Materiały źródłowe

• #1 Benign Paroxysmal Positional Vertigo (BPPV): Treatment, Symptoms & Causes

  https://my.clevelandclinic.org/health/diseases/11858-benign-paroxysmal-positional-vertigo-bppv

  Benign paroxysmal positional vertigo (BPPV) is an inner ear disorder. A person with BPPV experiences a sudden spinning sensation whenever they move their head. BPPV isn’t a sign of a serious problem. If it doesn’t disappear on its own within six weeks, a simple in-office procedure can help ease your symptoms. […] The most effective benign paroxysmal positional vertigo treatments involve physical therapy exercises. The goal of these exercises is to move the calcium carbonate particles out of your semicircular canals and back into your utricle. Here, the particles resorb more easily and don’t cause uncomfortable symptoms. […] A single particle repositioning procedure is effective in treating about 80% to 90% of cases of BPPV. Additional BPPV exercises may be needed if symptoms continue. […] Your healthcare provider can perform this maneuver during an office visit. They can also demonstrate how to do these exercises at home to ease your BPPV symptoms. […] If you’ve experienced a BPPV episode, schedule an appointment with your healthcare provider. They can demonstrate physical therapy exercises to reduce your symptoms.

• #2 Essential Skills for Managing Benign Paroxysmal Positional Vertigo – ACA Today

  https://www.acatoday.org/news-publications/essential-skills-for-managing-benign-paroxysmal-positional-vertigo/

  Benign paroxysmal positional vertigo (BPPV) is the most common cause of dizziness and vertigo. The condition is characterized by brief episodes of dizziness, nausea, and/or nystagmus triggered by head movement. Over 7 percent of the population will experience BPPV at some point in their lifetime and 80 percent of those patients will require medical treatment. […] Successful outcomes are predicated upon a solid understanding of both. […] The primary purpose of the clinical exam is twofold; first, to rule out more sinister causes of vertigo, and second, to identify the side (right, left, both) and site (posterior, anterior, horizontal) of the involved semicircular canal. […] Most cases of BPPV affect the posterior semicircular canal. The Dix-Hallpike maneuver is the gold standard for diagnosing posterior semicircular canal involvement.

• #3 Benign paroxysmal positional vertigo (BPPV) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vertigo/diagnosis-treatment/drc-20370060

  Vertigo is caused by a problem with the nerves and structures in the inner ear that control balance (vestibular labyrinth). Benign paroxysmal positional vertigo (BPPV) occurs when tiny canalith particles (otoconia) break loose and fall into the wrong part of the semicircular canals of the inner ear. The goal of the canalith repositioning procedure is to move the particles from the inner ear to a part of the ear where they won’t cause problems (the utricle). […] Benign paroxysmal positional vertigo may go away on its own within a few weeks or months. But, to help relieve BPPV sooner, your doctor, audiologist or physical therapist may treat you with a series of movements known as the canalith repositioning procedure. […] Performed in your doctor’s office, the canalith repositioning procedure consists of several simple and slow maneuvers for positioning your head. The goal is to move particles from the fluid-filled semicircular canals of your inner ear into a tiny baglike open area (vestibule) that houses one of the otolith organs in your ear, where these particles don’t cause trouble and are more easily resorbed.

• #4 Benign Paroxysmal Positional Vertigo (BPPV) | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/ear-nose-and-throat/benign-paroxysmal-positional-vertigo.html

  Benign paroxysmal positional vertigo (BPPV) is an inner ear disorder that causes a spinning sensation (vertigo). Usually, BPPV is not serious, but it can affect your safety and increase your fall risk. Our vestibular balance disorder specialists have extensive expertise in diagnosing and treating BPPV. Youll receive a careful evaluation to pinpoint the cause of your symptoms and a tailored treatment plan to help you find relief. […] BPPV is caused by a problem in the vestibular system of the inner ear. The vestibular system is made up of fluid-filled structures that sense movement and send signals to the brain. […] BPPV occurs when motion-sensing crystals on the lining of the utricle break off and become trapped in the semicircular canals. The crystals disrupt fluid movement, sending false signals to the brain. This incorrect information leads to vertigo and other symptoms.

