Mrs. G. is a 45-year-old female arrives at the emergency department

 Clinical Case:

Mrs. G. is a 45-year-old female arrives at the emergency department where you are working with complaints of burning pain in her chest and throat and a sour taste in her mouth. She states this pain has been going on for years after she eats certain foods. She has a large, extended family and does all of the cooking. She is Hispanic and likes to cook her special recipes because she believes that "these foods are good for herself and her family." She is very proud of her cooking and believes that is one of her main contributions to her family. She has never been sick and does not like to take pills.

She is examined by the emergency room doctor and diagnosed with Gastroesophageal Reflux Disease (GERD). The doctor has ordered medication for you to administer. These medications include a proton pump inhibitor (Prilosec), and a Histamine 2 blocker (Pepcid). He also prescribes the proton pump inhibitor to be taken at home for the next two weeks. Mrs. G. starts to feel better and is ready for discharge. You will be providing the client teaching and discharge instructions about GERD.

In your discussion about GERD include:

Dietary suggestions you would make

What foods and liquids she should avoid

What changes she should make

Barriers she will face in making these changes and how they can be overcome