WORKSHOP: 1. Describe the structural changes that have occurred to Mr Henderson's joints during the progression of osteoarthritis disordered repair , articular cartilage (smooth hyline) no longer there causing friction, wear and tear disease , bone on bone 2. Identify the risk Factors For developing osteoarthritis risk factors . modi fiable Cacute non-modifiable Lage /genes treatment alcohol consumption old age . gender · work-related actions obesity dief-calcium intake · metabolic disease genetics · immobility . less sun exposure . smoking igung to joint . family history 3. How could osteoarthritis contribute to a Falls risk? · Decreased ROM, pain, physical activity; asteophytes impeding spinal neves, · neurological deficits that affect muscle tone, impaired support structies (e.g. ligaments.) ; pain medications that cause dizziness · imbalanced gait due to asymmetrical presentation of Of, mycle atrophy + decreased immobility 4 What are some non-pharmacologic treatment modalities could be recommended For osteoarthritis heat packs- (RICE ) intial inflammation, hat packs = when additional blood flow would be beneficial, physiotherapy, exercise = light weight bearing , rating , OT, weightloss, mobility aids, broesteartic support, removal of tabac & alcohol, nutrition (7 calcium intake, vit D) TENS (transcutaneous electrical neue stimulation) 5. Osteoporosis is another disorder of bone that presents an increased burden of disease due to Australia's growing ageing population. a. Identify From the present case study, signs that George may have osteoporosis. stooped posture, repeated falls, inability to get up after falls - muscle atrophy pain, age (50+), changes to hormone levels = females (estragon), males (testosterone), b. Discuss some modifiable and non-modifiable risk Factors For developing osteoporosis and suggest at least one early intervention that can prevent/delay its development. modifiable: physical activity, diet (calcium & vit D) smoking, alcohol , medication (hormone suppliments), frequent falls, prolonged/ chronic diseased states non-modifiable : age , genetics, menopause / hysterectomy , metabolic diseases (eg. diabetes) , cancers , rheumatied arthrytis 6. Compare and contrast osteoarthritis and rheumatoid arthritis. age condition starts onset joint symptoms pattern of jantys that are affected duration of morning still ness Precense of symtoms affecting the WB (systemic ) osteoarthritis older (50+) gradual Limited/ no swelling asymmetrical (wear & tear ) < an hour localised at particular joints rheumatoid arthritis Younger (typically 30+) rapid (wks - months) swelling / painful / warm symetrical (autoimmune ) > than an hour Systemic ( autoimmune disease ) - malaise