Question

case study please net hand writing if you are going to post a picture

Scenario #1: Older Adults:
Mrs. Alice Green, a 78 year old female, has had a bone density scan as part of a regular physical check and has been told that she has severe osteoporosis. Her primary care health practitioner has ordered a new medication that is supposed to maintain bone mass in clients with osteoporosis. Mrs. Green lives alone in her own home and is able to perform her activities of daily living (ADLs) independently.
How would you define osteoporosis to Mrs. Green?
What risk factors related to osteoporosis should be included in an assessment of Mrs. Green?
Which of the risk factors are modifiable or can be altered by a change in lifestyle?
What preventive measures should be taught to decrease risks of fractures and to maintain bone mass?
As a community nurse, what type(s) assessment or recommendations would make to Mrs. Green?

Scenario #2: Middle Aged Adults:
Gil Marten is 52 and married to his wife Helen, 50, for 18 years. Helen works as a bank teller and she is overweight. Gil is a delivery truck driver and has chronic back pain. Gil works long and demanding hours. Gil’s mother, Mary, age 75, is a recent widow and has just moved in with Gil and Helen. Gil and Helen have three teenage children in their home. With their busy household, they spend most evenings at home watching TV.

Explain the physiological changes, physical changes and psychosocial factors that are or may be affecting Gil and Helen based on their stage of human development

Explain Erikson’s theory regarding this stage of development and relate it to Gil and Helen.

3. What two health promotion activities would you expect to be beneficial to Gil and Helen’s health?

Scenario #3: Adolescence:
Megan, 15 years old, confides to you that she and her boyfriend have had sex a few times. Megan is concerned about getting pregnant but does not know much about contraception. She says that talking to her parents about sex and contraception is out of the question.
How can you help Mega make responsible decisions concerning her sexuality?
What problems have you seen in adolescents who become parents?
As a community nurse, what are your concerns about this teenager and what would be your priorities to address with this pregnant teenager?

Answer 1

Answer 1: Osteoporosis is disease in which bones becomes weak and brittle. It is also followed by severe pain in the joints. If proper care is not taken, it may cause fracture.

The risk factors related to osteoporosis should be included in an assessment of Mrs. Green are:

• Due to his disease condition, it could increase risk of fracture with a slight injury or rear and tear of bones.
• As people aged, their bone starts to lose calcium.
• Fall risk increases.
• Lack of nutrients.

The lifestyle modification can reduce the risk of the disease such as intake of healthy foods, calcium rich foods, taking vitamin D supplements as well as adopting Healthy lifestyle.

The client should be educated about the intake of dairy products, the reduce risk of fall, the client need to be more concerned and careful while walking etc.