00:01
Let's take a look at
six ways to protect your bones.
00:05
This type of information
is what you want to know
when you're educating your patients
and taking care of your own health.
00:11
Now, what I love about this part
is our artists
have such a brilliant
sense of humor.
00:16
Look at the bone,
see how sad he is?
Well, he's gonna get a little bit
happier, and a little bit happier
with every strategy we bring in.
00:24
So let's get started
with the first one.
00:26
Look at his expression.
00:28
Now, let's look at
the first strategy.
00:30
See that, it's a little better.
But it's food, right?
So food actually
fortifies your bones.
00:38
You want to make sure
that you eat foods
rich in calcium and vitamin D.
00:42
Now, it's particularly important
that you get these
vitamins from your food,
if we eat a balanced diet
for most of your life,
you should be okay.
00:52
But this is a conversation you're
going to want each patient to have
with their healthcare provider.
00:57
Because as people age,
right, after 35,
we know they're losing bone mass.
01:02
So they need to start
having the conversation
if they need to have supplements.
01:07
Now, the calcium needs
the vitamin D to work.
01:11
And that's why we're saying
you need both
calcium and vitamin D.
01:15
So it's always best to get these
type of nutrients in real food.
01:20
But if you need supplementation,
that's a conversation
that you should have
with a healthcare provider.
01:26
Yahey, exercise!
Look, he's a little happier.
01:30
But we're talking about
weight bearing exercise.
01:33
Now, that may be a strange
term to you.
01:35
But we call it like
heel strike activity.
01:38
Something I'm doing, that I
have to support my body weight.
01:42
So things like walking will help
stimulate new bone formation.
01:46
So, whether you're
walking, running,
you're doing resistance training,
those are all good activities that
will help stimulate bone growth.
01:55
So it doesn't even have
to be fancy.
01:57
You don't have to have
a gym membership.
01:59
But you have to be active,
and mobile,
and do things
that cause your bones
to support your body weight
in movement.
02:08
Okay, it's getting better.
02:10
But this is not anyone's favorite
topic if they're a smoker,
but you want to avoid smoking.
02:16
Remember, we don't tell people,
you absolutely cannot smoke.
02:19
We try to help move them
the next step
toward quitting smoking.
02:23
So maybe limiting it
might be the conversation
that you have with them.
02:27
So, wants you to avoid smoking,
reduce your smoking
on your way to stopping smoking
when you can,
because smoking will also
lower your estrogen levels.
02:37
Wow, that's great.
So it lowers my estrogen levels,
it's toxic to my cells.
02:44
It's a bad deal all around
but you don't talk
to a patient about smoking
without empathy, compassion,
and listening to them.
02:54
If your patient is a tobacco user,
then it is a really
tough habit to quit.
02:59
So no judgement,
all support in education,
helping patients
take that big step,
moving towards stopping altogether.
03:10
Whoo, it's a DEXA scan.
03:12
And we're going to do a whole video
on explaining what this is.
03:15
But let me just give you
kind of a brief summary.
03:18
Now, women should get DEXA scans
starting at age 65.
03:22
Men when they're showing off,
they don't have to start
getting them till they're 70.
03:26
Okay, what are these do?
Well, it's a super cool test.
Doesn't hurt at all.
03:31
You lay on a table,
and it starts to tell you
the strength of your bones.
03:36
Now the reason we made this one
of the ways to protect your bones
is because at these ages,
women 65, men 70
that gives us a baseline
of where your bones are.
03:46
Now, that's if you've not had
any challenges.
03:48
If you've had some clinical risk
factors for bone loss or fracture,
you may have one earlier
than these ages,
these recommended ages.
03:56
However,
if everything has been normal,
usually women get one at 65,
and men get it at 70.
04:03
So this gives us like an inside look
at how strong their bones are.
04:08
Number five, medications.
04:11
If you have osteopenia, that means
you don't have osteoporosis yet,
but osteopenia means
you're at a greater risk of that.
04:20
Your bones are kind of on
that path before osteoporosis.
04:24
So you want to make sure
that you may need to consider
and have the conversation
with your healthcare provider,
if you should start medications
that slow bone loss.
04:34
So by phosphonates are an
example of a group of medications
that will help to slow bone loss.
04:41
So keep that in mind,
you are going to have bone loss
after age 35.
04:48
You may not need medications,
but if you do,
that's one of the group of
medications you may consider
called by phosphonates.
04:57
Number six, what about
other health care issues.
05:02
Well, you always want to take care
of any of your health issues,
but you want to make sure
if you have a thyroid disorder
called a parathyroid disorder.
05:12
Okay, so you can have thyroid
disorders or parathyroid disorders,
or other conditions that affect
your bone density.
05:19
That's got to be taken care of.
Now we will go more into detail.
05:23
But we've kind of kind of hinted at,
how hormones are really important
in your bone strength.
05:30
And if you have too much
parathyroid hormone,
you can end up with calcium
just being ripped from your bones
in a way that will make them
really at risk for fractures.
05:40
So you always want to have
a regular physical visit
with your health care provider,
and address these issues
because hormones affect everything,
including your bones.
05:51
Now, take a look at our friend.
Look how happy he is.
05:54
So if you look at all
six of these strategies,
you are familiar with him
as a practicing healthcare worker.
06:01
You practice them in your own life,
and you'll be a much better educator
of patients to help them stay safe.
06:10
Students always want to know
about the NCLEX.
06:13
well because it's
a lot of pressure.
06:15
This is the three point framework
we put into all of our videos
in this series.
06:20
We want you to be able to
clearly recognize normal aging,
from pathological processes.
06:26
So you know, what's an appropriate
and a safe intervention.
06:29
Remember, the goal of clinical
judgment is to recognize cues,
analyze them,
so you can develop hypotheses
and appropriate
and safe interventions.
06:39
Second point,
we want you to be very clear
how age related changes
can put older clients at risk
for certain diseases.
06:48
Last point,
we want you to recognize
the interaction of
normal aging, symptoms,
how they respond to
treatment, and outcomes.
06:59
Then we're gonna
wrap up this section
where we keep showing you
this clinical judgment model,
because we know
you're going to see it
all throughout your nursing school
and on your NCLEX exam.
07:10
Remember, this is just a
graphical representation
of how excellent nurses think.
07:16
So you see,
they look for recognizing cues.
07:20
They'll analyze those,
they'll develop a hypothesis,
and have a plan
on the appropriate interventions
on how to keep patients safe.
07:28
That's why it's a
clinical judgment model.
07:32
So let's talk about some
of those assessment cues
we want you to be looking for.
07:36
You want to screen the patient
for risk factors for osteoporosis.
07:40
What would be some obvious ones
for what we've just talked about
with our geriatric clients.
07:46
Right, age is one. And gender.
07:50
If a patient is female,
or if they are a transgender male,
or transgender female
that can add in another level of
complexity to your assessment.
07:59
You want to make sure they've had
a DEXA scan at the appropriate time
based on their age and risk factors.
08:05
And take a look
at their medications.
08:07
You want to know which medications
are on that could weaken the bone,
and those
that may build up the bone.