Family education and are support vital. The nurse begins educating the parents so they learn what GERD is and how this chronic disease is managed. It is explained that different formulas, feeding routines, and medications may be tried ore it is determined what will work best for their infant. The possibility of surgical treatment is discussed. Parents are taught the purpose, dosage, schedule, and side effects for each medication prescribed. The nurse shows parents how to monitor and care for their infant and then encourages them to practice assessment, positioning, formula preparation, feeding techniques, and medication administration with supervision until they demonstrate proficiency. Training for parents in infant CPR is mandatory. Parents of infants with GERD may feel overwhelmed by the complex health care needs of their infant and anxiety regarding their ability to care for their child on a long-term basis. The nurse encourages open communication so parents will share their concerns and fears. Referrals to community agencies and services can significantly increase parental competency. Support from other parents of children with GERD can improve coping.