Physiology Osteoporosis is the loss of bone mass and deterioration of bone matrix resulting in brittle and fragile bones (Weber & Kelley, 2014). The rate of bone resorption is greater than the rate of bone formation, therefore, causing bones to become porous and under stress, can fracture (Drake, Clarke, & Lewiecki, 2015). Conditions that contribute to osteoporosis include poor nutrition, menopause, long-term use of glucocorticoid therapy, and hyperthyroidism are only a few conditions. These conditions all have several related factors that contribute to osteoporosis, breakdown of bone or prevention of bone remodeling. For instance, inadequate dietary intake of vitamin D and calcium can lead to osteoporosis because they are necessary for bone …show more content…
This assures that the nurse is obtaining information about the patient to get a full picture of the patient. For example, Mrs. Jones previous exam she was five foot six inches and on the most recent visit she is five foot and four in a half inches, losing an inch and a half. If the nurse or physician wasn’t comparing the two information they wouldn’t have all the data needed to make a diagnosis. Considering that Mrs. Jones had changes in her height, tests should be performed on to determine if she has osteoporosis. The most common test for diagnosis is by dual-energy x-ray absorptiometry (DXA) and quantitative computed tomography (QCT), technology that measures bone mass density (Drake, et al., 2015). In addition, national guidelines now recommend using FRAX, which is a fraction prediction tool (Ferrari, et al., 2012). Laboratory testing should also be performed to assess for possible deficiencies increasing bone loss. For example, serum calcium, phosphate, hematocrit, thyroid dysfunction, vitamin D deficiency (Ferrari, et al., …show more content…
Jones knows about osteoporosis, it is imperative to assess her knowledge. In addition, assessing her dietary intake of calcium is important to ensure she is properly getting the calcium needed for rebuilding of bones. Educating the patient on the use of Mylanta for her acid reflux can decrease the absorption of calcium therefore, preventing bone rebuilding. This is very important for Mrs. Jones as she has lost one and a half inches in height since her last visit. In addition, fall prevention should be stressed to Mrs. Jones. According to Cappola and Shoback (2016) forty six percent of women over fifty will sustain a fracture related to osteoporosis. Therefore, prevention is vital for Mrs. Jones. In addition, Mrs. Jones needs to be educated on the importance of weight bearing exercises, increased intake of calcium and vitamin D, and fall prevention (Cappola & Shoback,
Osteoporosis comes from the latin word meaning “porous bone”. If you were to look closely at a bone you could see there are these small spaces on the bone which is good, now if you look at someone who suffers from osteoporosis you will see these spaces are much larger. As these spaces become larger it takes away from the strength and integrity of the bone making it grow weak and thin. Osteoporosis is most common in women over the age of 50 and gives them a higher risk of fractures and or breaks especially common in the hips. While we know osteoporosis comes from a number of things it can be broken down to age, the hormonal changes most commonly seen in menopause and a lower intake of Vitamin D and Calcium. Age is the unpreventable factor that doctors or you cannot change. Hormonal changes can be fixed with supplements or hormone therapy along with ones intake of Vitamin D and Calcium. Hormone therapy, estrogen alone or the combination of estrogen and progestin have been proven to prevent and aide in the treatment of osteoporosis in
There are many different diseases that can affect our skeletal system and Osteoporosis is one of them. Osteoporosis lessens bone strength and bone density (amount of bone mineral in bone tissue), which will lead to fragile bones. It mainly affect the hips, ribs, spine, and wrists. Male or female, at any age, can get this but it is mostly occurs in older women (Team, 2016). Osteoporosis is very common, there are more than 3 million cases a year. There are many causes/risk factors, symptoms, and some treatment cases. About 54 million Americans have Osteoporosis and low bone mass (Foundation, 2016).
What is meant by a “complete, comminuted, intertrochanteric fracture of the right hip”? A complete, means that the bone is broken completely through a communication means that the bone has been broken into many pieces and a intertrochanteric means that it involves the greater and lesser trochanter of the femur bone.
