Nursing Interventions: Gastroesophageal Reflux

1. In consultation with dietician, develop a diet for the patient that takes his food preferences into account while helping to minimize reflux symptoms.
2. To reduce intra-abdominal pressure, have the patient sleep in reverse Trendelenburg’s position with the head of the bed elevated 6” to 12”.
3. Encourage the patent to avoid lying down immediately after meals and late-night snacks.
4. Monitor the patient’s response to therapy and compliance with treatment.
5. If surgery was performed, monitor his intake and output and vital signs.
6. Monitor for complication of the disease and of surgery, if appropriate.
7. Teach the patient about the causes of gastroesophageal reflux, and review his antireflux regimen for medication, diet, and positional therapy.
8. Discuss the recommended dietary changes.
9. Instruct the patient to avoid situations or activities that increase intra-abdominal pressure.
10. Encourage the patient compliance with his drug regimen.