What is a possible risk for patients taking long-term corticosteroids that the nurse should inform them about?

When patients are on long-term corticosteroid therapy, one significant risk they face is an increased risk of fractures. Corticosteroids can lead to a decrease in bone density over time, primarily due to their effects on calcium absorption and bone metabolism. They can interfere with the function of osteoblasts, the cells responsible for bone formation, and can also promote the activity of osteoclasts, the cells that break down bone. This imbalance can lead to osteoporosis, making bones more fragile and prone to fractures, even with minimal trauma.

Informing patients about this risk is crucial, as it emphasizes the need for monitoring bone health and potentially incorporating preventative measures such as calcium and vitamin D supplementation, weight-bearing exercises, or other medications designed to maintain bone density. Encouragement to discuss any bone health concerns with a healthcare provider is also important in managing this possible complication effectively.