Controlling Osteoporosis: Clinical Reasoning Cycle Steps and Preventive Measures

Clinical Reasoning Cycle step-5: Establish Goals
• According to SMART attributes the required goals are defined as
follows:
• Primary goal is to control the condition of osteoporosis of the
patient.
Source: (Schubert, Momeyer, & Tornwall ,2019)
S (Specific) I want to improve his present condition of osteoporosis and
increase the required hormone level which can control the
quality of bones.
M
(Measurable)
The pain in lower back and legs has to be reduced to 5/10 and
4/10 respectively (during movement and static condition) within
90 days .
A
(Achievable)
Reducing the level of osteoporosis is possible if the hormone
levels will be under control and the supportive medications
would be provided.
R (Relevant) These interventions are essential as osteoporosis is a measure
concern for the patient. Improvement of the condition of
osteoporosis can save her from inconveniences regarding pains
and fractures.
T (Timely) Required time for the intervention is three months.

Clinical Reasoning Cycle step-6:Take actions
• Various actions are taken under consideration for
controlling the condition of osteoporosis by;
• Controlling hormonal regulation with prescribed medication
• Improving bone quality or density
• Monitoring the conditions
• Include calcium and vitamin D, B12 enriched diet
• Maintain daily exercise recommended by the physiotherapist.

Clinical Reasoning Cycle step-6:Take actions
The preventive actions are included in the following assessments
as
• Stabilising the lumbar compression fracture
• Pain management
• Increasing functional independence
The preventive measures:
• Weekly 70mg Alendronate is prescribed for reducing the risk of
lumbar fracture.
• Oestelin is provided for the patient to strengthen the muscles
and bones.
• Nurofen 200 mg will be provided to reduce pain.
• Paracetamol ,500 mg has been prescribed .