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- W2057542757 abstract "s 497 132 Prevention and Treatment: Osteoporosis and Other Conditions IMPLEMENTATION OF BONE HEALTH PROTOCOLS IN AN ORTHOPEDIC SPECIALTY PRACTICE Anne Lake, RPJ Connections Mary Nichols, Frontier Nursing University; Laura Hollywood, Frontier Nursing University Abstract: To promote the role of the fracture liaison specialist in the care of the post fracture patient over 50 with osteoporosis in an effort to reduce the risk of future fractures in this patient population. Purpose: The purpose of this research is to advocate the fracture liaison specialist in caring for the post fracture patient over 50 at risk for future fracture. The fracture liaison specialist is identified as critical member of the collaborative care team in bridging the gap in care between admission for fracture care and the treatment of osteoporosis in the immediate post fracture period. Rationale: Based on a comprehensive literature review, the research evidence indicates a gap in current practice standards regarding bone health evaluation and treatment in the post fracture patient with a history of osteopenia or osteoporosis. The research further identifies specialty care provider as playing a key role in closing this gap in the post fracture care of men and women over the age of 50 who are diagnosed with osteopenia or osteoporosis when evidenced based bone health protocols are initiated soon before or after fracture diagnosis. Project Description: The program will include assessment by the fracture liaison specialist of the post fracture patient over the age of 50 either while in the acute care setting or as an outpatient in the orthopedic clinic. The assessment will include a bone health evaluation for men and women age 50 or older with a diagnosis of osteopenia or osteoporosis. The protocol includes three measures. The first measure is a comprehensive bone health consultation on any patient over 50 admitted to the acute care facility with a diagnosis of a fracture. This will include starting the patient on calcium and vitamin D on admission and obtaining appropriate labs. Prior to discharge the patient will be given an appointment or an order for Bone Density Testing and a follow-up with the fracture liaison specialist. The second measure captures the patient seen in the emergency department for fracture care but not admitted for surgery. Emergency room discharge instructions will include the recommendation to follow up with the fracture liaison specialist for bone density testing. The third measure includes an outpatient visit to include an educational opportunity for the patient with the fracture liaison specialist to discuss current bone health, recommended lifestyle changes and the need for bone density testing. Expected Outcomes: The expected outcomes of this program will include improved quality of care for the patient with osteoporosis by reducing the risk of future fracture and promoting health through education on falls prevention and safety. Early intervention will capture the patient at the ‘‘teachable moment’’ for screening and treatment recommendations. This early intervention will improve the bone health of the patient and promote prevention of future fractures. To promote the role of the fracture liaison specialist in the care of the post fracture patient over 50 with osteoporosis in an effort to reduce the risk of future fractures in this patient population. Purpose: The purpose of this research is to advocate the fracture liaison specialist in caring for the post fracture patient over 50 at risk for future fracture. The fracture liaison specialist is identified as critical member of the collaborative care team in bridging the gap in care between admission for fracture care and the treatment of osteoporosis in the immediate post fracture period. Rationale: Based on a comprehensive literature review, the research evidence indicates a gap in current practice standards regarding bone health evaluation and treatment in the post fracture patient with a history of osteopenia or osteoporosis. The research further identifies specialty care provider as playing a key role in closing this gap in the post fracture care of men and women over the age of 50 who are diagnosed with osteopenia or osteoporosis when evidenced based bone health protocols are initiated soon before or after fracture diagnosis. Project Description: The program will include assessment by the fracture liaison specialist of the post fracture patient over the age of 50 either while in the acute care setting or as an outpatient in the orthopedic clinic. The assessment will include a bone health evaluation for men and women age 50 or older with a diagnosis of osteopenia or osteoporosis. The protocol includes three measures. The first measure is a comprehensive bone health consultation on any patient over 50 admitted to the acute care facility with a diagnosis of a fracture. This will include starting the patient on calcium and vitamin D on admission and obtaining appropriate labs. Prior to discharge the patient will be given an appointment or an order for Bone Density Testing and a follow-up with the fracture liaison specialist. The second measure captures the patient seen in the emergency department for fracture care but not admitted for surgery. Emergency room discharge instructions will include the recommendation to follow up with the fracture liaison specialist for bone density testing. The third measure includes an outpatient visit to include an educational opportunity for the patient with the fracture liaison specialist to discuss current bone health, recommended lifestyle changes and the need for bone density testing. Expected Outcomes: The expected outcomes of this program will include improved quality of care for the patient with osteoporosis by reducing the risk of future fracture and promoting health through education on falls prevention and safety. Early intervention will capture the patient at the ‘‘teachable moment’’ for screening and treatment recommendations. This early intervention will improve the bone health of the patient and promote prevention of future fractures. 133 Prevention and Treatment: Osteoporosis and Other Conditions CALCIUM AND VITAMIN D IMPROVE BONE MINERAL DENSITY IN PATIENTS WITH EPILEPSY TAKING ANTI-EPILEPTIC DRUGS (AEDS) BUT DO NOT PREVENT" @default.
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- W2057542757 date "2012-10-01" @default.
- W2057542757 modified "2023-09-27" @default.
- W2057542757 title "Implementation of Bone Health Protocols in an Orthopedic Specialty Practice" @default.
- W2057542757 doi "https://doi.org/10.1016/j.jocd.2012.08.052" @default.
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