title: Osteoporosis: not only in women, but in men too.
abstract: Osteoporosis is a chronic disease where the nurse specialist can make a significant impact. The osteoporosis nurse specialist has an important role, not only in the prevention and management of osteoporosis but also in the promotion of skeletal health across the public health and social care arenas and in the continuing development of services across primary and secondary care. The scale of the problem in women and the potential role of hormone replacement therapy in the prevention and treatment of osteoporosis has played down the problem of osteoporosis and osteoporotic fractures in men, thus facilitating a negligent attitude. This article summarizes the outcome of a dedicated male osteoporosis clinic, which was started by the lead clinicians in metabolic bone disease and falls and subsequently was run by the osteoporosis nurse specialist. A clinic proforma which can be used as a standard in clinical practice is presented. In addition, an algorithm for the management of men with osteoporosis is discussed.
authors.affiliation: Darent Valley Hospital, Dartford, Kent, UK.
authors.forename: Annie
authors.initials: A
authors.lastname: Gardiner
authors.forename: Yasser
authors.initials: Y
authors.lastname: El Miedany
authors.forename: Mathias
authors.initials: M
authors.lastname: Toth
mesh_terms: D015502:Absorptiometry, Photon; D000058:Accidental Falls; D000368:Aged; D000465:Algorithms; D000554:Ambulatory Care Facilities / Q000458:organization & administration*; D015984:Causality; D002985:Clinical Protocols; D003663:Decision Trees; D004739:England / Q000453:epidemiology; D006801:Humans; D008297:Male; D008403:Mass Screening; D008571:Men / Q000523:psychology; D009720:Nurse Clinicians / Q000458:organization & administration*; D024802:Nurse's Role; D009730:Nursing Assessment; D015403:Nursing Evaluation Research; D010024:Osteoporosis / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D015995:Prevalence; D015397:Program Evaluation; D011788:Quality of Life / Q000523:psychology; D012017:Referral and Consultation; D018570:Risk Assessment; D012720:Severity of Illness Index