What are some of barriers to integrating management

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Mrs. C is a 58-year-old woman who consults her primary care physician after experiencing the acute onset of severe low thoracic pain. She reports having lifted her heavy grandson the previous day. X-ray films of the thoracic spine show a 50% compression fracture of the T11 vertebra. Mrs. C was underweight as a child, although she now has a BMI of 29. She has always had a reasonable intake of calcium and states that she is mildly to moderately physically active. She reached menopause at the age of 43 years, but she did not choose hormone replacement therapy because she was concerned that it might be associated with breast cancer.

Mrs. C smokes 1 pack of cigarettes a day and states that she drinks alcohol socially. She has no family history of osteoporosis or cardiac disease. She is accompanied by her only daughter, a nurse, who is anxious that the appropriate tests be carried out and that treatment be started immediately.

Wade, 2001

You are a nurse/kinesiologist working with Ms. C. in an outpatient clinic.

Conduct a mock health assessment on Ms. C. As part of this assessment, use the FRAX scale to calculate Ms. C's risk of a fracture. Evaluate her risk factors for osteoporosis and develop goals with Ms. C. to optimize her bone health.

How do calcium and vitamin requirements change over the lifespan? How can diet maximize adequate calcium intake? What advice will you give to Ms. C?

What are some of the barriers to integrating management advice into older adults' lifestyles? (See paper by Ziebart et al., 2022) What can we do to help address these barriers?

Reference no: EM133445412

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