Optimizing Fracture Prevention in Primary Care

فهرست عناوین اصلی در این پاورپوینت

فهرست عناوین اصلی در این پاورپوینت

● Planning Committee
● Learning Objectives
● Osteoporosis
● Underdiagnosed and Undertreated
● The Clinical Challenge
● Sharon
● Personal History – Sharon
● Sharon
● Optimizing Fracture Prevention
in Primary Care
● Age Is a Major Risk Factor
for Fracture
● Answering Risk Factor
Questions in FRAX®
● Be on the Lookout for Silent Fractures
● Identifying High-risk Patients in Clinical Practice – Summary
● Osteoporosis Management
● Challenges With Current Treatment Approaches
● Calcium Intake Recommendations From the IOM
● Vitamin D Intake Recommendations From the IOM
● Benefits of Exercise
● Exercise – Some Caveats
● Pharmacologic
Options
● FDA-Approved Therapeutic Options
● The Concept of a SERM
Selective Estrogen Receptor Modulator
(EAAs: Estrogen Agonist/Antagonists)
● Raloxifene
● Calcitonin
● Bisphosphonates: Indications
● “Osteonecrosis” of the Jaw (ONJ)
● Atypical Fractures of Femur in Patients
Taking Anti-Resorptive Agents Long Term
● FDA Safety Update
● Bisphosphonate Therapy:
“Long-Term” Treatment
● Bisphosphonate Holidays
● Denosumab
● Denosumab Adverse Events
● Teriparatide: rhPTH [1-34] ● BMD Doesn’t Fully Predict the Reduction in Fracture Risk
● Evaluation of the Patient
With Osteoporosis
● Sharon
● Adherence to Treatment in Osteoporosis Patients
● Most Patients Discontinue Oral Bisphosphonates
Soon After Treatment Initiation
● Adherence With
Osteoporosis Therapies
● Why Do Patients Resist Change?
● Improving Adherence
● Impact of Lack of
Patient Education
● Side Effects and Adherence
● Motivational Interviewing
● Summary of Optimal Osteoporosis Management

نوع زبان: انگلیسی حجم: 3.69 مگا بایت
نوع فایل: اسلاید پاورپوینت تعداد اسلایدها: 73 صفحه
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گروه موضوعی: زمان استخراج مطلب: 2019/05/16 05:13:39

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., fracture, bone, osteoporosis, trabecular, risk, therapy, old, female, ۱, health, md,

توجه: این مطلب در تاریخ 2019/05/16 05:13:39 به صورت خودکار از فضای وب آشکار توسط موتور جستجوی پاورپوینت جمع آوری شده است و در صورت اعلام عدم رضایت تهیه کننده ی آن، طبق قوانین سایت از روی وب گاه حذف خواهد شد. این مطلب از وب سایت زیر استخراج شده است و مسئولیت انتشار آن با منبع اصلی است.

https://www.acponline.org/system/files/documents/about_acp/chapters/nm/osteoporosis.ppt

در صورتی که محتوای فایل ارائه شده با عنوان مطلب سازگار نبود یا مطلب مذکور خلاف قوانین کشور بود لطفا در بخش دیدگاه (در پایین صفحه) به ما اطلاع دهید تا بعد از بررسی در کوتاه ترین زمان نسبت به حدف با اصلاح آن اقدام نماییم. جهت جستجوی پاورپوینت های بیشتر بر روی اینجا کلیک کنید.

عبارات پرتکرار و مهم در این اسلاید عبارتند از: ., fracture, bone, osteoporosis, trabecular, risk, therapy, old, female, ۱, health, md,

