What should be monitored in a client taking long-term prednisone therapy?

Long-term use of prednisone, a corticosteroid, can lead to several significant side effects. One of the most critical concerns is its impact on bone health. Corticosteroids like prednisone can contribute to bone loss by inhibiting osteoblast function and decreasing calcium absorption. This can increase the risk for osteoporosis and fractures over time. Monitoring bone health and density in clients on long-term prednisone therapy is essential to prevent complications related to weakened bones.

While weight gain is a common side effect of prednisone, it does not encompass the broader implications for long-term health. Additionally, while monitoring blood sugar levels and cholesterol is important for clients on prednisone due to potential metabolic changes, the most urgent concern tied directly to extended use of this medication is the effect on bone health. Monitoring bone density allows for early intervention to mitigate these risks, which is crucial for the long-term well-being of the patient.