Clinical Reasoning Cycle for Osteoporosis Management

CLINICAL REASONING CYCLE

CLINICAL REASONING CYCLE (5th Step)- Establish goals
• Osteoporosis is referred as a significant bone disorder in which there is an
imbalance between the rate of bone formation and rate of bone degradation
(Black & Rosen, 2016). This, in turn, leads to loss of bone mass in the affected
individual (In this case Lina).
There are four nursing care plans (SMART goals) for the patient with
osteoporosis.
• Reduced physical movement- Improve physical mobility.
• Inadequate nutrition: Excessively lower than body requirements- Improve
body calcium level.
• Risk for toxicity- Manage adverse effects associated with osteoporosis.
• Inadequate knowledge- Develop a proper medical knowledge on osteoporosis
(Sözen, Özışık, & Başaran, 2017).

CLINICAL REASONING CYCLE (6th Step)- Take actions
Nursing Interventions Rationale
Patient’s (in this case Lina)
knowledge of the particular
disease (osteoporosis), diet,
medication, and health
exercise programme can be
assessed to reduce the
further progression of bone
mineral degradation (Black
& Rosen, 2016).
Osteoporosis is not detected
until the 24-40% of calcium in
bone is lost.
Lina’s understanding of
osteoporosis can also be
assessed.
Osteoporosis are diagnosed
accurately only when bone
fracture occurs.
The application of assisted
devices (which help to
maintain mobility) can be
taught to the patient (in this
case Lina).
This, in turn, prevents further
fall of the patient for lack of
support.
The patient (Lina)
will be encouraged to
take advice from one
primary doctor to
control care.
This, in turn, helps to
prevent the
utilization of
several physicians w
ho are unaware of
each other’s
treatment regimens.
Drugs has to be
administered as
ordered by
healthcare experts.
In several cases, the
ageing patients (Lina)
are on numerous
medications. As a
consequence, the drugs
used in the
management of the
osteoporosis can also
interfere with other
Nursing Interventions Rationale