00:01
Hi, welcome to our series
on Geriatric Nursing.
00:05
Now, in this part of our series,
we're going to talk about
age related changes in health,
but specifically your bones.
00:12
We're going to talk about
what happens to bones as we age.
00:16
Now, officially, we call that
osteoporosis.
00:20
So let's think back
to when you were little.
00:21
Do you remember how fun that was?
You'd be running all over the place,
you'd be sweaty.
00:26
You even trip and fall,
you got scratches on your knee.
00:29
But even if you fell from
something a lot higher,
like a tree or a piece
of playground equipment,
most cases, kids just pop back up,
they shake it off,
and they keep on running.
00:40
It's almost like
they're made out of rubber.
00:43
But let's compare that
to what it looks like as you age.
00:46
Now, we're not talking about
falling from a tree
or playground equipment,
we're talking about
even falling your own height.
00:53
Now for me, that's
very close to the ground,
because I'm just 5'2, barely.
00:59
But when an older person falls
just from standing up to the ground,
they're gonna have some significant
challenges and some problems.
01:08
Now, people always
kind of joke about
how old people's
bones are kinda grungy.
01:14
But really, that's what
we're talking about.
01:16
Because how do we go from
these super flexible bodies,
to these bodies that are
a little crunchy at times.
01:24
So if you're intrigued,
come along with me,
I'm going to show you step by step
with some incredible drawings
to help you understand
what happens to bones as we age.
01:36
So let's start
from the very beginning.
01:39
What is osteoporosis?
Now, you have our character,
and they're going kind of... right?
Kind of demonstrating back pain.
01:47
We'll hold that thought,
because we're going to
talk about that in just a minute
what osteoporosis has to do
with back pain?
Before I do, write a guess.
01:57
I mean, pause for just a minute
and write a guess on what
connection you think there is
to osteoporosis and to back pain.
02:11
Okay, I hope you took
advantage of that.
02:13
See, that's called prediction.
02:15
And at Lecturio, we are huge fans
of learning science,
helping you learn
how to study more effectively,
because we know
you have limited time.
02:26
So when you try to predict
an answer to a question,
even if you don't know the answer,
it's going to stick
in your brain better.
02:33
And that's what we're all about.
02:35
So, go ahead,
if you didn't do it,
pause, try and predict something.
02:39
And then we're going to move on
to the next slide.
02:45
So let's bring in two versions
of our character, Mandy.
02:48
Look at Mandy
on the side with the soccer ball.
02:51
Now, look at the picture of the bone
right next to her.
02:54
See that?
It's all compact and tight.
02:57
This represents a strong bone.
03:00
We are talking about bones
that have decreased density
or osteoporosis, right?
If you break that word down,
you have osteo
that means bone,
porosis that means porous.
03:13
So porous is not something
you really want your bones to be.
03:17
Look at older Mandy's bone
on the right there.
03:20
There's those holes in those gaps.
03:22
You can tell that bones
when she's older,
are not as strong
as when she was younger.
03:28
Now, here's some other things
to keep in mind.
03:31
Bone tissue in older Mandy
is lost much faster
than the bone tissue can be rebuilt.
03:37
And young Mandy, she had
was able to keep up with it.
03:41
And that's why
she had those dense bones.
03:43
But older Mandy
has developed osteoporosis.
03:46
And that's why
she has those porous bones.
03:50
Because she's losing bone tissue
faster than she can replace it.
03:54
And this makes her bones brittle.
03:56
So that's why falling
just from her own height
has a higher risk of
her breaking a bone.
04:02
Now, I'm sure
some of you out there
know an elderly person,
or you know someone
you've had a grandparent
or someone
in your circle of influence
has had a fall
and they broke a bone.
04:13
We're gonna get
a little more specific about that.
04:15
But think about that person.
Picture what they went through.
04:19
What did they look like?
What do you imagine
their bones look like?
Did they look like
young Mandy's bones?
Or did they likely look like
older Mandy's bones.
04:31
Take a look at this hip bone.
04:33
You'll notice there's some
things that are not normal
that are going on there.
04:37
We're going to break down two of
the most common examples of that.
04:41
But I wanted to reinforce
with you as clients age,
the bones lose
thickness and strength.
04:47
So because they have
osteoporosis developing,
their bones are not as thick.
04:53
They're not as strong.
04:54
So they're more risk for fractures.
04:56
We're looking at two of those.
04:57
These are common examples
because of the changes
they're experiencing in their bones.