Living with an Insertable Cardiac Monitor: Influences on Self-Care Management

Abstract

The insertable cardiac monitor (ICM) is technology for diagnosing cardiac arrhythmias. The perception of those living with the device and how this relates to self-care management is unknown. The aim of this study was to explore the experiences of those with undiagnosed cardiac symptoms living with an ICM. This study used a qualitative descriptive design. Analysis of data was by intraparticipant analysis, interparticipant analysis, and interrelationships. Three global categories emerged: (a) influences on self-care, (b) dealing and (c) monitoring. Self-care management after insertion of the ICM was determined by the participant’s perception of health, what symptoms they were experiencing and whether there was a positive or negative experience with the clinician. Many indicated little to no regular communication regarding symptoms and ICM results. Increasing communication relevant to management of health and long-term findings may assist in enhancing physical and psychological health.