INDICATIONS: The patient is a 69 year old black female who fell, landing on her right hip. She was seen in the emergency room where physical exam and x-ray revealed an intertrochanteric right femoral fracture. She was admitted to Dr. Loyd’s service after an orthopedic consultation and preoperative clearance for surgery. She was taken for ORIF.…
Your 80 year old great aunt Evelyn was placing a canning jar on the top shelf when she stepped awkwardly off of the stool and twisted her leg at the hip. After collapsing to the floor, she found that she could no longer stand. She was taken to the emergency room where X rays revealed that the neck of her femur was fractured. A bone scan revealed reduced bone mass in the head and neck regions of the injured femur, in other long bones of the body and in the vertebrae, suggestive of osteoporosis. Surgery was required to repair the femur, and a biopsy of the bone tissue revealed that the composition of the osteoid is normal. Healing of the fracture is proceeding slowly.…
I was called to see this 69-year-old black female patient, well known to me, who was brought to the ER after she sustained an injury of her right hip. She states she was walking when her right leg “gave out” and she fell onto the right hip. She complained of mild pain in the right hip and mild edema was noted in the ER. In addition, she had external rotation of the right leg. Initial x-ray demonstrated finding of intertrochanteric fracture non-displaced of the right hip. Consultation was obtained from Dr. Dodd who concurred with the diagnosis and treatment recommendations were made. She was subsequently admitted to the hospital for further evaluation and treatment including surgical repair of the hip.…
-with normal levels of calcium in the blood,she still could have osteoprosis, the level of calcium in the blood is expected to be normal but calcium in bone could be…
Your 80 year-old great aunt, Persis, was placing a canning jar on the top shelf of her pantry when she stepped awkwardly off the stool and twisted her leg at the hip. She felt a sharp pain in her hip and, after collapsing to the floor, found she could no longer stand. She was taken to the emergency room where an X ray showed that the neck of her femur was fractured. More detailed X ray images revealed reduced bone mass in the head and neck regions of the injured femur, in the ends of other long bones of the body and in the vertebrae. Surgery was necessary to repair the fractured femur and a biopsy of the bone tissue indicated that the composition of the osteoid was normal. Healing of the fractured femur is proceeding slowly.…
Indications: The patient is a 69 year old black female who fell landing on her right hip. She was seen in the Emergency Room where physical exam and x-ray revealed an intertrochanteric right femoral fracture. She was admitted to Dr. Loyd’s service .…
1. Read the Dem Bones case study written by Alease Bruce of the Department of Health…
Your 80 year-old great aunt, Persis, was placing a canning jar on the top shelf of her pantry when she stepped awkwardly off the stool and twisted her leg at the hip. She felt a sharp pain in her hip and, after collapsing to the floor, found she could no longer stand. She was taken to the emergency room where an X ray showed that the neck of her femur was fractured. More detailed X ray images revealed reduced bone mass in the head and neck regions of the injured femur, in the ends of other long bones of the body and in the vertebrae. Surgery was necessary to repair the fractured femur and a biopsy of the bone tissue indicated that the composition of the osteoid was normal. Healing of the fractured femur is proceeding slowly.…
People with arthritis have often suffer with stiff, rigid and painful joints, and movement of joints can be limited, it is important to not forcefully move the joints beyond their capabilities in order to prevent pain and discomfort.For Individual's suffering from fractures, the movement should be gentle and careful, and correct procedures must be followed, so as to reduce any further complications to the fracture. Should the individual be bed-bound, the correct hoist and sling must be used. When staff follow appropriate moving and handling techniques, it will reduces the risks of back injury, pain and discomfort to both service user and staff themselves.…
The Bottom Line: If you're looking for her sister's bones, you'll have to dig deep.…
The key rhetorical question ‘If you could make your bones stronger would you’ appears in Source of Strength and Back on the Road and was considered game changing copy The question poses re-evaluation of the state of their osteoporosis and their treatment plan strikes a nerve for patients with PMO. It makes them sit up and listen and inspires them to reclaim their health, shedding a passive approach to treating their disease It puts it on yourself. It’s a decision we all have to make.…
Osteoporosis is a disease of bones that leads to an increased risk of fracture. In osteoporosis, the bone mineral density (BMD) is reduced, bone microarchitecture deteriorates, and the amount and variety of proteins in bones are altered. Osteoporosis can cause severe back pain, hip fracture, and loss of mobility. It is very damaging to the vertebrae and can lead to needing spinal surgery. Age is an independent risk factor for the development of Osteoporosis and the prevalent rises drastically with age. (Jen Hyashi) Osteoporosis thins the bones and makes them weak and fragile. The effects in the everyday life of a thin white 84-year old woman may be critical. A minor fall can cause a fracture since the bones become so thin and have low bone density.…
Osteoporosis in an elderly woman is very likely if she has not been taking precautions against it. Especially with the Western diet she is possibly not consuming enough minerals to keep her bones from losing density and mass. If she ever falls she is more than likely to attain a fracture and her changes of falling again and receiving another fracture with osteoporosis only increase.…
Osteoporosis is the muscle disorder that causes thinning of the bones, makes them very fragile and extremely easy to break. The one main problem that you will run into is that woman who are 75 years of age and older are less likely to have a bone density test screening done, the reason for this is that doctors don’t think that there health would improve at that stage in life and because of that reason serious damage can happen to these patients that could have been prevented. As they age they will have extensive bone loss including loss of outer bone and spongy tissue, also a very high decrees of calcium, vitamin D and estrogen through out there body (which is essential for strong and healthy bones). Having Osteoporosis can most defiantly hinder their independence on the note that they have a higher risk of falling or slighting bumping themselves, this can cause painful fractures to their hips, spin and wrist.…
This essay discusses how the care and management of the patient, Mary (see Table 1), could be carried out, based on osteopathic concepts, principles and guidance outlined in the Osteopathic Practice Standards (OPS), published by the General Osteopathic Council (GOsC) in 2012. The OPS are the standards required of osteopaths to ensure the quality of care patients receive and to protect them from harm (GOSC, 2016). In the United Kingdom (UK), the practice of osteopathy is regulated by the GOsC and, by law, osteopaths must be registered with GOsC in order to practise in the UK.…