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Pages:
1 page/≈275 words
Sources:
3 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Research Paper
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 5.83
Topic:

Osteoporosis and the T-Score

Research Paper Instructions:

Read the following case study and consider order number 00161067 .
answer the following questions.
one of the resources should be Arcangelo, V.P., & Peterson, A.M. (2022). Pharmacotherapeutics for advanced practice: A practical approach (5th ed.). Wolters Kluwer. ISBN 978-1-9751-6059-3
Joyce Reynolds who was experiencing symptoms related to menopause. You have been following Joyce over the years. Joyce is now 57 years old. She presents to the office to discuss the results of her latest DEXA scan. You review the results. The reported T-score is – 3.0 at the femoral neck, a 10-year probability of hip fracture is 5%, and 30% major osteoporotic fracture.
Joyce is employed as administrative assistant. She has a 75-pack year history. Her BMI is 36. She denies alcohol use.
Joyce does not have a history of fractures.
Her current medications include:
lisinopril 40 mg daily
furosemide 20 mg daily
omeprazole 40 mg daily
multiple vitamins daily
Tums 500 mg bid
Vit D 400 IU daily

Answer the following questions:
What is the significance of the T-score?
Explain the T-score result to Joyce.
Differentiate the three types of osteoporosis. How does this apply to Joyce?
What are Joyce’s risk factors for osteoporosis?
Is Joyce a candidate for initiating drug therapy according to the National Osteoporosis Foundation (NOF) guidelines? Explain.
What are the goals of drug therapy?
If you consider beginning drug therapy, which drug would you choose? Explain.
Discuss specific patient education based on your chosen drug therapy.
What non-pharmacological therapies would you recommend to Joyce?
please use 4 resources

Research Paper Sample Content Preview:

Joyce Reynolds: Osteoporosis
Student’s Name
Professor’s Name
Institutional Affiliations
Course Name and Number
Due Date
Joyce Reynolds: Osteoporosis
What is the significance of the T-score?
T-score is the measure that determines the rate at which the bone mass deviates from the normal. Its use is fundamental in demonstrating whether a patient has an increased risk for osteoporosis (Arcangelo et al., 2017). It also informs the start of pharmacological treatment.
Explain the T-score result to Joyce.
A t-score range of -1 to -2.5 confirms osteopenia (Arcangelo et al., 2017). A score of -3.0 indicates an increased weakening of the bones.
Differentiate the three types of osteoporosis. How does this apply to Joyce?
Postmenopausal osteoporosis is commonplace in women aged 50 -75 in their postmenopausal period, while senile one affects all genders beyond 70 years (Arcangelo et al., 2017). Finally, secondary osteoporosis emerges from medications and illnesses and affects everyone, irrespective of age. Joyce’s case fits within the postmenopausal osteoporosis criteria.
What are Joyce’s risk factors for osteoporosis?
Joyce’s non-modifiable risk factors include her age of 57 and gender (Tański et al., 2021). However, her smoking history is a modifiable risk factor.
Is Joyce a candidate for initiating drug therapy according to the National Osteoporosis Foundation (NOF) guidelines? Explain.
Joyce should be starting her drug therapy because her test results satisfy the set criteria by NOF. For instance, her t-scores at the femoral neck are already beyond the range of -1 and -2.5 at -3.0 (Arcangelo et al., 2017). She also meets the threshold of having a hip fracture’s 10-year probability of more than 3% and a minimum of 20% for major osteoporosis-linked fractures by recording 5% and 30%, respectively, in these f...
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