Osteoporosis is a preventable disease. But each year some 500,000 people are hospitalized from osteoporosis fractures, and another 180,000 people are placed into nursing homes from injuries due to osteoporosis. What can nurses, clinicians, medical researchers, physiologists, health care policy experts, and other providers do to diminish, if not eradicate, the disease from local to global scales? What are the best methods for care and treatment? Osteoporosis addresses these questions, and more. Designed as a complete reference, Osteoporosis presents vivid explanations plus illustrations of specific surgical procedures to guide in the preparation and post-operative rehabilitation of the patient for surgical repairs of fractures. Chapters also discuss leading components of a patient's recovery, from dietary requirements and exercise, to fall prevention, quality of life and independence issues. The authors highlight disease prevention strategies and various models of community outreach that have proven effective in educating target populations about osteoporosis, encouraging proper lifestyle choices, and helping children to achieve their maximum bone potential at a young age. Osteoporosis can be prevented. Here is the book to help you, and your health care institution, do just that.
Author(s): Sarah H. Gueldner, Theresa N. Grabo, Eric D. Newman, David R. Cooper
Edition: 1 New
Year: 2007
Language: English
Pages: 280
Cover Page......Page 1
Editors......Page 4
ISBN 082610276X......Page 6
Title Page......Page 2
Part 1: Prevalence, Risk Factors, and Pathogenesis......Page 8
Part 2: Clinical Management......Page 9
Part 3: Nonpharmacological Management......Page 10
Part 4: Prevention Strategies......Page 11
Appendices, Index......Page 12
Contributors......Page 14
Foreword......Page 16
Preface......Page 18
Acknowledgments......Page 20
The Problem......Page 21
Children: An Overlooked At-Risk Group......Page 22
The Purpose of This Book......Page 23
Summary......Page 25
Part 1: Prevalence, Risk Factors, and Pathogenesis......Page 27
Introduction......Page 29
Prevalence......Page 30
Lifetime Fracture Risks......Page 31
Global Perspectives......Page 32
Consequences of Osteoporosis......Page 33
Future Projections......Page 36
Introduction......Page 39
Bone Physiology......Page 40
Conclusion......Page 48
Part 2: Clinical Management......Page 51
Introduction......Page 53
Guidelines for Interpretation......Page 55
Clinical Utility......Page 58
Markers of Bone Turnover......Page 59
Secondary Cause Evaluation......Page 60
CH 5 Pharmacological Management......Page 67
Bisphosphonate Therapy......Page 68
Parathyroid Hormone Therapy (PTH)......Page 72
Estrogen Therapy......Page 73
Bioidentical Hormones......Page 77
Selective Estrogen Receptor Modulators (SERMs)......Page 79
Calcitonin (Salmon) Therapy......Page 84
Combination Antiresorptive Therapy......Page 86
Calcium and Vitamin D......Page 87
Vitamin D......Page 89
Integrative Therapies......Page 92
Pain Management......Page 93
Conclusion......Page 96
Complications of Osteoporosis......Page 103
Hip Fractures......Page 104
Vertebral Compression Fractures......Page 108
Wrist Fractures......Page 117
Conclusion......Page 119
Part 3: Nonpharmacological Management......Page 121
CH 7 Diet and Bone Health......Page 123
Does Calcium Intake Minimize Bone Loss and Reduce Fractures?......Page 124
Recommended Calcium Intakes......Page 125
Food Sources of Calcium......Page 126
Vitamin D......Page 127
Sources of Vitamin D......Page 128
Is It Possible to Consume Too Much Calcium and Vitamin D?......Page 129
Total Diet......Page 130
Nutritional Recommendations......Page 132
Summary......Page 133
CH 8 Exercise Mandate: Preventative and Restorative......Page 137
Preventative......Page 138
Restorative......Page 147
General Considerations......Page 152
Summary......Page 153
CH 9 Osteoporosis and Fall Prevention......Page 161
Elements of a Fall Prevention Program......Page 163
HEROS© Fall Prevention Program for Community Dwelling Older Adults......Page 168
CH 10 Maintaining Independence and Quality of Life......Page 173
Client-Centered Approach......Page 174
Integrating Interdisciplinary Assessments......Page 175
Common Problems Affecting Independence and Quality of Life......Page 179
Lifestyle Redesign for Living With Osteoporosis......Page 181
Summary......Page 184
Part 4: Prevention Strategies......Page 187
CH 11 Maximizing Peak Bone Mass in Children, Adolescents, and Young Adults: A Public Health Priority......Page 189
Nutrition......Page 190
Physical Activity......Page 193
Medications......Page 194
Medical Conditions......Page 195
Prevention Programs......Page 197
Osteoporosis Testing......Page 201
Heel Ultrasound - A Helpful but Incomplete Solution......Page 202
Mobile DXA - Providing the Gold-Standard Test at the Convenience of the Patient's Primary Care Physician's Office......Page 203
Mobile DXA - Conclusions and Future Directions......Page 205
Introduction......Page 207
About Cooperative Extension......Page 208
Creating Health: Osteoporosis......Page 210
Other Program Examples......Page 212
Summary......Page 218
CH 14 Health Policy and Insurance Reimbursement......Page 221
Geraldine R. Avidano Britton, Katherine Kaby Anselmi, and Laura Pascucci Policy Makers and Stakeholders......Page 222
Reimbursement: Federal......Page 228
Policy and Reimbursement: Individual States in the United States......Page 229
Policy Development: Case Studies......Page 234
Summary......Page 236
Carolyn S. Pierce, Guruprasad Madhavan, and Kenneth J. McLeod Introduction......Page 239
Bone Adaptation and Fluid Flow......Page 240
Fluid Flow in Humans......Page 241
Skeletal Muscle Pump Stimulation and Bone Health......Page 244
Concluding Remarks......Page 248
Acknowledgments......Page 249
Federal Government......Page 255
State Government......Page 258
Nongovernment......Page 259
Appendix B Diagnoses That Support Medical Necessity for Bone Densitometry for Reimbursement......Page 261
B......Page 267
C......Page 268
D......Page 269
F......Page 270
H......Page 271
M......Page 272
O......Page 273
P......Page 274
S......Page 275
V......Page 276
X,Y,Z......Page 277
