nursing management of osteoporosis slideshare

In 2005, health insurance companies turned their focus on disease management in an effort to control healthcare costs. It can be done by slowing resorption through use of antiresorptive medication or by promoting bone formation using anabolic medication. The treatment for osteoporosis involves shifting to a healthy diet, proper weight-bearing exercise, and medications to promote bone strength and reduce bone loss. By age 30, most people attain their peak bone mass. Aging results to a faster rate of bone mass loss compared to the rate of bone tissue creation. Osteoporosis is a condition characterised by weakened bones that fracture easily. The Osteoporosis Exemplary Care Program coordinator • Designed to overcome systemic and individual barriers • Offers coordination among the orthopaedic, endocrinology, and nuclear medicine units • Provides continuum of care • Based on guidelines for osteoporosis care Nursing Management. Traumatic injuries may range from small lesions to life-threatening multi-organ injury. The primary nursing responsibilities for long-term management of hypertension are to assist the patient in reducing BP and complying with the treatment plan. Osteoporosis Testing in Older Women: This survey-based measure assesses women 65–85 years of age who report ever having received a bone density test to check for osteoporosis. Although a diagnosis of osteoporosis is based on the results of your bone density scan, the decision about what treatment you need, if any, is based on a number of other factors including your:. Prevent infection Cover any breaks in the skin with clean or sterile dressing. • Milk, cheese and yogurt are rich in calcium. Medical management/nursing interventions • Pharmacological management Salicylates, NSAIDs, COX-2 inhibitors, anti-inflammatory ... • Osteoporosis (continued) Diagnostic tests • CBC, serum calcium, phosphorus, alkaline phosphatase, blood urea nitrogen, creatinine level, Medical management of osteoporosis aims at slowing down or preventing further bone loss, controlling pain and avoiding additional fractures. Current guidelines for the management of osteoporosis in PLHIV follow general osteoporosis guidelines with the exception that the EACS guideline recommends TAF as first line instead of TDF in case of severe osteopenia or osteoporosis. Osteoporosis Management in Women Who Had a Fracture: Assesses women 65–85 years of age who suffered a fracture and who had either a bone mineral density test or a prescription for a drug to treat osteoporosis … One of the main reasons why people have low bone mineral density is osteoporosis. Systemic lupus erythematosus is an autoimmune disease that affects many systems, including the skin, musculoskeletal, renal, neuropsychiatric, hematologic, … Learn about living with and managing osteoporosis. ; Intensive care. Objectives and Actions. Osteoporosis is the loss of calcium and other minerals from a person’s bones, which makes the bones susceptible to fracturing (breaking). At any age, it is never too late to take steps to protect your bones and prevent fractures (broken bones). The condition, which occurs in a quarter of women older than 50, increases the risk of bone fractures. Health history. Osteoporosis is a major clinical problem in older women and men. What foods would you encourage for clients at high risk for osteoporosis whose serum cholesterol and LDL/HDL ratios The goal of osteoporosis therapy is to try to restore the balance of resorption and formation. Walking, running, tennis, or hiking are all good for your bones. IV or IM (dexamethasone sodium phosphate) 0.5–9 mg/day. This is a quiz that contains NCLEX review questions for osteoporosis. Nursing Care Plans for Osteoporosis 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 Desired Outcome: Patient will maintain functional mobility despite presence of fracture. Learn about living with and managing osteoporosis. 