$nursing diagnosis hip fracture impaired physical mobility$

$nursing diagnosis hip fracture impaired physical mobility$

#Nursing diagnosis hip fracture impaired physical mobility skin#

While hormone therapy can decrease the risk of fractures and increase bone density, estrogen therapy also increases the risk of stroke, breast cancer, and cardiovascular disease.Ĭonsider parathyroid hormone administration. Nursing interventions with rationales for Osteoporosis – Impaired physical mobility Consider estrogen/progesterone administration.įollowing menopause, the decrease in estrogen and progesterone leads to a decrease in bone density. Long-term goal: The patient will be compliant with osteoporosis medications, and will see a subsequent increase in bone density.

$nursing diagnosis hip fracture impaired physical mobility$

Short-term goal: By the end of the shift, the patient will understand how osteoporosis contributed to her hip fracture. Impaired physical mobility related to low bone density secondary to osteoporosis as evidenced by hip fracture and recent fall. The patient fell at home and is having difficulty moving independently in bed.Nursing interventions with rationales for osteoporosis #2 Sample Nursing Care Plan for Osteoporosis – Impaired physical mobility Nursing Assessment An example of a corticosteroid is hydrocortisone, and an example of a PPI is omeprazole. Long-term use of these medications increases the risk of developing osteoporosis. If possible, avoid long-term use of corticosteroids and PPIs. 15 minutes of sunlight a day is recommended.Įxcess caffeine and/or alcohol consumption increases the risk of developing osteoporosis.

#Nursing diagnosis hip fracture impaired physical mobility skin#

Vitamin D is synthesized in the skin with sunlight exposure. Examples of foods high in vitamin D include fatty fish, cheese, egg yolk, and fortified kinds of milk.Īdvise the patient to get 15 minutes of sunlight a day. Adults over 50 should aim to consume 1000 IU of vitamin D per day.Ĭonsume a diet high in calcium, vitamin D, and protein.Įxamples of foods high in calcium are dairy products and green leafy vegetables. Vitamin D is essential for calcium absorption. If unable to consume enough dietary calcium, supplements such as calcium carbonate or calcium citrate may be required.Įducate the patient about vitamin D requirements. Adult women should increase their consumption to 12000 mg after 50 years of age, and adult men should similarly increase their consumption after 70 years of age. Patients less than 50 years old should consume 1000 mg of calcium per day. Nursing interventions with rationales for Osteoporosis – Imbalanced nutrition Nursing InterventionsĮducate the patient about calcium requirements. Long-term goal: The patient will consume a balanced diet with calcium and vitamin D supplements, and will see an improvement in deficiencies. Short-term goal: By the end of the shift the patient will recognize the relationship between bone health and calcium and vitamin D. Imbalanced nutrition: less than body requirement related to calcium and vitamin D deficiencies as evidenced by hip fracture and low bone density.

Confirmed right hip fracture and low bone density.

The patient’s blood work reveals low calcium, magnesium, and vitamin D.

The patient reports losing 8 cm of height.

The patient is diagnosed with Osteoporosis.Ĭhronic pain nursing care plans #1 Sample Nursing Care Plan for Osteoporosis – Imbalanced nutrition Nursing Assessment

$nursing diagnosis hip fracture impaired physical mobility$

The patient’s blood work also reveals low calcium of 7.9 mg/dL, low magnesium of 1.7 mg/dL, and a 25-hydroxy vitamin D level of 11 ng/mL, indicating severe vitamin D deficiency.Ī bone density scan is performed, and the patient has a T-score of -2.6, confirming below-average bone density. Her vital signs are unremarkable.Īn x-ray of the patient’s hip confirms a right hip fracture. Her right hip is bruised and she is not able to move around in the bed without significant discomfort. When asked if she has lost weight recently the patient says, “No- but I used to be 165 cm tall, and now I’m only 157 cm tall!” She appears very frail and only weighs 81 kg. Upon assessment, the patient is alert and oriented and follows commands appropriately. The patient has no past medical history that she’s aware of, and reports not seeing a doctor for over 10 years. She experienced severe pain and was unable to stand up, so she called her daughter who subsequently called an ambulance. The patient said she tripped over a cord on the floor and fell on her hip.

$nursing diagnosis hip fracture impaired physical mobility$

Osteoporosis Case ScenarioĪn 81-year old female presents the ED with complaints of hip pain following a fall at home. It will include nursing assessment, nursing diagnosis, desired outcome/goal, and nursing interventions with rationale for osteoporosis. Here we’ll create a scenario-based sample osteoporosis nursing care plan.

$nursing diagnosis hip fracture impaired physical mobility$