Question

Please type your answers

1. Give an example of appropriate community resources to ensure appropriate transition management for patients with esophageal problems.
2. How can nurses Teach patients about lifestyle changes that decrease gastroesophageal reflux disease (GERD) and alterations in comfort associated with hiatal hernias.
3. How can nurses implement nursing interventions to minimize stressors for the patient and family who have received a diagnosis of esophageal cancer.
4. How can nurses apply knowledge of anatomy, physiology, pathophysiology, genetic risk, age-related changes, and psychomotor skills to perform a focused assessment for patients with esophageal health problems?
5. How can nurses evaluate the impact of esophageal problems on the patient's nutrition status?
6. How can nurses prioritize care for patients with esophageal problems?

Answer 1

Patients with esophageal problems are usually managed in the community setting.Nursing interventions focused on helping the patient & family with current treatment and reducing the risk for continuing symptoms and complications.

Home care management:-

Remind the patient to make appreciate dietary selection that enhances nutrition and decrease symptoms

Life style changes:-

• Eat 4 to 6 small meals a day
• Limit or eliminate fatty foods coffee, tea ,cola and chocolates
• Reduce or eliminate free your dietany food/ spice that increase gastric acid & causes pain
• Eliminate alcohol and tobacco
• Do not snack in the evening and do not eat for 2-3 hours before you go to bed
• If you are overweight reduce your weight
• Do not wear constructive clothing
• Avoid heavy lifting and straining
• Eat slowly and chew your food thoroughly

As a matter of fact, providing information enhances patient’s ability to cope with his/her illness (by reducing personal uncertainties and raising a sense of personal control) and adherence to treatments (by offering an overlook of procedures, timing and consequences). However, an effective communication should take into account patient’s point of view, including information needs, cultural level and their satisfaction on received information . These aspects seem to be relevant throughout the whole therapeutic process, especially at the diagnosis, as they are often recalled by survivors with emphasis .Despite their wish to be informed about all aspects of disease and treatment, it is noteworthy that health care providers are often not able to fulfill such information needs

The importance of a good communication is even more stressed in patients receiving care for aggressive neoplasms, because of the severe prognosis and the drawbacks of the surgical treatments (i.e., high morbidity and reduced patients would like to receive information on both short-term (surgical side effects) and long-term (recovery, quality of life and survival) issues , but the communication is hampered by clinicians who underestimate patients’ needs or find stressful the communication of uncertain prognosis.

• Nutrionalstatus was evaluated on the basis of the following indicators: percentage weight loss (MC), the level of total protein and albumin serum level, total lymphocyte count in 1 mm3 of peripheral blood, and body mass index (BMI). In this work, the authors used the follofor independent samples, using STATISTICA 9.0. Results. Based on the statistical methods, it was shown that both BMI and the value of albumin are not good indi-cators of malnutrition in the studied group. However, the level of total protein and total number of lymphocytes (CLL) are good, early and approximate indicators of malnutrition cases. Conclusions. The assessment of malnutrition should be carried out using as many methods as are available.