Question Case Study: Osteoporosis Read the case study scenario below… Case Stud

Question Case Study: Osteoporosis Read the case study scenario below… Case Study: OsteoporosisRead the case study scenario below carefully and answer ALL the discussion questions below. Refer to your textbook (Foundations and Adult health Nursing) Cooper and Gosnell as a resource. Patient ProfileM.L. is a 58-yr-old white retired nurse who had a total hysterectomy and salpingo-oophorectomy for removal of a benign ovarian cyst 7 yr ago. She also has a history of seizure disorder since childhood and Addison’s disease. Subjective Data•Acute, severe lumbar pain and tenderness that radiate to her right hip and lateral thigh after falling and landing on her buttocks last week•Walking and bending increases pain•Stress fracture in wrist 5 mo ago•Reports no noticeable loss of height•Maternal history of osteoporosis•Taking corticosteroids and mineralocorticoids for the past 6 yr for Addison’s disease•Taking phenytoin (Dilantin) every evening•Drinks two alcoholic beverages every evening•Dislikes dairy products Objective Data•5 ft, 7 in tall, 110 lb Diagnostic Studies•Tests show decreased bone mineral density at spine and hip•Lumbar spine radiographs reveal a slightly displaced L4 compression fracture•Normal serum calcium, phosphorus, and alkaline phosphatase levels Collaborative Care•L4 vertebroplasty•Thoracic-lumbar-sacral orthosis (TLSO) brace postoperatively•Ibandronate (Boniva) 150 mg/mo PO•Calcium supplements 1500 mg/day PO•High-calcium diet•Reduce alcohol intake•Regular low-impact weight-bearing exercise program Discussion Questions1.What factors increase M.L.’s risk for osteoporosis?2.Why does walking and bending increase M.L.’s pain?3.What is the purpose of the TLSO brace prescribed for M.L.?4.What are the priority teaching needs for M.L.?5. Which of the following nursing personnel should be responsible for teaching M.L. related to her osteoporosis and new medication: RN, LPN/LVN, UAP?6.How might you assist M.L. in increasing her intake of calcium?7.Why would regular exercise be important for M.L.?8. Based on the assessment data presented, what are the priority nursing diagnoses? Are there any collaborative problems?9. M.L. asks you why taking corticosteroids increases her risk for developing osteoporosis. How would you respond to her?  Health Science Science Nursing NURSING MEDSURG2 Share QuestionEmailCopy link Comments (0)

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