About
Decreased bone density resulting in increased incidence of fractures, sometimes correlates to decreased calcium and vitamin D and estrogen.
Assess
Shortened height, back pain, decreased intake of calcium and vitamin D; bone density tests; Serum calcium, Vitamian D; Nutritional status; Bone pain; Fall risk
Complications
Fractures- institute safety precautions; surgery
Diagnosis
- Risk for injury related to musculoskeletal changes
- Knowledge deficit related to diet and exercise recommendations
- Impaired physical mobility related to musculoskeletal changes and pain
Goals
- The client will identify factors that promote increased calcium intake.
- The client will identify methods to reduce complications associated with disease.
Interventions
- Identify client at increased risk for falls and institute safety precautions.
- Assess for modifiable risk factors ( i.e. sedentary lifestyle, decreased dietary intake of calcium and vitamin D).
- Administer medications, as ordered ( calcium with vitamin D, hormone replacements, bisphosphonates, calcitonin, etc.).
- Teach client dietary strategies to improve calcium intake ( increased milk and dairy, leafy green vegetables, and calcium fortified products)
- Encourage client to maintain an active lifestyle with exercises ( walking, swimming, range of motion exercises) to prevent fractures.
- Monitor for signs/ symptoms of complications.
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