Osteoporosis is a condition, which advances with age, resulting in fragile, weak bones due to a decrease in bone mass. Externally osteoporotic bone is shaped like normal bone, however it’s internal appearance differs. Internally the bone becomes porous due to a loss in essential minerals, including phosphate and calcium. The minerals are loss more quickly than they can be replaced and in turn cause the bones to become less dense and weak. The bones become prone to fracture, due to their weakness. Therefore the awareness of the disease tends to occur after a fracture has been sustained. The bones most commonly affected are the ribs, wrist, pelvis and the vertebrae.
Now, when considering one wants to prevent or treat Osteoporosis, it does not mean to cut yourself off of foods with small portions or extreme dieting. It is a common misconception that when a person wants to be healthy they must eat in smaller portions, and while this does have some truth, one must consider when it comes to eating healthy, it means to eat healthy by adding nutritious portions of fruits, vegetables, protein, carbs, and of course, calcium intake for the bones in one’s diet. Also, one must not deprive themselves of having a “cheat day” once a week with chips and candy. But it is a good start to begin adding calcium fortified foods and supplements, such as milk. People should at least aim for 1,000 to 1,200 milligrams a day of calcium. Low-fat cheese, milk, yogurt, orange juice, graham crackers, and calcium supplements are a beneficial contribution in accessing calcium to the body (Vander, 2003). Of course, Osteoporosis develops during old age, due to the gradual decline in exercising, calcium in bones, and weight loss. However, Osteoporosis is also genetically found in some people with a long history of family members who have had bone fractures. Also, many factors affect and can cause Osteoporosis and one of them is smoking. Because smokers have poor lungs, it can be difficult to exercise. Another is not going out too much,
First of all, being a woman is one of the risk factors of osteoporosis especially after the age of menopause. “30% of American women between the ages of 60 and 70 have osteoporosis” (Marieb & Hoehn, 2016).To clarify, menopause is characterized by the loss of estrogen hormone production by the ovaries. Since estrogen is necessary for osteoblast to build new bone tissues, the lack of this hormone will improve the ability of osteoblast to absorb the bone tissues. Another risk factor of osteoporosis is being Caucasian. Caucasian women are more likely to get osteoporosis. 30% of Caucasian women experience a bone fracture in their lives that is related to osteoporosis” (Marieb & Hohen, 2016) . Furthermore, genetics are another risk factor of osteoporosis. Individuals with a family history of osteoporosis are at a primary risk for developing this condition. Moreover, a bad and unhealthy lifestyle including poor diet, lack of activities and exercise, smoking, and drinking too much are also risks factors of osteoporosis. In addition, low body weight is another risk factor of osteoporosis. Individuals with low body weight and small amount of fat and muscles are more likely to get this
Osteoporosis is a systemic, debilitating disease of the skeleton, characterized by significantly decreased bone mass in combination with the deterioration of bone microarchitecture. Osteoporosis has three types of categories the first category is type 1 which occurs in women after menopause and results from declining levels of estrogen and other sex hormones in the body, this could also occur in men due to low levels of the sex hormone testosterone. Type 2 is called Senile Osteoporosis, which occurs in elderly men as well as elderly women because of decreased bone formation due to aging. Type 3 is caused by long term use of medication usually with steroids and drugs to treat elipsy. Osteoporosis which literally means “Porous Bone”,
