Challenges With Acute Care and Response to Treatment Among Adult Patients With Cyclic Vomiting Syndrome.

Abstract

Cyclic vomiting syndrome is a chronic gastrointestinal tract disorder. The symptoms include cycles of extreme nausea, vomiting, and abdominal pain separated by periods of wellness. Previous research suggests a quality gap in early recognition and appropriate management of adults with cyclic vomiting syndrome. The purpose of this study was to explore and describe adult patients' experiences with cyclic vomiting syndrome, including challenges receiving a diagnosis and responses to treatment. This study was conducted using a phenomenological research design. A purposeful sample included 16 adult patients with cyclic vomiting syndrome. All data were collected electronically via Survey Monkey and analyzed using content analysis and constant comparison techniques. Two global themes emerged from the data. These were perceived lack of knowledge among healthcare providers and responses to cyclic vomiting syndrome-related treatments. Perceived lack of healthcare provider knowledge contributed to diagnostic delay, inappropriate treatment, and avoidance of care. A combination of medications aimed at managing symptoms and inducing sleep was the most effective abortive medical regimen described. Marijuana use was common. Hot-water bathing was practiced by users and nonusers of marijuana.