An 82-year-old female pat...

An 82-year-old female patient with a medical history of chronic obstructive pulmonary disease and hypertension on regular medications presented with severe symptoms of gastroesophageal reflux disease (GERD), specifically regurgitation. The patient has not been adherent to surgical interventions, and proton pump inhibitors (PPIs) have proven ineffective in managing her heartburn. What would be the recommended course of action for further management?