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Patient: Lisa is a 70-year-old Caucasian post-menopausal (since age 50) female. She is currently sedentary, and has smoked for most of her adult life. Lisa has lost 1.25 inches in height, and has upper-back and hip pain. Her physician just recently diagnosed her with osteoporosis. She has chosen not to use estrogen replacement therapy, but she has overheard her friends talking about some new “bone drugs” that have been prescribed to them. Lisa has been cleared by her physician to begin an exercise program.

Patient: Lisa is a 70-year-old Caucasian post-menopausal (since age 50) female. She is currently sedentary, and has smoked for most of her adult life. Lisa has lost 1.25 inches in height, and has upper-back and hip pain. Her physician just recently diagnosed her with osteoporosis. She has chosen not to use estrogen replacement therapy, but she has overheard her friends talking about some new “bone drugs” that have been prescribed to them. Lisa has been cleared by her physician to begin an exercise program.

1. Why has Lisa lost height?

Subjective (S): “I had a bad fall in my home last month when climbing up my basement steps. I’m worried about falling again, and I am having trouble going up and down the steps in my house. I want to become more active, and accomplish my daily tasks around the home with greater ease. Some of my friends have been jogging around the neighborhood in the evenings, and I want to join them since I know exercise is beneficial to my health. My physician is confident that you can develop an exercise program for me that will help slow my bone loss, and improve my overall quality of life. Also, could you please inform me about which “bone drugs” I should be taking?”

2. Should Lisa go jogging with her friends in the evenings? Please explain your answer.

3. What “bone drugs” might you talk to Lisa about? Name a few of these drugs, and describe their primary effects. Remember your scope of practice: You can educate Lisa about the various “bone drugs” that are available. However, all questions regarding whether or not they are right for her to take should be directed to her physician.

The post Patient: Lisa is a 70-year-old Caucasian post-menopausal (since age 50) female. She is currently sedentary, and has smoked for most of her adult life. Lisa has lost 1.25 inches in height, and has upper-back and hip pain. Her physician just recently diagnosed her with osteoporosis. She has chosen not to use estrogen replacement therapy, but she has overheard her friends talking about some new “bone drugs” that have been prescribed to them. Lisa has been cleared by her physician to begin an exercise program. appeared first on commompapers.org.

 
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