The priority concept in this scenario is to examine Osteoporosis in M.S after she complained of pain in her upper back. The pathophysiology is that regular homeostatic bone turnover is disrupted; the age-related bone resorption maintained by osteoclasts exceeds the rate of bone formation maintained by osteoblasts, resulting in a decrease in total bone density. Besides, Women are often more likely than men to develop osteoporosis since menopausal hormone levels significantly affect bone mass. Likewise, Women who drink heavily and smoke are at an even increased risk of getting osteoporosis. The assessment findings that led me to identify the problem include the pain in the patient’s upper back, and the disease is common in women who are past menopause (Akkawi & Zmerly, 2018). Besides, the findings that the patient has been a regular smoker at her tender age indicate that she has osteoporosis. Similarly, another concern in the assessment is that M.S. has never been screened for osteoporosis, and her parents were successfully treated with osteoporosis in their early 50s.
The most common nursing diagnoses for osteoporosis are acute pain from a fracture, a lack of knowledge about the osteoporosis procedure and treatment methods, and a danger of digestive disorders from immobility. Based on my understanding of how to care for M.S, I include relief of pain and understanding of osteoporosis and the clinical course (Tu et al., 2018). Equally, the interventions that will help M.S meet these are by encouraging the patient to sleep in the bed in a reclined or side-lying position numerous times per day and help educate body mechanics and sitting upright. Likewise, I will evaluate the following plan to care for the patient Identifying calcium and vitamin D-rich foods, discussing calcium supplements that will aid in strengthening the bones, and advising the patient to stop smoking.
Reference
Akkawi, I., & Zmerly, H. (2018). Osteoporosis: current concepts. Joints, 6(02), 122-127.
Tu, K. N., Lie, J. D., Wan, C. K. V., Cameron, M., Austel, A. G., Nguyen, J. K.,… & Hyun, D. (2018). Osteoporosis: a review of treatment options. Pharmacy and Therapeutics, 43(2), 92.