The Most Important Part Of Prescribing An Exercise Program

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.

The higher the number, the more the body fat a person has. BMI, however, does not work the same way for everyone. Bodybuilders may have a very high BMI, despite not being obese, leading to incorrect readings and on the other hand, older people might have low BMI, but that is because they have lost muscle mass and not because they are obese. Hence, BMI is different for every person and is not a good way to generalize how a person’s physique should be judged. BMI should be evaluated by a health care provider who will be using various sources, along with BMI, in order to figure out how unhealthy or fit a person really

A falls risk assessment is recommended as part of a routine medical examination for all older adults as well as for individuals with medical conditions that effect gait and balance. If you have a history of falls or or if you have been diagnosed with osteoporosis or fractures related to osteoporosis, it is imperative to speak to your healthcare provider about your personal risks for falling and about the fall prevention steps you should take to protect your bones.

A BMI >30 would classify an individual as obese. This method alone, however, is imprecise and not enough to measure obesity for a number of reasons.

BMI (Body Mass Index) is the value derived from weight and height of an individual. Having a BMI value of 25-30 is considered overweight and >30 is considered obese.

For example, 20-40 percent over the ideal body weight of an individual is considered mildly obese whereas 40-100 percent is considered moderately obese and 100 percent over is considered severely or morbidly obese. In order to figure out if any individual is obese a BMI (Body Mass Index) measurement is used. According to Metcalf (2008), BMI “is the individual’s weight multiplied by 703 and then divided by twice the height in inches” (Metcalf, Pg. 14). A BMI of 25- 29 is considered to be overweight and a BMI of over 30 is considered to be obese.

Educating Mary on multiple components of her exercising plan and lifestyle choices will be beneficial for her and her family. Significant things that Mary should be educated on are her Diet and nutrition since she is struggling with osteoporosis; additionally, on what osteoporosis is and ways she could prevent it or lessen the severity. Assuming Mary has never gone through a graded exercise test (GXT), she should know why she needs one and what her results mean. Furthermore, Mary should be educated on her aerobic exercise plan, and why it would be beneficial for her to do. Considering her high blood pressure in her eye, it wouldn’t hurt to educate Mary on glaucoma; as well as, any other risk factors of aging that may pertain to her.

One of the most important factors to keeping seniors healthy is exercise. A community exercise program would encourage exercise in this population. Initiating a senior community exercise program within a community would require a large amount interprofessional communication and collaboration. In addition, to have a successful community senior exercise program it would the involvement of several different disciplines. Important disciplines to have involved in this community exercise program would be a medical provider, nurses, therapist, and dietitian. Each of these disciplines has a different specialty that brings different knowledge to the table, which will help create a comprehensive exercise program. Similarly, the collaboration of each

In this peer reviewed article “Osteoporosis: advance in risk assessment and management” Julia Compston discusses ways in which to determine when a person is more likely to develop a fracture, the pharmacologic management of reducing that risk, along with commonly known and newly developed treatment options. This is very informative in the way that it teaches much more than what usually come to mind when we think of risks for fractures. For example, I’ve always thought age, obesity, and lack of calcium put you at risk; however Compston goes into a greater depth, even discussing the use of algorithms. Fracture risk prediction algorithms using clinical risk factors, with or without measurement of bone mineral density, have enabled more accurate

According to guidelines, individuals who should be screened are women sixty-five years or older and younger postmenopausal women at risk for fractures (AACE, 2010). Associated risk factors for fractures or low BMD are age, body weight less than 127 lbs, history of fracture, glucocorticoids, long term heparin, lithium, excess thyroid hormones, low calcium or vitamin D intake, family history of osteoporotic fractures, race, history of alcohol, caffeine, and tobacco use (AAFP, 2009).

A BMI below 18.5 shows that you are underweight, 18.5 to 24.9 shows normal weight, 25 to 30 indicates that you are overweight and above 30 shows that you are overweight.

“Worldwide, osteoporosis causes more than 8.9 million fractures annually, resulting in an osteoporotic fracture every 3 seconds” (Johnell, 2006 ). Making Osteoporosis a severe musculoskeletal disease. We will cover any the expected findings, signs and symptoms that you will find upon your assessment. It will also cover the routes of treatments, medications and preventive measures to emphasize to your client and the results and complications that can arise if these rules cannot be met. It will conclude with detailed nursing interventions as well as risks and what to express to your client upon discharge.

L.F., is a 74 year old female with limited mobility, and a history of falls (and at risk for falls), who was diagnosed with age-related osteoporosis, a lumbar compression fracture, collapsed vertebra, and she also suffers from morbid obesity. Resident was admitted to a long-term care facility in 2010, and remains there presently. In my clinical experience with the resident I noted a lack of physical activity. John (2012) of the Journal of the Canadian Chiropractic Association stated, “Physical activity plays a critical role in the rehabilitation of osteoporotic patients with vertebral fractures.” Due to her lumbar compression fracture, osteoporosis, and other conditions her mobility is limited. The minimal amount of activity she

Over one-third of American adults are not overweight - but obese. Additionally, over one-sixth of American children are obese. Obesity is not just a condition, it is a physical disorder that poses numerous additional health risks. To measure obesity, the BMI scale is used and recognizes people with a BMI of 30 or over as obese. A healthy weight is from 18.5 to 25, and overweight is classified from 25 to 30. Furthermore, obesity is a detrimental disease that not only increases the risks of contracting other chronic diseases, but becomes a lifelong depression that consists of the negative development of fat cells and the feeling of utter hopelessness.

The independent variables were clearly discussed and included knowledge about osteoporosis, the self-efficacy for exercise and medication adherence, and the outcome