Postural hypotension is a common problem following prolonged bed rest and may require specific interventions tilt table with gradual elevation to upright position. It is especially important to avoid restraints in these patients.
Biphosphonates that include daily or weekly oral preparations of alendronate or risedronate, monthly oral preparations of ibandronate, or yearly intravenous infusions of zoledronic acid increase bone mass and decrease bone loss by inhibiting osteoclast function.
Refer to psychiatric clinical nurse specialist or therapist as indicated. Risk for constipation related to immobility or development of ileus. Initiate bowel program stool softeners, enemas, laxatives as indicated.
Description Osteoporosis is classified as a metabolic bone disorder. Pharmacologic Therapy The first-line medications and other medications used to treat and prevent osteoporosis include: Improves muscle strength and circulation, enhances patient control in situation, and promotes self-directed wellness.
Therefore, gastrointestinal GI function should be fully restored before protein foods are increased. Protein foods increase contents in small bowel, resulting in gas formation and constipation. Patient or SO may require more intensive treatment to deal with reality of current condition, prognosis, prolonged immobility, perceived loss of control.
Fracture pan limits flexion of hips and lessens pressure on lumbar region and lower extremity cast. A sedentary lifestyle, lack of weight-bearing exercise, and low weight and body mass index increases the risk for osteoporosis because bones need stress for bone maintenance.
Back See Also You may also like the following posts and care plans: Too much consumption of caffeine and alcohol, smoking, and lack of exposure to sunlight reduces osteogenesis in bone remodeling.
A one or two-person pivot transfer utilizing a transfer belt can be used if patient has weight-bearing ability. With the aging of the population, the incidence of fractures more than 1. Modifications in lifestyle such as reduced use of caffeine, cigarettes, carbonated softdrinks, and alcohol could improve osteogenesis for bone remodeling.
Adding bulk to stool helps prevent constipation. Increasing calcium intake and supplementation as appropriate Support fracture stabilization Whether cast or splint, ensure it is on appropriately and evaluate for skin irritation and breakdown.
Acute pain related to fracture and muscle spasm. Statistics and Incidences Osteoporosis is the most prevalent bone disease in the world. Early identification of at-risk teenagers and young adults could prevent osteoporosis.
Patient may be restricted by self-view or self-perception out of proportion with actual physical limitations, requiring information or interventions to promote progress toward wellness.
Encourage active range of motion exercises. Prevents complications of immobility and knowledge assists family members to be better prepared for home care. Assist patient with walking if at all possible, utilizing sufficient help.
BMD testing is useful in identifying osteopenic and osteoporotic bone and in assessing response to therapy. Done to promote regular bowel evacuation.
Consult with physical, occupational therapist or rehabilitation specialist. Secondary osteoporosis is the result of medications or other conditions and diseases that affect bone metabolism. Encourage participation in diversional or recreational activities.
Prevents or reduces incidence of skin and respiratory complications decubitus, atelectasis, pneumonia.
Primary osteoporosis occurs in women after menopause and in men later in life, but it is not merely a consequence of aging but of failure to develop optimal peak bone mass during childhood, adolescence, and young adulthood. Identifies problems and helps to establish a plan of care.
Encourage increased fluid intake to — mL per day within cardiac toleranceincluding acid or ash juices. Provides change of scenery, movement, and encourages participation in activities.
Instruct family regarding ROM exercises, methods of transferring patients from bed to wheelchair, and turning at routine intervals. Reposition patient every 2 hours and prn.
Provide range of motion exercises every shift. It is projected that one of every two Caucasian women and one of every five men will have an osteoporosis-related fracture at some point in their lives. Laboratory studies such as serum calcium, serum phosphate, serum alkaline phosphatase, urine calcium excretion, hematocrit, erythrocyte sedimentation rate, and x-ray studies are used to exclude other possible disorders that contribute to bone loss.
Gas-forming foods may cause abdominal distension, especially in presence of decreased intestinal motility.Osteoporosis is a disease that thins and weakens the bones.
Your bones become fragile and break easily, especially the bones in the hip, spine, and wrist. In the United States, millions of people either already have osteoporosis or are at.
Start studying Evolve Maternity and Women's Health Nursing - Women's Health.
Learn vocabulary, terms, and more with flashcards, games, and other study tools. A nurse is writing a teaching plan about osteoporosis. How should the nurse explain what osteoporosis is? Evolve Maternity and Women's Health Nursing - Pregnancy.
Teaching Plan Introduction more over ten years cut their risk of knee osteoporosis in half. Objective 3: How to Treat and Care for People with Arthritis 1. Go over the third page of the learning guide in detail. Be sure your workers understand each of the.
Osteoporosis Teaching Instructed on some factors that may increase the risk of developing/exacerbating Osteoporosis, such as: advancing age and immobilization or lack of regular exercise, among others.
Start studying chapter 53 med/surg. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Search. Which instruction does the nurse include in the discharge teaching plan of a client who has osteoporosis? An adult client's susceptibility to osteoporosis is caused by which aspect of his or her history?Download