What can be done to assist a resident who has Gastroesophageal Reflux Disease (GERD)?

To assist a resident with Gastroesophageal Reflux Disease (GERD), advising them not to lie down for at least 2-3 hours after eating is essential. This recommendation is effective because lying down after a meal can increase the risk of acid reflux. When a person is horizontal, it becomes easier for stomach acid to rise up into the esophagus, leading to discomfort and other symptoms of GERD. Staying upright allows gravity to help keep the contents of the stomach down and minimizes reflux occurrences.

In contrast, encouraging increased water intake may not specifically address the symptoms of GERD, as hydration doesn't directly influence the prevention of reflux. Eating larger meals can exacerbate GERD symptoms because it increases the volume of food in the stomach, which can put more pressure on the lower esophageal sphincter and lead to reflux. Suggesting to lie down after meals contradicts the principles of managing GERD; it can worsen the condition by facilitating acid movement back into the esophagus. Thus, the rationale for suggesting that the resident maintain an upright position for a few hours post-meal is a key strategy in managing and alleviating the symptoms associated with GERD.