Case Study
Ruth Jones, a 60-year-old woman, presents to your office with complaints of heartburn, occurring mainly after eating and especially at night. She also reports experiencing nausea, regurgitation, and severe burning in her chest after eating spicy food. After a complete physical examination and referral for tests to rule out other causes, you diagnose her with gastroesophageal reflux disease (GERD). She also has a history of asthma and osteoporosis, and six months earlier she fractured her hip following a fall.
Case Study Questions
1. Based on Ms. Jones’s diagnosis and medical history, what would you advise as effective pharmacologic treatment options for managing her GERD?
2. What nonpharmacologic treatment options might be beneficial?
3. What education will you provide to Ms. Jones?
4. Are there specific monitoring parameters that would be appropriate for this patient relative to the therapy that you prescribe?
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