GERIA COURSE

TASK
DELA CRUZ, MARIA STEPHANY R.
BSN 3A1 - 5S
 Study Questions:
1. What treatment/s might you expect to help address the loss of bone mineral density of Mrs. Pringle and
reduce the risk of hip fracture?

❏ Treatment of established osteoporosis may include exercise, vitamin and mineral supplements, and
medications. Exercise and nutritional supplements are often recommended to prevent osteoporosis.
Exercise for weight maintenance, resistance and balance is important.
❏ Diet - to maintain strong healthy bones, the patient need to have a diet rich in calcium throughout her life.
Example 1 cup of skim or 2 percent fat milk contains 300 milligrams of calcium. Besides dairy products,
other good sources of calcium are salmon with bones, sardines, kale, broccoli, breads, and dried figs. it is
best to try to get the calcium from food and drink.
❏ Patient education - After medication is tolerated and symptoms are alleviated, walking routines, strength
training, and balanced diet training are introduced. The goal of walking and weight training is to increase
bone mass and muscle endurance. Education also covers the side effects of taking estrogen and
Fosamax, and because osteoporosis is a debilitating condition, it covers the importance of this treatment
plan for good results for them.
 Study Questions:
2. How will you set your treatment goals to comply with the Mrs. Pringle
stated goal of ‘bothering vaginal dryness’?
❏ First is to explain that Menopause can lead to many physical changes, including vaginal dryness. It may
feel uncomfortable and embarrassing, but it's very manageable and manageable. Then assure the patient
that she can improve the quality of life and minimize symptoms by consulting with your doctor or other
health care professional to find the treatment plan that works best for you.
❏ When comes to sexual intercourse, the patient should be informed that vaginal discharge and water reduce
friction during sexual intercourse. This will help make it more convenient. Without proper lubrication, sex
can be uncomfortable or even painful. Vaginal dryness during and after menopause can change sexual life
due to sexual discomfort.

There are things you can do to relieve pain during sex and moisturize the vaginal area. This includes the following:

Vaginal moisturizers. Vaginal moisturizers add moisture to and around the vagina. They can be inserted for internal
moisture or applied to the vulva to add moisture there.
Lubricants. Lubricants help reduce discomfort during sex and can be used in addition to a vaginal moisturizer.
Vaginal dilators. Vaginal dilators can help stretch and enlarge the vagina if tightening occurs. These should be used under
the guidance of a gynecologist, physical therapist, or sex therapist.
Pelvic floor exercises. These exercises can also help strengthen and relax certain vaginal muscles.
 ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

SUBJECTIVE: Impaired SHORT TERM: 1. Ensure patient’s 1. Most priority of a SHORT TERM:
“The pain is becoming safety. nurse is to provide After 8 hours of
physical After 8 hours of safety.
worse, and it is nursing intervention,
keeping me from mobility related nursing intervention, the patient was able
the patient will be able 2. Assess the 2. Maintain functional
doing my daily to loss of to:
to receive assistance
activities” as patient’s functional mobility as long as from the family and
verbalized by the
integrity of bone ability for mobility and possible within the nurse in
patient. structure as ● Maintain note changes. limitations of disease performing ADLs and
functional process.
evidenced by patient was able to
mobility as perform activities to
OBJECTIVE: severe back long as 3. Monitor blood 3. Postural maintain functional
● Inability to pain. pressure (BP) with the hypotension is a
possible mobility.
perform resumption of activity. common problem
action as within
Note reports of following prolonged
instructed limitations of
dizziness. bed rest and may
● Limited ROM disease require specific
● Reluctance to process. interventions (tiltable
attempt ● Have a few, if with gradual elevation
movement any, to upright position).
complications
related to 4. Provide range of 4. Helps to prevent
immobility as motion exercises joint contractures and
disease every shift. Encourage muscle atrophy.
condition
active range of motion
exercises.
progresses.
ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

5. Apply trochanter 5. Prevents

rolls and/or pillows to musculoskeletal
maintain joint deformities.
alignment.

6. Assist patient with

6. Preserves the
walking if at all
patient’s muscle tone
possible, utilizing and helps prevent
sufficient help. A one or complications of
two-person pivot immobility.
transfer utilizing a
transfer belt can be
used if the patient has
a weight-bearing
ability.

7. Instruct family 7. Prevents

regarding ROM complications of
exercises, methods of immobility and
transferring patients knowledge assists
from bed to wheelchair, family members to be
and turning at routine better prepared for
intervals. home care.
ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

8. Assess the degree 8. Patient may be

of immobility restricted by self-view
produced by injury or or self-perception out
treatment and note of proportion with
patient’s perception of actual physical
immobility. limitations, requiring
information or
interventions to
promote progress
toward wellness.

9. Administer 9. To prevent further

medication as ordered complication.
by the physician.

10. Assess client 10. To assess client’s

knowledge about the knowledge.
causes, treatment
plan and specific
medication.
 THANK YOU!
Merry christmas po!