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.

Applying clinical practice guidelines to a patient with complicated gastroesophageal reflux disease.

Gastroesophageal reflux disease (GERD) is a complex, often misunderstood disease that requires comprehensive medical and nursing care. Recently published clinical practice guidelines provide new direction with regard to the causes, diagnosis, treatment, and nursing care of patients with GERD. Using a case study approach, this article outlines the most recent evidence-based treatment options and patient education guidelines for a patient suffering from a complicated case of GERD.

Update on acute pancreatitis.

Acute pancreatitis is a complex, life-threatening disease that requires diligent and comprehensive medical and nursing care. Recent research and expert panels consensus statements provide new direction with regard to the causes, diagnosis, prognostic indicators, treatment, and nursing care of patients with acute pancreatitis.