I will educate Mrs G to take foods high in
dietary fiber, such as psyllium. Secondly, I will educate her to use wholemeal
grains like oatmeal and brown rice (Rettura et
al., 2021). These foods impove gastric motility and prevent indigestion
that potentiates GERD. Third, I will educate her to take vegetables and
vegetable proteins associated will fewer GERD symptoms. Lastly, I will educate
her to take white and lean meat.
I will educate Mrs G to avoid fatty, junk foods
and overeating and advice her to take small meals frequently. This is because
overeating and fatty foods are associated with reducing the pressure at the
, thus keeping it open, predisposing the patient to
et al., 2021). I will also educate the patient to avoid acidic, spicy foods,
carbonated and caffeinated drinks. This is because the foods are associated
with the irritation of the gastrointestinal mucosa, thus potentiating the symptoms
of GE, such as heartburns(Rettura
et al., 2021). Examples of foods to be avoided include onions, lemons, fries,
onions, oranges, refined foods, chocolate, mint, coffee, tea, and tomatoes.
Various lifestyle modifications are needed as
therapy in patients with GERD. Depending on her (BMI) I will
educate Mrs G on the importance of weight reduction and maintaining a normal
BMI at 18.5 to 24.9 since high BMI is associated with GERD symptoms(., 2021). Second, she will have to
sleep with the head of the bed elevated to reduce nighttime heartburns. Third, she
will avoid activities that potentiate reflux, like bending during cooking, laundry,
or cleaning. Lastly, I will educate her on the importance of smoking cessation
and avoiding alcohol and stress because of their irritation on the gastric mucosa
(Rettura et al., 2021). I will also educate her to
avoid meals three hours before bedtime to reduce the possibility of reflux.
Since Mrs G is used to cooking for her
family, she will face barriers to role changes, cultural expectations, cessation
of carbonated drinks, and the taste of foods. Furthermore, She will face
difficulties with food costs and beginning exercises. She can overcome these
barriers by finding an exercise companion. She can take of
carbonated drinks (Rettura et al., 2021).
She can find a helper with chores that need bending. She can purchase vegetable
proteins instead of white meat to minimize costs. She can discuss role and diet
changes and assistance with house chores with her family members.
Rettura, F., Bronzini, F., Campigotto,
M., Lambiase, C., Pancetti, A., Berti, G., Marchi, S., de Bortoli, N., Zerbib,
F., Savarino, E., and Bellini, M. (2021). Refractory gastroesophageal reflux
disease: A management update.Frontiers Medicine,8:765061.
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