Case Study Osteoporosis

The management of osteoporosis patients start with the diagnosis by rolling out secondary causes and then confirm it by measuring bone mineral density (BMD). After that, begin the treatment with lifestyle changes, pharmacological medications, and surgery for some fractures if needed. In this essay I will cover generally the diagnosis, treatment, and prevention of osteoporosis in five steps.

Osteoporosis is a treatable disease, but not a curable one. There are different types of treatment for osteoporosis. Some of the medications that can be taken for treatment of osteoporosis are estrogen, bisphosphonates, calcitionin, raloxifene, parathyroid hormone, and testosterone replacement (UCSF Medical Center, 2010). Some of the more common names for bisphosphonates are Fosamax, Actonel, Boniva, and Reclast (Mayo Clinic, 2009). These treatments are taken orally once a week or once a month. In addition to the medications, there is also the treatment of exercise and diet. With a diet high in calcium, stopping unhealthy habits, like smoking and drinking, and regular exercise can reduce the likelihood of bone fractures in people with osteoporosis (The New York Times, 2010). In Ms. Duckworth’s incident, it would be recommended that she increase the amount of calcium in her diet and exercise, and depending on the severity of the osteoporosis, medication.

Osteoporosis is a disorder of bones that affects bones making them low in bone mass fragile and will lead to bone fracture. Bone fracture will easily occur as this disease cause the matrix inside the bone become weak and brittle.Bones can become so brittle due to activities such as coughing can cause fractures.According to Macgill (2015) the origin of the word osteoporosis explain the condition of ‘osteo’ is for bone and ‘porosis’ means porous that resulting in weakness. At this condition, the bone tissue is mineralized normally, but the production is not enough to preserve the normal skeletal architecture. 80% of women and 20% men of 28 million American are affected with the osteoporosis. Approximately, women with the age of 50 will develop osteoporosis. Thin bones are the cause of 1.5 million fractures a year. As in Malaysia, the statistic shows that osteoporosis related to fractured is the common health problem especially in elderly..

As generally stated in the introduction, osteoporosis is a skeletal disorder that involves the strength and integrity of one’s bones. The WHO defines osteoporosis as, “a systemic skeletal disorder characterized by low-bone mass, deterioration of bone tissue, increased bone fragility, and its susceptibly to recurrent fractures.” 2 The most important factor to take into account when addressing osteoporosis is the mass of bone, also referred to as, bone mineral density (BMD). As bone mass begins to decline, typically in the older population, specifically postmenopausal women, individuals are at an increased risk for fractures.3 As a result of this serious condition, many people are affected by morbidity, mortality, and economic difficulty.1

You have chosen very reasonable problems that are directly related to your PICOT question. Osteoporosis is a systemic disease that can have tremendous influence on the patient’s lifestyle, daily activity, and independence. Simple acts such as coughing, twisting, and lifting can cause fractures. While APRN, collaborating physician, clinical pharmacist, radiologist, and laboratory services are appropriate team members for management of osteoporosis the patient’s frailty needs special attention. The APRN might be the first health care provider who patient will interact but I think geriatric specialist is the most appropriate expert to lead the team for determination of treatment plan in postmenopausal osteoporotic female with other co-morbidities.

Osteoporosis is a medical condition in which the bones become brittle from the loss of tissue, generally as a result of specific changes. Risk factors that take part in the disease are things such as unchangeable risks like sex, age, race, family history and the size of the individual. Other risk factors include hormone levels and medication as well as dietary factors and life choices. Life choices that play a role are sedentary lifestyle these are people who spend a lot of time sitting have a higher risk of osteoporosis than do their more-active counterparts, weight-bearing exercise is beneficial for your bones to ensure the bone remolding cycle ensures them to grow strong (MayoClinic, 2013). Common symptoms that one should take into

