ABSTRACT
Symptoms of mitral valve prolapse syndrome, the most common valvular disorder, include anxiety, fatigue, palpitations, headaches, and chest pain, to name a few. This syndrome is effectively treated in a nurse-managed, outpatient clinic that specializes in the treatment of mitral valve prolapse syndrome.
Subject(s)
Ambulatory Care Facilities/organization & administration , Mitral Valve Prolapse , Diet , Exercise , Female , Humans , Mitral Valve Prolapse/diagnosis , Mitral Valve Prolapse/nursing , Mitral Valve Prolapse/physiopathology , Mitral Valve Prolapse/therapy , Patient Education as Topic , SyndromeABSTRACT
Mitral valve prolapse syndrome, the most common valvular disorder, is associated with symptoms of anxiety, fatigue, palpitations, headaches, chest pain and more. Many non-drug interventions can be employed to alleviate symptoms.
Subject(s)
Mitral Valve Prolapse/nursing , Mitral Valve Prolapse/physiopathology , Patient Education as Topic/methods , Self Care/methods , Breathing Exercises , Exercise Therapy/methods , Humans , Mitral Valve Prolapse/classification , Relaxation TherapyABSTRACT
The optimum growth and scientific progress of nursing knowledge during the next century will depend upon the development and execution of focused programmes of clinical and theoretical research. The planning and design of such programmes must originate with the clear definition of nursing research questions. Nesting such questions within established theoretical frameworks provides a nursing context, lends precise language and suggests relevant variables for study. The development of a sequence of related studies exploring and describing the self-care needs of people with symptomatic mitral valve prolapse illustrates one such systematic research programme. Orem's Self-Care Deficit Theory of Nursing was used as a theoretical framework for four completed studies which describe one population's need for nursing assistance. The evolving nature of the research programme and plans for future research are discussed.
Subject(s)
Mitral Valve Prolapse/nursing , Models, Nursing , Self Care , Adolescent , Adult , Aged , Attitude to Health , Body Image , Female , Health Services Needs and Demand , Health Surveys , Humans , Male , Middle Aged , Mitral Valve Prolapse/physiopathology , Mitral Valve Prolapse/psychology , Nurses , Nursing Audit , Nursing Methodology Research , Patient Care Planning , Surveys and QuestionnairesABSTRACT
Epidemiological studies in the United States indicate that 5% of the population or nearly 7 million people have Mitral Valve Prolapse. This incidence has also been confirmed by British physicians. Approximately half of these persons seek medical care for treatment of symptoms. Persons with symptoms are often said to have "Mitral Valve Prolapse Syndrome." The purpose of this study was to describe experiences and self-care needs of persons diagnosed with Mitral Valve Prolapse Syndrome (MVPS). In Phase I of the study, medical records of 124 subjects were reviewed to identify the medical experience and typical symptoms associated with MVPS. In Phase II, 20 subjects with typical symptoms were interviewed using a semi-structured questionnaire based on health deviation self-care requisites developed by Orem. Results of this pilot study indicate that interviewed subjects with MVPS frequently had unresolved health concerns and were seeking help. Nursing assistance may therefore be needed to help such clients understand this health deviation, to make decisions regarding appropriate actions, and to accomplish self-care actions.
Subject(s)
Mitral Valve Prolapse/nursing , Patient Acceptance of Health Care , Patient Care Planning , Self Care , Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Mitral Valve Prolapse/epidemiology , Mitral Valve Prolapse/physiopathology , Mitral Valve Prolapse/psychology , Models, Nursing , Pilot Projects , PrevalenceABSTRACT
In summary, the scientific literature on mitral valve prolapse reveals many unanswered questions about the significance of MVP. Patients with MVP exhibit a wide range of symptoms and problems, ranging from none to serious and disabling ones. Although the prognosis is highly favorable in the majority of cases, patients with significant symptoms may not experience improvement from medications and may benefit from nursing interventions directed toward reducing discomfort and fear.
Subject(s)
Mitral Valve Prolapse/diagnosis , Humans , Mitral Valve Prolapse/nursing , Mitral Valve Prolapse/physiopathology , PrognosisABSTRACT
This article presents the fundamental knowledge nurse practitioners need when managing the care of a client with mitral valve prolapse (MVP). The assessment discussion includes information on where and how to perform cardiac auscultation, and it also includes a discussion of the particular mid-to-late systolic click with murmur that is typical of MVP. Client preparation for diagnostic tests (echocardiogram and ECG) is also presented. Potential complications of endocarditis, mitral regurgitation, ventricular dysrhythmia, chest pain, systemic emboli and sudden death are discussed. Particular emphasis is given to the nursing management and client teaching that are required for clients with MVP. Nursing management includes teaching the client 1) the need and schedule for chemoprophylaxis of endocarditis, 2) how to maintain left ventricular volume, 3) the possible relationship between chest pain and hypovolemia and 4) the advantages of regular exercise. Changes in the click-murmur that may occur with pregnancy and the impact of MVP on contraception and childbearing decisions are discussed. Specific nursing diagnoses that may arise with the client with MVP are listed. Outcome criteria that may be used for evaluation of nursing care are provided.
