Question

You are the nurse assigned to a young 32-year mother of two young children who was recently diagnosed with Chrohn’s disease. She has taken a medical leave of absence form the law firm where she works as a paralegal assistant. Although she has reported adhering to her diet and medication regimen, she has had two recent admissions to the hospital in the past month with a flare-up of her disease. She states she is using Wikipedia for her health care information and is using Aloe Vera as a supplement without consulting her healthcare provider. Using electronic tool presented in chapter 16, devise a teaching plan for this patient. Please pick at least two that would be appropriate for this patient. What website would you recommend for her to use for online information? Some things to consider when you are doing this case study:

2. What is the effect of aloe vera on the GI tract in someone with a GI disease?

Answer 1

Teaching plan:

GASTROESOPHAGEAL REFLUX DISEASE

Esophageal reflux is characterized as the regressive stream of gas­trointestinal substance into the throat. Reflux creates its trademark indications by uncovering the esophageal mucosa to the aggravating impacts of gastric and additionally duodenal substance, result­ing in fiery changes. A man with intense side effects of irritation is frequently portrayed as having reflux esophagitis, a sign of gastroesophageal re­flux malady. Reflux esophagitis is evaluated agreeing the degree and seriousness of the sores.

Pathophysiology

The accompanying physiologic components are embroiled in the devel­opment of GERD:

· Irritation from the refluxate

· Abnormal esophageal leeway

· Delayed gastric exhausting

The reflux of gastric substance into the throat is regularly forestalled by the nearness of two high-weight territories that re­main generally contracted in the resting stage. The capacity of the LES is upheld by its anatomic situation in the ab­domen, where the encompassing weight is altogether higher than in the low-weight thorax. Sphincter work is additionally sup­ported by the intense point that is shaped as the throat enters the stomach.

ESOPHAGEAL PROBLEMS

Cost of Care

· Ambulatory watch over customers with Barrett's throat costs around $103 every month, or $1241 every year.

· Clients with poor quality dysplasia (tissue changes) are three times as liable to have in excess of 3 endoscopies for each year when contrasted with customers who don't have dysplasia.

· Endoscopies and center visits represent 31% and 5.9%, individually, of the month to month medicinal expenses.

· The drug costs every month for customers with Barrett's throat is $65.

· Proton-pump inhibitors represent 64.6% of the aggregate med­ication cost.

· Medications represent collective charge of care.

Suggestions for Nursing

Drawn out gastrointestinal reflux prompting Barrett's esopha­gus or ailment brings about a generally surprising expense of care as far as the requirement for social insurance administrations. Customers require progressing observing by endoscopy for dysplastic changes in the mucosa, long haul prescription adherence to control reflux, and essential care supplier visits. Medical caretakers can assume a vital part in the counteractive action of gastrointestinal reflux by teaching their customers about the hazard factors for creating reflux, procedures for overseeing reflux, and the need of making way of life ad­justments that anticipate esophageal harm.