مشاهده محتوای متنیِ این اسلاید ppt

مشاهده محتوای متنیِ این اسلاید ppt

planning committee cheryl lambing md co chair ucla ventura county medical center marjorie luckey md co chair saint barnabas medical center steven t. harris md university of california san francisco pamela kushner md university of california irvine diane l. schneider md msc university of california san diego learning objectives identify patients at high risk for osteoporotic fracture individualize risk assessment including use of the who frax® tool discuss general measures to optimize calcium vitamin d and exercise evaluate the different pharmacologic therapies to match the patient’s clinical situation utilize different modalities to improve adherence and compliance with treatment plan osteoporosis systemic skeletal disorder of compromised bone strength increased risk of fracture ۳۴ million americans low bone mass ۱ million americans osteoporosis ۱ in ۲ women and ۱ in ۴ men age ۵ will have an osteoporosis related fracture in their lifetime by ۲ ۲ ۱ in ۲ americans age ۵ will be at risk for fractures from osteoporosis or low bone mass us department of health and human services. bone health and osteoporosis a report of the surgeon general. rockville md us department of health and human services office of the surgeon general ۲ ۴. available at http www.surgeongeneral.gov library reports bonehealth full report.pdf. accessed september ۱۳ ۲ ۱۳. osteoporosis is defined as a skeletal disorder characterized by compromised bone strength predisposing a person to increased risk of fracture.۱ ۷۸۶ these ۳ d micro ct bone scans illustrate the microscopic changes in bone architecture that are characteristic of osteoporosis. normal trabecular bone of a ۵۲ year old female shown on the left appears as a dense network of thick trabeculae with small open spaces. osteoporotic trabecular bone of an ۸۴ year old female with vertebral fracture shown on the right shows clear loss of bone with larger spaces and perforation of the trabecular struts. these perforations weaken bone and increase susceptibility to fractures. reference ۱. nih consensus development panel on osteoporosis prevention diagnosis and therapy. osteoporosis prevention diagnosis and therapy. jama. ۲ ۱ ۲۸۵ ۷۸۵ ۷۹۵. ۲ million bone breaks a year ۲ million ۲ many ۱ only ۲ in ۱ patients with osteoporosis get a follow up test or treatment for osteoporosis۱ fractures may have serious consequences۲ hip fracture ۱ ۲ additional mortality per year ۲ of hip fracture patients require long term nursing home care only ۴ fully regain their pre fracture level of independence۱ fracture facts ۱. national bone health alliance. ۲ million ۲ many. available at http www.۲million۲many.org . accessed september ۱۳ ۲ ۱۳. ۲. us department of health and human services. bone health and osteoporosis a report of the surgeon general. rockville md us department of health and human services office of the surgeon general ۲ ۴. available at http www.surgeongeneral.gov library reports bonehealth full report.pdf. accessed september ۱۳ ۲ ۱۳. osteoporosis is defined as a skeletal disorder characterized by compromised bone strength predisposing a person to increased risk of fracture.۱ ۷۸۶ these ۳ d micro ct bone scans illustrate the microscopic changes in bone architecture that are characteristic of osteoporosis. normal trabecular bone of a ۵۲ year old female shown on the left appears as a dense network of thick trabeculae with small open spaces. osteoporotic trabecular bone of an ۸۴ year old female with vertebral fracture shown on the right shows clear loss of bone with larger spaces and perforation of the trabecular struts. these perforations weaken bone and increase susceptibility to fractures. reference ۱. nih consensus development panel on osteoporosis prevention diagnosis and therapy. osteoporosis prevention diagnosis and therapy. jama. ۲ ۱ ۲۸۵ ۷۸۵ ۷۹۵. underdiagnosed and undertreated underdiagnosed national osteoporosis risk assessment nora study ۲ ۱۶ postmenopausal women ۱ ۴ osteopenic ۷ osteoporotic ۱۱ ≥۱ fracture after age ۴۵ years undertreated women meeting criteria for treatment۲ ۱۵.۷ not taking calcium ۱۸.۶ not taking vitamin d ۵۲.۷ not exercising ۲ hrs per week ۳۵.۳ not receiving therapy ۱. siris es et al. jama. ۲ ۱ ۲۸۶ ۲۸۱۵ ۲۸۲۲. ۲. schnatz pf et al. menopause. ۲ ۱۱ ۱۸ ۱ ۷۲ ۱ ۷۸. osteoporosis is defined as a skeletal disorder characterized by compromised bone strength predisposing a person to increased risk of fracture.۱ ۷۸۶ these ۳ d micro ct bone scans illustrate the microscopic changes in bone architecture that are characteristic of osteoporosis. normal trabecular bone of a ۵۲ year old female shown on the left appears as a dense network of thick trabeculae with small open spaces. osteoporotic trabecular bone of an ۸۴ year old female with vertebral fracture shown on the right shows clear loss of bone with larger spaces and perforation of the trabecular struts. these perforations weaken bone and increase susceptibility to fractures. reference ۱. nih consensus development panel on osteoporosis prevention diagnosis and therapy. osteoporosis prevention diagnosis and therapy. jama. ۲ ۱ ۲۸۵ ۷۸۵ ۷۹۵. the clinical challenge often asymptomatic۱ until fracture occurs۱ even after some fractures eg ۲ ۳ of vertebral fractures are asymptomatic ۲ the challenge to clinicians۱ identify patients at high risk for fracture prevent first fracture ۱. south paul je. am fam physician. ۲ ۱ ۶۳ ۱۱۲۱ ۱۱۲۸. ۲. lenchnik l et al. ajr. ۲ ۴ ۱۸۳ ۹۴۹ ۹۵۸. sharon ۶۲ year old white female ۵′۴″ ۱۵ lbs ۱ years postmenopause dxa performed ۴ years ago spine t score ۲.۱ right hip t score of neck ۱.۶ intervention threshold major fracture ۱ year fracture probabilityhip ۱ year hip fracture probability treatlifestyle advice and reassure in elderly women with a prior fracture treatment is needed without the need for a bone density scan. interpretationthe intervention thresholds depicted by the lines between the green and red areas above are the ۱ year probabilities of a major osteoporotic fracture left graph or a hip fracture right graph in women with a prior fracture. in individuals with probabilities of a major osteoporotic fracture and or hip fracture at or above the intervention threshold treatment should be strongly considered. where both probabilities fall below the treatment threshold a further assessment is recommended in ۵ years or less depending on the clinical context. nb these thresholds are for guidance only and the final decision to initiate therapeutic intervention lies with the individual clinician. managementfor a more detailed description of investigations supportive measures and treatments please refer to the executive summary no …

کلمات کلیدی پرکاربرد در این اسلاید پاورپوینت: ., fracture, bone, osteoporosis, trabecular, risk, therapy, old, female, ۱, health, md,

این فایل پاورپوینت شامل 73 اسلاید و به زبان انگلیسی و حجم آن 3.69 مگا بایت است. نوع قالب فایل ppt بوده که با این لینک قابل دانلود است. این مطلب برگرفته از سایت زیر است و مسئولیت انتشار آن با منبع اصلی می باشد که در تاریخ 2019/05/16 05:13:39 استخراج شده است.

https://www.acponline.org/system/files/documents/about_acp/chapters/nm/osteoporosis.ppt

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