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CCBY-NCSA_V3.0_US, Open Access
Thesis
Osteoporosis in the Nursing Home: Screening and Interventions for Fracture Prevention
Washington State University
Master of Nursing (MN), Washington State University
12/2002
Handle:
https://hdl.handle.net/2376/3818
Abstract
More than 80% of nursing home residents are believed to have osteoporosis, which leaves them susceptible to debilitating and life-threatening fractures. Vertebral fractures occur most commonly, causing pain, deformity and functional impairment. Fractures at other sites are associated with falls. Nursing home residents have a 60% risk to fall each year, with a hip fracture rate of 5-6%, nearly ten times that of community-dwelling persons the same age. Hip fracture in a nursing home resident is associated with a 41% mortality rate within four months, more than twice the rate for older persons who fracture a hip at home. Nursing home admission provides a critical opportunity to screen for osteoporosis and offer interventions to reduce the likelihood of fracture. A number of safe and effective therapies are available to improve bone health in nursing home residents, but no formal guidelines exist for preventing fractures in this most vulnerable population. A research-based analysis, that includes clinical, economic, and humanistic implications of available non-pharmacological and pharmacological interventions for osteoporosis, is presented. The analysis is synthesized as an algorithm for screening, preventing, and treating osteoporosis in nursing home residents.
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Details
- Title
- Osteoporosis in the Nursing Home: Screening and Interventions for Fracture Prevention
- Creators
- Linda D. Ward
- Contributors
- Cynthia Corbett (Advisor)
- Awarding Institution
- Washington State University
- Academic Unit
- Research Projects, College of Nursing
- Theses and Dissertations
- Master of Nursing (MN), Washington State University
- Publisher
- Washington State University; Spokane, Washington
- Identifiers
- 99900590731501842
- Copyright
- http://creativecommons.org/licenses/by-nc-sa/3.0/us; Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States (CC BY-NC-SA 3.0 US)
- Language
- English
- Resource Type
- Thesis