![]() Nursing Diagnosis: Imbalanced Nutrition Less than Body Requirements related to To provide specialized care and individualized exercise program. Refer the patient to the physiotherapist. To prevent muscle atrophy and joint contractures. Encourage physical mobility and demonstrate range of motion exercises. To support the significant others on how they can assist the patient achieve optimal physical mobility. To identify patient’s support in terms of his/her physical, social, mental, and emotional health. Educate the significant others on how to assist the patient in performing ADLs and improving physical mobility through exercise. Identify the patient’s need for assistance from significant others. To identify patient’s current strengths and problems related to performing ADLs while dealing with hip fracture and osteoporosis. ![]() Nursing Interventions for Osteoporosis Rationale Assess the patient’s function ability to perform activities of daily living (ADLs) such as eating, bathing, oral and perineal care. ![]() Nursing Diagnosis: Impaired Physical Mobility related to bone fracture secondary to osteoporosis as evidenced by presence of hip fracture, severe hip pain rated10/10, failure to perform ADLs, and low bone density score Nursing Care Plans for Osteoporosis Nursing Care Plan for Osteoporosis 1 Smoking cessation, limited alcohol intake (no more than 2 units per day), and weight-bearing exercises can help reduce the risk of osteoporosis. Vitamin D can also be obtained from sunlight. Vitamin D rich foods or supplements help in the optimal absorption of calcium. This can be achieved by eating calcium-rich foods, or taking calcium supplements as recommended by the physician. People age 18 to 15 requires at least 1000 mg of calcium per day, while women age 50 and above and men age 70 and above should have 1200 mg of calcium intake per day. These include teriparatide (Forteo), abaloparatide (Tymlos), and romosozumab (Evenity). New bone-building medications can help treat osteporosis. Testosterone replacement therapy in men may also help to reduce the risk of osteoporosis. Estrogen replacement therapy such as the use of raloxifene (Evista) in menopausal women is useful in the maintenance of bone density, but its risks (possible blood clots, increased risk of heart disease, endometrial cancer, and breast cancer) should be considered. Both denosumab and bisphosphonates may rarely lead to osteonecrosis of the jaw, so it is important to ensure that the dentist of the patient knows that he/she will be started on these medications. Denosumab is given subcutaneously, while bisphosphonates are usually given intravenously. An alternative to bisphosphonates, denosumab ( (Prolia, Xgeva) also lowers the risk for fractures and helps improve bone density. Examples of bisphosphonates include: alendronate (Fosamax), risedronate (Actonel), ibandronate (Boniva), and zoledronic acid (Reclast, Zometa). These medications are used to treat bone loss and can help reduce the risk of bone fractures. Bone density test – using a low-level X-ray machine to measure the mineral proportion of the bones Treatment for Osteoporosis.Blood test – to check for serum calcium levels.Physical examination – to check for any bone fractures, bone pain, or stooped posture.The patient’s comfort and quality of life may be affected by poor posture due to osteoporosis. Elderly people who suffer from a fall may have hip fractures and eventually become physically disabled, or can be at higher risk of death within a year after the fall. ![]() Bone fractures, particularly involving the hip bones, are the most common complications of osteoporosis.Patients with cancer, kidney or liver disease, rheumatoid arthritis, lupus, or Celiac disease are more prone to develop osteoporosis. Chronic use of corticosteroids may lead to poor bone tissue creation. ![]()
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