About
Bone modeling that results in large bony deposits that are very weak.
Assess
Pain; history of fracture; bone deformities, spinal deformities, joint discomfort; bowed legs or arms; flushed, warm skin.
Complications
Heart failure; fractures; kidney stones; gout;
Diagnosis
- Risk for injury related to excessive weakened bones
- Body image disturbance related to musculoskeletal disfigurement
- Knowledge deficit related to nutrition requirements, disease management, and prevention of
Goals
- The client will state a decrease in pain.
- The client will maintain or improve current level of mobility.
Interventions
- Assist client with ADL's, as needed.
- Encourage active participation in ADL's as much as the client is able to tolerate.
- Encourage active participation in physical therapy and/ or occupational therapy.
- Administer medications as ordered; including bisphosphonates, calcitonin, Vitamin D and Calcium, and NSAIDS, etc.
- Teach client techniques to maintain mobility and prevent atrophy ( including range of motion exercises, low weight-bearing exercises).
- Teach client about medication therapy, including continuing therapy after discharge.
- Teach client dietary strategies to improve calcium and Vitamin D intake ( increased milk and dairy, leafy green vegetables, and fortified products)
- Monitor for signs/ symptoms of complications.
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