2. An international multi-disciplinary journal which is a joint initiative between the International Osteoporosis Foundation and the National Osteoporosis Foundation of the USA, Osteoporosis International provides a forum for the communication and exchange of current ideas concerning the diagnosis, prevention, treatment and management of osteoporosis and other … As a nurse providing care to a patient with osteoporosis, it is important to know the signs and symptoms, pathophysiology, nursing management, patient education, and treatment for this condition. It is usually also mild, but in some cases it can cause severe pneumonia or birth defects in an unborn child if an … Methods A qualitative study involving 18 physicians and 37 women (age 57–87) with PMO. This article, the second in a two-part series, describes the mainstay of nursing care on admission, during hospital stay, before and after surgery, and in preparation for discharge. Rationale: … Four recommendations (low tidal volume, plateau pressure limitation, no oscillatory ventilation, and … practitioners must have the knowledge and skills to54: and encourage primary care physicians to follow-up patients to. PowerPoint is the world's most popular presentation software which can let you create professional Osteoporosis powerpoint presentation easily and in no time. Osteoporosis can also cause a hump in the upper back or loss of height. Management of Osteoporosis in Chronic Kidney Disease Intern Med. Care Management: a Fundamental Vehicle for Managing the Health of Populations Overview. By age 75, an estimated 38% of white women will have osteoporosis and 94% will have low bone mass. This review summarizes the diagnosis of postmenopausal osteoporosis and various available nonpharmacological and pharmacological therapies available for its management. Each year, osteoporosis contributes to more than 1.5 million fractures of the back/spine, wrists and hips. 2. Nursing assessment for OA focuses mainly on history and physical assessment. Table 6. Zoledronic acid … Collaboration between the nursing team and treating medical team is essential to ensure appropriate wound management and facilitate optimal wound healing. Osteoporosis has no clinical manifestations until there is a fracture. 4,22,28 According to the criteria, approximately 0.6% of young women have osteoporosis and approximately 16% have low bone mass. Although it is seen in all age groups, gender, and races, it is more common in Caucasians (white race), older people, and wom … They oversee patient care, make management and budgetary decisions, set work schedules, coordinate meetings, and make decisions about personnel. Medical management/nursing interventions • Pharmacological management Salicylates, NSAIDs, COX-2 inhibitors, anti-inflammatory ... • Osteoporosis (continued) Diagnostic tests • CBC, serum calcium, phosphorus, alkaline phosphatase, blood urea nitrogen, creatinine level, Prepare to administer carbonic anhydrase inhibitors IV or IM, to restrict production of aqueous humor. Results All women interviewed considered PMO to be somewhat … Practice teaching on Fracture Presented by: Mr. Hari singh nagar M. Sc Nursing 1st year. Obligatory fractures such … But it isn’t just a women’s disease. Osteoporosis has no clinical manifestations until there is a fracture. years, Dr. Goldsmith was the editor of the Journal of Ambulatory Care Management (Aspen), and for more than a decade he was Of Counsel with the law firm of Bowditch and Dewey in Worcester, Massachusetts. Physical assessment. The primary nursing responsibilities for long-term management of hypertension are to assist the patient in reducing BP and complying with the treatment plan. Assess for secondary causes of osteoporosis (see p. 5). In order to achieve the best possible outcomes while decreasing the risk of undetected injuries, the management of trauma patients requires a highly systematic approach. Learn about the key causes, symptoms, and treatments for osteoporosis, including why drinking milk isn’t enough to prevent it. medical management fracture management dietary management nursing management 12. hormone replacement therapy -estrogen -progesterone bisphosphonate therapy help by inhibiting the osteoclast function - alendronate (fosamax) 10mg/day - … Guidance on the Diagnosis and Management of Osteoporosis in New Zealand. Men and women of any age with conditions known to be secondary causes of osteoporosis No Every 2–10 years depending on initial T-score See p. 5 for secondary causes of osteoporosis. It affects up to three million people in the UK, and one in two women and one in five men over the age of 50 will break a bone, predominantly due to poor bone health (National Osteoporosis Society, 2014). Provide information regarding management of glaucoma. Risedronate (Actonel), a weekly or monthly pill. 4. Chronic pain is a multidimensional experience with sensory, affective, and cognitive aspects. Nursing actions include patient and family teaching, detection and reporting of adverse treatment effects, compliance assessment and enhancement, and evaluation of therapeutic effectiveness. 