Comprehensive Presentation about OSTEOPOROSIS

1. OSTEOPOROSIS

2. OVERVIEW

5. Osteoporosis Metabolic bone disorder The result is decreased bone mass Bones become porous, brittle, and abnormally vulnerable to fracture

9. Related to the loss of estrogen's protective effect on bone

10. Results in trabecular bone loss and some cortical bone loss

12. Trabecular and cortical bone loss

14. Pathophysiology and etiology

19. COmplications

21. Typical loss of height associated with osteoporosis and aging

22. Clinical manifestations

23. Asymptomatic until later stages Fracture after minor trauma may be first indication Most frequent fractures associated with osteoporosis include fractures of: distal radius vertebral bodies proximal humerus Pelvis proximal femur (hip)

25. Pain

26. WeaknessEstrogen deficiency may be noted

27. Diagnostic evaluation

30. Shows decreased bone mineral density

34. Quantitative computed tomography can evaluate bone density

37. prevent additional fractures

38. control pain

39. Treatment:

40. physical therapy program of gentle exercise and activity

41. drug therapy to slow disease progress

42. supportive devices

46. Raloxifene and calcitonin

47. To reduce bone resorption

49. Supportive devices and surgery

51. to correct pathologic fractures of the femur

52. Reduction and Immobilization

53. with a cast

54. Required in Colles' fracture

57. Decreased alcohol consumption and caffeine useRegular Exercise Smoking cessation

58. Hormonal and fluoride treatment

60. retard bone loss and prevent the occurrence of fractures

62. NURSING MANAGEMENT

63. Nursing diagnoses

64. Chronic pain Disturbed body image Dressing or grooming self-care deficit Imbalanced nutrition: Less than body requirements Impaired physical mobility Risk for impaired skin integrity Risk for injury

65. Key outcomes

66. The patient will: experience increased comfort and decreased pain express positive feelings about herself perform activities of daily living (ADLs) within the confines of the disease maintain adequate dietary intake

67. maintain joint mobility and range of motion (ROM) exhibit intact skin integrity demonstrate measures to prevent injury

68. Nursing interventions

70. Give her opportunities to voice her feelings

81. Install safety devices (grab bars, railings) at home Eat a diet rich in calcium Explain that type II osteoporosis may be prevented by adequate dietary calcium intake and regular exercise Hormonal and fluoride treatments also may help prevent osteoporosis Explain that secondary osteoporosis may be prevented by:

82. effectively treating underlying disease early mobilization after surgery or trauma decreased alcohol consumption careful observation for signs of malabsorption prompt treatment of hyperthyroidism Reinforce the patient's efforts to adapt, and show her how her condition is improving or stabilizing Refer her to an occupational therapist or a home health nurse to help her cope with ADLs

83. http://nurseRD.blogspot.com www.authorstream.com/reynel89/Nursing www.slideshare.net/reynel89/slideshows THANK YOU!Have a nice day : ) - RDG