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Respond to your colleagues posts and provide additional insight that might be useful and appropriate for the issue addressed. Use your learning resources and/or evidence from the literature to support your position.

 

Colleagues post: There are certain individuals more likely to develop osteoporosis than others and that is patients being treated with glucocorticoids for things such as Rheumatoid Arthritis. The American College of Rheumatology has published guidelines suggesting a baseline DEXA scan be performed on those with longer term use of steroids and the use of calcium and vitamin D be used in primary prevention for osteoporosis (Onkka, et al., 2018).

The main primary prevention measure women do not utilize is osteoporosis screenings such as DEXA and education. Osteoporosis quality improvement strategies are primarily focused on individuals who have recently had a fracture and therefore it becomes secondary prevention Leslie & Crandall, 2019).

The US Preventative Services Task Force (USPSTF) performed a study, and it did not have adequate information provided for primary prevention of fractures in a community dwelling from postmenopausal women. The study showed women were more likely to develop kidney stones when taking vitamin D and calcium supplements than those taking the placebo (Grossman, et al., 2018). The USPSTF did recommend exercise to prevent falls, and screening for women 65 years or older and in younger women with increased risk factors (Grossman, et al., 2018).  

 

References

Grossman, D. C., Curry, S. J., Owens, D. K., Barry, M. J., Caughey, A. B., Davidson, K. W., Doubeni, C. A., Epling, J. W., Kemper, A. R., Krist, A. H., Kubik, M., Landefeld, S., Mangione, C. M., Silverstein, M., Simon, M. A., & Tseng, C.-W. (2018). Vitamin d, calcium, or combined supplementation for the primary prevention of fractures in community-dwelling adults. JAMA, 319(15), 1592. https://doi.org/10.1001/jama.2018.3185

Leslie, W. D., & Crandall, C. J. (2019). Population-based osteoporosis primary prevention and screening for quality of care in osteoporosis, current osteoporosis reports. Current Osteoporosis Reports, 17(6), 483490. https://doi.org/10.1007/s11914-019-00542-w

Onkka, P., Khandelwal, S., Shakoor, N., Block, J., & Fogg, L. (n.d.). Osteoporosis screening, primary prevention, and treatment in glucocorticoid treated individuals with rheumatologic disease. Annals of the Rheumatic Diseases, 2018(77), 524525. https://ard.bmj.com/content/77/Suppl_2/524.2.info

Topic: Part 1: By Day 3

Based on the issue you chose, post a description and explanation of common symptoms, recommended diagnostic tests, and common treatments. Be specific and provide examples. Use the evidence from your search of the literature to support your explanation of the womans health issue you chose.

Part 2: By Day 5

Next, based off the one womens health issue you picked listed below, post your responses to the following questions that corresponds to your womens health issue.

• Osteoporosis What are your options for primary prevention? How would you educate someone on the treatment?

• Bladder Issues What exactly are the symptoms? What about Interstitial cystitis (IC) and pelvic pain?

• Thyroid What symptoms occur in women? What can you discern from that? What about infertility?

• Pre-diabetes Are there menstrual irregularities? What types of medication are they taking? What about pregnancy plans?

• Hypertension What medications are appropriate for a woman of reproductive age? Should you counsel the woman on appropriate dieting?

• Seizure Disorders What special implications do you need to consider in this particular population?

• Psychiatric Disorders Specify the types of disorders i.e., anxiety/depression/substance abuse/eating disorders

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