This essay will explore two case studies based around orthopaedic and gastrointestinal nursing. Claire is a 61 year old female who has been admitted with a Tib/Fib fracture of her right leg and a left colles’ fracture, with a past history of osteoarthritis and recently osteoporosis. Justin is a 33 year old male admitted with gastro oesophageal reflux disease plus or minus peptic ulcer disease prepping for a gastroscopy and colonoscopy. Clinical presentations and nursing management as well as disease processes will be made evident throughout.
1 (a)
Arthritis is the common word used to describe inflammation of joints in the human body. Osteoarthritis is the most common form of this, known for creating wear and tear. The physiology affects all joint tissues and in particularly, cartilage, causing structural and biochemical modifications before finally destroying. Most commonly affects weight bearing joints such as hips, knees, and spine but can affect others if previous injury or excessive stress has occurred. (Pesesse et al., 2014)
Osteoporosis is a complex condition in which the skeletal system’s bone strength is compromised leading to increased fragility and bone fractures. This occurs when bones lose minerals quicker than the body can replace them, for example, calcium. Therefore bone density and strength decreases, holes form and bones are susceptible to breakage. (Becker, 2008)
(b)
Examples of modifiable risk factors include dietary intake involving varied fruit and vegetables for example a calcium rich diet including dairy products or spinach. Other methods of obtaining sufficient calcium include supplements in the form of tablets. Increasing the level of physical activity such as weight bearing exercises and activities to strengthen bones is very important and reduces the risk of development or disease progression. (Cech, 2012) Non-modifiable risk factors for osteoporosis include advanced age in both men and women with an increased risk