Lzheimers Disease or Osteoporosis(choice one)
Original posting 3 pages with 3 references
Case Study: Alzheimeri??s Disease and Osteoporosis
J. E. is a 67-year-old client with a European ethnic background, who comes to the family health clinic for a complete physical assessment. J. E. admits that he has not seen a health professional in over 5 years. J. E. comments: i??why go when I can still move, Ii??m still strong.i?? He adds i??the only reason Ii??m here today is because 3 weeks ago, I felt a sharp, constant pain to my upper mid-back.i?? When asked about relief measures, J. E. responds i??Ii??ve been using Advil but that only temporarily reduces the pain from 7 to 3. I didni??t do anything different, the pain has been there since it showed up.i?? Focused health assessment reveals that J. E. has a thin frame and he weighs 52 kg. His lifestyle consists primarily of long work hours in his office, smoking 12 to 15 cigarettes a day, an unbalanced dietary meals, and drinking several alcoholic drinks a week. The nurse and physician confirm a slight muscle resistance when palpating over T7 and T8
vertebral regions, however, nothing of significance without muscle atrophy or neurologic issues noted. The health care team suspects osteoporosis after x-ray suggests some changes to the vertebrae in regions T6, T7, and T8. The health care team recommends a bone density scan.
J. E. is a recently retired accountant with a long standing history of type 2 diabetes mellitus (controlled by medication), hypertension (controlled by medication), increased caffeine intake (coffee and tea) as well as the behaviours mentioned above. He has a positive family history of Alzheimeri??s disease (father, uncle, and grandfather). His wife indicates that J. E. eats out a lot for work meetings. She adds i??he may have a thin frame, but he eats a lot because of work.i?? In the past 2 years, J. E.i??s wife tells the nurse that he has become more forgetful i?? for instance, picking up dry cleaning, turning off the stove, and locking the front door. His wife also suggests that he sometimes gets lost coming home from church, misplacing his car keys, and has increasingly become a i??home bodyi?? in the last year. The nurse noticed that J. E. arrived 1 hour ahead of the scheduled appointment.
Thoroughly discuss one of the following questions:
1. Thoroughly analyze two lifestyle factors that may contribute to J.E.i??s risks for developing Alzheimeri??s disease OR osteoporosis (pick one). Explore current evidence in your discussion.