Question

client who has GERD.

Clinical Case:

Mrs. G. is a 45-year-old female arrives at the emergency department where you are working with complaints of burning pain in her chest and throat and a sour taste in her mouth. She states this pain has been going on for years after she eats certain foods. She has a large, extended family and does all of the cooking. She is Hispanic and likes to cook her special recipes because she believes that "these foods are good for herself and her family." She is very proud of her cooking and believes that is one of her main contributions to her family. She has never been sick and does not like to take pills.

She is examined by the emergency room doctor and diagnosed with Gastroesophageal Reflux Disease (GERD). The doctor has ordered medication for you to administer. These medications include a proton pump inhibitor (Prilosec), and a Histamine 2 blocker (Pepcid). He also prescribes the proton pump inhibitor to be taken at home for the next two weeks. Mrs. G. starts to feel better and is ready for discharge. You will be providing the client teaching and discharge instructions about GERD.

In your discussion about GERD include:

Dietary suggestions you would make

What foods and liquids she should avoid

What changes she should make

Barriers she will face in making these changes and how they can be overcome

Answer 1

Hello,

Diet:
She can eat all vegetables, but please avoid excess intake of tomatoes, garlic and onions.
Fruits except citric fruits like apples, pears and melons are adviced.
High fibre food will be best.
Probiotic must also be prescribed.

To be avoided:
She must not take caffeinated drinks like tea and coffee.
She must avoid carbonated drinks.
Alcohol and chocolates must be avoided.
Spicy food must not be eaten at any cost.
Garlic, onion, peppermint, tomatoes and food made from tomatoes should be avoided (reduced)

Changes she should make :
Lifestyle changes must include cooking and eating non spicy food. Spicy food, stress and alcohol mudt be avoided at all costs.
Medicines must be taken regularly by her.

Barriers she might be facing and how can they be overcome:
1. Psychological craving : As a fan of spicy food, she might feel the urge to eat it then and now. She must not get carried away, and even if she does, she should ensure she does not take anything too spicy. A proton pump inhibitor must be taken immediately after she eats spicy food.

2. Family : As she has been cooking great food for her family, she might be compelled by her children or husband to continue cooking spicy and tasty food. She must not get carried away here as well. As this is not just about her but her family can also develop GERD in long term, and so she must continue cooking non spicy food.

Thank you
Hope I helped
Ask any doubt in comments.