• #5 Benign Paroxysmal Positional Vertigo (BPPV) – Ear, Nose, and Throat Doctors in Munster, IN

  https://www.arthurhkatzmd.com/benign-paroxysmal-positional-vertigo-bppv/

  BPPV is the most common inner ear problem and cause of vertigo, or false sense of spinning. […] BPPV is a specific diagnosis and each word describes the condition: Benign It is not life-threatening, even though the symptoms can be very intense and upsetting. […] In BPPV, a rock or two gets dislodged from the organ and falls towards the balance canals. […] BPPV is the most common cause of vertigo. […] What distinguishes BPPV from other causes of vertigo include: Vertigo that is experienced after a change in head position such as lying down flat, turning over in bed, tilting back to look up, or tilting down to stoop. […] BPPV can occur spontaneously, that is, without a real cause. […] Your doctor or other healthcare professional will ask you questions about your dizziness and vertigo, and, with careful listening, can often distinguish between BPPV and other types of dizziness.

• #6 Patient education: Vertigo (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/vertigo-beyond-the-basics

  Benign paroxysmal positional vertigo (BPPV), sometimes called benign positional vertigo or simply „vertigo,” is the term used to describe vertigo that develops due to misplaced collections of calcium in the inner ear. Episodes of vertigo are typically brief in people with BPPV, lasting a few seconds to less than a minute. They can be triggered by moving the head in certain ways. […] BPPV often resolves on its own, but also can be treated effectively with a procedure called „canalith repositioning” (the collections of calcium in the inner ear are called canaliths). This is done by a doctor, nurse, or therapist in the office by moving your head into certain positions. It is sometimes called the Epley maneuver. The movements encourage the calcium collection to move into a part of the inner ear where it will be reabsorbed. You may begin to feel better immediately after this treatment or within a day or two. If the treatment is successful, you may be given instructions on how to perform similar movements at home, if your symptoms return.

• #7 Deafness and hearing loss toolkit: Benign Paroxysmal Positional Vertigo (BPPV) | RCGP Learning

  https://elearning.rcgp.org.uk/mod/book/view.php?id=12532&chapterid=843

  BPPV is the most common inner ear disorder causing vertigo, a sensation of spinning or dizziness. […] Hearing is NOT affected and tinnitus is not a feature. […] Detailed history focusing on vertigo characteristics and triggers. […] Physical examination (full ENT, cardiovascular, neurological examinations) to exclude other causes. […] Imaging is not required to diagnose BPPV, it is to rule out other causes. […] To carry out the manoeuvre: Advise the person that they may experience transient vertigo during the procedure. […] Discuss the option of watchful waiting to see whether symptoms settle without treatment over a few weeks. […] Consider suggesting Brandt-Daroff exercises which the person can do at home, particularly if the Epley manoeuvre cannot be performed immediately or is inappropriate.

• #8 Benign paroxysmal positional vertigo: Effective diagnosis and treatment | Cleveland Clinic Journal of Medicine

  https://www.ccjm.org/content/89/11/653

  The Dix-Hallpike maneuver may not always elicit vertigo and nystagmus in cases of BPPV that are due to otoconia in the horizontal semicircular canal. Therefore, the supine roll test is recommended as the second screening maneuver. […] Recent clinical practice guidelines outline that proper diagnosis of BPPV is made when both patient-reported symptoms and the appropriate nystagmus pattern are observed during position changes. […] Many patients experience lingering symptoms of imbalance after successful treatment of BPPV. Consider referral to a vestibular rehabilitation program to promote compensation for and habituation to symptoms. […] Patients may also find it useful to perform particle-repositioning maneuvers at home to help treat recurrent or persistent BPPV.

• #9 Benign Paroxysmal Positional Vertigo (BPPV) | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.benign-paroxysmal-positional-vertigo-bppv.hw263714

  Benign paroxysmal positional vertigo (BPPV) may go away in a few weeks by itself. If treatment is needed, it usually involves your doctor moving your head in different directions. […] BPPV may go away in a few weeks by itself. If treatment is needed, it usually involves your doctor moving your head in different directions. Examples are Epley and Semont maneuvers. These movements will move the particles out of the semicircular canals of your inner ear. […] You can reduce the whirling or spinning sensation of vertigo when you have benign paroxysmal positional vertigo (BPPV) by taking these steps. […] Staying as active as possible usually helps the brain adjust more quickly. But that can be hard to do when moving is what causes your vertigo. Bed rest may help, but it usually increases the time it takes for the brain to adjust. […] Your doctor may suggest that you do the Epley maneuver at home. […] Be extra careful so that you don’t hurt yourself or someone else if you have a sudden attack of vertigo. […] You can reduce your risk of injury by taking precautions and making your living space safe.

