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ESOPHAGITIS

1) The patient was experiencing pain related to esophagitis caused by esophageal spasm and distention from food and fluid accumulation. 2) After a series of nursing interventions including assessing symptoms, administering antacids and other medications, encouraging diet changes, and health teaching, the patient's pain decreased to a manageable level. 3) The nursing interventions were aimed at reducing acid in the stomach, relaxing smooth muscle, treating infections, preventing further irritation, and evaluating the patient's swallowing and nutritional status.

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Shenna Regaspi
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2K views5 pages

ESOPHAGITIS

1) The patient was experiencing pain related to esophagitis caused by esophageal spasm and distention from food and fluid accumulation. 2) After a series of nursing interventions including assessing symptoms, administering antacids and other medications, encouraging diet changes, and health teaching, the patient's pain decreased to a manageable level. 3) The nursing interventions were aimed at reducing acid in the stomach, relaxing smooth muscle, treating infections, preventing further irritation, and evaluating the patient's swallowing and nutritional status.

Uploaded by

Shenna Regaspi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Esophagitis Management Overview
  • Complications with Swallowing
  • Nutritional Risk Management

ESOPHAGITIS

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION


Pain related to After a series of 1. Asses for  Symptoms After a series of
physical injuring nursing intervention, substernal associated nursing intervention,
agents caused by the patient should pain, bloated with the patient manifested
esophageal spasm, manifest a decrease in or heartburn. esophagitis a decrease in the pain
Objective distention of lower the pain scale to scale to manageable
-Facial Grimace portion of esophagus manageable level; feel level; feel comfort .
-Verbal report of from food and fluid comfort . 2. Assess for  S/s associated
acute pain accumulation. halitosis, with achalasia
regurgitation,
dysphagia,
retrosternal
pain after
meals.

3. Administer  To reduce acid


antacid concentration
in stomach and
increase lower
esophageal
sphincter.

4. Administer  Acts to relax


anticholinergic smooth muscle
and prevent
spasms;
improves
strength of
esophageal
sphincter.

5. Administer the  To treat


flucanazole as serious fungal
prescribed or yeast
medication. infections such
ESOPHAGITIS

as
oropharyngeal
candidiasis.

6. Perform oral  To prevent


care with halitosis
nonirritating
mouthwash

7. Encourage to  To prevent
eat bland irritation of
foods. esophagus

8. Sitting  To prevent
position for overdistention
meals avoid of lower
lying and eat esophagus and
small frequent obstruction
meals. and
regurgitation

9. Health  To prevent
teaching: gastric reflux..
Avoid
coughing
straining,
bending waist
and wearing
tight clothes at
waist.

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION


ESOPHAGITIS

Impaired After a series of 1. Assess oral  If one of these After a series of


swallowing nursing cavity at least factors is nursing
associated with intervention, the once daily missing,it may intervention, the
deficits in client will and note for be advisable client demonstrated
Objective esophageal demonstrate effective any withhold oral effective swallowing
-Facial Grimace function; swallowing without discoloration, feeding and use without choking or
-Verbal report of odynophagia. choking or coughing; edema, enteral feeding coughing; remains
acute pain remains free from bleeding or for free from aspiration.
aspiration. dryness. nourishment.
2. Inspect for  There are
any multiple causes
indication of of swallowing
infection and impairment,
culture some of which
lesions as are treatable.
needed. Refer
to a physician
or specialist
as appropriate

3. Evaluate  Malnutrition
nutritional can be a
status. contributing
cause.
4. Determine
client’s  Difficulty or
readiness to inability to
eat. Client chew or
needs to be swallow may
alert, able to occur
follow secondary pain
instructions, of inflamed or
able to move ulcerated
tongue. esophageal
mucous
membranes.
ESOPHAGITIS

 Information
5. Note patient’s gives direction
oral hygiene on possible
practices. causative
factors and
guidance for
subsequent
education

 The nursing
6. Determine diagnosis
patient’s bathing/hygiene
mental status. self-care deficit
If patient is is then also
unable to care applicable.
for self, oral
hygiene must
be provided
by nursing
personnel.  This will
7. Provide provide
systemic or comfort and
topical relieve pa
analgesics as
prescribed.

8. Give anti  To treat serious


fungal agents fungal or yeast
as ordered. infections such
as
oropharyngeal
candidiasis
ESOPHAGITIS

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION


Risk for imbalance
nutrition

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