Fundamentals of Nursing
Quiz 23 :
Promoting Health in Older Adults
In the given case, Alice Green, a 78-year-old woman has been diagnosed with severe osteoporosis during a bone density scan. She can able to perform her daily activities independently and lives alone at home. The primary care provider has prescribed medications to maintain her bone mass. Osteoporosis can be caused due to physical inactivity, the decrease in elasticity and strength of the tendons and ligaments. Osteoporosis can be defined as the condition of the reduction in bone mass, which may result in broken bone or bone fractures. The bone becomes weak and brittle and can result in falls. It can be caused due to the excessive loss of calcium and protein from the bones. It affects the older people than younger ones. It can also result in loss of muscle strength and increase the possibilities of falls. Once the bone gets weak and fragile, the following symptoms would be noticed in Mrs. Green; 1. Easy occurrence of bone fractures 2. Back pain related to fractures 3. Stooped and bent posture 4. Loss of height
Coping with the death of loved ones is very difficult for everyone. In the case of older adults facing the death and loss of their spouse, the experience can be a greater struggle due to the nature of their stage in life. Older adults who already face health problems, loss of independence, and other issues may lose their emotional support, experience emptiness, and loneliness after the death of their peers. In the given case, the nurse is caring an older woman whose husband died 8 months ago. Refusing to keep the beauty appointment after the death of her partner does not indicate effective coping. The remaining partner usually faces difficulty in performing their regular duties and give up their own care and support system after the loss. Increasing the consumption of alcohol indicates ineffective handling of grief and loss. Due to lack of emotional and physical support from the other members of the family who may be busy with their own lives, the woman can consume alcohol to reduce pain related to the loss of her loving caregiver. However, this can only worsen the pain. Hence, the options 2 and 5 are incorrect. Effective coping with grief and loss can be indicated by the performance of regular duties such as visiting the church on regular duties, keeping up the beauty appointments, and spending time with family and friends. Visiting the husband's grave every two weeks also indicates that the woman is strong enough to accept the loss and to reawaken the memories. Seeing the photographs of her husband and showing those to the nurse indicates that the woman is trying to reawaken the feelings and memories. Hence, the correct answers are options , and .
Alice Green, a seventy-eight-year-old woman has been diagnosed with severe osteoporosis during a bone density scan. She lives alone at home and can able to perform her daily activities independently. Her primary care provider has prescribed the medications to maintain her bone mass. Osteoporosis can be caused due to physical inactivity, the decrease in elasticity and strength of the tendons and ligaments. Osteoporosis can be defined as the condition of the reduction in bone mass, which may result in broken bone or bone fractures. The bone becomes weak and brittle and can result in falls. It can be caused due to excessive loss of calcium and protein from the bones. It affects the older people than younger ones. Some other symptoms include back pain, loss of height and stooped posture. Following are the risk factors related to osteoporosis that should be included in the assessment of Mrs. Green: 1. Age - Bone density and strength; reach to its maximum level around the age of 30. Later, the bone mass gradually declines with the aging. Mrs. Green is 78-year-old woman and has developed osteoporosis. 2. Gender - Women are four times more likely to develop osteoporosis than men and hence, Mrs. Green has developed the disease with greater severity. 3. Body weight or mass - If Mrs. Green has the low body or had the weight loss of more than 1% in a year, she is at increased risk of getting the disease. 4. Family history - If Mrs. Green's parents have had any signs of osteoporosis, she is at risk for getting the disease. This is because osteoporosis is the hereditary disease. 5. Poor nutrition - As Mrs. Green lives alone, there is a possibility of poor diet, which would have lead to insufficient calcium and vitamin D deficiency. This results in the decline in bone mass. 6. Physical inactivity - It is also one of the risk factors for the disease. People who sit for more than 9 hours a day can lead to conditions such as loss of balance, immobilization, and neuromuscular dysfunctions.