patients. Those included were patients with Parkinson’s disease who had DBS programming at the academic center, between the years 2007 and 2014.

Results: Discrepancy was observed between expectations discussed, with 71.4% (SEM-8.7%) indicating they had been asked to verbalize expectations pre-operatively, compared to only 48.3% (SEM-9.4) of charts reviewed having documentation of pre-operative patient expectation discussions. One hundred percent of the sample were in at least some agreement that DBS met overall post-operative expectations, but only 46.4% (SEM-9.6%) were in complete agreement.

Conclusions: Overall, DBS patients’ expectations were met to some degree; however, pre-op education should focus on what DBS does and does not improve, patients’ expectations should be verbalized both pre and post-operatively, and documentation of expectations and education should be included in the patient chart.