solved

Mrs. Davis presented to the clinic in December of 2010 with some concerns about osteoporosis. She was becoming more stooped and had already lost 1″ in height over the last few years. She was 20 years postmenopausal and had never taken hormone replacement therapy. She subsequently received a DEXA scan at that time and was placed on Fosamax 10 mg daily. Over the next year, this seemed to be working well for her and she did not experience any side effects from the medication. In the fall of 2011, she sustained a fracture to her 4th metacarpal on her left hand that she suffered during a fall. She received another DEXA scan in late 2011 with no change. She seemed fairly stable and was only seen yearly after that time. During a repeat exam in 2013, DEXA scores continued to show progression and she was subsequently referred to an endocrinologist to eliminate secondary causes. After a thorough work-up, no cause was found for her worsening osteoporosis. Thyroid studies were normal as well as serum phosphorus, PTH and urine calcium. A suggestion was made to switch to weekly Fosamax; however, this was not tolerated well and she remains on Fosamax 10 mg Develop a problem list for Mrs. Davis, including actual diagnoses as well as unexplained symptoms, psycho/socio/economic issues, etc. 1. Briefly SOAP the patient’s primary problem of osteoporosis. 2. Which health professions could contribute to achieving this plan of care? Provide a brief explanation of why each discipline should be involved in her care. 3. Identify and prioritize the areas of patient education that would benefit Mrs. Davis the most. Explain your choices. 4. Identify 2 or 3 criteria you would use to determine whether the plan of care/services provided to Mrs. Davis was/were successful. Explain your choices.

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