Designing a Care Map – Osteoporosis, Distal Radius Fracture

Common Labwork/Diagnostics:

Complete Blood Count (CBC)

Comprehensive Metabolic Panel (CMP):

Vitamin D Levels:

Thyroid Function Tests

Bone Turnover Markers:

Dual-Energy X-ray Absorptiometry (DXA) Scan:

X-rays

Bone Scintigraphy

Magnetic Resonance Imaging (MRI)

Assessment Data (consider subjective, objective, and heath history):

Subjective Data

Wrist pain (7/10)

low appetite

Difficulty with meal preparation.

Objective Data

Low body weight (85 pounds)

Medical history

Health History

Type 1 diabetes

Bipolar disorder

Depression

Hysterectomy

Smoking

Risk for falls related to osteoporosis, impaired balance, and history of fractures.

Nursing Diagnosis:

Ineffective self-health management related to poor nutrition and meal skipping.

Nursing Diagnosis

Risk for impaired skin integrity related to osteoporosis, low body weight, and limited mobility.

The patient’s balance and fall risk will be positively impacted through regular physical therapy exercises, as indicated by a 20% decrease in fall risk within six weeks.

SMART Goal:

The patient’s nutritional status will be enhanced through strict adherence to a diabetic diet and consistent administration of prescribed insulin, aiming to attain and sustain a healthy weight within three months.

SMART Goal:

The patient will demonstrate a high level of cognitive ability, as evidenced by the absence of pressure ulcers, within four weeks.

Reasoning: Mitigating environmental hazards is crucial for preventing falls (Campani et al., 2020).

2. Work with a physical therapist to create a customized exercise program that emphasizes improving balance and building strength.

Reasoning: Regular physical activity enhances balance and decreases the likelihood of falling in individuals with osteoporosis.

1. Work with a registered dieti