CARE OF MOTHER AND CHILD

AT-RISK OR WITH PROBLEMS

(Acute and Chronic)
(NCM 109)

Submitted by: Hannah Alexie A. Nebab

BSN 2-C

Mrs. Marilyn Racca, RN

Instructor

Second Semester, S.Y. 2021-2022

 LEARNING DESIGN FOR THE CONDUCT OF HEALTH TEACHING TO CAREGIVER WHO HAS A CHILD WITH
GASTROESOPHAGEAL REFLUX (GER)

Course Code: NCM 109 Course/Year/Section: BSN 2C

Concept: Caregivers who has a child with Gastroesophageal Reflux (GER) Presented by: Hannah Nebab
Topic: Gastroesophageal Reflux Date: April 25, 2022

Specific Objectives Content Time Methodology Resources Evaluation

Frame Human Materials
1. To define Gastroesophageal Reflux (GER) 10 mins. Interactive Hannah Nebab Powerpoint Cognitive
Gastroesophageal discussion and presentation (Question and
Reflux (GER). ➢ The stomach and esophagus are visual aids with visual Answer)
referred to as aids
To educate and “gastroesophageal.” The word
spread awareness in “reflux” implies “to flow back” Brochure
regards the or “to return.” When the
condition. contents of your stomach return
up into your esophagus, this is
known as gastroesophageal
reflux.
➢ LES opens to enable food into
your stomach during regular
digestion. The valve then
closes, preventing food and
acidic stomach fluids from
returning from the esophagus.
When the LES is weak or
relaxes when it shouldn’t, it
causes gastroesophageal reflux.
This allows the contents of the
stomach to flow up into the
esophagus.
2. To identify, Signs and Symptoms of GER 10 mins. Interactive Hannah Nebab Powerpoint Interactive
differentiate, and discussion and presentation Game
enumerate the signs ➢ Heartburn visual aids with visual
and symptoms of - A burning pain felt into the aids Identification of
Gastroesophageal chest due to inability of the signs and
Reflux (GER). esophagus to contract or Brochure symptoms
close, which causes the through pictures
food to return.
➢ Weight loss
- This occurs due the
irregular eating pattern and
inadequate nutrition.
➢ Recurrent regurgitation with
or without vomiting
- Due to the constant acid
reflux, it can irritate the
linings of the esophagus.
Which causes the food to
come back into the mouth
from the esophagus.
➢ Cough
- Coughing can be caused by
acid reflux or the reflux of
nonacidic stomach
contents.
➢ Hoarseness
- This occurs due to inflamed
vocal cords.
➢ Sandifer Syndrome
- An uncommon
manifestation,
characterized by spasmodic
torsional dystonia with
arching of the back and
opisthotonic posturing.
3. To identify and Cause of GER 10 mins. Interactive Hannah Powerpoint Cognitive
enumerate the cause ➢ A ring of muscle, called the discussion and Nebab presentation (Question and
and effect of GER. lower esophageal sphincter, visual aids with visual Answer)
separates the esophagus from the aids
stomach. GER symptoms
happen if this ring relaxes at the Brochure
wrong time or doesn’t close as it
should.
➢ This lets acidic fluid from the
stomach flow backward into the
esophagus, into the back of the
throat, and sometimes out the
mouth or nose.

Effect of GER in the following

domains:

• Affective
- Behavior problems (due to
stress, feeling of self-guilt,
and anxiety)
- Sleep disturbance

• Cognitive
- Decreased cognitive
performance

• Psychomotor
- Reduced productivity
- Altered physical activities
5. To spread Treatment and Management of GER 10 mins. Interactive Hannah Powerpoint Cognitive
awareness on the discussion and Nebab presentation (Question and
different treatments ➢ Burping your baby after every visual aids with visual Answer)
and management for feeding aids
GER. ➢ Do not overfeed the baby
➢ Limit foods and beverages that Brochure
seem to worsen your child's
reflux such as high fat, fried or
spicy foods, carbonation, and
caffeine.
➢ Elevate the head of your child’s
bed
➢ Close monitoring of your baby
➢ Drug of choice to Pediatric
GER: Antacids
6. To let the Demonstration of the different 10 mins. Interactive Hannah Powerpoint Return
caregivers know the burping techniques discussion and Nebab presentation demonstration
different burping visual aids with visual
positions and select ➢ Shoulder position aids
the best burping - Hold your baby with his head
position of their resting on your shoulder, Brochure
choice appropriate patting or rubbing his back
for their babies to with your other hands.
avoid the incidence
of acid reflux. ➢ Face down position
- Rest your baby on your lap
with his tummy faced down
gently and gently rub or tap
his back.

➢ Sitting-up position
- Sit your baby on your lap
supporting his chin and chest
with one hand while rubbing
or patting his using your free
hand.
 Table 1.1: MEAL PLAN FOR A 3-YEAR OLD FEMALE CHILD WITH CELIAC DISEASE

FOOD EXCHANGES NO. OF CHO CHON FATS ENERGY B L D Sn

EXCHANGES g g g kcal

I. Vegetable A 2 0 0 0 0 1 1

Vegetable B 2 6 2 0 32 1 1

II. Fruits 3 30 0 0 120 1 1 1

III. Milk 2 24 16 0 160 1 1
IV. Rice 3 69 6 0 300 1 1 1 1
V. Meat 2 0 16 12 172 1 1
VI. Sugar 3 15 0 0 60 1 1 1
VII. Fat 0 0 0 30 0
Total 17 144 40 42 844 4 5 5 4

Table 1.2: MENU PLAN FOR A 3-YEAR OLD FEMALE CHILD

Breakfast

Measurement
Eggplant

Rice, cooked ½ cup

Banana (Lakatan) 1 (9x3 cm)

Milk, powdered ¼ cup

 Snack: AM

Measurement
Melon 1-1/3 cup

Plain yogurt ½ cup

Lunch

Measurement
Malunggay leaves

Mungbean sprout

Rice, cooked ½ cup

Chicken (laman) 1 slice

Orange juice 1 tetra-brick

Snack: Afternoon

Measurement
Lugaw 2 cups

Pineapple juice 1 tetra-brick

 Dinner

Measurement
Steamed carrot 1 pc

Tilapia 2 (12x5 cm each)

Rice, cooked 1 slice (10 x 6 x 2 cm) or ¾ cup

Strawberry 1-1/4 cups

Mango juice 1 tetra-brick