Question

Questions

1.) Discuss methods to increase musculoskeletal strength and protect bones in older adults.

2.) Create a nursing plan of care for a patient with a musculoskeletal disorder of your choice.

Thanks

Answer 1

Ans) 1) Ways to build healthy bones:

- Eat Lots of vegetables.

- Perform Strength Training and weight-Bearing Exercises.

- Consume Enough protein.

- Eat High-calcium Foods Throughout the Day.

- Get Plenty of Vitamin D and Vitamin K.

- Avoid Very Low-Calorie Diets.

- Consider Taking a Collagen Supplement.

2) Nursing care plan:

Impaired physical mobility related to limited ROM

Goals: Patient performs physical activity independently or within limits of disease.

Intervention & Rationales

-Assist patient for muscle exercises as able or when allowed out of bed; execute abdominal-tightening exercises and knee bends; hop on foot; stand on toes. Adds to gaining enhanced sense of balance and strengthens compensatory body parts.

- Present a safe environment: bed rails up, bed in down position, important items close by. These measures promote a safe, secure environment and may reduce risk for falls.

- Establish measures to prevent skin breakdown and thrombophlebitis from prolonged immobility:

• Clean, dry, and moisturize skin as necessary.

• Use anti embolic stockings or sequential compression devices if appropriate.

• Use pressure-relieving devices as indicated (gel mattress).

This is to prevent skin breakdown, and the compression devices promote increased venous return to prevent venous stasis and possible thrombophlebitis in the legs.

Execute passive or active assistive ROM exercises to all extremities.Exercise enhances increased venous return ,prevents stiffness, and maintains muscle strength and stamina.It aslso avoids contracture deformation, which can build up quickly and could hinder prosthesis usage.