Dr.

Rita Lakhani
Classification of osteoporosis.
1. Primary osteoporosis.
2. Secondary osteoporosis.
3. Idiopathic osteoporosis.
4. Juvenille osteoporosis.
Primary osteoporosis
Secondary osteoporosis
Juvenile osteoporosis
 Primary osteoporosis
Primary osteoporosis results
from osteopenia.
It results out without any
disease condition or any any
specific medication.
 Secondary osteoporosis
It mostly occurs due to extrinsic
factors such as drug therapies,
hyperparathyroidsm, eating
disorders, chronic liver and
kidney diseases.
 Idiopathic osteoporosis
It is a rare form of osteoporosis
that could occur in post
menouposal womens.
Additional risk factors
Impaired vision
Dementia
Poor health
Low dietary Ca intake
Recent falls
Inadequate physical activity
Management of osteoporosis
1. Medical management
 Drug management
 Diet management

2. Nursing management
 Nsg assesment
 Nsg care

 Nsg diagnosis
DIET MANAGEMENT

A well balanced diet containing

a recommended level of calcium
& Vit D intake.
Major sources of calcium are
dairy products like milk, cheese,
pudding, egg custard etc
Nursing management
NURSING ASSESSMENT

 Assess patient functional ability

for mobility and note down the
change.
 Asess degree of immobility
produced by any injury or
treatment
 Monitor BP continuously.
 Nursing care
 Provide ROM exercises every shift. Reposition the client
every 2 hrly.

 Apply trochanter rolls and pillows to maintain joint

alignment and to prevent deformities.

 Give proper back care and comfort devices to maintain

the condition of the back and to prevent pressure ulcers
at the back.
 Nursing diagnosis
1. Impaired physical mobility
R/T Bone loss
2. Imbalanced Nutrition R/T
Disease condition
3. Risk for fall R/T disease
conditions
Nursing interventions and rationale
 1 PREVENT INJURY
 INJURY CAN BE CATASTROPHIC FOR PATIENTS WITH OSTEOPOROSIS AS A FALL
COULD MUCH MORE EASILY CAUSE MAJR FRACTURES

 2CONTROL PAIN
 PATIENTS WITH FRACTURE TYPICALLY EXPERIENCE PAIN. CONSULTNT
PHYSICIAN OR OCCUPATIONAL THERAPY MAY CONTROL THE PAIN

 3 ASSIST ROM EXERCISES

 PATIENTS MY REQUIRE SSISTANCE TO ENSURE APPROPRIATE MOVT OCCURS TO
PREVENT ATROPHY FROM IMMOBILITY

 4 PROMOTE NUTRITION
 INCREASING CALCIUM INTAKE AND SUPPLEMENTATON

 5 MONITOR FOR FAT METABOLISM

 FAT METABOLISM IS A COMPLICTION FROM FRACTURE.