Discharge And Home Healthcare Guidelines

Instruct the patient to avoid caffeine drinks, hot and spicy foods, identified aggravating foods, alcohol, smoking, salicylates, and NSAID OTC drugs. Provide a written list of symptoms of GI bleeding and pernicious anemia (weakness, sore tongue, numbness and tingling in the extremities, anorexia, weight loss, angina, shortness of breath, palpitations). Inform the patient of the need for lifetime vitamin B12 intramuscular injections if pernicious anemia develops. Reinforce the need for follow-up for early detection testing for gastric cancer. Review medication action, dosage, frequency, and side effects. Make referrals to smoking and alcohol cessation programs of the patient's choice. Reinforce relaxation exercises and stress management techniques.


DRG Category: 182 Mean LOS: 4.3 days Description: MEDICAL: Esophagitis,

Gastroenteritis, and Miscellaneous Digestive Disorders, Age > 17 with CC

GG astroenteritis is an inflammation of the stomach and the small bowel. More than 200,000 pediatric hospitalizations occur each year in the United States, and as many as 10,000 people die each year. Gastroenteritis is a self-limiting disease that is also called intestinal flu, traveler's diarrhea, viral enteritis, or food poisoning. The stomach and small bowel react to any of the causative agents with inflammation and increased gastrointestinal (GI) motility, thus leading to severe diarrhea. Gastroenteritis is a common disease throughout the world, and often outbreaks occur in epidemics, especially among people who are living in crowded conditions. It is also more common in autumn and winter than in the warmer seasons. Although it is a major cause of mortality and morbidity in underdeveloped countries, in the United States, the condition is rarely life threatening. It does rank second to the common cold as a cause of sick days among American workers, however.

The viral or bacterial organisms enter the intestinal tract and cause inflammation to the intestinal lining and diarrhea by one of the following means: (1) Enterotoxins are released from the organism and stimulate the intestinal mucosa to secrete increased amounts of water and electrolytes into the intestinal lumen; (2) the organisms either infiltrate the intestinal wall, causing cell destruction of the lining, or attach themselves to the epithelium, causing cell destruction of the intestinal villae.

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