The nurse is planning a teaching session for older community members about the risks for peptic ulcer disease (PUD) found with this age group. What should the nurse include when teaching this community group?
A) PUD in an older client causes less bleeding than in a younger client.
B) The elderly client experiences more severe abdominal pain than a younger client with PUD.
C) Older clients should undergo colonoscopy when diagnosed with PUD.
D) Peptic ulcer disease (PUD) is likely to be exacerbated by the bacterium H. pylori.
Answer: D
H. pylori infection is a major factor in the development of ulcers, and prevalence increases with the age of the client. Seventy to ninety percent of persons with gastric ulcers and 90% to 100% of clients with duodenal ulcers are found to have this infection. Older clients experience more bleeding and often have less pain with the ulcer. Bleeding may be the initial symptom experienced. Patients with peptic ulcers should have upper GI endoscopy performed to diagnose the problem with visualization and biopsy, not colonoscopy.
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