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Improving Pharmaceutical Care of the Elderly Patient with GERD. CE from Pharmacy Times. CE objectives: Identify the high prevalence of gastroesophageal reflux disease (GERD) in elderly patients. Explain the economic burden of GERD in the elderly in the United States. Understand the risk factors associated with GERD. Review the diagnosis and complications of GERD as well as the goals of therapy. Specify atypical symptoms of GERD common in the elderly patient population. Institute strategies to optimize pharmacologic therapy in elderly patients being treated for GERD (eg, proper dosing and monitoring for signs of adverse events).

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