Question

In: Nursing

Mrs. Johnson, a 78 yrs. old African-American woman who lives in Bangor, Maine. She rarely goes...

Mrs. Johnson, a 78 yrs. old African-American woman who lives in Bangor, Maine. She rarely goes outside because of her health and concern for her safety as she lives in a high crime rate area of the city. She has been diagnosed with osteomalacia and lactose intolerance. What factors likely contributed to the osteomalacia diagnosis and why?

Solutions

Expert Solution

Definition of Osteomalacia: Weekening of bones is called Osteomalacia.

Factors contributing to Osteomalacia:

  1. Lack of Vitamin D: Vitamin D helps to build calcium and phosporus level which in turn helps bone development.

Some diseases can interfere with the absorbtion of Vtamin D.They are:

  • Kidney and liver diseases that affect the absorption of vitamin D.
  • Celiac diseases that damages the inner lining of intestines and hence affect the absorption of Vitamin D.

2. Low level Calcium: Can cause Pain in the bone

3. Low level Phosphorus: Can lead to breakage of bones.

4. Some seizure medication can cause Osteomalacia.

5. If kidneys cannot handle acids properly, then too osteomalacia can occur.

6. Lack of proper exposure to Sunlight can cause osteomalacia.

7. Through surgery if any part of the intestine is removed, then too osteomalacia can occur because the absorption of vitamin D will not take place properly.

Hence, these are the contributing factors which can lead to osteomalacia.


Related Solutions

Mrs Lee is a 60 years old woman. She is the housewife and lives with his...
Mrs Lee is a 60 years old woman. She is the housewife and lives with his husband and son in the public estate. Last week, she went to the wet market for buying food and groceries. She slipped fall on the street. Her right upper arm and armpit region were hit on the kerb. She went home and massage the armpit and upperarm immediately with massage oil. However pain over upper arm and armpit were still. At evening severe bruising...
Case Scenario Mrs Lee is a 60 years old woman. She is the housewife and lives...
Case Scenario Mrs Lee is a 60 years old woman. She is the housewife and lives with his husband and son in the public estate. Last week, she went to the wet market for buying food and groceries. She slipped fall on the street. Her right upper arm and armpit region were hit on the kerb. She went home and massage the armpit and upperarm immediately with massage oil. However pain over upper arm and armpit were still. At evening...
Case Scenario Mrs Lee is a 60 years old woman. She is the housewife and lives...
Case Scenario Mrs Lee is a 60 years old woman. She is the housewife and lives with his husband and son in the public estate. Last week, she went to the wet market for buying food and groceries. She slipped fall on the street. Her right upper arm and armpit region were hit on the kerb. She went home and massage the armpit and upper arm immediately with massage oil. However pain over upper arm and armpit were still. At...
Brief Patient History Mrs. G is a 54-year-old African American woman who has been having intermittent...
Brief Patient History Mrs. G is a 54-year-old African American woman who has been having intermittent indigestion for the past month. She has a history of hypertension and hyperlipidemia. She was admitted as an inpatient on a medical floor for management of her blood pressure and is scheduled to undergo endoscopy tomorrow. Mrs. G suddenly becomes diaphoretic and complains of nausea and epigastric pain. Clinical Assessment The rapid response team is called to evaluate Mrs. G. When the team arrives...
Mrs. Johnson is a 70-year-old woman who had a stroke less than a year ago. Mrs....
Mrs. Johnson is a 70-year-old woman who had a stroke less than a year ago. Mrs. Johnson is alert and oriented. She feels the sensation to void but right-sided weakness prevents her from always being able to get to the bathroom in time. For this reason, she wears incontinence undergarments. Mrs. Johnson’s daughter, Amy stops by twice each day to check on her and prepare meals for her. There are times when Mrs. Johnson is incontinent and remains in a...
Mrs. Jacks is a 78-year-old woman who is a resident of a long term care home....
Mrs. Jacks is a 78-year-old woman who is a resident of a long term care home. When you are administering Mrs. Jacks her medication at 0830am she states, “I feel like I need to go to the bathroom constantly and it hurts when I go.” Mrs. Jacks’ urine is cloudy and has a foul odor. Her temperature is 38.1 degrees Celsius. You call the physician and she orders a specimen for C&S and you advise Mrs. Jacks to increase her...
Mrs. Thomson is a 78 year-old woman whose doctor recently recommended that she have a DXA...
Mrs. Thomson is a 78 year-old woman whose doctor recently recommended that she have a DXA scan in order to determine her bone mineral density. The scan results indicate low bone mineral density. Mrs. Thompson refuses to take pills or supplements and is, therefore, referred to a dietitian for nutritional counseling. a. With Mrs. Thompson’s diagnosis of osteopenia, intake of which micronutrients will be most critical components in her nutrition plan? b. What physiological role do these micronutrients play that...
Mrs. Anna Temple, A 40-year-old African American woman, arrives at the emergency room, with her husband...
Mrs. Anna Temple, A 40-year-old African American woman, arrives at the emergency room, with her husband Joe. According to Mr. Temple, his wife woke up at 7 am to get ready for work. Mrs. Temple was unable to get out of bed due to weakness in her left arm and left leg. Mr. Temple also noticed the left side of his wife’s face was drooping. Upon arrival at the ED, Anna Temple had a left facial droop, left-sided hemiparesis, expressive...
Mrs. Folley is a 51-year-old African American female who works as a bookkeeper for an insurance...
Mrs. Folley is a 51-year-old African American female who works as a bookkeeper for an insurance company. Her father and brother have type 2 diabetes mellitus, and have had severe complications because of poor control of blood glucose.   She is 5' 4" tall and weighs 174 pounds with a medium frame. She has a history of obesity, hypertension, hypothyroidism, and frequent urinary tract infections, and is currently taking propranolol hydrochloride and synthroid.   Mrs. Folley complains of constant fatigue over the...
Mrs. Folley is a 51-year-old African American female who works as a bookkeeper for an insurance...
Mrs. Folley is a 51-year-old African American female who works as a bookkeeper for an insurance company. Her father and brother have type 2 diabetes mellitus, and have had severe complications because of poor control of blood glucose.   She is 5' 4" tall and weighs 174 pounds with a medium frame. She has a history of obesity, hypertension, hypothyroidism, and frequent urinary tract infections, and is currently taking propranolol hydrochloride and synthroid.   Mrs. Folley complains of constant fatigue over the...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT