Care of the laparoscopic Nissen fundoplication patient.
Gastroesophageal reflux disease can usually be successfully managed with conservative medical treatment. Anti-reflux surgery is a safe alternative when treatment fails or patients desire a more definitive treatment option. Through a case study approach, this article describes the indications for surgery, the essentials of the authors' multi-disciplinary approach to care and the components of a well-designed education plan for a patient undergoing laparoscopic Nissen fundoplication. Although most patients do well after surgery, diligent nursing care is required before and after surgery to prevent or manage complications and ensure patients have a rapid recovery and successful outcome.
Aronson
B S
BS
Southern Connecticut State University, New Haven, Hartford. baronson@home.com
Yeakel
S
S
Ferrer
M
M
Caffrey
E
E
Quaggin
C
C
D018662:Fundoplication / Q000009:adverse effects / Q000379:methods / Q000451:nursing*; D005764:Gastroesophageal Reflux / Q000451:nursing* / Q000601:surgery*; D005773:Gastroscopy / Q000009:adverse effects / Q000379:methods / Q000451:nursing*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team / Q000458:organization & administration; D010351:Patient Discharge; D010353:Patient Education as Topic / Q000379:methods; D018579:Patient Selection; D019990:Perioperative Care / Q000379:methods* / Q000451:nursing*; D016896:Treatment Outcome