Micro-stimulation

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Suspension of a micro-stimulation mattress

A micro-stimulation system (MiS for short) is a dynamic system for the stimulation of micro-movements that is used in nursing as a bed system for the prophylaxis and therapy of pressure ulcers .

Working principle

Micro-stimulation has its theoretical basis in basal stimulation . Micro-stimulation systems, in combination with a moderate soft position, promote and maintain the patient's self-awareness. They typically consist of torsion wing springs underneath the mattress. Passive systems make use of the patient's own movements, create a feedback to the patient by moving the springs and thus provide movement impulses. They are easy to maintain and require minimal patient movement. Active systems are equipped with a motor that controls the springs and transmits various stimulation patterns, such as waves or rotation, to the patient via the mattress.

Evaluation of microstimulation

active micro-stimulation mattress

In contrast to conventional anti-decubitus systems , which are based on the consideration of static soft positioning or alternating pressure, this type of decubitus prophylaxis is not intended to restrict the patient's mobility, but rather to promote it. Attempts are made to maintain body awareness and encourage the patient's own movements. Unlike air bag systems, the storage is of a patient with an extension possible feet on a micro-stimulation system. The patient lies stable, which means that the extension does not change.

Compared to soft positioning systems, the benefits with fewer side effects are considered advantageous. The disadvantage is that passive microstimulation systems require the patient to move independently and are associated with high acquisition costs. A final assessment of the system can not yet be carried out due to the lack of nursing studies. However, a pilot study on 89 patients, which compared active and passive micro-stimulation with lying on a conventional hospital bed , revealed indications of greater subjective comfort and greater freedom of movement. Statements on the improvement of pain and vigilance were not so clear, which was also attributed to the low number of cases.

literature

Web links

Individual evidence

  1. Insa Lüdtke: Micro-stimulation systems in practice .  ( Page no longer available , search in web archivesInfo: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice. (PDF; 74 kB) In: Pflegezeitschrift , 4/2008, p. 197 f .; Retrieved January 23, 2012@1@ 2Template: Toter Link / www.kohlhammer.de  
  2. a b S. Schewior-Popp, S. Sitzmann, L. Ullrich (Ed.): Thiemes Pflege . 11th edition. Thieme Verlag, 2009, ISBN 978-3-13-500011-4 , p. 284 .
  3. Ulrich Kamphausen: Prophylaxis in Nursing: Suggestions for Creative Action, p. 37 . Kohlhammer Verlag, Stuttgart 2009, ISBN 978-3-17-020829-2 . limited preview in Google Book search
  4. Jürgen Osterbrink et al .: Micro-stimulation in the hospital bed. Pilot study in neurological / geriatric patients . (PDF; 107 kB) In: The nurse's sister , 47th year, 02/2008

This article is based on the article Micro-Stimulation from the free encyclopedia Care Wiki and is available under the GNU Free Documentation License . A list of the authors is available in the maintenance wiki .