Gastroesophageal Reflux Disease (GERD) is a chronic condition characterized by the backward flow of stomach acid into the esophagus, resulting in burning pain in the chest and throat, along with a sour taste in the mouth. In the case of Mrs. G., a 45-year-old female presenting with these symptoms, it is important to consider her cultural background, cooking habits, and preference for natural remedies in order to provide comprehensive client teaching and discharge instructions.
Mrs. G., being Hispanic, likely has a diet that includes spicy and flavorful foods, which can exacerbate symptoms of GERD. It is important to discuss dietary modifications with her to minimize acid reflux. These modifications may include avoiding trigger foods such as fatty or fried foods, chocolate, caffeine, citrus fruits, onions, garlic, and tomatoes. Instead, she can opt for a diet rich in vegetables, fruits, lean protein, whole grains, and low-fat dairy products.
Furthermore, Mrs. G.’s pride in her cooking and belief that her foods are beneficial for herself and her family should be acknowledged and respected. It is crucial to provide her with alternative ways to prepare her favorite dishes that are less likely to trigger acid reflux. For example, using herbs and spices to enhance flavor instead of relying solely on fat and spices may be beneficial.
In terms of medication management, the emergency room doctor has ordered a proton pump inhibitor (PPI) called Prilosec and a histamine 2 blocker (H2 blocker) called Pepcid for Mrs. G. The PPI works by reducing stomach acid production, while the H2 blocker helps to reduce the amount of acid released in the stomach. These medications can provide relief from GERD symptoms and promote healing of any esophageal damage caused by acid reflux.
In addition to the medication administered in the hospital, Mrs. G. has been prescribed the PPI to be taken at home for the next two weeks. It is essential to emphasize the importance of adhering to the medication regimen as prescribed in order to achieve maximum efficacy. The PPI should be taken on an empty stomach, preferably 30 minutes before a meal, to ensure its optimal absorption.
Mrs. G., as someone who has never been sick and dislikes taking pills, may require extra reassurance and encouragement to follow the medication regimen. It is crucial to address any concerns or doubts she may have about taking medication. Providing her with information about the long-term benefits of medication adherence, such as symptom improvement and prevention of complications, can increase her motivation to comply.
Moreover, client teaching should include lifestyle modifications that can help manage GERD. These may include elevating the head of the bed to minimize nighttime acid reflux, avoiding late-night meals or snacks, maintaining a healthy weight, quitting smoking if applicable, and managing stress through techniques such as relaxation exercises or counseling support.
In conclusion, effective client teaching and discharge instructions for Mrs. G., who presents with GERD, must account for her cultural background, cooking habits, and preference for natural remedies. Addressing her dietary choices, modifying her favorite recipes, and emphasizing the importance of medication adherence and lifestyle modifications are crucial for managing her symptoms and promoting long-term relief from GERD. Providing comprehensive and culturally sensitive care will not only contribute to Mrs. G.’s well-being but also foster a positive therapeutic relationship between her and the healthcare provider.
1. American Gastroenterological Association. (2020). Understanding GERD. Retrieved from https://www.gastro.org/practice-guidance/practice-updates/agaus-patient-education-brochures/english/understanding-gerd
2. Mayo Clinic. (2021). GERD: Lifestyle and Home Remedies. Retrieved from https://www.mayoclinic.org/diseases-conditions/gerd/diagnosis-treatment/drc-20361959