Question

case study please net hand writing if you are going to post a picture this is all the info that was given to me

Scenario #1: Older Adults: Mrs. Alice Green, a 78 year old female, has had a bone density scan as part of a regular physical check and has been told that she has severe osteoporosis. Her primary care health practitioner has ordered a new medication that is supposed to maintain bone mass in clients with osteoporosis. Mrs. Green lives alone in her own home and is able to perform her activities of daily living (ADLs) independently. How would you define osteoporosis to Mrs. Green? What risk factors related to osteoporosis should be included in an assessment of Mrs. Green? Which of the risk factors are modifiable or can be altered by a change in lifestyle? What preventive measures should be taught to decrease risks of fractures and to maintain bone mass? As a community nurse, what type(s) assessment or recommendations would make to Mrs. Green?

Answer 1

1. Due to hormonal changes or deficiency of calcium or vitamin D bones become brittle and weak and will increase the risk of fractures.

2. Risk factors :-

- Family history of osteoporosis.

- Lifestyle factors such as smoking , heavy alcohol use , getting little exercise , a diet low in calcium or vitamin D , excessive dieting .

- Menopause women is at greater risk due to low estrogen hormone.

- Use of corticosteroids.

- Surgery like removal of ovary before menopause.

- Medical conditions like hyperthyroidism or hyperparathyroidism .

3. Modifiable risk factors of osteoporosis:-

Alcohol , smoking , low calcium intake, vitamin D deficiency , insufficient exercise , eating disorders.  

4. Get enough calcium and vitamin D and well balanced diet , Regular exercise , Eat food which helps in bone health , Avoid smoking and alcohol .

5. To assess bone density scan is needed to measure bone mineral density and it is performed using dual energy x- ray absorptiometry (DXA or DEXA).