• #10 Essential Skills for Managing Benign Paroxysmal Positional Vertigo – ACA Today

  https://www.acatoday.org/news-publications/essential-skills-for-managing-benign-paroxysmal-positional-vertigo/

  BPPV symptoms are generally episodic, provoked by movement and eased by maintaining a stable position. […] Canalith repositioning maneuvers and home-based exercise are the current standard of care for BPPV. Management is predicated upon first identifying the involved semicircular canal(s), and then choosing the appropriate maneuver to reposition the wayward calcium carbonate sediment. […] When the posterior semicircular canal is involved, clinicians should choose the canalith repositioning procedure, aka, Epley maneuver. The effectiveness of the Epley maneuver ranges between 78-95 percent. […] When performing repositioning maneuvers, movement should be quick in order to generate enough momentum to dislodge displaced canaliths. […] Contraindications to performing repositioning maneuvers include acute cervical spine fracture or instability, recent cervical spine surgery, perilymph fistula, detached retina, unstable carotid artery disease/stenosis, vertebrobasilar insufficiency, stroke, TIA, unstable heart disease, and severe neck disease, such as cervical spondylosis with myelopathy or advanced rheumatoid arthritis.

• #11 Benign paroxysmal positional vertigo: Learn More – What can you do if you have BPPV? – InformedHealth.org – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK556950/

  If benign paroxysmal positional vertigo (BPPV) is hard to cope with or doesnt go away on its own, a simple treatment can be done. The treatment consists of doing certain head and body movements in a specific order. The aim is to make the problems in the organ of balance go away. […] If the dizzy spells dont go away on their own or are very difficult for the person to cope with, repositioning maneuvers can help. They are a common treatment for BPPV. […] To do a repositioning maneuver, the doctor shows you how to get into various sitting and lying positions while holding your head at certain angles. […] The aim of following a certain order of head and body movements is to move the loose crystals to a position where they no longer cause dizzy spells. […] The Epley maneuver is done in the following way (the person in this example has loose crystals in their left ear): Sit upright. Tilt your head back slightly and move it about 45 to the left. Lie on your back, keeping your head turned to the left. Wait for about 30 seconds. Now turn your head to the right by 90, keeping it tilted back slightly. Wait for about 30 seconds. Now turn your whole body to the right. Your head moves with your body until you are almost facing the floor. Wait for about 30 seconds. Sit upright again.

• #12 Benign Paroxysmal Positional Vertigo (BPPV) – Balance & Dizziness Canada

  https://balanceanddizziness.org/disorders/vestibular-disorders/bppv/

  If CRP therapy is not done correctly, some crystals may fall into another canal. […] Most BPPV affects the posterior canal. Over 85% of cases can be successfully treated by the Epley manoeuvre. […] While treatment by a trained health practitioner is usually the preferred option, canalith-repositioning procedures and exercises done at home can be equally effective if the head is put through a sequence of movements appropriate to the affected canal with enough speed. […] If you have a clear diagnosis of BPPV in the posterior canal, the DizzyFIX® device may help. […] As BPPV is essentially a mechanical disorder, taking medication cannot cure it. Some medications, such as antihistamines and sedatives, act as vestibular suppressants and reduce the spinning sensation of vertigo. […] Surgery to block a canal may be considered if several treatments with repositioning manoeuvres are unsuccessful or if the BPPV continues to recur.

• #13 Benign Paroxysmal Positional Vertigo (BPPV)

  https://www.sunwaymedical.com/en/conditions-and-treatments/benign-paroxysmal-positional-vertigo-bppv

