...Nutrition and Osteoporosis What are at least 5 open ended questions you would ask this client to further explore their case and goals? 1. What do you do on a daily basis to help yourself with your osteoporosis? 2. How would your life be different if you were able to rebuild your bone density and avoid further bone injuries (due to lack of bone density)? 3. It seems you have a good support system what do you need your family and friends to do to help support you even further in you goals to improve your health? 4. What further action would you like to take regarding the bloating after meals? 5. What other information do I need as your nutritional coach to help you be successful in your attempts to mitigate your osteoporosis? List the assessment tools you would want to use for this client and explain why you feel they are...
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...Instructions: 1. Download and Save this file with your name in the file name. (ex: Skeletal System Case Study-CharlieBrown) 2. Type your name in the header of this document. 3. Read the following case study. 4. Answer all the questions that follow by typing in your answer directly underneath each question. Be sure to answer each question completely. 5. When you finish, be sure to save the entire document for submission to your instructor. 6. Submit your document by the due date listed in your syllabus. Submission should be through the ASUN Portal. Upload your completed document—make sure the file you upload and mark as final has your answers typed in it! Note: You must UPLOAD the document and MARK AS FINAL for it to be properly “turned in” through the Portal. 7. Participate in the Class Discussions of this Case Study—this will be completed on the Discussion Forums page within the ASUN Portal. 8. Email me if you have any questions. The Skeletal System - Aging and Disease The skeletal system is required for nearly every body movement. It also supports the body at rest, protects vital organs, and produces blood cells. However, like any other system, it is susceptible to disease. Different diseases become more (or less) likely as the body ages. A few common diseases include scoliosis, arthritis, and osteoporosis Scoliosis Scoliosis is defined as an “s” or “c” shaped spinal curvature. It is most often diagnosed during adolescence...
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...Calcium and vitamin D combination therapy has been accepted as the baseline treatment for osteoporosis. Calcium and vitamin D3 supplementation reduced the risk of hip fractures and other non-vertebral fractures among elderly women in a three year clinical study and also show significant benefit after 18 months.60 Bisphosphonates Bisphosphonates are the most commonly prescribed drugs to treat osteoporosis. The first bisphosphonate approved by the FDA was Alendronate, a once daily oral medication. Now other drug have been added to the list such as pamidronate; alendronate; ibandronate; etidronate, clodronate; risedronate prescribed daily, weekly, or monthly at varying doses; Zoledronic acid with a single intravenous transfusion annually. Bisphosphates...
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...Annotated Bibliography PubMed Health (2013). Osteoporosis – Overview: thin bones, low bone density. Retrieved from http://www.ncbi.nlm.nih.gov/pubhealth/PMH0001400/ This source gives a detailed and comprehensive discussion of Osteoporosis, the general knowledge of the causes, effects of this illness. It further outlines the awareness of it and throws more light on the importance of protecting ourselves as much as possible from this disease. It gives a broader insight on Symptoms and treatment of Osteoporosis. Dolbow, D. R., & Gorgey, A. S. (2013). Non-Pharmacological Management of Osteoporosis. Clinical Kinesiology (Online Edition), 67(2), 5-9. It states ways and means an individual may stop Osteoporosis and also how to manage it medication free with a main emphasis on improving best of life for patients. The writer focuses hugely on the fact that the development and severity of the illness can change depending on life style choices and regular examinations and tests are vital. Most relevant procedures in stopping and managing osteoporosis are going for x-rays and scans once a while, periodic exercises or training, good choice of food, taking calcium and vitamin D properly, sunlight exposure, and putting an end to drinking and smoking. Habibzadeh, N. (2010). Preventing Osteoporosis among Underweight and Obese Sedentary Young Women. Baltic Journal Of Health & Physical Activity, 2(2), 97-103. The study is use to test the effects of walking on...
