Category | Themes | Barriers |
---|---|---|
Individual | • Knowledge | • Patients have impaired understanding of their condition. |
• Staff members incorrectly dispense bisphosphonates. | ||
• Habits | • Few staff members attend educational sessions. | |
Organization | • Regulations | • Vitamin D and calcium are inconsistently prescribed at the time of admissiona. |
• Osteoporosis and fracture prevention strategies are not discussed during multidspilinary conferences and quarterly reviewsa. | ||
• Information required for fracture risk assessment is difficult to obtaina. | ||
• Processes of care | • There is a limited medical history regarding osteoporosis and fractures available to LTC facility. | |
• The LTC facility does not examine changes in height on an annual basis. | ||
• The recommendation of three servings of dairy per day is not followed. | ||
• Resources | • Lack of information and educational resources prior to the ViDOS interventiona | |
Social | • Authorities | • The process to change policies is cumbersome. |
• Patient reactions | • The Patient or his/her family is not willing or unable to pay for vitamin Da. |