8–16 mg; may repeat in 1–3 wk. 1. The guideline describes the critical decision points in the management of Suicidal Risk Behavior (SRB) for suicidal self-directed violent behavior and provides clear and comprehensive evidence-based recommendations incorporating current information and practices for practitioners throughout the DoD and VA Health Care systems. Secondary osteoporosis is caused by … Nursing Management. Long-term care of osteoporosis focuses on cigarette cessation, alcohol moderation, [13] weight loss, nutritional support, medication, frequent exercise, and control of secondary disease processes. This review summarizes the diagnosis of postmenopausal osteoporosis and various available nonpharmacological and pharmacological therapies available for its management. If you have osteoporosis, the spaces in the honeycomb get larger and the bone's hard outer shell gets thinner. Objective/s. Examples include: Alendronate (Binosto, Fosamax) Risedronate (Actonel, Atelvia) Ibandronate (Boniva) Zoledronic acid (Reclast, Zometa) Side effects include nausea, abdominal pain and heartburn-like symptoms. Rationale: Adequate calcium helps to prevent osteoporosis in women with small frame, increased age, Asians, and Caucasians. Women are more likely to have osteoporosis because the hormonal changes of menopause make bone loss worse. Osteoporosis is a systemic skeletal disorder which results from an imbalance in bone remodelling, leading to a reduction in bone strength, with microarchitectural disruption and skeletal fragility, increasing fracture susceptibility.1, 2 Bone strength is a function of both bone density and quality. The Changing Paradigm of Managing CKD-Associated Osteoporosis. Correction of fluid and blood loss and low albumin levels is necessary to maintain fluid volume and prevent renal failure. Fracture care should include secondary prevention of fragility fractures through the assessment and management of osteoporosis and risk of falls. Although you can’t completely reverse osteoporosis, there are ways to manage it. Increase the percentage of adults appropriately screened for osteoporosis. Administer prescribed medications, which may include opioid and non-opioid analgesics and antibiotics. The Grade of Recommendation Assessment, Development and Evaluation (GRADE) methodology has been followed. It has been most frequently recognized in elderly white women, although it does occur in both sexes, all races, and all age groups. Oral ferrous iron salts are the most economical and effective medication for the treatment of iron deficiency anemia; of the various iron salts available, ferrous sulfate is the one most commonly used. 01 February, 2019. A nurse ‘s care plan should focus on the patient’s fragility, stressing careful positioning, ambulation, and prescribed exercises. Objective Study patients’ and physicians’ views regarding postmenopausal osteoporosis (PMO) to identify impediments to good care. Ibandronate (Boniva), a monthly pill or quarterly intravenous (IV) infusion. Care management is a set of activities intended to improve patient care and reduce the need for medical services by enhancing coordination of care, eliminate duplication, and helping patients and caregivers more effectively manage health conditions. effective osteoporosis prevention and management, general /family medicine diagnosis and management of osteoporosis at a primary care level. Nursing Care Plans. Pain management. 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; Desired Outcome: Patient will maintain functional mobility despite presence of fracture. Current guidance for the management of osteoporosis The National Institute for Health and Clinical Excellence (NICE) has produced guidance for the primary and secondary prevention of osteoporotic fractures. Part 2: Nursing management of children in pain. Clinicians working in osteoporosis management in primary care, secondary care and community services; Healthcare professionals wishing to learn more about osteoporosis and fracture prevention; Course format. Patient history. Prepare to … Protect the affected extremity from further injury and pain by supporting the limb above and below the affected area. Nursing Management has been awarded a 2020 Folio Eddie Award in … 2. But that doesn’t mean sitting on the sidelines. Ibandronate (Boniva), a monthly pill or quarterly intravenous (IV) infusion. Diagnosis and Management of Osteoporosis 1 Diagnostic Criteria for Osteoporosis and Osteopenia in Postmenopausal Women and Men Older Than 50 Years. 