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...Bradley Kingery & Malik Barber 2/14/16 BIO 103-AC01 Professor John Law The Skeletal System Osteoporosis Summary Osteoporosis is a disease that makes bones fragile and more susceptible to fracture over time. It occurs when your body is losing bone cells faster than it can produce them, causing the bones to thin. It effects about half of all women over age 65, and close to one-fifth of men over 70. The most common injury in osteoporosis is ‘dowager’s hump,’ which is caused by the collapsing of the bones of the spine. This causes the curvature of the spine that the disease is so infamous for. Other common injuries include forearm fractures, knee fractures, and hip fractures which are often disabling and sometimes even fatal. On average, the United States spends around $14 billion on osteoporosis every year, according to the National Osteoporosis Foundation. Many people think of bones as hard, stone-like objects. Bones are actually living, growing tissue made up of cells that are constantly being lost and replaced. There are three major components that form bones and keep them strong: calcium, collagen, and living bone cells. Collagen is a protein that gives bone flexibility, calcium keeps them strong and solid, while living bone cells are constantly replacing old ones. Many people wonder how bone grows if it is constantly being lost and replaced. The answer is that children and teenagers actually form new bone faster than they lose old bone. Even when teens have...
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...Nascha Kayani Case Study Nascha Kayani is 83 years old female who is a resident of Bitter Water Clan from Navajo Reservation. Her grandson Ahiga emailed yesterday stating that Nascha was suffering from severe pain in her left hip. Her grandson stated that the patient lives in a sedentary lifestyle of Navajo. There is not any other problem stated. The patient is 165 pounds with BMI 29.2. There is not any past medical history included according to the data given by her grandson. According to the data provided, the patient does not consume alcohol due to restriction in Navajo but she is a smoker. The patient is currently living in her Hogan. In Navajo, people are living under virtual isolation. So, it is difficult to contact patient directly from the phone to get more information. The only way to contact her is to contact her grandson and he will relay the information. As Nascha is from registered tribe, this makes her eligible for care at an Indian Health Service. For Nascha to arrive at the hospital, she will have to make arrangements for her travelling. She could make it to the hospital if there is no rain. Her grandson need to translate the English for Navajo because the people in Navajo cannot understand English including the patient. The vital statistics of the patient is as following: Vital Statistics: Nascha Kayani Blood Pressure 140/88...
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...framework was used as Caldwell et al (2010 pg e1) argue that “ frameworks assist the novice healthcare practitioner with learning about approaches to research by giving consideration to aspects of the similarities and differences between the qualitative and quantitative research paradigms.” This framework was chosen as it is comprehensive and covers points/questions raised during the critiquing process, although it is important to remember that it is not a definitive checklist and other questions may be asked during the critiquing process. The method, results and discussion sections of a qualitative research article by Weston, J.M., Norris, E.V., Clark, E.M. (2011). ‘The Invisible Disease: Making Sense of an Osteoporosis Diagnosis in Older Age’, Qualitative Health Research, 21(12), pp. 1692-1704, will be critically analysed following a critique of the article...
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...aware of. One of these health problems is Osteoporosis. Most people do not even know that Osteoporosis exists; they have no knowledge of what this disease is about or how to prevent it. In the article “c-Maf and you won’t see fat” Laurie McCauley defines Osteoporosis as “a metabolic bone disease that results from an imbalance between the process of bone formation and bone resorption, leading to reduce bone mass and increased susceptibility to fracture.” And according to Matthew Taylor, in his article “Osteoporosis: An Opportunity to Serve” Osteoporosis was “only officially recognized as a disease by the World Health Organization in 1994.” This illustrates to us that before 1994 the public was uninformed about Osteoporosis, and even today many people are still unaware of this disease. In todays fast pace society most people take everything related to their bodies for granted and are not interested in knowing how their bones develop or what factors contribute to deteriorate them. It is very important to know that bones are made of collagen, it gives the bone flexibility; calcium phosphate that makes bone hard and strong; and bone cells that remove and replace weakened sections of bone. Anjela Shepher in her article “An Overview of Osteoporosis” explains that the bone cells called Osteoclasts “are attracted to an area of microdamage; once they have resorbed the bone, Osteoblasts are recruited to synthesize replacement bone. Osteoporosis results from an imbalance in the process due...
