Question

How is osteoarthritis different from osteoporosis?

What are some nursing considerations and patient teaching for a patient after gallbladder surgery?

Answer 1

# )osteoarthritis different from osteoporosis

Osteoarthritis is a type of arthritis that occurs when a flexible tissue at the ends of bones wears down .It can cause joint pain and shiffness ,Whereas osteoporosis is a condition in which bones become weak and brittle , osteoporosis or thinking bones,can result in painful fractures.

#) Nursing consideration for a patient after gall bladder surgery.

(* Nursing assessment.)

+ Integumentary system- assess skin and mucus membrane.

+ Circulatory system- assess perpheral pulses and capillary refill.

+ Bleeding- assess for unusual bleeding oozing from injection sites,epistaxis , bleeding gums, pctechia , ecchymosis ,hematemesis or melena

+ Gastrointestinal system- assess for abdominal distention, frequent bleaching, guarding and reluctance to move.

( Nursing intervention)

+ Pain assessment- observe and document location, severity (0-10)scale and characters of pain

+ Activity- promote bedrest , allowing the Patient to assume a position of comfort

+ Diversion- Encourage use of relaxation techniques,and provide diversional activities.

+ Communicate - maketime to listen and to maintain frequent contact with the patient.

+ Calories- calculate caloric intake to identify nutritional deficiencies or needs

+ Food planning- consult the patient about like and dislikes,foods that came distress,and preferred meal schedules.

+ Promote appetite-provide a pleasant atmosphere at mealtime and remove noxious stimuli.

+ Laboratory studies- monitor laboratory studies;BUN , pre - albumin, albumin, total protein,trandferm level.

+ Provide proper position to the Patient.

( Patient education)

+ Diet : consult with the dietitian or nutritional support to establish individual nutritional needs

+ Activities- ambulate and increase activity or tolerated

+ Education - patient with cholecystitis must be educated regarding cause of then disease , complication , also educate about infection.

* Follow-up- tell the patient about the importance of correct follow up

+ Medications-medication should be taken at the correct time and at the correct dose