NURSE-UN 1243 Adult and Elder Nursing 3 Week 7 - Musculoskeletal Disorders
• Learning Outcomes The student will be able to:
– Implement health promotion practices related to musculoskeletal disorders identified by Healthy People 2030 for the adult & older adult population.
• Reduce the pro...
nurse un 1243 adult and elder nursing 3 week 7 musculoskeletal disorders
Geschreven voor
NURSE-UN 1243
Alle documenten voor dit vak (10)
Verkoper
Volgen
paulhans
Ontvangen beoordelingen
Voorbeeld van de inhoud
NURSE-UN 1243 Adult and Elder Nursing 3 Week 7 - Musculoskeleta
Disorders
• Learning
Outcomes The student
will be able to:
– Implement health promotion practices related to
musculoskeletal disordersidentified by Healthy People 2030 for
the adult & older adult population.
• Reduce the proportion of older adults with osteoporosis
• Increase the number of adults who get screened for osteoporosis
• Reduce hip fractures among older adults
• Reduce pain & disability from arthritis
– Demonstrate clinical decision making based on the integration of
information from multiple sources, including the patient, inter-
professional team, & the best available evidence for patients with
musculoskeletal disorders (Osteoporosis, Osteoarthritis, Hip
Fracture).
– Advocate for high quality, safe, & culturally competent patient
centered care forhospitalized patients with musculoskeletal
disorders.
Osteoporosis (OP)
◼ Chronic metabolic disease in which bone loss causes decreased density
and possible fracture; “silent disease/thief”--often discover at time of
fracture
◼ Occurs when osteoclastic activity is greater than osteoblastic activity
(breakdown faster than building)
◼ Bone Mineral Density (BMD) decreases rapidly post-menopause
◼ More common in women because less estrogen (protective against bone loss),
after menopause , Calcium and vitamin d deficiency. Less
exercise(decreased activity).
◼ vit d is needed for Ca absorption
◼ Bone resorption happens earlier than we thought---in our 30s!
◼ Testosterone in men builds bone
◼ Incidence/Prevalence
, ◼ 10 million Americans (1 in 10 Americans) have the disease and 54
million more have osteopenia and at risk for developing
osteoporosis
◼ White thin women are likely to develop osteoporosis at an early age
Classifications of Osteoporosis **Bucco says don’t have to know primary vs secondary
▪ Primary osteoporosis (post menopausal) occurs most commonly in
postmenopausalwomen and men in their 60s and 70s.
▪ 1 in 4 men > 50 are will have a osteoporosis related fracture.
▪ Secondary osteoporosis results from an associated medical condition such as
hyperparathyroidism (PTH usually makes sure blood calcium is not
too low), long-term drug therapy, long-term immobility, and chronic
drug use such ascorticosteroids, heparin, anticonvulsants
, ▪ Regional osteoporosis occurs when a limb is immobilized.
Risk Factors
◼ Older age - mainly women
◼ Female gender men are often underdiagnosed bc don’t go for bone density tests
◼ Familial history
◼ Low body weight, thin build -heavier people have more protection. Obese
women store estrogen in tissues for longer period of time, hence,
maintain serum Ca
◼ Chronic low calcium and/or Vitamin D intake
◼ Estrogen/Androgen deficiency
◼ Smoking
◼ High alcohol intake
◼ Lack of physical exercise or prolonged immobility
◼ White/ Asian ethnicity
◼ Long term use of steroids, thyroid replacement, heparin, long-acting
sedatives & antiseizure drugs
◼ Studies have shown that some enzyme-inducing Anti Epileptic Drugs may
increase the levels of chemicals in the liver that destroy vitamin D,
reducing theamount of vitamin D in the body
◼ Men after age 50 have decreased testosterone and are at risk of osteoporosis
◼ underdiagnosed--less likely to go for bone density tests
Health Promotion/Illness Prevention
▪ Teaching should begin with young women who begin to lose bone after 30 years of age
▪ The focus of osteoporosis prevention is to decrease modifiable risk factors.
▪ Ensure adequate nutrition
▪ dark green veggies, dairy for calcium
▪ Avoid sedentary lifestyle
, ▪ Continue a program of weight-bearing exercises--prevention
▪ When any of the previous drugs are prescribed, teach the patient about
the risk of osteoporosis. i.e. synthroid, steroids, heparin, long-acting
sedatives, anti seizure meds
Voordelen van het kopen van samenvattingen bij Stuvia op een rij:
Verzekerd van kwaliteit door reviews
Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!
Snel en makkelijk kopen
Je betaalt supersnel en eenmalig met iDeal, creditcard of Stuvia-tegoed voor de samenvatting. Zonder lidmaatschap.
Focus op de essentie
Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!
Veelgestelde vragen
Wat krijg ik als ik dit document koop?
Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.
Tevredenheidsgarantie: hoe werkt dat?
Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.
Van wie koop ik deze samenvatting?
Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper paulhans. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €15,56. Je zit daarna nergens aan vast.
