Implications for Nursing and Multidisciplinary Collaboration in the Management of Gastroparesis Patients Receiving Chiropractic Care: A Case Series

Abstract

Background: Gastroparesis, partial paralysis of the stomach, is a chronic and sometimes disabling neuromuscular disorder diagnosed by delayed emptying of solid food in the absence of a mechanical obstruction. The management of gastroparesis is less than optimal because the pathogenesis has not been clearly defined. Significance: With gastroparesis becoming an increasing concern, nurses need to communicate, collaborate and educate providers and patients regarding complementary therapies that can alleviate patient symptoms and suffering, improve outcomes and quality of life, and decrease inappropriate healthcare system use. Methodology: Through a case series presentation, two case reports describe the successful outcome of chiropractic treatment and implications for nursing care as part of a multidisciplinary team model, for the symptom management of gastroparesis. Results: Both cases were treated for musculoskeletal complaints of cervical, thoracic, and lumbar segmental dysfunction with myofascial involvement and expressed improvements in their musculoskeletal complaints and gastroparesis symptoms following treatments. The improvement of gastroparesis is thought to be a side effect of the treatment. Conclusion and Recommendations: This case series provides evidence that incorporating nurses and chiropractors as part of a multidisciplinary team model offers a unique approach to patient care, symptom management, and improved patient outcomes.