Catalogue


Osteoporosis : clinical guidelines for prevention, diagnosis, and management /
editors, Sarah H. Gueldner ... [et al.].
imprint
New York : Springer Pub. Co., c2008.
description
xxi, 257 p.
ISBN
082610276X (alk. paper), 9780826102768 (alk. paper)
format(s)
Book
Holdings
More Details
added author
imprint
New York : Springer Pub. Co., c2008.
isbn
082610276X (alk. paper)
9780826102768 (alk. paper)
catalogue key
6363271
 
Includes bibliographical references and index.
A Look Inside
Reviews
This item was reviewed in:
SciTech Book News, March 2008
To find out how to look for other reviews, please see our guides to finding book reviews in the Sciences or Social Sciences and Humanities.
Summaries
Main Description
Osteoporosis is a preventable disease. But each year some 500,000 people are hospitalized from osteoporosis fractures, and another 180,000 people are placed into nursing homes from injuries due to osteoporosis. What can nurses, clinicians, medical researchers, physiologists, health care policy experts, and other providers do to diminish, if not eradicate, the disease from local to global scales? What are the best methods for care and treatment? Osteoporosis addresses these questions, and more. Designed as a complete reference, Osteoporosis presents vivid explanations plus illustrations of specific surgical procedures to guide in the preparation and post-operative rehabilitation of the patient for surgical repairs of fractures. Chapters also discuss leading components of a patient's recovery, from dietary requirements and exercise, to fall prevention, quality of life and independence issues. The authors highlight disease prevention strategies and various models of community outreach that have proven effective in educating target populations about osteoporosis, encouraging proper lifestyle choices, and helping children to achieve their maximum bone potential at a young age. Osteoporosis can be prevented. Here is the book to help you, and your health care institution, do just that.
Main Description
Osteoporosis is a preventable disease-but each year some 500,000 people are hospitalized from osteoporotic fractures, and another 180,000 people are placed in nursing homes from injuries due to osteoporosis. What can nurses, clinicians, medical researchers, physiologists, health care policy experts, and other providers do to diminish, if not eradicate, the disease from local to global scales? What are the best methods for care and treatment? Osteoporosis addresses these questions, and more. Designed as a complete reference, Osteoporosis presents vivid explanations plus illustrations of specific surgical procedures to guide in the preparation and postoperative rehabilitation of the patient for surgical repairs of fractures. Chapters also discuss leading components of a patient's recovery, from dietary requirements and exercise, to fall prevention, quality of life, and independence issues.
Long Description
This clinical guide for nursing and other health care professionals, particularly advanced practice nurses, describes the extent of the problem of osteoporosis, the pathogenesis, clinical presentation, diagnostic testing, treatments, and current and emerging prevention strategies. The incorporation of clinical protocols and practice guidelines makes this an important reference for clinicians caring for patients of all ages as current research points to the need to help children and teenagers develop maximum bone density in the early years to prevent osteoporosis in later life.
Table of Contents
Contributorsp. xi
Forewordp. xiii
Prefacep. xv
Acknowledgmentsp. xvii
Introduction and Overviewp. 1
The Problemp. 1
The Sciencep. 1
Transferring Knowledge to Practicep. 2
The Clinical Mandatep. 2
Children: An Overlooked At-Risk Groupp. 2
The System Mandatep. 3
The Purpose of This Bookp. 3
Summaryp. 5
Prevalence, Risk Factors, and Pathogenesis
