What are nursing considerations that should be addressed to the client with a diagnosis of GERD?
Encourage small frequent meals of high calories and high protein foods. Small and frequent meals are easier to digest. Instruct to remain in upright position at least 2 hours after meals; avoiding eating 3 hours before bedtime. Helps control reflux and causes less irritation from reflux action into esophagus.
How is Hyperacidity diagnosed?
How Is Acid Reflux Disease Diagnosed?
- Barium swallow (esophagram) can check for ulcers or a narrowing of the esophagus.
- Esophageal manometry can check the function and movement of the esophagus and lower esophageal sphincter.
- pH monitoring can check for acid in your esophagus.
What nursing interventions are required for the patient with possible swallowing deficits?
More interventions:
- Avoidance of certain foods or fluids.
- Upright position during eating.
- Allowance of time to eat slowly and chew thoroughly.
- Provision of high-calorie meals.
- Use of fluids to help facilitate passage of solid foods.
- Monitoring of the patient for weight loss or dehydration.
Which is an appropriate nursing diagnosis for a patient with active GERD?
Based on the assessment data, the major nursing diagnosis are: Imbalanced nutrition: less than body requirements related to inability to intake enough food because of reflux. Acute pain related to irritated esophageal mucosa. Imbalanced nutrition: more than body requirements related to eating to try to assuage pain.
What are interventions for GERD?
Try to:
- Maintain a healthy weight.
- Stop smoking.
- Elevate the head of your bed.
- Don’t lie down after a meal.
- Eat food slowly and chew thoroughly.
- Avoid foods and drinks that trigger reflux.
- Avoid tight-fitting clothing.
What is a manometry test?
Overview. Esophageal manometry (muh-NOM-uh-tree) is a test that shows whether your esophagus is working properly. The esophagus is a long, muscular tube that connects your throat to your stomach. When you swallow, your esophagus contracts and pushes food into your stomach. Esophageal manometry measures the contractions …
What tests are used to diagnose GERD?
The three main tests used when GERD is suspected are esophageal pH monitoring, endoscopy and manometry. Acid reflux diagnosis depends on whether you experience complications in addition to the classic symptoms.
How do you assess swallowing nursing?
Swallow screening is usually performed by registered nurses. swallowing function that consists of an extensive cranial nerve evaluation and direct examination of swallowing using food and liquids of various textures and consistencies. Swallow evaluations are performed by speech language pathologists (SLP).
What is aspiration nursing?
Aspiration is breathing in a foreign object such as foods or liquids into the trachea and lungs and happens when protective reflexes are reduced or jeopardized. An infection that develops after an entry of food, liquid, or vomit into the lungs can result in aspiration pneumonia.