GERD in Older Adults: Case Study
About the Lecture
The lecture GERD in Older Adults: Case Study by Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C is from the course Management of Gastrointestinal System Disorders in the Older Adult.
Included Quiz Questions
What is the optimal timing for administering proton pump inhibitors (PPIs) in older adults to maximize acid suppression?
- 30-60 minutes before breakfast
- Immediately after dinner
- At bedtime with a small snack
- With lunch to maximize absorption
- 2 hours after any meal
Which physical examination finding may indicate chronic acid exposure in an older adult with worsening GERD symptoms?
- Dental erosion
- Elevated respiratory rate
- Enlarged thyroid
- Hypoactive bowel sounds
- Peripheral edema
What is the most appropriate strategy for managing osteoarthritis pain in an older adult with worsening GERD symptoms who is currently using NSAIDs?
- Discontinue NSAIDs and use topical analgesics
- Continue NSAIDs but take with antacids
- Double the PPI dose while maintaining NSAID use
- Switch to a COX-2 selective NSAID
- Use NSAIDs only during daytime hours
Which age-related physiologic change increases the risk of GERD-related complications in older adults?
- Reduced esophageal peristalsis
- Increased saliva production
- Enhanced gastric emptying
- Higher lower esophageal sphincter pressure
- Improved mucosal repair mechanisms
Which assessment question is most clinically important when evaluating an older adult with worsening GERD symptoms?
- Have you started taking any new over-the-counter medications?
- Do you experience symptoms primarily after spicy foods?
- How many years have you had GERD symptoms?
- Are your symptoms worse on weekends?
- Do you find that stress makes your symptoms worse?
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Author of lecture GERD in Older Adults: Case Study
Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C
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