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The Effects Of Osteoporosis On The Remodeling Cycle

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Osteoporosis develops when the remodeling cycle, which is when the disruption of the bone resorption and bone formation occurs. The imbalance of the remodeling cycle causes osteoporosis. Hormones, cytokines, and paracrine stromal-cell interactions affect the osteoclast’s processes, which includes proliferation, maturation, fusion and activation. The osteoclasts are controlled by the interaction between several interleukins, tumor necrosis factor, transforming growth factor-beta, prostaglandin E2 and hormones. The glucocorticoid-induced osteoporosis is related to increased destruction of osteocytes. Glucocorticoid increase receptor activator of nuclear factor ligand (RANKL) effect and inhibit osteoprotegerin (OPG) production through …show more content…

Fractures in the area such as distal radius, ribs and vertebrae are likely to happen due to the spongy bone becoming thin and sparse. The bone may collapse or become misshapen. Height may decrease due to the vertebral collapse. Broken hips are seen usually in older women. The complications from fractures are the high causes of death (McCance & Crowther-Radulewicz, 2012).
2. What treatment options should be discussed with the patient? Provide a rationale for each potential treatment and how each is thought to impact the disease processes.
Per National Clearinghouse’s Guideline, lifestyle changes should be made. Fall prevention steps should be in place such as making sure the patient can see or hear well, use a cane or walker if unsteady gaits are present, wear shoes with grips, area rugs and carpets should be removed, rooms need to be free of clutters, and using nightlights in home should be recommended.
Slowing the rate of calcium and bone loss, therefore stopping the disease processes are the goals in the treatment of osteoporosis. Medications should be considered from the following selections. Bisphosphonates (e.g. alendronate, etidronate, risedronate, zoledronic acid) are the medications of choice for treating osteoporosis. Bisphosphonates help decrease the bone destruction by inhibiting hydroxyapatite breakdown, and increase bone mineralization, therefore increasing bone density (Medical Services

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