GI Care Strategies (Nursing)

by Rhonda Lawes, PhD, RN

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    00:01 So here we are at care strategies.

    00:03 Look at you.

    00:05 You ask the right questions that helped you recognize cues.

    00:09 We've analyzed them and took some extra lab work into account so we can come up with some hypotheses.

    00:16 So now that we have those ideas that have been built based on the information you get from your client, here's some possible care strategies that deal specifically with GI.

    00:26 Okay, you might consider a dietician and these guys can be your best resource in the hospital.

    00:33 So use a dietician as another expert that can help the patient understand changes they're willing to make to their diet that will help them.

    00:42 That's a really personal thing.

    00:44 So sometimes it's better for them to hear it in a different setting, outside of a hospital room or a clinic setting.

    00:52 You have them get education with a dietitian, in kind of a neutral place.

    00:56 And then the dietitian can assess what the patient's willing to do and to design a unique program.

    01:02 That's the best way to get them there.

    01:04 What about community based food and nutrition programs? Sometimes you can go to a senior center and get a meal with other people, might have food delivered.

    01:13 All these things are options if the patient is having difficulty wanting to eat or acquiring food.

    01:19 Now pharmacists can also be on our chart.

    01:21 Look at that, we've talked to dieticians, we looked at community based food programs.

    01:25 A pharmacist referral can also look specifically at drugs that are metabolized by the liver, just to double check if we have safe dosages, and a plan for this patient.

    01:36 Now encouraging diet change that is again, a little bit of a challenge, but you can do it.

    01:42 Just figure out how to do it in a way that the patient decides to change.

    01:46 Not you telling them what they have to do.

    01:49 And particularly we're looking for a diet that helps them maintain bowel frequencies.

    01:54 So they might have diet changes, increase in activity, all of that is going to make things better.

    02:00 And finally when it comes to GI, encourage regular dental care.

    02:05 That's going to make everything in their world better.

    02:09 Thank you for watching our GI video series with us today.

    About the Lecture

    The lecture GI Care Strategies (Nursing) by Rhonda Lawes, PhD, RN is from the course Assessment of the Geriatric Patient: Gastrointestinal System (Nursing).

    Included Quiz Questions

    1. Giving the client information about a community nutrition program that includes communal meals.
    2. Referring the client to an inpatient dietician.
    3. Advocating for the client to be prescribed a meal-replacement beverage.
    4. Encouraging the client to discuss any concerns with the pharmacist.

    Author of lecture GI Care Strategies (Nursing)

     Rhonda Lawes, PhD, RN

    Rhonda Lawes, PhD, RN

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