An older client is newly diagnosed with gastroesophageal reflux disease. What education should the nurse give them about this disease and heartburn issues?
1. If symptoms are felt, it is best to lie down.
2. It should not put the older patient at increased risk for cancer.
3. It may cause severe chest pain that mimics cardiac symptoms.
4. It is best to eat three times a day; food restrictions are not necessary.
3. It may cause severe chest pain that mimics cardiac symptoms.
Explanation: 1. Heartburn will become worse when lying flat or bending over.
2. Approximately 10 to 15% of older patients with GERD develop Barrett's esophagus, which is a precancerous inflammation of the cells lining the esophagus resulting from chronic exposure to the acid reflux.
3. The heartburn associated with gastroesophageal reflux disease (GERD) can cause chest pain that is so severe and persistent that the older patient is unable to distinguish the pain from cardiac pain and may seek emergency medical attention.
4. The heartburn is worsened by eating large meals; it is best to eat frequent small meals throughout the day.
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