Two Nursing Interventions with Rationale for EACH Nursing Diagnosis

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Data Collection

Imbalance of bone resorption and re-modelling resulting in decreased skeletal mass.

Common Labwork/Diagnostics:

Assessment of bone mineral density using a dual X-ray absorptiometry. This test reveals the bone mineral density of skeletal muscle and may reflect the likelihood of developing the disease.

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

Subjective findings in osteoporosis are positive of various risk factors for the disease. Significant history of smoking, heavy alcohol consumption, age, and female gender are risk factors for the disease. Family history of the disease and history of fractures are also subjective findings suggestive of osteoporosis.

Objective data:

Loss of height and kyphosis are suggestive of osteoporosis.

Risk for falls related to bone breakage and stooped posture. This is evidenced by muscular weakness and poor postural control.

Nursing Diagnosis:

Impaired physical mobility related to muscular weakness and susceptibility to fracture. This is evidenced by loss of bone mass and lower back pain.

Nursing Diagnosis

Impaired walking is related to poor postural control and muscular weakness. This is evidenced by spine kyphosis, lower back pain, and fragility-related fractures.

Reduce the chances of a patient falling and sustaining a  physical injury from falls

SMART Goal:

Perform physical activity independently or to the agreeable limits of the disease.

SMART Goal:

Walk independently at a regular pace without the use of assistive devices.

2. Provide signs that are indicative of the patient’s risk for falling. This may remind healthcare providers to implement fall precautionary measures for the patient.

1. Assist patients with muscular exercises such as aerobics. This enables patients to gain an enhanced sense of balance. These exercises also strengthen the compensatory body parts enabling patients to have enhanced mobility (Ferreira & Duran, 2019).

3. Present a safe clinical and home environment, such as putting things that the patient often uses close to them. This may reduce the chances of the patients incurring injuries from falls.

1. Implement passive or assistive exercise on the lower extremities. This enhances their stamina, increases their lower extremities muscle mass, increases venous return, and prevents stiffness (Gideon Asuquo et al., 2021).

4. Implement measures to prevent thrombophlebitis due to the patient’s inability to walk. These include the use of embolic stockings and use of pressure-relieving devices. This increases venous return and blood flow to the extremities.