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prevention of fractures
Management:
recommendation for long-term care residents [1]
- tailor to each resident's level of fracture risk, mobility, life expectancy, renal function & ability to swallow.
- dietary calcium supplements (up to 500 mg QD)
- recommended for high-risk patients
- suggested for low-risk patients
- Vitamin D3 supplements (800-2000 IU QD)
- recommended for high-risk
- suggested for low-risk
- weekly alendronate or weekly or monthly risedronate
- recommended for high-risk
- zoledronic acid or denosumab
- recommended for high-risk residents with dysphagia
- hip protectors for mobile residents
- recommended for high-risk adults
- suggested for low-risk
- balance, strength, & functional training exercises
- suggested for all residents
Related
bone fracture
falls in the elderly
General
prophylaxis (prevention, ppx)
References
- Papaioannou A et al
Recommendations for preventing fracture in long-term care.
CMAJ. September 14, 2015
PMID: 26370055
http://www.cmaj.ca/content/early/2015/09/14/cmaj.141331