Question

Patient: Lisa is a 70-year-old Caucasian post-menopausal (since age 50) female. She is currently sedentary, and has smoked for most of her adult life. Lisa has lost 1.25 inches in height, and has upper-back and hip pain. Her physician just recently diagnosed her with osteoporosis. She has chosen not to use estrogen replacement therapy, but she has overheard her friends talking about some new “bone drugs” that have been prescribed to them. Lisa has been cleared by her physician to begin an exercise program.

1. Why has Lisa lost height?

Subjective (S): “I had a bad fall in my home last month when climbing up my basement steps. I’m worried about falling again, and I am having trouble going up and down the steps in my house. I want to become more active, and accomplish my daily tasks around the home with greater ease. Some of my friends have been jogging around the neighborhood in the evenings, and I want to join them since I know exercise is beneficial to my health. My physician is confident that you can develop an exercise program for me that will help slow my bone loss, and improve my overall quality of life. Also, could you please inform me about which “bone drugs” I should be taking?”

2. Should Lisa go jogging with her friends in the evenings? Please explain your answer.

3. What “bone drugs” might you talk to Lisa about? Name a few of these drugs, and describe their primary effects. Remember your scope of practice: You can educate Lisa about the various “bone drugs” that are available. However, all questions regarding whether or not they are right for her to take should be directed to her physician.

Answer 1

1.Height loss is common with advancing age but more rapid after age of 70's.In this age or by increasing age body face changes in bones,muscles,joints and ligaments.The strongest determinants of height loss are vertebral fracture and throacic hyper-kyphosis.it is associated with back pain.Aged people lose height because the disc between the vertebrae in supine compress and dehydrate.Supine become more curved,collapse of vertebrae,low bone density,loss of muscle elasticity

The cause includes...

*Changes in the curvature of spine.

*Narrowing of the intervertebral disc.

*vertebral fractures.

Prevention is...

*Eat calcium and Vit-D rich diet.

*Regular physical activity or weight bearing exercises.

*Avoid smoking.

* No alchol consumption

EXERCISES...exercise reverse bone loss.if you have osteoporoais disease then it is very necessary to do regular exercises to build and protect your bones abd improve your quality of life.following are exercises..

*weight bearing exercises such as-dancing

jogging

Tennis

*muscle building exercises.

*work out with resistance bands.

*Hand and ankle lifting.

Balancing exercises--standing on one feet and leg raises

2.Yes,she should go for jogging with her friends in morning or in evening with some instructions.

Jogging is a type of physical activity.It is a kind of aerobic exercise.Their are many benefits of jogging such as..

*It helps to buid strong bones.

*It helos to strengthen muscles of body.

*It help to maintain cardiovascular fitness.

*It helps to burn calories.

*It will maintain a helathy weight.

#INSTRUCTIONS for starting jogging are..

*Start with walking,then jogging,then work up to running

*Just set your mind that have to do for 30 minutes per session and try to increase little little timing in each session.

*Strecting and warm up is very important before starting jogging.

*Take a water bottle or plenty of fluid with you and drink before,during and after run.

*Plan your route,Give prefrance to flat,grassy area rather than hard and slippery and inbetween road.

*wear loose cotton clothes.

*Wear good quality shoes.

3.bone drugs.....

The common medicine for osteoprosis is...

* Fosamax and Actonel--It lowers the risk of spine and hip fractures.

*Bonvia...Alters the bone formation cycle and body breakdown.Used to prevent osteiprosis in women after menopause.slowdown bone loss by increasing body mass and prevent bone fractures.

*forteo....kind of bone builder,It used to treat bone loss who has high risk of getting fracture.It is same like parathyroid hormone of our body.It works to increase bone mass and strength

*Denosumab..It is mostly given to people who has risk of bony fracture due to liw bone density.

*Calcitonin..It is naturally occuring hormone that helps to regulate calciym in body and in bone building process.It reduce spinal pain.