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Pages:
1 page/β‰ˆ275 words
Sources:
4 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 4.86
Topic:

Concepts of Gastrointestinal and Hepatobiliary Disorders (GERD)

Essay Instructions:

Scenario 2: Gastroesophageal Reflux Disease (GERD)
A 44-year-old morbidly obese female comes to the clinic complaining of “burning in my chest and a funny taste in my mouth”. The symptoms have been present for years but patient states she had been treating the symptoms with antacid tablets which helped until the last 4 or 5 weeks. She never saw a healthcare provider for that. She says the symptoms get worse at night when she is lying down and has had to sleep with 2 pillows. She says she has started coughing at night which has been interfering with her sleep. She denies palpitations, shortness of breath, or nausea.
PMH-HTN, venous stasis ulcers, irritable bowel syndrome, osteoarthritis of knees, morbid obesity (BMI 48 kg/m2)
FH:non contributary
Medications: Lisinopril 10 mg po qd, Bentyl 10 mg po, ibuprofen 800 mg po q 6 hr prn
SH: 20 PPY of smoking, ETOH rarely, denies vaping
Diagnoses: Gastroesophageal reflux disease (GERD).

Question:
1. If the client asks what causes GERD how would you explain this as a provider?

Essay Sample Content Preview:

Concepts of Gastrointestinal and Hepatobiliary Disorders (GERD)
Name
NURS 6501
Instructor
Due Date
1. If the client asks what causes GERD how would you explain this as a provider?
Gastroesophageal reflux disease (GERD) occurs as a consequence of reflux of stomach contents (which is acidic) or bile into the esophagus and often causes (McCance & Huether, 2019). The esophagus joins the stomach by the lower esophageal sphincter, valve, or sphincter that allows the passage of food to be closed later. Obesity and a weak anti-reflux barrier cause reflux and are the main factors associated with GERD and mainly occur in the lower esophageal sphincter (LES). Other risk factors include obesity, dieting, physical activities, tobacco and alcohol, medications, sleeping position, and hiatal hernia.
Obesity increases the risk of GERD and the body mass index (BMI), and the patient is morbidly obese as her BMI is 48 kg/m2. Extra weight increases abdominal pressure and diaphragm and the risk of reflux (Argyrou et al., 2018). She also has a history of venous stasis ulcers and irritable bowel syndrome, affecting the digestive system. Tobacco increases risk, and combined with the lack of moderate physical exercises that are potentially a protective factor, the patient’s symptoms are likely to worsen if there a...
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