Nursing Care for Gastro Esophageal Reflux Disease Singapore
GERD or Gastro Esophageal Reflux Disease is a condition in which stomach contents specifically acid content goes up into the esophagus or the food pipe of the gas trointestinal system. This may cause long-term irritation of the esophagus and other symptoms such as sour taste in the mouth. GERD is very common among the population.
Symptoms and CausesClinical sign and symptoms of GERD are usually common among people who have it. These symptoms include heart burn, shortness of breath, pain in the chest, chest pressure, cough and soreness of the throat. There is no age reference for GERD. It occurs in both men and women.
One of the main culprits in occurrence of GERD is due to lower esophageal sphincter or LES. This is the part of the stomach that opens up and closes as needed. However, due to weakening, it opens up and allows the stomach acid to reflux or back up. Other causes include eating spicy food, drinking caffeinated beverages such as coffee or tea, lying down immediately after eating, and stress.
Nursing Care Plan for Patients with GERDThough GERD is a stable medical condition, still there is a discomfort that the patient experiences. For a patient with recurrence of GER D, the nurse can help the patient undergo several test and GI study. X-Ray and endoscopy are the most common diagnostic tests. In endoscopy, the Gastroesophageal Gastroenterologist will insert and use a tube to view and examine the stomach and esophageal site. Once confirmed, treatment will follow.
Usually drug that lessens the acid pro duction are being used today. Several classes exist such as PPI’s or proton pump inhibitors such as Omeprazole and Lansoprazole which are stronger types of drug that inhibit acid production. Lesser or lighter medicines to counteract acid production are called H2 receptor blockers and these include Ranitidine, Famotidine and Cimetidine to name a few. Other forms of drug include acid neutralizers.
For those with severe acid reflux, the nurse must monitor the pain. Adequate hydration and nutritional support must be done since the patient can hardly eat food. Lastly, health teaching education is important as a guide as to what foods and drinks to avoid.
ConclusionGERD is a debilitating symptom if not treated and may lead to new onset of diseases such as stomach and esophageal cancer. Thus, regular check-up must be taken into account to preserve the state of health of patients. For more information, news and resources are available in the internet.
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