Chronic Pain related to Osteoporosis

Nursing Care Plan for Osteoporosis

Osteoporosis is a metabolic bone disease that is chronic and progressive, which is characterized by low bone mass and structural deterioration of bone tissue, which can lead to bone fragility. (Sharon L. Lewis, 2007).

Risk factors:
  • Old age.
  • Women.
  • Skinny.
  • Family history of osteoporosis.
  • Low-calcium diet.
  • Ethnic white or asian people.
  • Excessive alcohol consumption.
  • Smokers.
  • Inactive lifestyle.
  • The use of corticosteroids, thyroid replacement, heparin, long-acting sedatives, or anti-seizure drugs in the long term.
  • Postmenopause, including early menopause or surgical menopause.
  • History of anorexia nervosa or bulimia, chronic liver disease, or malabsorption syndrome.
  • Excessive caffeine consumption.
  • Low testosterone levels (hypogonadism in males).

Nursing Diagnosis for Osteoporosis : Chronic Pain

Goal: The client is able to act independently to reduce pain, and pain is reduced until it disappears.

1. Assess the location of pain, level of pain, duration, frequency and intensity of pain.
R /. determine appropriate nursing interventions for clients

2. Encourage clients to rest in bed and encourage clients to take a supine or oblique position that is comfortable for the client.
R /. Back pain relief can be done with bed rest with supine position or tilted to the side for a few days.

3. Give solid and not flexible mattress.
R /. Provide comfort for the client.

4. Teach client to perform relaxation technique of knee flexion.
R /. Knee flexion can increase comfort by relaxing the muscles.

5. Give intermittent warm compresses and massage the back.
R /. warm compress and massage on the back repairing muscle relaxation.

6. Teach and encourage the client to move the torso as one unit and avoid twisting movements.
R /. Twisting body movements can increase the risk of injury.

7. Help clients to get out of bed.

8. Attach the lumbosacral corset for support and immobilization while, although similar tools sometimes feels uncomfortable and less well tolerated by most elderly.

9. If the patient has been able to spend more time outside the bed should be encouraged to frequent rest breaks to relieve discomfort and reduce stress-induced abnormal posture muscles weaken.
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