23. Asymptomatic until later stages Fracture after minor trauma may be first indication Most frequent fractures associated with osteoporosis include fractures of: distal radius vertebral bodies proximal humerus Pelvis proximal femur (hip)
64. Chronic pain Disturbed body image Dressing or grooming self-care deficit Imbalanced nutrition: Less than body requirements Impaired physical mobility Risk for impaired skin integrity Risk for injury
66. The patient will: experience increased comfort and decreased pain express positive feelings about herself perform activities of daily living (ADLs) within the confines of the disease maintain adequate dietary intake
67. maintain joint mobility and range of motion (ROM) exhibit intact skin integrity demonstrate measures to prevent injury
81. Install safety devices (grab bars, railings) at home Eat a diet rich in calcium Explain that type II osteoporosis may be prevented by adequate dietary calcium intake and regular exercise Hormonal and fluoride treatments also may help prevent osteoporosis Explain that secondary osteoporosis may be prevented by:
82. effectively treating underlying disease early mobilization after surgery or trauma decreased alcohol consumption careful observation for signs of malabsorption prompt treatment of hyperthyroidism Reinforce the patient's efforts to adapt, and show her how her condition is improving or stabilizing Refer her to an occupational therapist or a home health nurse to help her cope with ADLs
