prevention of fractures

^[1]

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

↑ ^1.0 ^1.1 Papaioannou A et al Recommendations for preventing fracture in long-term care. CMAJ. September 14, 2015 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/26370055 <Internet> http://www.cmaj.ca/content/early/2015/09/14/cmaj.141331