1 Health Promotion: Prevention of Osteoporosis Health Promotion: Prevention of Osteoporosis Health


Health Promotion: Prevention of Osteoporosis

Health Promotion: Prevention of Osteoporosis

Health Promotion: Prevention of Osteoporosis

Introduction and Thesis

Health promotion is the deployment of disease prevention programs that focuses on keeping people healthy. Health promotion permits individuals to have greater control over their own health by offering coverage of an extensive range of environmental and social interpolations to profit and protect the health and eminence of life in people by taking into consideration and laying more emphasis on preventing the root causes of the particular disease. Health promotion lays emphasis on prevention and not treatment or cure.

Health promotion can play an important role in preventing the increasing prevalence of osteoporosis. By focusing on educating the public on potential causes and preventive measures of osteoporosis rather than focusing on the prevention and cure of the condition, the increasing prevalence of the condition can successfully be tamed.

Concept Description

Osteoporosis is a health condition whose pathological mechanisms leads to the weakening of bones, making them fragile and brittle. This increases the susceptibility of the person to fractures when one is subjected to a fall or sudden high impact. Osteoporosis develops gradually in many years and is only diagnosed in the event a bone fracture has occurred. The most frequent types of fractures that are usually expected to be sustained by persons with osteoporosis are wrist fractures, hip fractures and fractures of the vertebrae column (Lems & Raterman 2017). When the condition worsens, even petty activities such as cough can cause rib fractures or even collapse of certain parts of the vertebrae column. The prevalence of osteoporosis is high. One out of three women and one out of five men above the age of fifty experience osteoporotic fractures in their lifetime globally. This, therefore, calls for health promotion in order to reduce the prevalence of the disease.

Role of Nurses in Health Assessment and Promotion in Relation to Prevention of Osteoporosis

The role of nurses in the health assessment of osteoporotic patients is history taking and physical assessment. Additionally, nurses should request diagnostic imaging procedures to diagnose the conditions. The frequently utilized techniques of evaluating bone mineral density are dual-energy x-ray absorptiometry (DXA) and a quantifiable computed tomography (CT) scan. This forms the basis of the diagnosis of osteoporosis in a patient with the risk factors of the disease.

Nurses can play a critical role in health promotion by playing the universal role of a nurse as an educator. Health educations can be done on the risk factors of developing osteoporosis. Such risk factors include taking high doses of steroid drugs for a timeframe of more than three months. Another risk factor to osteoporosis is existing underlying medical impediments such as inflammatory conditions like osteomyelitis, hormone-related conditions and other endocrine disorders as well as malabsorption syndromes (Park et al., 2017). Another pertinent risk factor of osteoporosis is a family history of the condition (Pouresmaeili, 2018). Continued use of treatments that affect bone strength for a long time, such as anti-estrogen drugs, is also another risk factor that predisposes one to osteoporosis. Smoking and alcohol consumption has also been associated with an increased risk of developing osteoporosis. Another pertinent risk factor for developing osteoporosis is having a low Body Mass Index and not exercising regularly. By acting as an educator and giving the patient information on risk factors of osteoporosis, nurses play a crucial role in health promotion.

Based on the risk factors, patients at risk can be educated on the preventive measures of osteoporosis. Such preventive measures include reducing intake doses of steroid tablets and anti-estrogen tablets and management of underlying bone infections such as osteomyelitis. Also, monitoring of Body Mass Index can help in the prevention of osteoporosis. Also, persons at risk can be informed on the importance of regular physical exercise and ceasing drinking and smoking in the prevention of osteoporosis.

Ethical Considerations

Ethical issues in health promotion in preventing osteoporosis include issues that are related to the infringement of a person’s right to freedom and autonomy in the attempt of promoting the health of the individual or the society at large. Another contentious issue is the emphasis on personal responsibility in osteoporosis prevention which raises intriguing concerns regarding whether interventions targeting a healthy lifestyle is invariably leading to the health burden being placed on the individual.


There exists a lot of literature on osteoporosis. Various articles expound on the risk factors and preventive measures of taming the increased prevalence of osteoporosis. For example, the article A Comprehensive Overview on Osteoporosis and its Risk Factors highlights the above-mentioned risk factors of osteoporosis. The article also pinpoints the prevalence of osteoporosis in the year 2018. The article Risk Factors for Osteoporosis in Postmenopausal Women highlights that post-menopausal women are at greater risk of developing osteoporosis. The article, Male patients with rheumatoid arthritis, have an increased risk of osteoporosis: frequency and risk factors highlights that underlying inflammatory conditions such as arthritis predispose a person to osteoporosis. Other articles, such as Critical issues and current challenges in osteoporosis and fracture prevention, states the diagnosis and challenges in the management of osteoporosis.


In conclusion, health promotion can be effective in the prevention of increased prevalence of osteoporosis. Through the nurse’s critical role in health assessment and health promotion in patients of osteoporosis as well as those at high risk of developing the condition, the prevention of osteoporosis can be successful. However, there are various ethical considerations that need to be taken into consideration while the health promotion tactics are being incorporated.


Pouresmaeili, F., Kamalidehghan, B., Kamarehei, M., & Goh, Y. M. (2018). A comprehensive overview of osteoporosis and its risk factors. Therapeutics and clinical risk management, 14, 2029.

Bijelic, R., Milicevic, S., & Balaban, J. (2017). Risk factors for osteoporosis in post-menopausal women. Medical Archives, 71(1), 25.

Park, J. Kweon, S. M., Sohn, D. H., H., Koh, J. H., Park, E. K., Lee, H. N., … & Lee, S. G. (2018). Male patients with rheumatoid arthritis have an increased risk of osteoporosis: frequency and risk factors. Medicine, 97(24).

Lems, W. F., & Raterman, H. G. (2017). Critical issues and current challenges in osteoporosis and fracture prevention. An overview of unmet needs. Therapeutic advances in musculoskeletal disease, 9(12), 299-316.