Physical Activity As A Student Nurse

S.P. is admitted to the orthopedic ward. She has fallen at home and she has sustained an intracapsular fracture of the hip at the femoral neck. The following history is obtained from her: She is a 75-year-old widow with three children living nearby. Her father died of cancer at age 62; mother died of heart failure at age 79. Her height is 5’3 and weighs 118 pounds. She has a 50 pack year smoking history and denies alcohol use. She has severe Rheumatoid Arthritis (RA) and had an upper GI bleed in 1993 and had Coronary Artery Disease with CABG 9 months ago. Since that time, she has engaged in “very mild exercise at home.” Vital signs are 128/60, 98, 14, 99 degree farenheight (32.7 degrees C) SAO2 94%

Osteoporosis is a bone disease that occurs when the body loses too much bone, makes too little bone, or both. As a result, bones become weak and may break from a fall or, in serious cases, from sneezing or minor bumps (nof.org). This skeletal disease is characterized by the increase in the fragility of bones as a result of reduced bone mass density and the deformation of the structure of bone tissue (Angin,Erden,Can, 849). Many patients with osteoporosis are instructed by their doctor to exercise; as this will improve their rehabilitation of this disease and lessen the pain associated with it.

There are a plethora of health issues that contribute to bone loss, such as nutrition (low calcium consumption) and rarely engaging in exercise, people who have an unhealthy lifestyle such as smoking or extreme alcohol usage are also at risk. “Bone loss in adolescence and early adulthood can be a result of a failure to attain peak bone mineral density, and accelerated bone loss may be particularly noted around menopause and in later years” (Lin, 2014, para. 1). Though the exact cause is unknown, additional sources may include latent health disorders such as thyroid problems.

Osteoporosis is a major public health concern that greatly affects the elderly population. Osteoporosis is typically diagnosed and most prevalent in the older population due to the natural aging process. As one ages, bone integrity begins to decline and can influence many aspects of one’s life. As the prevalence continues to increase, focus is placed not only on treatment methods for those diagnosed, but also early prevention methods for those at an early age.1 These treatment and prevention methods of osteoporosis, specifically exercise testing and prescription, will be continue to be discussed in more detail, as well as the scope, pathophysiology, clinical considerations, and recent topics in research.

Many patients admitted to the stroke and orthopedic rehabilitation unit have impaired physical mobility. The length of time in rehabilitation is ten to fourteen days. Many times nurses, patients and family members form bonds that last long after the discharge. I recently had the opportunity to take care of a patient I will never forget. Mrs. C was admitted to the rehabilitation unit following recent hip surgery. She is eighty years old and had fallen raking leaves in her front yard. Mrs. C has a history of hypertension, arthritis and gout. Medications include aspirin, metoprolol and allopurinol as needed. Prior to admission Mrs. C lived independently and has two children who checked on her routinely. No cognitive or mental deficits are noted. Key parts of this paper include the introduction, NANDA, NIC and NOC elements, data, information, knowledge and wisdom and the conclusion.

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

Many of the injuries suffered by older adults are serious and can lead to a significant impact on quality of life (CDC, 2012). For example, 45% of the fatal falls in 2000 involved a traumatic brain injury. Falling is also the primary cause of hip fractures (95%) and in 2009 afflicted 271,000 Americans. Three fourths of these hip fractures were suffered by women. Of those who do fall, including those who sustain no serious injuries, their vitality can suffer due to self-imposed physical restrictions. Muscles can atrophy and mental health can suffer due to a lack of social activities.

Osteoporosis if often called the "silent disease" because bone loss occurs without symptoms. People may not know that they have the disease until their bones become so weak that sudden strain, bump, or fall causes a fracture or a vertebra to collapse. Collapsed certebrae may initially be felt or seen in the form of severe back pain, loss of height, or spinal deformities such as kyphosis or stooped posture. Certain people are more likely to develop osteoporsis than others. Factors that increase the likelihood of developing osteoporosis are called "risk factors." The following risk factors have been identified: Being female thin and/or small frame, Advanced age, a family history of osteoporosis Postmenopause, including early or surgically enduced menopause. Abnormal absence of menstral period, anorexia, nervosa, or bulimia. A diet of low in calcium use of certain

Osteoporosis is developed when the bones lose minerals (such as calcium) too quickly and the body cannot replace them fast enough. This causes bone density to decrease and the bones to become porous, making them more fragile and susceptible to breaking. There are many risk factors for osteoporosis, some of which can be changed, some of which cannot. Those that cannot be changed include gender (women are more likely to develop osteoporosis), age (older people have a higher risk), physical build (smaller people have more of a chance), and family history (those with parents who have/had osteoporosis are more at risk). However, factors that can be changed include the level of sex hormones, diet, inactive lifestyle, excessive use of alcohol, smoking,

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

Type I osteoporosis (postmenopausal osteoporosis) generally develops in women after menopause when the amount of estrogen in the body greatly decreases. This process leads to an increase in the resorption of bone (the bones loses substance). Type I osteoporosis occurs in 5% to 20% of women, most often between the ages of 50 and 75 because of the sudden postmenopausal decrease in estrogen levels, which results in a rapid depletion of calcium from the skeleton. It is associated with fractures that occur when the vertebrae compress together causing a collapse of the spine, and with fractures of the hip, wrist, or forearm caused by falls or minor accidents. As the disease progresses, other characteristics show up: compression of the vertebrae resulting

The term osteoporosis describes bone loss that is extensive enough to increase the risk of fracture. The term is a general one, not related to any specific cause for the bone loss. Nearly all people with OI have osteoporosis, because they do not develop appropriate bone mass at any age. Women and men with OI can experience additional bone loss, such as age-related bone loss, superimposed on a background of OI. Symptoms of additional bone loss may appear at a younger age than commonly seen in people who don’t have

Osteoporosis affects the strength and durability of your bones. Your bones become weaker and more likely to break (fracture). If you have osteoporosis, your bones can become so weak they break from a minor accident, like a simple fall. The bones of your hip, wrist, and spine are most likely to break.

Fragility fracture is occasionally the first presentation of osteoporosis. The incidence of osteoporosis-related fractures has been reported to increase with age and over 50% of the incidents occurring in menopausal women aged > 75 years. Vertebral column and hip are the most common site of fracture contributing to a significant morbidity and mortality in the elderly. Additionally, patients with an episode of fracture has a higher chance for future fracture.

In the case of Anne Morrell there are several normal physiologically changes that impact her quality of life. Anne is experiencing normal aging related changes to her musculoskeletal system. Changes in musculoskeletal tissue occur through the loss of muscle mass and strength which replace lean body mass which fat and fibrous tissue. These changes in tissue cause a decrease in contractile muscle force with increased weakness and fatigue (Boltz, Capezuti, Fulmer, & Zwicker, 2012). As discussed in her case study she reports back pain when standing or walking for longer than 15 minutes, needs assistance with steps, ambulates with a cane since she fell last year which affects her mobility and ability to perform her activities of daily living. This loss in Anne’s muscle function greatly increases her chance of falls and she also has an increased risk for disability.