Category | Themes | Strategies |
---|---|---|
Individual | • Knowledge | • Educate patients and families about osteoporosis and fracture prevention in addition to various methods to conserve bone mass and reduce falls risk. |
• Improve awareness among health care professionals about bone health. | ||
Organization | • Regulations | • Establish and adhere to standard admission orders regarding vitamin D, calcium, and osteoporosis therapiesa. |
• Include bone health care in quarterly reviews and multidisciplinary conferences agendasa. | ||
• Processes of care | • Histories of osteoporosis, fractures, and other diagnoses must be properly documented in electronic medical recordsa. | |
• The risks for osteoporosis and fractures must be regularly assessed at the time of admission. | ||
• The risk of falling must be regularly assessed. | ||
• Calcium must be incorporated into the diet. | ||
• Resources | • Regular educational sessions must be offered to long-term care staff using on-site experts, videos and toolkitsa,b. | |
• The availability of physicians must be increased. | ||
• A dietitian must be present to review and monitor calcium intakea. | ||
• Osteoporosis experts are required to provide example standard orders for long-term care facilities. | ||
Social | • Patient reactions | • Fees related to the dispensing of vitamin D and calcium must be reduced. |