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Understanding Osteoporosis and the Impact of Nursing Care

 

Prevalence of Osteoporosis

According to the World Health Organisation (WHO), osteoporosis refers to loss of bone mineral density with a T score of less than or equal to -2.5 standard deviation. It is a progressive disease that weakens the bones and raises the risk of fractures. A study published in the International Journal of Research in Orthopaedics analysed the prevalence of osteoporosis in adults across different regions of India. The results revealed that 1 out of 5 adults have osteoporosis and that older adults (>60 years) had a higher prevalence compared to younger adults (<60 years). The development of fractures due to osteoporosis predisposes the elderly to a higher risk of morbidity and mortality. Though osteoporosis is increasingly common in older adults, it necessarily doesn’t have to be a part of aging. The nursing service of Athulya Home Healthcare is aimed at supporting seniors with osteoporosis to manage their bone health and prevent further deterioration.

Development of osteoporosis

Bones are living tissues designed with minerals such as calcium and phosphate that keep them strong. Osteoporosis in old adults arises due to the imbalance in the remodelling of bones. Resorption of minerals from the bone and the building of new bone tissues is an ongoing process in the body. When the rate of resorption overtakes production, bone mineral density is reduced resulting in osteoporosis.

Osteoporosis may also arise due to the following,

-         Family history of osteoporosis

-         Increased oestrogen production in women

-         Low body weight and smaller body frame

-         Low calcium and vitamin D levels

-         Deficiency of other essential minerals such as magnesium and phosphorus

-         Unhealthy lifestyle like alcohol intake or smoking tobacco

-         Physical inactivity

-         Long-term usage of medications like steroids, anti-seizure medicines, and aluminium-containing antacids

-         Certain medical conditions like rheumatoid arthritis, thyroid disorders, anorexia nervosa, celiac disease, stroke, and AIDS

-         Gastrointestinal surgery that affects the absorption of nutrients

 

Symptoms of osteoporosis

The common symptoms of osteoporosis observed in seniors include

-         Posture changes

-         Shortness of breath

-         Multiple fractures

-         Decreased body height by 1 inch or more

-         Movement limitations

-         Poor balance

-         Lower back pain

-         Spine malformations such as hunched or stooped back


Managing osteoporosis

A combination of treatments is suggested by healthcare providers to slow down bone loss and strengthen the existing bone tissues.

       Exercise: For seniors with osteoporosis exercising regularly can strengthen their bones, muscles, tendons, and ligaments. Weight-bearing exercises work directly on the muscles and improve their strength and flexibility. Exercises like walking, yoga, tai-chi, and pilates that make the body work against gravity enhance balance in seniors. We help seniors practice physiotherapy at home with our team of expert therapists who develop tailored exercise regimens for them.

       Medications: Orthopaedics may prescribe medicines that may work best for the elders. Hormone therapies like estrogen or testosterone replacement and biphosphonates, denosumab, romosozumab, and parathyroid hormone analogues are the commonly prescribed medicines. At Athulya Home Healthcare, home doctor consultation services are available for seniors. Our orthopaedics evaluate and keep track of their health with regular assessments and follow-ups.

       Supplements: When the diet is insufficient in essential minerals and vitamins, dietary supplements pose to be instrumental. Vitamin D and calcium supplements are commonly prescribed. The dosages of these supplements may differ between individuals and must be consumed as per the expert’s advice.


The critical role of nurses

Regular assessments, following treatment plans, and preventing fractures are important pillars of osteoporosis management.

Nurses play an essential role in the identification of seniors with or at risk of fracture due to osteoporosis. Our nurses perform fracture assessments to +identify the potential causative factors of fractures and employ appropriate prevention strategies. Falls are commonly reported in seniors with osteoporosis. Our nursing assistants aid in the prevention of falls by ensuring the surrounding is safe for seniors.

Educating seniors and their family members is essential for effective management of osteoporosis. Nurses promote the understanding of the condition and the treatment regimen suggested by doctors.

Our skilled nurses play crucial roles in alleviating pain and other adverse symptoms. Posture correction and maintaining good body mechanics while performing activities like lifting objects, sitting, bending, etc., help prevent the impact of osteoporosis.

Nurses also help monitor adherence to osteoporosis medications and treatment and coordinate with the doctors to promote seniors’ health.


Bottom line

Osteoporosis is the most common bone disease associated with an increased risk of fractures in elderly individuals. Nurses significantly contribute towards the effective management of osteoporosis.  At Athulya Home Healthcare we encourage healthy aging by supporting seniors with the necessary care services. Exercising regularly, maintaining the right posture, consuming a balanced diet, adhering to medicines, and preventing fractures are some of the ways our skilled nurses and nursing assistants help seniors manage osteoporosis. To learn more about our home care services, visit our website Athulya Senior Care.

Information: This blog is for informational purposes only and should not be considered as a substitute for any treatment or diagnosis. Seek professional help in case of any emergency. Athulya is not responsible for any consequences.

 

Related Links:

1.      https://www.athulyahomecare.com/blog/unraveling-the-confusion-osteoarthritis-vs-rheumatoid-arthritis-know-the-difference/

2.      https://www.athulyahomecare.com/blog/orthopedic-conditions-in-seniors/

3.      https://www.athulyahomecare.com/blog/what-are-the-common-age-related-conditions-requiring-physiotherapy/

4.      https://www.athulyahomecare.com/blog/transforming-elderly-care-the-benefits-of-home-nursing-services/

 


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