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Nurs 2400 GI disturbances and nutrition
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Nurs 2400 GI disturbances and nutrition
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Nurs 2400 GI disturbances and nutritionCharacterize gastroesophageal reflux disease (GERD), and briefly describe the
appropriate nutrition therapy. - ANS-the frequency and severity of heartburn determines
if GERD or LPR is diagnosed. Avoid large or high-fat meals. Avoid chocolate, alcohol,
peppermint, spearment, liquers, caffeine, tomatoes, vinegar-based foods, citrus fruits,
and juices.
Describe prevention strategies related to minimizing the risk of diverticulum
development. - ANS-Eat lots of fiber, drink a lot of water.
Describe strategies for maintaining safety during eating for the patient with dysphagia. -
ANS-hob elevated, pillows to help elevation. Eliminate all distractions, feeding assistant,
avoid asking the patient to talk, do not eat and drink at the same time, encourage dry
swallows or coughing to help clear food, encourage small bites, allow adequate time for
feeding, use spoons rather than cups, a straw may be used by some patients, check for
voice quality while pt is eating, (wet, gurgled voice indicates food is resting on vocal
cords)
Explain the difference between the nutrition therapy regimens used for diverticulosis
and diverticulitis. - ANS-Diverticulosis: develops as a result of long-term, low-fiber eating
habits and increased intracolonic pressure such as that created when straining to have
a BM. Diverticulitis: same thing only worse and caused by trapped fecal matter and
colon bacteria.
Explain the nutritional implications of celiac disease and gluten intolerance. Name four
grains that contain gluten. - ANS-You cannot have gluten because it causes diarrhea,
abdominal distention, fat malabsorption, and weight loss, although many patients do not
present with GI symptoms or are asymptomatic. Einkorn, Emmer, spelt, kamut, wheat
bran, wheat germ, cracked wheat, hydrolyzed wheat protein, barley, rye, cross-bread
varieties such as triticale (wheat and rye).
List recommendations for managing constipation - ANS-Listen to the body's signals and
follow a schedule that allows for a time for a bowel movement to occur. Ignoring the
urge to defecate causes feces to remain in the colon longer. This allows more water to
be withdrawn, resulting in harder, drier feces. Exercise regularly. Lack of exercise can
lead to a loss of tone in the muscles of the lower gastrointestinal tract. Relax. Stress
tightens muscles throughout the body and may inhibit proper bowel functioning.
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