1. Aging Alice
Group 9

2. Initial Interview Family History Medical History
History of breast cancer and heart disease
Medical History
Postmenopausal and on hormone replacements
Lumpectomy for a benign tumor
Advanced osteoarthritis of the right hip and knee
Currently lbs overweight
High stress level at work

3. Last Interview Went through dietary changes Minimize fast food intake
Replaced current snacks with fruits, vegetables and trail mix
Stress the need of adequate hydration
Monitor calcium intake
Provided a chart with calcium enriched foods

4. Medication Hormone replacement therapy Aspirin Ibuprofen
No new side effects present

5. RED FLAG! Hormone replacements may cause breast cancer
Regular self breast checks
Mammograms done yearly
BREAST CANCER

6. OSTEOARTHRITIS
is the most common form of arthritis that can affect the hands, hips, shoulders and knees
Affects the cartilage that protects the ends of the bones breaks down and causes pain and swelling
Most common after age 45

7. Signs and Symptoms
Pain, stiffness and swelling around a joint especially when moving a joint

8. Causes Overweight – excess stress on joints Age
Injury to a joint or repeated overuse

9. Treatment
A variety of treatments can help to lessen pain and stiffness and to make movement easier.  Your active involvement in developing your prescribed treatment plan is essential
NSAIDS (Advil, Ibuprofen)
Aspirin
Topical creams and gels (Bengay)
Ice

10. Education What is it? Scale for pain, no activity when flares
Promote a decrease in stress
Increase activity with grandkids and BF
Future hip and knee surgery – benefits to put off

11. Stress Relief Tips Taking a walk during lunch time Bath before bedtime
To take a break from her work environment
Bath before bedtime
Stress ball at work
Exercises such as yoga and tai-chi
Employee Assistance Program

12. Benefits of Exercise
Exercise helps reduce pain and prevents further joint damage.  It can also help you maintain a healthy weight, which puts less strain on your joints.
Not using a sore joint will cause the muscles around it to become weak, resulting in pain.

13. Benefits cont.
improve muscle strength and tone, which will help to stabilize and protect osteoarthritic joints and reduce the pain.
Range of motion exercises help maintain or restore normal joint movement and relieve stiffness.

14. Stretch and Strengthen
Low intensity aquabics/exercise
cycling
Weight bearing activity
walking
Stress reducing factors

15. Arthritis – Water Wellness
This program is designed specifically for individuals suffering from arthritis or other joint afflictions. It is also beneficial for individuals looking for post-surgical rehabilitation. Program is supported by the Arthritis Society.

16. Referral Physiotherapist Chiropractor Use of pain relieving modalities
P. Sanzo
Chiropractor
Acupuncture on knee
Dr. Puumala

17. Relapse It is a natural process of the lifestyle changing process
The important thing is to not to stress out and to continue the next day if possible

18. Next Session 2 weeks from now: See how changes are going
Address any new questions/issues
Help continue to implement exercise and dietary changes
If the exercises are not decreasing her pain or increasing her ROM then implement modified versions to suit her needs