  Benign Paroxysmal Positional Vertigo, or BPPV, refers to the degeneration of the inner ear, becoming a growing concern for ageing individuals. BPPV stands out as the leading cause of vertigo, a sensation where one feels their surroundings spinning uncontrollably. […] To diagnose BPPV, medical professionals rely on: A comprehensive history of symptoms. Physical evaluations, inclusive of the ear, nose, throat, and neurological system. The Dix-Hallpike manoeuvre: This diagnostic test involves the patient lying down swiftly with a tilted head. A positive BPPV test is marked by observable eye jerks accompanying vertigo. Hearing tests. […] Available Treatment Options for BPPV: Lifestyle Adjustments: Primarily involves evading positions and activities that trigger symptoms. While there are medicines to manage dizziness, no current medication can entirely cure BPPV. Nonetheless, for the majority, symptoms naturally wane after the initial month. Physical Therapy: At present, this is a potent treatment avenue. This includes: Canalith repositioning therapy like Semont, Epley, and Lempert (BBQ) Maneuvers. Vestibular compensation exercises like Brandt and Daroff, assisting the brain in regaining balance control. Surgical Intervention: If neither medication nor physical therapy brings relief, surgery might be the recommended course of action.

• #14 Benign paroxysmal positional vertigo (BPPV) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vertigo/diagnosis-treatment/drc-20370060

  Each position is held for about 30 seconds after any symptoms or abnormal eye movements stop. This procedure usually works after one or two treatments. […] Your doctor will likely teach you how to perform the procedure on yourself so that you can do it at home if needed. […] In rare situations when the canalith repositioning procedure doesn’t work, your doctor may recommend a surgical procedure. In this procedure, a bone plug is used to block the portion of your inner ear that’s causing dizziness. The plug prevents the semicircular canal in your ear from being able to respond to particle movements or head movements in general. The success rate for canal plugging surgery is about 90%. […] BPPV may recur even after successful therapy. Although there’s no cure, the condition can be managed with physical therapy and home treatments. […] Work closely with your doctor to manage your symptoms effectively.

• #15 Benign Paroxysmal Positional Vertigo (BPPV) | Cigna

  https://www.cigna.com/knowledge-center/hw/medical-topics/benign-paroxysmal-positional-vertigo-hw263714

  BPPV may go away in a few weeks by itself. If treatment is needed, it usually involves your doctor moving your head in different directions. […] Examples are Epley and Semont maneuvers. These movements will move the particles out of the semicircular canals of your inner ear. […] A Brandt-Daroff exercise may also be done. It can speed the compensation process. […] You can reduce the whirling or spinning sensation of vertigo when you have benign paroxysmal positional vertigo (BPPV) by taking these steps. […] Your doctor may suggest that you do the Epley maneuver at home. […] Be extra careful so that you don’t hurt yourself or someone else if you have a sudden attack of vertigo. […] You can reduce your risk of injury by taking precautions and making your living space safe.

• #16 Benign Paroxysmal Positional Vertigo (BPPV): Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.benign-paroxysmal-positional-vertigo-bppv-care-instructions.ut1800

  Benign paroxysmal positional vertigo, also called BPPV, is an inner ear problem. It causes a spinning or whirling sensation when you move your head. This sensation is called vertigo. […] Your doctor may move you in different positions to help your vertigo get better faster. This is called the Epley maneuver. Your doctor may also prescribe exercises for you to do on your own. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. […] Be extra careful so that you don’t hurt yourself or someone else if you have a sudden attack of vertigo. […] Your doctor may suggest that you do the Epley maneuver at home. […] Watch closely for changes in your health, and be sure to contact your doctor if you are not getting better as expected.

• #17 Benign paroxysmal positional vertigo – Symptoms, diagnosis and treatment | BMJ Best Practice

  https://bestpractice.bmj.com/topics/en-gb/73

  Benign paroxysmal positional vertigo (BPPV) is a common, often self-limiting condition, but can be chronic and relapsing. […] Diagnosis is based on a suggestive history and physical examination with a positive Dix-Hallpike manoeuvre or a positive supine lateral head turn. Other tests are not usually required. […] Medication is not an effective treatment option. […] Repositioning manoeuvres are highly efficacious in resolving an episode of BPPV. […] Surgery is highly effective but is reserved for intractable and severe cases.

• #18 Dizziness: Approach to Evaluation and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/0201/p154.html

  Episodic vertigo triggered by head motion may be due to benign paroxysmal positional vertigo. […] Benign paroxysmal positional vertigo can be treated with a canalith repositioning procedure (e.g., Epley maneuver). […] Benign paroxysmal positional vertigo is treated with a canalith repositioning procedure (e.g., Epley maneuver). […] BPPV is diagnosed with the Dix-Hallpike maneuver. Transient upbeat-torsional nystagmus during the maneuver is diagnostic of BPPV if the timing and trigger are consistent with BPPV. […] Treatment of BPPV consists of a canalith repositioning procedure such as the Epley maneuver, which repositions the canalith from the semicircular canal into the vestibule. […] Pharmacologic treatment has no role in the treatment of BPPV. Vestibular suppressant medications should be avoided because they interfere with central compensation and may increase the risk of falls.