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...OSTEOPOROSIS NAME INSTITUTION Physiology There are various conditions that contribute to osteoporosis in people. Some of them include gender; women face an automatic risk for osteoporosis as compared to men. The National Institutes of Health (2014) explains that osteoporosis affects more that 150 million women worldwide. This is due to the fact that women have a lower bone density than men and that they lose bone mass far quicker as they age thus leading to osteoporosis. Statistics shows that women between the ages of 23 and 77 lose a third of their hip bone density. Having a larger body frame is indeed advantageous since it equates to having large bones to support the mass hence greater bone density. Age as well plays a role a condition that contributes to osteoporosis. The older one gets, the greater the risk of osteoporosis since one's bones start losing mass. Research has indeed shown that race or ethnicities are risk factors for osteoporosis. Asian and Caucasian women are likely to have this condition as compared to the others (NIH, 2014). The argument lies in the fact that most Asian women do have a smaller frame having a lesser bone density. In the same manner, one’s family history determines if they will develop this particular condition. Osteoporosis is hereditary in that if a family member had this condition; the odds that you will have the same problem are high. Dietary issues are also known to contribute to the development of osteoporosis. Having...
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...Case Studies for M2: Abir is a young Muslim woman who has recently come to live in Northern Ireland with her new husband. Even though she does not have to wear the traditional dress, Abir comes from a very strong cultural and religious family and she wishes to live her life according to the Koran by wearing the jilbab/abaya, which are the long, loosely-fitted garments worn by Muslim women to cover the shape of their bodies. They are often worn in combination with the hijab or niqab. Patrick is an elderly gentleman who is an insulin dependent Diabetic. Patrick has been living on his own since his wife died three years ago. However, he has become rather forgetful and has not been adhering to his diet or taking his medication regularly and ended up in hospital in a diabetic coma. His family is pleased because they have secured a place for him in a nearby nursing home. Jasmin is 17 years old and is currently studying for her A-levels. She is so busy with her course work, often working late into the night, that she is not eating regular meals, relying rather on a lot of snacks that she eats in her bedroom, not having time to enjoy meals with her family. Peter is 45 years old and works in the city in the Banking industry. He has been having a lot of discomfort recently and has been to his GP complaining of abdominal pain, bloating, bouts of diarrhoea and constipation. The GP referred Peter to a gastroenterologist, who has informed him that there is no apparent abnormality...
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...NAME: __________________________________ Class Period: ________ Anatomy & Physiology Case Study Assignment #3 For the following questions, please attach your answers to this sheet and submit it on the Skeletal System exam day. This assignment is worth 100 points towards your grade. Each correct answer is worth 10 points. All answers must be typewritten. Please be as complete and thorough as possible. You must attach a bibliography in MLA format with your references. Failure to do so will result in a 40 point deduction from your grade. DO NOT ‘CUT AND PASTE’ FROM THE INTERNET—I want to read YOUR ideas, concepts and responses! History #1: A 72-year-old woman presented to her physician with back pain that radiated laterally to the flanks. Upon examination, her physician noticed a pronounced kyphosis of her vertebral column. Radiographs revealed vertebral compression fractures in the thoracic and upper lumbar regions. Bone densitometry showed significant loss of bone mineral density. The patient was diagnosed with senile osteoporosis. The patient was prescribed Fosamax (Alendronate Sodium). 1. What is “senile osteoporosis” and how does it differ from “post-menopausal osteoporosis?” 2. How would you describe a pronounced kyphosis of the vertebral column? 3. BRIEFLY describe the process of bone resorbtion. 4. What cell type is responsible for bone resorbtion? 5. How would you expect the drug Fosamax (Alendronate Sodium) to affect osteoclasts...
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...The effects of regular exercise on: Obesity One of the most noticeable disabilities that obesity causes is a reduced exercise tolerance. Severely obese people are not able to perform the exercise which would bring them much needed benefits. In some cases exercise can reduce an obese person’s voluntary food intake, or cause a prolonged elevation of their metabolic rate. Physical activity can reduce the effects of the “fat mass” and “obesity” gene in adults. A study shows that the obesity causing effects of the obesity gene are weakened by 30 percent when adults are physically active .In terms of your health, regular exercise does lead to weight loss, promotes a healthy body image, and decreases the risk of developing certain chronic health problems later in life. Heart Disease...
