NRS 410 Topic 5 DQ 2 Explain the risk factors for osteoporosis

NRS 410 Topic 5 DQ 2 Explain the risk factors for osteoporosis

NRS 410 Topic 5 DQ 2 Explain the risk factors for osteoporosis

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Topic 5 DQ 2

Aug 15-19, 2022

Explain the risk factors for osteoporosis. What can a nurse do to help manage this health condition to restore the patient to optimal health?

Barb McGraw

Aug 15, 2022, 7:10 AM

Replies to Barb McGraw

Class, can men have osteoporosis? Please explain.

Mary Bonillos

replied toBarb McGraw

Aug 16, 2022, 8:19 AM

Replies to Barb McGraw

Women have a higher incidence of osteoporosis than men, but men are also at risk. One of every five men is estimated to experience fragility fractures at least once in their lifetime (Rinonapoli et al., 2021). Men have greater bone mass than women, bone loss generally begins later and advances slower than in women, and men often develop secondary osteoporosis. 20-40% of osteoporosis in women is secondary to extraskeletal diseases, and this percentage rises to 65% in men (Rinonapoli et al., 2021). Some risk factors include family history, chronic diseases such as rheumatoid arthritis, diabetes, low testosterone levels, medications such as glucocorticoids, thyroid hormone, and chemotherapies, and lack of physical activity, alcoholism, and smoking, among others (Rinonapoli et al., 2021). Literature suggests that there are few studies on osteoporosis in men and that the condition is underdiagnosed and undertreated (Rinonapoli et al., 2021).

Reference

Rinonapoli, G., Ruggiero, C., Meccariello, L., Bisaccia, M., Ceccarini, P., & Caraffa, A. (2021). Osteoporosis in men: A review of an underestimated bone condition. International Journal of Molecular Sciences, 22(4), 2105. https://doi.org/10.3390/ijms22042105

  • Barb McGraw

replied toMary Bonillos

Aug 17, 2022, 6:54 PM

Replies to Mary Bonillos

Mary, how and what would you teach a male who has osteoporosis?

  • Mary Bonillos

replied toBarb McGraw

Aug 18, 2022, 9:26 PM(edited)

  • Replies to Barb McGraw

Educating patients on risk factors and ways to prevent osteoporosis or, if already diagnosed, how to avoid disease complications is essential. Education for males is similar to that for females. First, the nurse would need to assess what the patient knows about osteoporosis and the patient’s learning preference. Depending on the patient’s preferred way of learning, education can be provided through printed materials, videos, and online resources. The Bone Health & Osteoporosis Foundation (https://www.bonehealthandosteoporosis.org/) offers many patient resources and support, including educational materials, podcasts, blogs, and support groups.

Education would include the importance of increasing calcium and vitamin D intake, eating a healthy diet, and limiting alcohol. Regular exercise may decrease fracture risk by improving bone mass, strengthening muscles, and improving balance, thus may reduce fall risk (Rosen, 2021). Smoking cessation is another lifestyle change that must be emphasized, as smoking is known to speed up the bone loss (Rosen, 2021). Fall prevention strategies are necessary, as falling increases the risk of osteoporotic fractures. Nurses must educate patients on safety measures such as removing items that could cause tripping, slipping, and falling, like rugs and electrical cords, ensuring adequate lighting in and around the home, getting regular eye exams and wearing their glasses, and avoiding walking in unfamiliar or uneven areas (Rosen, 2021). Education should also include medications prescribed to treat osteoporosis, for example, oral biphosphonates, have specific instructions on how and when to take them. In addition, the nurse must educate patients on potential side effects and complications with medications and instruct them to keep all doctor’s appointments for follow-up and monitoring.

Reference

Rosen, H. N. (2021). Patient education: Osteoporosis prevention and treatment (beyond the basics) (C. J. Rosen & J. E. Mulder, Eds.). UpToDate. Retrieved August 18, 2022, from https://www.uptodate.com/contents/osteoporosis-prevention-and-treatment-beyond-the-basics?csi=0f1cb00b-eff6-4d01-98f5-e89e35c45a56%26source=contentShare

  • Torri Scott

replied toBarb McGraw

Aug 21, 2022, 9:30 AM

  • ·
  • Replies to Barb McGraw

I would educate the patient and tell him first that testosterone deficiency is the most common cause of male osteoporosis. For low-testosterone men, doctors may advise testosterone replacement to build bone mass. I would inform the patient that we must look at the testosterone to estrogen conversion. Estrogen preserves bone density in men and women. The patient may need small doses of estrogen. The patient needs plenty of calcium and vitamin D.

  • Sandra Jeudy

replied toBarb McGraw

Aug 18, 2022, 8:50 AM

Replies to Barb McGraw

Hi Professor McGraw,

Osteoporosis can affect anyone, either men or women of all races. While osteoporosis is more common in women, men are also at risk of having the disease (Rinonapoli et al., 2021). However, there are significant alterations between men and women concerning osteoporosis. For men, bone loss starts at an advanced age and progresses more slowly. Osteoporosis in men can be triggered by various diseases such as intestinal disorders, which result in poor absorption of bone-boosting nutrients. Prostate cancer medication can predispose men to low bone mass and fractures. Low testosterone production can also affect bone mass.

Reference

Rinonapoli, G., Ruggiero, C., Meccariello, L., Bisaccia, M., Ceccarini, P., & Caraffa, A. (2021). Osteoporosis in men: a review of an underestimated bone condition. International Journal of Molecular Sciences, 22(4), 2105. https://doi.org/10.3390/ijms22042105

  • Marise Guillaume Charles

replied toSandra Jeudy

Aug 20, 2022, 10:16 AM

Replies to Sandra Jeudy

Sandra I agree with you that Osteoporosis is associated with the reduced mineral density causing bone porosity. The condition also expose patients to a high risk of fractures. Osteoporosis is known to target bone and bone tissues (Pouresmaeili et al., 2018). Unfortunately, the health complication may interfere with movement in the affected areas. The risk factors for this bone complication can be characterized as either environmental or genetic. Occasionally, both genetic and environmental factors can expose an individual to osteoporosis. The genetic risk factors include being female, family causes, and increased age and early menopause. Poor living conditions may also expose population to osteoporosis (Zheng et al., 2018). Osteoporosis is a common bone complication due to usual environmental and genetic risk factors. Therefore, people are recommended to check on their lifestyle choices. Nurses can use

NRS 410 Topic 5 DQ 2 Explain the risk factors for osteoporosis
NRS 410 Topic 5 DQ 2 Explain the risk factors for osteoporosis

their positions and knowledge to educate patients about osteoporosis. Sensitization will help patients to manage the condition. At the same time, people having patients of the same complication may learn much from sensitization.

 

References

Pouresmaeili, F., Kamalidehghan, B., Kamarehei, M., & Goh, Y. M. (2018). A comprehensive overview on osteoporosis and its risk factors. Therapeutics and clinical risk management, 14, 2029. doi: 10.2147/TCRM.S138000

Zheng, J. P., Miao, H. X., Zheng, S. W., Chen, C. Q., Zhong, H. B., Li, S. F., … & Sun, C. H. (2018). Risk factors for osteoporosis in liver cirrhosis patients measured by transient elastography. Medicine, 97(20). doi: 10.1097/MD.0000000000010645

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