Musculoskeletal Gerontological Changes

Gradually affects mobility and safety of seniors

Nursing Diagnoses:
Acute/Chronic pain
Risk for disuse syndrome
Risk for injury

Bone:
Bone loss begins at 40
More common in women

Nursing Interventions:
Adequate calcium and vitamin D
Muscle strengthening exercises











































Muscle:
Muscle cells are not replaced
Seniors fatigue more easily
Body mass decreases as body fat increases

Nursing Interventions:
Provide a safe environment
Clear pathways
Proper light day and night
Turn around, not back up
Exercise

Joints:
Cartilage erosion occurs
ROM decreases

Nursing Interventions:
Medications can contribute to calls
Change positions slowly (orthostatic hypotension)
Proper footwear
Animals with bells


Arthritis




Osteoarthritis versus RA





Falls





Falls










References:
Potter, P. A., & Perry, A. G. (2009). Fundamentals of Nursing (7th ed.). St. Louis, Missouri: Mosby Elsevier.

Osteoporosis
http://youtu.be/CluxTHfi-AE

Osteoporosis causes and consequences
http://youtu.be/X9se5iPwTRk

Arthritis
http://youtu.be/fdgCRYV2aZM

Osteoarthritis versus RA
http://youtu.be/AUlFNDvbF4E

Falls
http://www.youtube.com/watch?v=kIDEHJ_ppjc&feature=share&list=PL47C9F1FD9DF2AE3F

Falls
http://www.youtube.com/watch?v=TAm893Yeyz0&feature=share&list=PL7E8E30CA9D29E041