What recommendation should the nurse make to protect the joints of a 71-year-old obese client with bilateral osteoarthritis (OA) of the hips?

• A. Increase the amount of calcium intake in the diet.
• B. Apply alternating heat and cold therapies.
• C. Initiate a weight-reduction diet to achieve a healthy body weight.
• D. Use a walker for ambulation to lessen weight-bearing on the hips.

Answer: (C)

Initiating a weight-reduction diet to achieve a healthy body weight is highly recommended for a 71-year-old obese client with bilateral osteoarthritis (OA) of the hips because excess weight puts additional strain on weight-bearing joints, particularly the hips. Reducing body weight can lead to decreased pressure on the affected joints, potentially alleviating pain, improving mobility, and enhancing overall joint function. Studies have shown that even modest weight loss can significantly benefit those with osteoarthritis by reducing inflammation and stress on the joints.

In a client dealing with OA, managing weight effectively becomes crucial not only for reducing symptoms but also for promoting a more active lifestyle, which can further help with joint lubrication and function. Therefore, focusing on a weight-reduction diet addresses the root of the mechanical stressors contributing to the progression of osteoarthritis, leading to better long-term outcomes.