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...Bipedicular vertebroplasty. Zhang L et al. BMC Musculoskeletal Disorders, 2015 Take Home Pearl: Unipedicular and bipedicular PVP are safe and effective treatments for OVCF but when compared to bipedicular PVP, unipedicular PVP entails a shorter surgical time and lower X-ray irradiation. Background: Osteoporosis is one of the most common systemic disorders that is characterized by alter bone micro- architecture, low bone mass and increased risk of fragility fracture. The prevalence of osteoporosis is expected to increase by 25 % in 2025. The fragility fractures associated with osteoporosis are mostly the vertebral compression fractures (OVCFs). It affects 25% of the postmenopausal women. It also causes substantial pain and deformity resulting in disability and poor quality of life. The OVCF usually includes treatments such as analgesics, external braces and physical therapies. Many techniques of the vertebral body augmentation is now available in order to treat refractory cases. The percutaneous vertebroplasty (PVP) has gained much attention in past few decades for treating OVCF. The PVP provides a rapid pain relief to the patients that last for longer period especially in large case series and nonrandomized controlled trials. PVP are relatively safe and effective but are associated with complications that includes cement leakage, soft tissue damage, pedicle fracture, nerve injury and spinal epidural hematoma. Most leakages are asymptomatic and have severe complications of nerve...
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...Methodology of the Research Process to Problems in Health Care University of Phoenix HCS/465 Shannon S. Smalls Loleater Casey-Evans The purpose of the paper is to show how to develop and understand methodology of the research process when pertaining to manage health care. The process consists of retrieving a peer-reviewed article and applying the research methodology to the article selected. The article selected for the research methodology was Managing Aging Patients written by Robert D’Ambrosia, Jennifer Kilpatrick, and Lene Juel Rasmussen written June 2003. Based on the information in the article will help determine the methods of defining the problem, the purpose of the study, research questions, hypothesis, study variables, conceptual model, the review of related literature and the study design of the selected article. Define the Problem The problem in this scenario is the need to be able to manage and being equipped with the up and coming baby boomers. It has been predicted that 20% of the population in US will be aged 65 years by 2030 it was predicted few years ago because of up and coming baby boomers. We are all aware that the aging Baby Boomer population and with increased life expectancy and more active lifestyles, then in the past generation is beginning and will continue to place a huge demand on medical resources, predominantly from the orthopedic doctors. There will be a quadruple need of orthopedic surgeons than before because of high risk and demand...
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...eap3am 8/20/02 1:20 PM Page 50 50 The Body Systems: Clinical and Applied Topics The Skeletal System 6 The skeletal framework of the body is composed of at least 206 bones and the associated tendons, ligaments, and cartilages. The skeletal system has a variety of important functions, including the support of soft tissues, blood cell production, mineral and lipid storage, and, through its relationships with the muscular system, the support and movement of the body as a whole. Skeletal system disorders can thus affect many other systems. The skeletal system is in turn influenced by the activities of other systems. For example, weakness or paralysis of skeletal muscles will lead to a weakening of the associated bones. Although the bones you study in the lab may seem rigid and permanent structures, the living skeleton is dynamic and undergoing continual remodeling. The remodeling process involves bone deposition by osteoblasts and bone resorption by osteoclasts. As indicated in Figure A-16, the net result of the remodeling varies depending on: 2. The applied physical stresses: Heavily stressed bones become thicker and stronger, and lightly stressed bones become thinner and weaker. Skeletal weakness can therefore result from muscular disorders, such as myasthenia gravis (p. 66) or the muscular dystrophies (p. 65), and conditions that affect CNS motor neurons, such as spinal cord injuries (p. 75), demyelination disorders (p. 72), or multiple sclerosis (pp. 72, 82). 3. Circulating hormone...
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