• #19 Benign paroxysmal positional vertigo: Learn More – What can you do if you have BPPV? – InformedHealth.org – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK556950/

  If the Epley or Semont maneuvers don’t help, aren’t possible or the patient doesnt want to do them, certain exercises can be done. Your doctor can show you how to do them in his or her practice, and then you can do them at home on your own. […] Other treatments, such as anti-nausea medication, are rarely needed for BPPV. If the vertigo is severe, you can take anti-vertigo medication for a short time to suppress it. But you cant take that over the long term. […] If very severe symptoms dont go away, surgery on the vestibular system (the organ of balance) may be considered. This involves destroying either the nerve fibers in the affected semicircular canal, or the semicircular canal itself.

• #20 Benign Paroxysmal Positional Vertigo: Practice Essentials, Pathophysiology, Epidemiology

  https://emedicine.medscape.com/article/884261-overview

  Benign paroxysmal positional vertigo (BPPV) is defined as an abnormal sensation of motion that is elicited by certain critical provocative positions. […] Treatment options for BPPV include watchful waiting, vestibulosuppressant medication, vestibular rehabilitation, canalith repositioning, and surgery. […] Since the benefit-to-risk ratio is so high with canalith repositioning, it appears to be the obvious first choice among treatment modalities. […] Surgery is usually reserved for those in whom the canalith repositioning procedure (CRP) fails.

• #21 Nursing Care Plan for Vertigo – NurseBuff

  https://www.nursebuff.com/nursing-care-plan-for-vertigo/

  Do you need a nursing care plan for vertigo? […] If you are assigned to take care of a patient currently experiencing dizziness, here’s how you can write a nursing care plan for vertigo. […] Nursing Interventions for Vertigo: Assess and Monitor: Perform a comprehensive assessment of the patient’s symptoms, including the duration, frequency, and triggers of vertigo episodes. […] Provide Safety and Comfort: Ensure a safe environment by removing potential hazards and obstacles. […] Medication Management: Administer medications as prescribed by the healthcare provider, such as anti-vertigo drugs (e.g., antihistamines, benzodiazepines, or antiemetics) to alleviate symptoms. […] Education and Lifestyle Modifications: Educate the patient about vertigo, its causes, and management strategies. […] Collaborate with the healthcare team, including physicians, physical therapists, and audiologists, to ensure comprehensive management of the patient’s vertigo.

• #22 BPPV NCP | PDF | Bleeding | Vertigo

  https://www.scribd.com/document/452462032/BPPV-NCP

  – The nursing care plan addresses a patient experiencing dizziness for three days. Short term goals include monitoring for increased activity tolerance and a long term goal is to promote safety. […] – Interventions include encouraging fluid intake, rest, and moving slowly to prevent triggering dizziness. The patient’s response will be evaluated.

• #23 Patient education: Vertigo (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/vertigo-beyond-the-basics

  Vestibular rehabilitation can help people recover from vertigo that is caused by a problem within the vestibular system. […] During rehabilitation, you will work with a physical therapist who will teach you exercises you can do at home. For example, you might start by focusing on an object with a blank background and move your head slowly to the right and left and up and down. You would perform this exercise for several minutes two to three times per day. […] If you have trouble standing or walking because of vertigo, this increases your risk of falling. This is particularly a concern for older adults, as falls can lead to serious complications, such as a broken hip. Talk to your doctor, nurse, or therapist if you are worried about falling. To reduce the risk of falls, remove hazards in your home, such as loose electrical cords, slippery rugs, and clutter; wear sturdy shoes; and avoid walking in unfamiliar areas that are not lighted.

• #24

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut1800

  Benign paroxysmal positional vertigo, also called BPPV, is an inner ear problem. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] Vertigo causes loss of balance and puts you at risk for falling. Be extra careful so that you don’t hurt yourself or someone else if you have a sudden attack of vertigo. […] Your doctor may suggest that you do the Epley manoeuvre at home. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have new or worse nausea and vomiting. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You are not getting better as expected.