Bone density generally refers to the strength of a bone and its ability to bear weight. Doing a bone density scan therefore measures a bone’s strength, its ability to bear weight, and its risk of fracture. The most common and accurate way to measure bone density is to use a Dual-Energy X-ray Absorptiometry (DEXA) scan. (Medlineplus, 2014). Before the use of DEXA was introduced, osteoporosis could be determined only when a patient broke a bone, and by then, the bone may have become very weak. With a bone density scan however, it can be determined if a patient is at risk of bone fracture, or at risk of osteoporosis. The bone density scan is done with Dual Energy X-ray Absorptiometry (DEXA) equipment. The DEXA technology became available for clinical use in 1987, but before then, there were the Single Photon Absorptiometry (SPA), and Dual Photon Absorptiometry (DPA), both of which are no longer in use. (Dasher, Newton, & Lenchik, 2010). The bone density scan is usually done on the following patients:
...a casein-free diet was 19.9ng⁄mL, for participants not on a casein-free diet it was 19.6ng⁄mL, and for controls it was 17ng⁄mL. There were no differences in the measurements of 25 (OH) D in all groups. About sixty-one percent, fifty-four children, had concentrations of less than 20ng⁄mL. This is the minimum concentration recommended by the American Academy of Pediatrics to ensure good bone health. These children could be at risk for problems associated with vitamin D deficiency. This includes concerns with bone health and calcium and phosphorus metabolism. Children with autism spectrum disorder are limited to what activities they can do and usually are not exposed to much sunlight causing them to be at a greater risk. Understanding the needs and taking preventive measures for children with autism will help reduce the risk of health problems as they enter adulthood.
The big picture. Where the two schools of medicine differ is in philosophy. Doctors of osteopathy "treat people, not just symptoms," says Karen Nichols, dean of the Chicago College of Osteopathic Medicine. "The course list looks exactly the same, but the M.D.'s focus is on discrete organs. The osteopathic focus is that all of those pieces are interrelated. You can't affect one with out affecting another." That means paying more than simple lip service to the idea of the "whole" patient: It means that diagnosis and treatment rely on an examination of a person's environment and family and general situation as well as his or her body. Not surprisingly, about 65 percent of the nation's 52,000 licensed osteopaths (by comparison, the country boasts at least 900,000 M.D.'s) are primary-care physicians. The American Association of Colleges of Osteopathic Medicine has a description of osteopathic training, as well as short profiles of 20 schools, at www.aacom.org. The D.O. programs and their contact information are listed in the directory section of this book.
The first component of the MUST involves measuring the patient’s height and weight to establish their Body Mass Index (BMI). BMI is the’ relationship b...
Bone diseases most directly influence the ability to walk or to move any part of the body--hands, limbs, neck, and spine. They are related to joint disorders--ARTHRITIS, COLLAGEN DISEASE, DISLOCATION of joints, and RHEUMATISM. The medical specialty pertaining to bone disorders is ORTHOPEDICS. Fractures are the most common bone disorders. They can occur as the result of an accident or be secondary to metabolic diseases.
Osteoporosis is noticeable when there is a decrease in bone volume. The changes in the osteoporotic femur include:
Nutrition plays a significant role in the development of osteoporosis. Osteoporosis is a medical condition in which the bones become brittle and fragile from the loss of bone mass which can be the result of hormonal changes or a deficiency of calcium or vitamin D. Calcium is important for healthy bones and because our body does not produce calcium. We must get it from foods that we eat. The needed amount of calcium for adults over 50 years old is 1,200 mg while an age 19-50 is 1,000 mg and for children 9-18 is 1,300 mg. Popular sources of calcium are milk, yogurt and cheese. Other sources of calcium can be found in leafy green vegetables such as lettuces, spinach, collards, kale, Swiss chard, rhubarb, turnip greens, mustard, and
Osteoporosis is a disease in which the bones become so weak and brittle that even a cough can cause enough stress on the bone that it will cause the bone to facture. The most commonly broken bones are the hip, wrist, and the spine. Although it affects men and women of all races, post-menopausal Caucasian and Asian women are more commonly affected than those of other ethnicities and sexes. In fact, thirty percent of all post-menopausal women in the US and Europe will be diagnosed with Osteoporosis and at least 40 percent of those will suffer from a fracture in their lifetime.