What important safety instruction should a nurse provide to a 72-year-old woman on long-term glucocorticoid therapy?

Long-term glucocorticoid therapy can lead to several side effects, including osteoporosis, muscle weakness, and an increased risk of falls due to these factors. The use of glucocorticoids can cause bone density to decrease over time, increasing the likelihood of fractures if a fall occurs. Additionally, these medications can affect balance and coordination, further contributing to fall risk, especially in older adults.

Therefore, advising the patient to take measures to minimize the risk of falls is crucial. This can involve a variety of strategies such as ensuring adequate lighting in the home, using assistive devices if necessary, removing tripping hazards, and discussing the importance of regular check-ups to monitor bone health and overall well-being. These precautions are essential for maintaining safety and preventing injury during long-term treatment with glucocorticoids.