Discuss about the Healthy Ageing And Challenges To Health For Older Persons.
The rate of aging in global population is increasing day by day. This phenomenon is occurring in a time when the scale and rate of man made changes in the environment is exceeding the highest levels of ecological limitations. According to World Health Organization (2017), about 15% of adults aged 60 and over suffer from a mental disorder.
The biophysical issues related to aging is not much discussed in the society however, the effects of such issues are life threatening in the elderly population of the society (Berryman et al 2012). The psychosocial approach as well, looks at these elderly people in relation with the combined influence of social factors surrounding environment, and psychosocial factors (Keefe et al 2013). These approach talks about these above-mentioned factors on the mental and physical wellness.
To discuss these issues, the critical analysis will discuss the case of Marika, who is in her 80’s and is suffering from several disorders such as osteoporosis, osteoarthritis, hypertension, falls, overweight and delirium as well. She is currently living in an old age care home and suffering from these biophysical and psychosocial issues. This critical analysis is going to discuss her issues about osteoporosis and osteoarthritis with a proper clinical intervention and care plan to help her age in a healthy way.
As Marika is suffering from osteoarthritis, osteoporosis, hypertension, falls, and delirium, the pathophysiology of osteoarthritis and osteoporosis has been discussed.
Pathophysiology of osteoarthritis- the cartridge is a unique tissue that has several compressive and viscoelastic properties that is imparted by its extracellular matrix. This cartridge is made up of type two collagen and proteoglycans (Sankar et al. 2013). In normal condition, this matrix undergoes a remodeling process in which, lower level of synthetic and degradative enzymes are formed, that balances the overall activities and the volume of the cartridge is maintained. However, in the case of Osteoarthritis, expression of those degradative enzymes becomes higher than that of the synthesizer enzymes, leading to the shift the balance in the favor of overall degradation of the bones. This leads to loss of collagen and proteoglycans from the matrix. Hence, the bones becomes weaker (Olivotto et al. 2015). Due to the loss of those two building blocks of cartridge, chondrocytes produces elevated amounts of proteoglycans and collagens, however as the disease continues, the synthesize outmatched the degradation and leads to fibrillations, cracklings and erosions in the superficial layer of cartilage. These cracklings progresses to the deeper layers over time leading to clinically observable cracklings and erosions (Pesesse et al. 2014).
Pathophysiology of Osteoporosis –
The condition of osteoporosis is mainly the reduction in skeletal mass that has been caused by the imbalance between bone reabsorption and bone formation. In normal physiological conditions, the reabsorption and the bone formation are present in balance however; increase or decrease in either factor can lead to the condition of osteoporosis (Armas and Recker 2012). The cause of osteoporosis can be failure in the formation of bones and reaching the peak bone mass, during the young age, that causes loss of bones in the later period of life. Hormonal status can be another factor to cause osteoporosis. Aging and the loss in the gonadal functions are also the reasons behind the occurrence of the osteoporosis. As the menopause occurs, the rate of bone loss accelerates in women. Estrogen deficiency is a prime reason of the factors that influences the process of bone loss in elderly women (Drake, Clarke and Lewiecki 2015).
Due to these health problems, Marika is suffering from falls, delirium and hypertension.
Investigation of these diseases in Marika can be done using different pathophysiological tests. The diagnosis processes that can be used to investigate the level of osteoporosis are-
Diagnosis procedures for the osteoarthritis can be-
The primary signs and symptoms for Marika’s osteoarthritis included-
Symptoms of osteoporosis includes –
The clinical course of osteoporosis and osteoarthritis can be better understood by Marika’s history of diseases. There are three levels for the etiopathogenesis of osteoarthritis. Marika is currently suffering from acute phase of arthritis hence; her pain is of the sharp level and cannot be controlled by physiotherapies of medication. In early stages the joint were appearing normal and was little tender and stiff while inactive. However, due to several course of falls. The pain become inevitable and joints become weaker (Pisters et al. 2012).
As per her symptoms. Marika is suffering from acute phase of osteoporosis as well. The MRI and X-ray reports has cleared the fact that her bone has become narrower due to the loss of calcium and several pores are present in it. Initially her pain used to be controlled by some analgesics; however, nowadays it has become intolerable.
Osteoporosis
Osteoarthritis
Conclusion
Aging is the most difficult phase for human being as the dependency on others affect the elderly people more effectively than any other health condition. Furthermore, presence of adverse health conditions increases their dependency, leading to hypertension. Marika lives in an old age care home and is suffering from several diseases. Due to the level of dependency, she is suffering from hypertension, which is the prime reason for her overweight body. She has a history of falls and due to which she used to feel severe pain in her joints. This is later diagnosed as osteoporosis and osteoarthritis of acute level. In this critical analysis, the sign, symptoms and the diagnosis process for her disease has been mentioned. Current medication that are being used to treat these bone disease has been discussed. The pathophysiology has also been discussed. A detailed care plan, including the interventions, goals and objectives, rationale and evaluation for these interventions has been mentioned in a tabular format that has been attached in the appendix section.