• #25 Vertigo: Symptoms, Causes & Treatment | Vaia

  https://www.vaia.com/en-us/explanations/nursing/human-anatomy/vertigo/

  Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common causes of vertigo. It happens when tiny calcium particles clump up in the inner ear. Notably, it is more common in older adults, but may occur at any age. Importantly, its benign, meaning it isn’t life-threatening, despite how uncomfortable or troublesome the symptoms may be. […] Benign Paroxysmal Positional Vertigo (BPPV) is a disorder that causes short, often recurrent episodes of vertigo triggered by specific changes in the position of the head. […] Nursing interventions can be divided into two categories: non-pharmacological and pharmacological. Non-pharmacological interventions often come first and may include: Education about the condition and coping mechanisms, Help with positional manoeuvres, Balance exercises, Nutritional changes.

• #26 Vertigo: Symptoms, Causes & Treatment | Vaia

  https://www.vaia.com/en-us/explanations/nursing/human-anatomy/vertigo/

  For example, a patient with BPPV would benefit from learning the Epley manoeuvre: a repositioning procedure that can help ease dizziness. Balance exercises could also help improve gait and reduce the risk of falls. […] Understanding the pathophysiology of vertigo helps to adapt care to best meet patients’ needs, predict potential complications, and understand the impact of caregiving actions. […] Having a solid understanding of the pathophysiology involved in your patient’s vertigo allows you to adapt and tailor your approaches to their needs. For example, a patient suffering from BPPV-based vertigo (caused by calcium build-up in the inner ear) would benefit more from repositioning manoeuvres, while a patient suffering from vertigo due to a degenerative nervous disorder would require a very different approach.

• #27 What doctors wish patients knew about vertigo | American Medical Association

  https://www.ama-assn.org/delivering-care/public-health/what-doctors-wish-patients-knew-about-vertigo

  Dont just put up with it […] Vertigo is not just something you need to live with. Sometimes you hear, I was told I had vertigo and I just had to deal with it, said Dr. Wycherly. But patients shouldnt just deal with it or live with vertigo. […] That is why patients should be pursuing vertigo with an ear, nose and throat specialist or start with their primary care physician, Dr. Wycherly said. […] […] […] Ensure vitamin D levels arent low […] In the case of BPPV, the one thing you can do is take a vitamin D supplement if youre vitamin D deficient, Dr. Wycherly said. This is important because vitamin D is involved in calcium absorption and low calcium can sometimes present as osteopenia or osteoporosis. […] […] […] Pay attention to exercise, food and drinks […] Dehydration can put us at risk of being dizzy. For some conditions, such as Menieres disease, a high salt diet could trigger dizziness, Dr. Fattal said. Beyond that, nutrition, exercise, sleep and stress (NESS) are important to keep in mind and keep in check because if youre not eating well or you are skipping meals, that may put you at higher risk of getting a migraine, which in some persons can cause dizziness.

• #28 Vertigo Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/vertigo-nursing-diagnosis/

  Benign Paroxysmal Positional Vertigo (BPPV) is a common underlying cause of vertigo. […] Nursing care plans address the most common problems encountered in patients with vertigo, including BPPV. […] The nursing diagnosis statement for impaired physical mobility related to vertigo symptoms and balance disturbances includes BPPV as a contributing factor. […] Effective nursing care for vertigo patients requires a comprehensive understanding of the condition, including BPPV, careful assessment, and implementation of appropriate interventions.

• #29 BPPV — Benign Paroxysmal Positional Vertigo

  https://dizziness-and-balance.com/disorders/bppv/bppv.html

  BPPV has often been described as „self-limiting” because symptoms often subside or disappear within 1-2 months of onset (Imai et al, 2005). BPPV is not life-threatening. […] If you decide to wait it out, certain modifications in your daily activities may be necessary to cope with your dizziness. Use two or more pillows at night. Avoid sleeping on the „bad” side. In the morning, get up slowly and sit on the edge of the bed for a minute. Avoid bending down to pick up things, and extending the head, such as to get something out of a cabinet. […] There are several treatments of BPPV (Epley, Semont, Foster) that are usually performed in the doctor’s office. Most treatments have roughly an 80% cure rate, (Herdman et al, 1993; Helminski et al, 2010), and it doesn’t matter much which is used (Vasted et al, 2024).

