Problem
Case Study: Osteoporosis
J.S., a 72-year-old woman of Asian descent, has just transferred to your practice. She had a hysterectomy 8 years ago and has not been on hormone replacement therapy. She is 5 ft 2 inches tall and weighs 102 lb. She has had a sedentary lifestyle (she was a secretary and retired 2 years ago). She drinks four glasses of wine a day. Her mother died at age 62 from complications of a hip fracture. J.S.'s sister was just diagnosed with metastatic breast cancer. You prescribe a DEXA scan, and the T-score is -2.6 SD.
Diagnosis: Osteoporosis
• List specific goals of therapy for J.S.
• What drug therapy would you prescribe? Why?
• What are the parameters for monitoring the success of the therapy?
• Discuss specific patient education based on the prescribed therapy.
• List one or two adverse reactions for the selected agent that would cause you to change therapy.
• What OTC or alternative medicines might be appropriate for this patient?
• What dietary and lifestyle changes might you recommend?
• Describe one or two drug-drug or drug-food interactions for the selected agent.
The response must include a reference list. One-inch margins, double-space, Using Times New Roman 12 pnt font and APA style of writing and citations.