References
Aaseth, J., Boivin, G. and Andersen, O., 2012. Osteoporosis and trace elements–an overview. Journal of Trace Elements in Medicine and Biology, 26(2), pp.149-152.
Aicher, W.K. and Rolauffs, B., 2014. The spatial organisation of joint surface chondrocytes: review of its potential roles in tissue functioning, disease and early, preclinical diagnosis of osteoarthritis. Annals of the rheumatic diseases, 73(4), pp.645-653.
Armas, L.A. and Recker, R.R., 2012. Pathophysiology of osteoporosis: new mechanistic insights. Endocrinology and metabolism clinics of North America, 41(3), pp.475-486.
Berryman, S.N., Jennings, J., Ragsdale, S., Lofton, T., Huff, D.C. and Rooker, J.S., 2012. Beers criteria for potentially inappropriate medication use in older adults. Medsurg Nursing, 21(3), p.129.
Braun, H.J. and Gold, G.E., 2012. Diagnosis of osteoarthritis: imaging. Bone, 51(2), pp.278-288.
Castañeda, S., Roman-Blas, J.A., Largo, R. and Herrero-Beaumont, G., 2013. Osteoarthritis: a progressive disease with changing phenotypes.
Cosman, F., De Beur, S.J., LeBoff, M.S., Lewiecki, E.M., Tanner, B., Randall, S. and Lindsay, R., 2014. Clinician’s guide to prevention and treatment of osteoporosis. Osteoporosis international, 25(10), pp.2359-2381.
Das, S. and Crockett, J.C., 2013. Osteoporosis–a current view of pharmacological prevention and treatment. Drug design, development and therapy, 7, p.435.
Drake, M.T., Clarke, B.L. and Lewiecki, E.M., 2015. The pathophysiology and treatment of osteoporosis. Clinical therapeutics, 37(8), pp.1837-1850.
Keefe, F.J., Porter, L., Somers, T., Shelby, R. and Wren, A.V., 2013. Psychosocial interventions for managing pain in older adults: outcomes and clinical implications. British journal of anaesthesia, 111(1), pp.89-94.
Loeser, R.F., Goldring, S.R., Scanzello, C.R. and Goldring, M.B., 2012. Osteoarthritis: a disease of the joint as an organ. Arthritis & Rheumatology, 64(6), pp.1697-1707.
Olivotto, E., Otero, M., Marcu, K.B. and Goldring, M.B., 2015. Pathophysiology of osteoarthritis: canonical NF-κB/IKKβ-dependent and kinase-independent effects of IKKα in cartilage degradation and chondrocyte differentiation. RMD open, 1(Suppl 1), p.e000061.
Pesesse, L., Sanchez, C., Walsh, D.A., Delcour, J.P., Baudouin, C., Msika, P. and Henrotin, Y., 2014. Bone sialoprotein as a potential key factor implicated in the pathophysiology of osteoarthritis. Osteoarthritis and cartilage, 22(4), pp.547-556.
Pisani, P., Renna, M.D., Conversano, F., Casciaro, E., Muratore, M., Quarta, E., Di Paola, M. and Casciaro, S., 2013. Screening and early diagnosis of osteoporosis through X-ray and ultrasound based techniques. World journal of radiology, 5(11), p.398.
Pisters, M.F., Veenhof, C., Van Dijk, G.M., Heymans, M.W., Twisk, J.W.R. and Dekker, J., 2012. The course of limitations in activities over 5 years in patients with knee and hip osteoarthritis with moderate functional limitations: risk factors for future functional decline. Osteoarthritis and cartilage, 20(6), pp.503-510.
Sankar, W.N., Nevitt, M., Parvizi, J., Felson, D.T. and Leunig, M., 2013. Femoroacetabular impingement: defining the condition and its role in the pathophysiology of osteoarthritis. Journal of the American Academy of Orthopaedic Surgeons, 21, pp.S7-S15.
Sinusas, K., 2012. Osteoarthritis: diagnosis and treatment. American family physician, 85(1).
World Health Organization (2017). Mental health and older adults. [online] World Health Organization. Available at: https://www.who.int/mediacentre/factsheets/fs381/en/ [Accessed 22 Oct. 2017].
DiCenso, A., Guyatt, G. and Ciliska, D., 2014. Evidence-Based Nursing-E-Book: A Guide to Clinical Practice. Elsevier Health Sciences.
Dunphy, L.M., Winland-Brown, J., Porter, B. and Thomas, D., 2015. Primary care: Art and science of advanced practice nursing. FA Davis.
Gordon, M., 2014. Manual of nursing diagnosis. Jones & Bartlett Publishers.
Gulanick, M. and Myers, J.L., 2013. Nursing Care Plans-E-Book: Nursing Diagnosis and Intervention. Elsevier Health Sciences.
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