ACTIVE LEARNING TEMPLATE: System Disorder Karen Herrera STUDENT NAME______________________________________ Gastroesophageal reflux disease DISORDER/DISEASE PROCESS___________________________________________________________ Alterations in Health (Diagnosis) Gastroesophageal reflux disease Pathophysiology Related to Client Problem gastric content and enzyme backflow into esophagus REVIEW MODULE CHAPTER__48 __________ Health Promotion and Disease Prevention Low fat diet, Head of bed elevation, no smoking, avoidance of alcohol ASSESSMENT Risk Factors Sleep apnea, obesity, hiatal hernia, connective tissue abnormalities. Laboratory Tests pH testing SAFETY CONSIDERATIONS Expected Findings Throat irritation, increased flatus, pain in esaphagus and when swallowing, indigestion. Diagnostic Procedures Upper endoscopy,Esophageal manometry, X-ray of upper digestive system PATIENT-CENTERED CARE Nursing Care Review modifiable risk factors with patient Therapeutic Procedures fundoplication ACTIVE LEARNING TEMPLATES Barrett's esophagus Complications Medications Proton pump inhibitor, H2 receptors and antacids Client Education Avoid foods that trigger reflux, stop smoking, maintain healthy weight, and elevate the head of bed Hiatal hernia and aspiration of secretion Interprofessional Care Dietitian, surgeon Therapeutic Procedure A11