Nutrition Paper. Health. READ Description.
worldwarIII
cs_1_chapter_17_spring_2014.docxName: _________________________________ Gastroesophageal Reflux Disease
Total 50 points
Mrs. Robinson is a 66-year-old female who presented to the emergency department with wheezing, difficulty breathing, right-sided chest pain with deep inspiration, nausea, and vomiting. She stated that she was in her usual state of health until she awoke at 3:00 a.m. with wheezing and was not able to go back to sleep. She was nauseous and vomited a small amount of green, blood-stained emesis. A chest x-ray was done and showed an infiltrate in the right anterior lung base with chronic pleural effusion. Mrs. Robinson’s medical history includes asthma, gastroesophageal reflux disease (GERD) for the past 3 years, and recurring pneumonia. She weighs 170 lbs. with a BMI of 29.2. She was started on albuterol (Ventolin) nebulizer treatments and levofloxacin (Levaquin) intravenously in the emergency department.
Mrs. Robinson was admitted to the medical unit with a diagnosis of pneumonia due to recurrent aspiration related to the GERD. She remained on the levofloxacin (Levaquin) for infection and was prescribed lansoprazole (Prevacid) and ranitidine (Zantac) to prevent reflux.
1. Explain what GERD is and discuss six risk factors that increase the risk of developing GERD.
2. Explain two of the factors that contributed to the development of Mrs. Robinson’s GERD.
3. If untreated, what are three of the possible complications of GERD?
4. Discuss how the following medications work to reduce the symptoms of reflux.
a. Lansoprazole (Prevacid)
b. Ranitidine (Zantac)
5. Why are antacids not used to manage GERD?
6. Name 6 foods and medications that may precipitate an episode of reflux esophagitis?
7. How does Mrs. Robinson’s weight affect her reflux?
Make sure your writing is clear, organized and easy to understand and follow.
Check your work for spelling, grammar and punctuation.
Check the Rubric below for the grading criteria.
Grading Rubric for BIO 241 Case Study - GERD
|
Question # |
Meets |
Needs Improvement |
Possible Score |
Earned Score |
|
1.Explain what GERD is, and discuss six risk factors that increase the risk of developing GERD. |
Good explanation and discussion of 6 risk factors (5-7 pts) |
Does not clearly explain what GERD is and less than 5 risk factors are discussed. (0-5.5 pts) |
7 |
|
|
2. Explain two of the factors that contributed to the development of Mrs. Robinson’s GERD.
|
Good explanation of two factors. (1.5-2 pts) |
Poor or inaccurate explanation. (0-1.5 pts) |
2 |
|
|
3. If untreated, what are three of the possible complications of GERD?
|
Reference section was completed with some errors (2-3 pts) |
Work does not have the appropriate number of references (0-1.5 pt) |
3 |
|
|
4. Discuss how the following medications work to reduce the symptoms of reflux. a. Lansoprazole (Prevacid) b. Ranitidine (Zantac)
|
Content is sufficient and relevant to the topic (1.5-2 pts)
|
Content is insufficient or irrelevant to the topic (0-1 pt) |
2 |
|
|
5. Why are antacids not used to manage GERD?
|
Content is sufficient and relevant to the topic. (1.5-2 pts) |
No conclusions are mentioned or the conclusions are not clearly or logically supported (0-1 pt) |
2 |
|
|
6. Name 6 foods and medications that may precipitate an episode of reflux esophagitis?
|
Accurate identification of foods and medications. (2-3 pts) |
Insufficient or inaccurate response to question. (0-1.5 pts) |
3 |
|
|
7. Explain how Mrs. Robinson’s weight affects her reflux?
|
Content is sufficient and relevant to the topic. (2-3 ps)
|
Content is insufficient or irrelevant to the topic (0-2 pt) |
3 |
|
|
8. Describe three lifestyle/nutrition recommendations you could make to Mrs. Robinson to help allieviate her GERD without the use of medications?
|
Content is sufficient and relevant to the topic. (4-6 pts) |
Content is insufficient or irrelevant to the topic (0-4 pts) |
6 |
|
|
1) Clarity of Writing |
Writing is somewhat clear, organized, and easy to understand and follow (7-10 pts) |
Writing is not clear and organized. Train of thought is hard to understand & follow (0-6 pts) |
10 |
|
|
3) Grammar |
Two errors in grammar (4-5 pts) |
Three or more errors in grammar (0-3.5 pt) |
6 |
|
|
4) Spelling & Punctuation |
Two to four errors in spelling and punctuation (4-5 pts) |
More than 5 errors in spelling and punctuation (0-3.5 pt) |
6 |
|
|
Total Score |
|
|
50 |
|
