OSTEOPOROSIS
Use the Osteoporosis case study to complete the assignment. Review the client profile, subjective date, objective data and diagnostic studies to complete the case study in Sherpath. After completing the case study, use the information to answer the following discussion questions .
Case Study: Osteoporosis
approx 30 min
Patient Profile
Mrs. Pelletier is a 75-year-old female who presents to the health care provider’s office for back pain. She has a history of hypertension, Crohn’s disease, and hypothyroidism. She is currently taking the following medications:
Metoprolol 50 mg PO twice daily
Sulfasalazine 500 mg PO twice daily
Prednisolone 5 mg PO twice daily
Levothyroxine 75 mcg PO daily,/li>
Subjective Data
Has had some mid-back pain for the past week, which is worse when standing or walking and is relieved a little by lying down
Her back pain at the moment is a level 4, on a 1 to 10 scale
Denies any recent injury to her back
Broke her wrist a few months ago, but doesn’t know how
Her Crohn’s disease just ‘flared up’ a couple of weeks ago
Lactose intolerant
Objective Data
Temperature 98.2° F, pulse 74, respirations 16, blood pressure 130/78
Height 5 feet 3 inches, Weight 100 lb, BMI 17.7 kg/m2
Kyphosis of the spine
Questions.
The health care provider suspects the client has osteoporosis. What are her risk factors for osteoporosis?
What studies could be done to support the diagnosis of osteoporosis?
What clinical manifestations of osteoporosis does the client present with?
The client is prescribed alendronate. What instructions will you provide the client in regards to taking this medication?
What nutritional teaching is important of the client with her new diagnosis of osteoporosis?
What other teaching is appropriate for this client?
