Which side effects should clients and their families expect when discharged from prolonged cortisone therapy?

Clients who have undergone prolonged cortisone therapy may experience a variety of side effects due to the pharmacological effects of corticosteroids on the body. The correct answer, which includes weakness, moon face, and weight gain, reflects the typical side effects associated with long-term use of cortisone.

Weakness can result from muscle protein breakdown as corticosteroids can contribute to muscle wasting, especially at high doses or over extended periods. This is a common experience among clients, as the medication can lead to decreased muscle mass and overall physical strength.

The term "moon face" describes a specific change in facial appearance that occurs due to fat redistribution, which is a well-known phenomenon in patients on long-term corticosteroid therapy. Corticosteroids can cause an accumulation of fat in the face and the back of the neck, leading to a rounded appearance.

Weight gain is another common side effect related to cortisone therapy. This occurs as a result of increased appetite, fluid retention, and alterations in fat metabolism caused by corticosteroids, which can lead to significant changes in body composition.

Understanding these side effects is essential for clients and their families as they prepare for discharge, so they are aware of what to expect and how to manage these changes effectively. This knowledge also