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,...

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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?

Answered Same DayApr 17, 2021

Answer To: Case Study Ruth Jones, a 60-year-old woman, presents to your office with complaints of heartburn,...

Sumita Mitra answered on Apr 18 2021
148 Votes
1
Case Study Answers:
1) Based on the medical history of Ms. Jones and the condition she is in at
the moment, one can suggest a range of effective pharmacological treatment plans for her. She can start with taking acid neutralizing medicines purchased over the counter. GERD is a disorder of the oesophagus where certain pharmacological interventions are affective and mainly the antisecretory therapy is effective for its treatment. To begin with she should also avoid spicy food late evenings and also incorporate the step up approach as the symptoms on display is happening after eating specially. For her a special treatment plan needs to be planned as she has asthma and also has a history of osteoporosis. She can also take histamine blockers as a medication to lower the acid secretion in her stomach and reduce the burning sensation.
    
2) Non-pharmacological therapies help to improve the quality of life. She should avoid taking spicy food at night and also give considerable gap in eating...
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