A patient who has been diagnosed with GERD is reluctant to make suggested lifestyle changes. What information about GERD should the nurse provide?
1. "The damage to your esophagus may result in esophagitis."
2. "Long-term exposure to acid increases risk for esophageal cancer."
3. "Without lifestyle changes, the medications will be totally ineffective."
4. "The lifestyle changes are not so bad if you adopt them one at a time and institute them gradually."
5. "You will have trouble swallowing if you do not treat this condition."
1,2
Rationale 1: Esophagitis is a possible complication of GERD.
Rationale 2: Approximately 10% of those with GERD will develop Barrett's esophagus, which is associated with increased risk of cancer.
Rationale 3: Medications may be somewhat effective even if lifestyle changes are not made.
Rationale 4: The nurse should not determine if the patient will think the lifestyle changes are "not so bad."
Rationale 5: It is unknown what this particular patient will experience if treatment is not undertaken.
Global Rationale: Esophagitis is a possible complication of GERD. Approximately 10% of those with GERD will develop Barrett's esophagus, which is associated with increased risk of cancer. Medications may be somewhat effective even if lifestyle changes are not made. The nurse should not determine if the patient will think the lifestyle changes are "not so bad." It is unknown what this particular patient will experience if treatment is not undertaken.
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