2 Osteoporosis Screening Recommendations. 3 Common Causes of Secondary Osteoporosis. 4 Nonpharmacologic Therapy to Reduce Fractures. 5 Pharmacologic Therapies for Osteoporosis. As a result, bones become fragile and break easily. rich diet esp. Use of a long grabber can also help to pick up items from the floor or lower areas. Regional fat, weight and osteoporosis in elderly women in Egypt  Abdal Atty, M.F. practitioners must have the knowledge and skills to54: and encourage primary care physicians to follow-up patients to. Assessment of the patient with cirrhosis should include assessing for: Bleeding. Osteoporosis is the most common metabolic bone disease where a gradual and initially imperceptible loss of bone mass occurs. 2.1. The Guidance is a highly practical tool that provides support to clinicians throughout the health system to deliver evidence-based practice for their patients who are at high risk of sustaining fragility fractures. On the other hand, many patients with achy hips or feet assume that their complaints are due to osteoporosis. After menopause many women are at risk of developing osteoporosis.Peak bone mass is usually reached during a womans 20s to 30s when the skeleton has stopped growing and bones are at their strongest.The female sex hormone oestrogen plays an important role in maintaining bone strength. For both men and women at increased risk of fracture, the most widely prescribed osteoporosis medications are bisphosphonates. Nursing management of the patient with osteoarthritis includes both nonpharmacologic and pharmacologic approaches. 16. • Important injectable drugs for pain are the opiate analgesics. Nursing Management. This makes the bone weaker and it breaks more easily. With osteoporosis, it’s important to prevent falls and fractures. It comes with a self-assessment enabling you … Over time, bone mass, and therefore bone strength, is decreased. Collaboration between the nursing team and treating medical team is essential to ensure appropriate wound management and facilitate optimal wound healing. Medical care starts with establishing the diagnosis and reason for the iron deficiency. The Centre for Osteoporosis & Bone at Women’s College Hospital is unique in that it takes a holistic approach to managing bone health. It will also lower your chances of having a fall. Nursing actions include patient and family teaching, detection and reporting of adverse treatment effects, compliance assessment and enhancement, and evaluation of therapeutic effectiveness. Abstract Osteoporosis can have devastating effects, yet awareness of the condition remains low; many people do not know that men can have it as well as women. Nursing Management has been awarded two 2020 APEX Awards: a Grand Award for Design and Illustration (September 2019 50th anniversary issue) and an Award of Excellence for Health and Medical Writing ("The Emergency, Trauma, and Transport Nursing Workforce: Highlights of a Benchmark 2019 Survey," December 2019).. Osteoporosis: risk assessment, management and prevention Author Rachel Ashcroft-Hands is osteoporosis specialist nurse, National Osteoporosis Society. This guideline addresses the prevention, diagnosis and management of bone loss in adults age 18 and older, including lifestyle modification, evaluation and drug treatment. Care and support of people growing older with learning disabilities Cataracts Dementia Dementia, disability and frailty in later life: mid-life approaches to delay or prevent onset End of life care for people with life-limiting conditions Management of osteoporosis in postmenopausal women: 2010 position statement of The North American Menopause Society Abstract Objective: To update the evidence-based position statement published by The North American Menopause Society (NAMS) in 2006 regarding the management of osteoporosis in postmenopausal women. Adequate administration of analgesia (morphine, fentanyl, or hydromorphone) is essential during the course of pancreatitis to provide sufficient relief and to minimize restlessness, which may stimulate pancreatic secretion further. DEFINITION A medical condition in which the bones become brittle and fragile from loss of tissue, typically as a result of hormonal changes, or deficiency of calcium or vitamin D. 3. Evaluation for Secondary Causes of Osteoporosis and Osteopenia [D] . Nonsteroidal anti-inflammatory drugs (NSAIDs), such as diclofenac (1 mg/kg) and ibuprofen can also be 3. Strength training can help raise your bone density. Osteoporosis prevention, diagnosis and