Chapter 54 Case Study Mr. Williams is a 60-year-old man who has been diagnosed with gastroesophageal reflux disease (GERD). 1. What patient teaching about health promotion and lifestyle changes should the interprofessional team members provide to Mr. Williams? Mr. Williams tells the nurse that his physician suggested taking Gaviscon to assist with managing GERD-associated symptoms. He says that he is afraid something is wrong with the medication that he bought, because it “foams every time I put it in my mouth.” What is the appropriate nursing response? After 6 months of trying various medications, Mr. Williams is still having symptoms associated with GERD. He decides to undergo the Stretta procedure. What postoperative instructions should the nurse provide and what lifestyle changes can nurses teach that decrease gastroesophageal reflux disease (GERD) and alterations in comfort associated with hiatal hernias. 2. 3.