Osteoporosis is an age related disorder, more common in females compared to males. Osteoporosis is defined as a “skeletal disorder characterized by compromised bone strength predisposing to increased risk of fractures (Manolagaas, 2014). Osteoporosis is defined as “a disease characterized by low bone mass and deterioration of bone tissue (What is osteoporosis?2014). Osteoporosis is sometimes also referred as “silent thief” as the bone loss occurs very slowly and silently without any symptoms (Osteoporosis facts & statistics.2014). The most common site for fracture due to osteoporosis is hip followed by humerus (Woltman & den Hoed, 2010) . Osteoporosis can occur at any age, although it is a disorder common in females (especially post-menopausal females). Everyone is prone to osteoporosis (Osteoporosis facts & statistics.2014). According to Osteoporosis Canada, 1 in 3 Canadian females and 1 in 5 Canadian males may suffer fractures due to osteoporosis during their lifetime (Osteoporosis facts & statistics.2014). Canadian health care system spends 1.2 billion dollars for the acute hospitalization caused by osteoporosis and in 2010 the health care system spent 3.9 billion dollars for the total treatment of osteoporosis (Osteoporosis facts & statistics.2014). Osteoporosis can be screened and diagnosed by various methods; however the dual energy x ray absorptiometry (DXA) is commonly used. If the T-score values are less than -1 and greater than -2.5SD it is termed as osteopenia,

Osteoporosis is a major public heath treat for more than 28 million Americans, 80 percent of whom are women. In the U.S. today, 10 million individuals

More information is required, such as dates for all occurrences and personal medical history, allowing better insight, to possible secondary causes of osteoporosis (OP).

Osteoporosis is commonly known around the world as the numbers continue to increase every year. Osteoporosis is known to cause problems in middle aged women and occasionally effecting some men (1), currently reaching the number of 200million women diagnosed with osteoporosis (2). Arthritis Organisation states that anyone can get osteoporosis but women are about four times more likely than men to develop it, with two main reasons contributing to this fact. For several years after menopause occurs (ovaries stop producing oestrogen), the process of bone loss speeds up, increasing the chance of being diagnosed with osteoporosis. Yet men generally reach a higher level of bone density before the process of bone loss begins. Although

There are two types of osteoporosis that have been identified which are primary and secondary. Osteoporotic bones are thin and brittle and are prone to fracture. The bone loss involves both compact and spongy bone. In type I osteoporosis, which occurs typically in postmenopausal women, spongy bone loss predominates, occurring most prominently in the vertebrae and distal radius (Gueldner, Burke, Smiciknas-Wright, 2000). Major complications of type I osteoporosis are crush fractures of the vertebral bodies and the distal end of the radius. Type II, or old-age, osteoporosis is characterized by a proportional loss of compact and spongy bone of the long bones (Gueldner, Burke, Smiciknis-Wright). The most serious fractures of old age are those of

Osteoporosis is a disease of bone that leads to an increased risk of fracture. In osteoporosis the bone mineral density (BMD) is reduced, bone microarchitecture is disrupted, and the amount and variety of non-collagenous proteins in bone is altered. Osteoporosis is defined by the World Health Organization (WHO) in women as a bone mineral density 2.5 standard deviations below peak bone mass (20-year-old healthy female average) as measured by DXA; the term "established osteoporosis" includes the presence of a fragility fracture.[1] Osteoporosis is most common in women after menopause, when it is called postmenopausal osteoporosis, but may also develop in men, and may occur in anyone in the presence of particular hormonal

“Osteoporosis is a medical condition in which the bones become brittle and fragile from loss of tissue, either as a result of hormonal changes, or deficiency of calcium or vitamin D” (Mayo Clinic, 2016). The main causes of osteoporosis are aging, menopause, and lack of vitamin D and calcium. The standard symptoms include bone fracture that occurs more easily, stooped posture, and loss of height over time. With osteoporosis, the general medications are bisphosphonates, and unfortunately osteoporosis cannot be cured but treatment may help.

According to Osteoporosis (2011) “United States has the highest rate in the world in cases of osteoporosis. The National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) estimates that 10 million people (8 million women and 2 million men) in the United States have osteoporosis as of 2012” (Page 10).

I think you might like to know that on my way here, I chanced upon many beggars. Being the lower class, they were not very respectable. I called the sheriff swiftly and requested him to pick up my unexpected visitors. But now, we have more pressing matters to discuss, such as your osteoporosis. I have brought over the medication needed to treat osteoporosis. Did you know SERMs are medications that have a similar effect on bone as the hormone estrogen? They help to maintain bone density and reduce the risk of fracture, particularly of the spine. My suggestion to you is to take SERMs. You are my nineteenth patient that has osteoporosis. I assure you that quality is best with me. . . .”