Demographic Perspectives: The Magnitude of Concernp. 9
Introductionp. 9
Prevalencep. 10
Fracturesp. 11
Lifetime Fracture Risksp. 11
Global Perspectivesp. 12
Consequences of Osteoporosisp. 13
Future Projectionsp. 16
The Pathogenesis of Osteoporosisp. 19
Introductionp. 19
Bone Physiologyp. 20
Conclusionp. 28
Clinical Management
Diagnostic Tests and Interpretationp. 33
Introductionp. 33
Bone Mineral Density Testingp. 33
Guidelines for Interpretationp. 35
Clinical Utilityp. 38
Markers of Bone Turnoverp. 39
Secondary Cause Evaluationp. 40
Pharmacological Managementp. 47
Bisphosphonate Therapyp. 48
Parathyroid Hormone Therapy (PTH)p. 52
Estrogen Therapyp. 53
Bioidentical Hormonesp. 57
Selective Estrogen Receptor Modulators (SERMs)p. 59
Calcitonin (Salmon) Therapyp. 64
Combination Antiresorptive Therapyp. 66
Calcium and Vitamin Dp. 67
Vitamin Dp. 69
Integrative Therapiesp. 72
Pain Managementp. 73
Conclusionp. 76
Surgical Management of Fracturesp. 83
Complications of Osteoporosisp. 83
Hip Fracturesp. 84
Vertebral Compression Fracturesp. 88
Wrist Fracturesp. 97
Preventionp. 99
Conclusionp. 99
Nonpharmacological Management
Diet and Bone Healthp. 103
The Effect of Calcium on Peak Bone Massp. 104
Does Calcium Intake Minimize Bone Loss and Reduce Fractures?p. 104
Recommended Calcium Intakesp. 105
The Calcium Paradoxp. 106
Food Sources of Calciump. 106
Vitamin Dp. 107
Sources of Vitamin Dp. 108
Recommended Vitamin D Intakesp. 109
How Much Calcium and Vitamin D Is Available in Foods and Supplements?p. 109
Is It Possible to Consume Too Much Calcium and Vitamin D?p. 109
Total Dietp. 110
Nutritional Recommendationsp. 112
Summaryp. 113
Exercise Mandate: Preventative and Restorativep. 117
Preventativep. 118
Restorativep. 127
General Considerationsp. 132
Summaryp. 133
Osteoporosis and Fall Preventionp. 141
Elements of a Fall Prevention Programp. 143
HEROS Fall Prevention Program for Community Dwelling Older Adultsp. 148
Maintaining Independence and Quality of Lifep. 153
Client-Centered Approachp. 154
Setting Goals for Lifestyle Redesignp. 155
Integrating Interdisciplinary Assessmentsp. 155
Common Problems Affecting Independence and Quality of Lifep. 159
Lifestyle Redesign for Living With Osteoporosisp. 161
Successful Lifestyle Redesign-Outcomes and Prognosisp. 164
Summaryp. 164
Prevention Strategies
Maximizing Peak Bone Mass in Children, Adolescents, and Young Adults: A Public Health Priorityp. 169
Nutritionp. 170
Physical Activityp. 173
Medicationsp. 174
Medical Conditionsp. 175
Prevention Programsp. 177
A Model for Improving Access to Osteoporosis Care: The Geisinger Health System Mobile DXA Programp. 181
Osteoporosis Testingp. 181
Heel Ultrasound-A Helpful but Incomplete Solutionp. 182
Mobile DXA-Providing the Gold-Standard Test at the Convenience of the Patient's Primary Care Physician's Officep. 183
Mobile DXA-Conclusions and Future Directionsp. 185
A Model for Community Outreach: Cooperative Extension Osteoporosis Prevention and Screening Programsp. 187
Introductionp. 187
About cooperative Extensionp. 188
Creating Health: Osteoporosisp. 190
Other Program Examplesp. 192
Summaryp. 198
Health Policy and Insurance Reimbursementp. 201
Policy Makers and Stakeholdersp. 202
Reimbursement: Federalp. 208
Policy and Reimbursement: Individual States in the United Statesp. 209
Policy Development: Case Studiesp. 214
Summaryp. 216
Emerging Approaches in the Prevention of Osteoporosisp. 219
Introductionp. 219
Bone Adaptation and Fluid Flowp. 220
Fluid Flow in Humansp. 221
Skeletal Muscle Pump Stimulation and Bone Healthp. 224
Concluding Remarksp. 228
Acknowledgmentsp. 229
Resources and Related Linksp. 235
Federal Governmentp. 255
State Governmentp. 238
Nongovernmentp. 239
Diagnoses That Support Medical Necessity for Bone Densitometry for Reimbursementp. 241
Indexp. 247
Table of Contents provided by Ingram. All Rights Reserved.

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