Do you perform the Epley maneuver?

Posted

This is a question for primary care NPs. Do you perform the Epley manueuver on patients suffering BPV?

Does it require special training, or can it safely be done after observing videos, reading about it, etc.?

newFNP2015

Has 3 years experience. 95 Posts

No special training needed that I'm aware of. In fact, probably preferable because it can be done in a primary care office and doesn't cost anything. Use Dix-Hallpike to find the affected ear and start in that position for this maneuver. From anecdotal evidence via other practitioners, don't stand very close to their head because they might vomit, especially during Dix-Hallpike. If this doesn't work, look at other options. If you watch youtube videos about the maneuver, many patients have seen the videos and do this for themselves at home after having it done at the office the first time because it works for them.

BostonFNP, APRN

Specializes in Adult Internal Medicine. Has 11 years experience. 3 Articles; 5,539 Posts

All the time.

Teach patient to do the maneuver at home as well.

Sent from my iPhone.

AtomicWoman

1,747 Posts

Yes. I also give my patients a hand-out with home exercises. I do ask them if they have recently eaten before I do the maneuver. Have an empty trash basket handy if they say yes! :eek:

MikeFNPC, MSN

Specializes in FNP. 260 Posts

If you have access to Up To Date, there's a nice graphic that you can print to give the pt for home use.