Osteoporosis

Paper Summary:

This paper presents a case study of a woman who suffers from osteoporosis. The paper discusses the mechanisms that are at play in the patient's condition and the signs and symptoms that the patient displays. The paper presents the information about the disease as if speaking to the patient. It then discusses potential treatment options for this patient.

Table of Contents:
Introduction
Direct Explanations to the Patient
Education
Coordination of Care

From the Paper:

"What kind of follow-up or specialty referral is needed for this patient? If she has very severe osteoporosis, a history of transplant or appears to be unable to tolerate the treatment, then referral to a specialist in osteoporosis may be in order and this appointment should be arranged before the patient leaves the hospital. If she has no complicating factors, then it should be made clear how she should follow up. She will need re-evaluation at least yearly to look at her compliance to the medication regimen as well as evaluation for any new fractures or complications from the medications. She should have her bone mineral density evaluated at least once per year until her density appears stable, and then every two years after that. Periodic blood test for calcium levels and liver/kidney function should be done and can be arranged via her primary care provider. Mrs. Woods should be given an appointment for follow-up with her general practitioner after her hospitalization in any case, just to review the changes in her medication regimen and to re-enforce all that she has learned while she was in the hospital."

Sample of Sources Used:

• Libanati CR, Baylink DJ. (1997) Prevention and treatment of glucocorticoid-induced osteoporosis. A pathogenetic perspective. Chest. 102:1426-35.
• Sambrook P, Birmingham J, Kelly P, et al. Prevention of corticosteroid osteoporosis: A comparison of calcium, calcitriol and calcitonin. N Engl J Med. 1993;328:1747-1752
• Heaney RP. (1998) Pathophysiology of osteoporosis. Endocrin Metabol Clin North Am.;27:255-65.
• Kanis JA, Melton LJ III, Christiansen C, Johnston CC, Khaltaev N. (1994) The diagnosis of osteoporosis. J Bone Miner Res. 1994;9:1137-41.
• Wasnich R. Bone mass measurement: prediction of risk. (1993) Am J Med. 1993;95:65-103

More papers on Osteoporosis:

• Research Paper # 95819 : "Osteoporosis in the US"
• Term Paper # 129641 : "Women's Health Prevention Project: Osteoporosis"
• Essay # 65524 : "Postmenopausal Osteoporosis"
• Essay # 74017 : "Preventive Medicine: Chlamydia, Osteoporosis"

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