title: Management of osteoporosis among home health and long-term care patients with a prior fracture.
abstract: Osteoporosis is a growing health concern as the number of senior adults continues to increase worldwide. Falls and fractures are very common among frail older adults requiring home health and long-term care. Preventative strategies for reducing falls have been identified and many therapies (both prescription and nonprescription) with proven efficacy for reducing fracture risk are available. However, many practitioners overlook the fact that a fragility fracture is diagnostic for osteoporosis even without knowledge of bone mineral density testing. As a result, osteoporosis is infrequently diagnosed and treated in the elderly after a fracture. Based on existing literature, we have developed an algorithm for the assessment and treatment of osteoporosis among persons with known prior fracture(s) living in long-term care facilities or receiving home health care based on the data available in the literature.
authors.affiliation: University of Alabama at Birmingham, USA.
authors.forename: Amy H
authors.initials: AH
authors.lastname: Warriner
authors.forename: Ryan C
authors.initials: RC
authors.lastname: Outman
authors.forename: Kenneth G
authors.initials: KG
authors.lastname: Saag
authors.forename: Sarah D
authors.initials: SD
authors.lastname: Berry
authors.forename: Cathleen
authors.initials: C
authors.lastname: Colón-Emeric
authors.forename: Kellie L
authors.initials: KL
authors.lastname: Flood
authors.forename: Kenneth W
authors.initials: KW
authors.lastname: Lyles
authors.forename: S Bobo
authors.initials: SB
authors.lastname: Tanner
authors.forename: Nelson B
authors.initials: NB
authors.lastname: Watts
authors.forename: Jeffrey R
authors.initials: JR
authors.lastname: Curtis
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control; D000368:Aged; D000465:Algorithms; D050071:Bone Density Conservation Agents / Q000627:therapeutic use; D002118:Calcium / Q000627:therapeutic use; D050723:Fractures, Bone / Q000517:prevention & control; D016330:Frail Elderly; D006699:Home Care Services; D006801:Humans; D008134:Long-Term Care; D010024:Osteoporosis / Q000175:diagnosis* / Q000517:prevention & control*; D018570:Risk Assessment; D014807:Vitamin D / Q000627:therapeutic use
chemical_list: D050071:Bone Density Conservation Agents; D014807:Vitamin D; D002118:Calcium