Pathophysiology of Gastroesophageal Reflux Disease in Infants and Nonpharmacologic Strategies for Symptom Management
| Autor: | Britt Frisk Pados, Emma S. Davitt |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Disease Esophageal Sphincter Lower Young infants 03 medical and health sciences 0302 clinical medicine Intolerances 030225 pediatrics medicine Humans Intensive care medicine Infant Nutritional Physiological Phenomena General Nursing 030219 obstetrics & reproductive medicine business.industry Symptom management Reflux Infant medicine.disease Symptom Flare Up Clinical Practice GERD Gastroesophageal Reflux Female business Dysbiosis |
| Zdroj: | Nursing for women's health. 24(2) |
| ISSN: | 1751-486X |
| Popis: | Gastroesophageal reflux is common in young infants, particularly those born prematurely or with a history of medical complexity. The most recent clinical practice guidelines recommend the use of nonpharmacologic management strategies because of concerns about the safety of acid-reducing medications and a lack of evidence of their effectiveness. Our purpose in this article is to holistically review the pathophysiology of gastroesophageal reflux disease, identify symptom management targets, and describe nonpharmacologic strategies that nurses can implement and/or teach to parents to manage symptoms of gastroesophageal reflux. Strategies targeting stress, dysbiosis, food intolerances, feeding difficulties, and positioning are discussed. Nurses can work with families to identify factors contributing to gastroesophageal reflux disease and determine individualized strategies that can be used in lieu of, or in addition to, medication. |
| Databáze: | OpenAIRE |
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