management in postmenopausal women and men over 50 years of age, 2017, Osteoporosis Australia. Pain Management and Techniques • Effective analgesia is an essential part of postoperative management. Osteoporosis is when your bones become thin and brittle. Osteoporosis, adrenal suppression, hyperglycemia, dyslipidemia, cardiovascular disease, Cushing’s syndrome, psychiatric disturbances and immunosuppression are among the more serious side effects noted with … Cerebral edema: 10 mg IV and then 4 mg IM q 6 hr until cerebral edema symptoms subside; change to oral therapy, 1–3 mg tid, as soon as possible and taper over 5–7 days. J Clin Orthop Trauma. Introduction. These include: Alendronate (Fosamax), a weekly pill. These fractures are associated with higher health care costs, physical disability, impaired quality of life, and increased mortality. Bisphosphonates are usually the first choice for osteoporosis treatment. To extend this development to primary care settings, where most patients with mental disorders are seen, diagnostic and management guidelines have been combined in the present book, Diagnostic and Management Guidelines for Mental Disorders in Primary Care (lCD-10 Chapter V, Primary Care Version), referred to here as ICD-lO PC Chapter V. Automating and streamlining work processes. Health promotion, identification of people at risk for osteoporosis, and recognition of problems associated with osteoporosis form the basis for nursing assessment. Over 3 million people in the UK have osteoporosis and they are at much greater risk of fragility fractures. Osteoporosis and fragility fractures in elderly individuals pose a real challenge for an appropriate diagnosis and management, during the COVID-19 pandemic. People can have osteoporosis without any signs or symptoms. It is a common condition affecting one in three women and one in 12 men, resulting in substantial morbidity, excess mortality, and health and social services expenditure. Chairs or stools in the kitchen and/or bathroom can help with fatigue as well (National Rheumatoid Arthritis Society, 2016). Kumar Jain V, Lal H, Kumar Patralekh M, Vaishya R. Fracture management during COVID-19 pandemic: a systematic review. Tamoxifen approved for breast … Return to Table of Contents Aim 1. Risedronate (Actonel), a weekly or monthly pill. Objectives After completion of the class students will be able to • Introduce the fracture. Living & Managing . Fifteen recommendations and a therapeutic algorithm regarding the management of acute respiratory distress syndrome (ARDS) at the early phase in adults are proposed. The term osteoporosis literally means porous bone. This will keep your muscles strong. Nursing Care Plans for Osteoporosis. Osteoporosis and osteomalacia. Clifton, L., Chong, L. & Stewart, K. (2015). Post-operative nursing management of Claire involves a number of interventions to address the issues faced by Claire. Chicken pox, caused by a virus called herpes varicella, is an extremely contagious disease. Treatment & Care . Keywords: Osteoporosis, osteoporosis management, bone mineral density, fracture risk Introduction Osteoporosis is a disease that is characterized by low bone mass, deterioration of bone tissue, and disruption of bone microarchitecture: it can lead to compromised bone strength and an increase in the risk of fractures ( 1 ). Methods A qualitative study involving 18 physicians and 37 women (age 57–87) with PMO. Background Osteoporosis prevention, diagnosis and treatment remain suboptimal. Don't Smoke. Osteoporosis: risk assessment, management and prevention Author Rachel Ashcroft-Hands is osteoporosis specialist nurse, National Osteoporosis Society. It is sometimes called a "silent disease" because most people do not know they have it until they have a fracture. Initiate or maintain electrical stimulation if used. Osteoporosis is typically asymptomatic until a fracture occurs. Methods Semi-structured face-to face interviews were conducted with 16 GPs in the Rhône area of France to explore … The newer treatments for osteoporosis are likely to be based on our understanding of bone biology and the design of new highly specific compounds with fewer side effects. 2020;21:287-290. Almost any bone can fracture as a result of the increased bone fragility of osteoporosis. Osteoporosis is often ignored by health care providers, even when the individual has experienced a hip or other fracture with a high probability of it being due to bone loss and osteoporosis.

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