Risks and Management of Osteoporosis in Women: A Case Study

Running Head: NURSING 1
NURSING

Running Head: NURSING
Table of Contents
Question 1........................................................................................................................................3
Risks with Osteoporosis and discussion with her............................................................................3
Are there any other factors that you identified in Robyn’s history which may be important to her
overall management?.......................................................................................................................4
Would you order any investigations at this point? If yes, which ones and how would these affect
your advice to Robyn?.....................................................................................................................5
What lifestyle changes/management options might you suggest to Robyn and why?....................6
Question 2........................................................................................................................................7
Overview..........................................................................................................................................7
Possibility of the Risks....................................................................................................................9
WHY THE DIFFERENCE IN RESULTS?..................................................................................10
Conclusion.....................................................................................................................................15
References......................................................................................................................................16

Running Head: NURSING
Question 1
Risks with Osteoporosis and discussion with her
Osteoporosis is a disease in which the bones of the human being are more weak and brittle. The
situation has become so critical that even a mild stress such as bending or sneezing could cause a
fracture. The injuries are commonly found on hip, wrist or spine. The major factor that is
involved in case of the osteoporosis is cease of the building of the new bone. The loss of the old
bone is heavy that there is no formation of the new bone. Osteoporosis is found in White and
Asian Women specially when they get old and they are past with Menopause. In case of Robyn
she is of 59 years and her mother is suffering from osteoporosis that is 80 years in age. Also
since she had her last period ten years ago and the situation is even worse as her bones are
already weak due to the age factor and menopause is one of the critical factors that are an
addition in making the situation worst1. In a word with Robyn these symptoms are not found at
the early stages but once these bones are of low strength by osteoporosis the signs that have been
included are back pain, caused by a fracture or due to broken vertebra, loss of height over the
time, the posture gets stooped and it’s easy to break the bone. It is advised to Robyn that since
her mother is suffering from osteoporosis this is necessary to discuss and it can be discussed via
a formal face to face meeting to give the clear figures and facts2.
1 Finnerty F, Walker-Bone K, Tariq S. Osteoporosis in postmenopausal women living with HIV.
Maturitas. 2017 Jan 1;95:50-4.
2 Ghosh JS, Jog RP. Nutritional Factors are not Sufficient to Check Osteoporosis in Women after
Menopause-A Justification. Nutrition and Food Toxicology. 2018;3:556-7.

Running Head: NURSING
Are there any other factors that you identified in Robyn’s history which may be important
to her overall management?
The other factors that are identified in the history of Robyn were the importance for the overall
management is the HRT therapy that her mother is taking regularly for a period of the 4 years.
Basically HRT therapy is also known as Hormone Therapy, menopausal therapy or estrogen
replacement theory. Under the Hormone Replacement therapy the estrogen level generally falls
and it becomes uncomfortable for the women’s as they feel dry flushes or the dry vagina
problems. There are several methods of applying the HRT and this is decided on the basis of the
situation prevailing with the patient. In case of the Robyn’s mother, HRT is being used in the
case of the hot flushes. Also in the present case the GP of Robyn’s mother is being advised to
stop the HRT therapy, gradually over the period of the time. A heavy dose of the HRT is
retentions of the fluids, bloating, tenderness in the breast or swelling, headaches, depression as
well indigestion3. Though there are benefits of the HRT such as it is very sound and the effective
in case of the menopause and it can reduce the development of the osteoporosis and the cancer of
the colon and rectum. But since every treatment has the pros along with the cons and one of the
cons faced is the real development of the breast cancer, womb cancer and ovarian cancer as well.
The process of the HRT also increases the risk of the vein thrombosis and pulmonary embolism.
Hence, the decision given by GP is correct as the continuous therapy process would create more
3 Falk RT, Anderson GL, Barnabei VM, Brinton LA, Cauley JA, Chen C, Chlebowski RT,
Coburn SB, Manson JE, Pfeiffer RM, Reding KW. Estrogen metabolism in menopausal hormone
users: Does it differ between estrogen plus progestin and estrogen alone users in the Women’s
Health Initiative Observational Study.