• #30 Benign Paroxysmal Positional Vertigo (BPPV) Treatment | Good Shepherd Rehabilitation — Where Potential Becomes Reality

  https://www.goodshepherdrehab.org/service/benign-paroxysmal-positional-vertigo-bppv-treatment/

  Persistent cases may require additional treatment sessions as well as home exercises. You may also be asked to follow up with your doctor for other diagnostic testing. If symptoms persist longer than one year, surgery may be indicated. This procedure poses small risk to hearing. […] Daily adjustments may help with dizziness. Use two or more pillows at night. Avoid sleeping on the effected side. In the morning, get up slowly and sit on the edge of the bed for a minute. Avoid bending down to pick up objects, and be careful when at the dentist’s office, beauty parlor, sports or positions where your head is overly flexed or extended.

• #31 Vertigo (Dizziness): Nursing Diagnoses & Care Plans | NurseTogether

  https://www.nursetogether.com/vertigo-nursing-diagnosis-care-plan/

  Benign paroxysmal positional vertigo (BPPV) (the most common cause) […] Educate on canalith repositioning procedures for BPPV. BPPV is triggered by changes in head position. Specialists can perform maneuvers of the head and neck to reduce dizziness.

• #32 Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update) – American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS)

  https://www.entnet.org/quality-practice/quality-products/clinical-practice-guidelines/bppv/

  The primary purposes of this guideline are to improve the quality of care and outcomes for BPPV by improving the accurate and efficient diagnosis of BPPV, reducing the inappropriate use of vestibular suppressant medications, decreasing the inappropriate use of ancillary testing such as radiographic imaging, and increasing the use of appropriate therapeutic repositioning maneuvers. […] The guideline is intended for all clinicians who are likely to diagnose and manage patients with BPPV, and it applies to any setting in which BPPV would be identified, monitored, or managed. […] The target patient for the guideline is aged ≥18 years with a suspected or potential diagnosis of BPPV. […] The primary outcome considered in this guideline is the resolution of the symptoms associated with BPPV.

• #33 BPPV — Benign Paroxysmal Positional Vertigo

  https://dizziness-and-balance.com/disorders/bppv/bppv.html

  BPPV often recurs. About 1/3 of patients have a recurrence in the first year after treatment, and by five years, about half of all patients have a recurrence (Hain et al, 2000; Nunez et al; 2000; Sakaida et al, 2003). If BPPV recurs, in our practice we usually re-treat with one of the maneuvers above. […] There are many home maneuvers for the most common type of BPPV (Posterior canal). There are so many home maneuvers that we wrote a separate page to describe them. […] Although effective (Maas et al, 2020), the frequency of surgical treatment has been dropping rapidly in favor of other treatments (Leveque et al, 2007).

• #34 Benign Paroxysmal Positional Vertigo (BPPV) – FAQs – ENT Health

  https://www.enthealth.org/be_ent_smart/benign-paroxysmal-positional-vertigo-bppv-faqs/

  Seniors are encouraged to seek professional help quickly to resolve symptoms. […] You should follow up with your medical provider or physical therapist if your symptoms of dizziness or instability do not get better in a few days to a couple of weeks. […] Your balance will be off so you will need to take precautions that you dont fall. […] Unfortunately, BPPV is a condition that can sometimes return. […] It is not uncommon to need more than one repositioning session to get the crystals back in their proper place. […] It can be difficult to complete correct positioning by yourself. A professional may be able to complete better positioning and/or use helpful equipment. […] It is VERY important to follow-up with your healthcare provider if you continue to have symptoms.

• #35

  https://journals.lww.com/mtmj/fulltext/2022/21020/benign_paroxysmal_positional_vertigo_in_pregnancy_.9.aspx

  The diagnosed cases of BPPV were usually managed by canalith repositioning maneuvers such as the Epley maneuver. […] The treatment of BPPV is usually done by the Epley maneuver and Semont’s maneuver. The canal repositioning procedure is considered an efficient and long-standing noninvasive treatment option for BPPV. […] To improve the quality of life during gestation, clinicians should consider this clinical entity in their differential diagnosis, which will help to avoid vertigo-related morbidity which compromises both maternal and fetal status.

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