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Patient counseling for osteoporosis prevention.
  • Published Date:
    1989 Sep-Oct
  • Source:
    Public Health Rep. 104(Suppl):84-87
  • Language:
    English
Filetype[PDF-648.46 KB]


Details:
  • Alternative Title:
    Public Health Rep
  • Personal Author:
    Bartlett, E E
  • Description:
    Counseling techniques and methods are more important parameters than message content for ensuring that a desired change in behavior occurs. Knowledge is necessary but not sufficient for behavior change, and teaching should not be confused with learning. The education of patients with osteoporosis poses two problems: patient involvement in deciding whether to initiate treatments such as estrogen replacement therapy, calcium supplements, and weight-bearing exercises, and assuring that the patient adheres to the prescribed regimen. The physician, while adequately outlining the risks of treatments, should also simplify the explanation to assist patients in making a decision about treatment. Guidelines are provided to aid the clinician in this task. Indicators of potential nonadherence should be evaluated, and obstacles to nonadherence removed by suggesting behavior modifications that will ensure the patient's continuation of the prescribed regimen.

  • Subject:
  • Pubmed ID:
    2517708
  • Pubmed Central ID:
    PMCnull
  • Document Type:
    Journal Article
  • Collection(s):
    Public Health Reports
  • Main Document Checksum:
  • Supporting Files:
    No Additional Files
    1. Usefulness of bone mass measurements by photon absorptiometry.
      Personal Author:
      Hassager, C; Christiansen, C;
      Published Date:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):23-26
      Description:
      We compared three different methods of measuring bone mass for their diagnostic value and their usefulness in follow-up measurements. The three methods were: measurement of (1) bone mineral content in the distal forearm by single photon (125I) absorp...
      File Type:
      Filetype[PDF - 1.00 MB]
    2. Osteoporosis: prevention and the quality of life for older Americans.
      Personal Author:
      Bowen, O R
      Published Date:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):11-13
      File Type:
      Filetype[PDF - 567.78 KB]
    3. Factors to consider in the selection of a calcium supplement.
      Personal Author:
      Shangraw, R F
      Published Date:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):46-50
      Description:
      Calcium supplements are widely used, yet many questions remain as to the absorption of various calcium salts. Because the solubility of many calcium salts is dependent upon pH, the type of salt used, the condition of the patient, and the time of admi...
      File Type:
      Filetype[PDF - 670.92 KB]
    4. The calcium controversy: finding a middle ground between the extremes.
      Personal Author:
      Heaney, R P
      Published Date:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):36-46
      Description:
      Involutional bone loss, and the fracture syndromes that are designated "osteoporosis," are multifactorial phenomena. Gonadal hormone deficiency, inadequate exercise, and a multitude of lifestyle factors are involved in their pathogenesis. Calcium is ...
      File Type:
      Filetype[PDF - 2.08 MB]
    5. Public Health Rep
      Published Date:
      Sep-Oct 1989
      File Type:
      Filetype[PDF - 436.56 KB]
    6. Treatment of osteoporotic patients.
      Personal Author:
      Johnston, C C
      Published Date:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):75-77
      Description:
      The best approach to treatment of osteoporosis is prevention of bone loss as discussed elsewhere in this volume. However, some currently approved therapeutic agents are helpful in the management of the patient who presents with an osteoporotic fractu...
      File Type:
      Filetype[PDF - 504.19 KB]
    7. The risks and benefits of long-term estrogen replacement therapy.
      Personal Author:
      Barrett-Connor, E L
      Published Date:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):62-65
      Description:
      Estrogen replacement therapy (ERT) for postmenopausal women greatly reduces the risk of osteoporotic fractures, but carries an increased risk of endometrial cancer. This risk can be reduced by the addition of progestin, which does not interfere with ...
      File Type:
      Filetype[PDF - 1.02 MB]
    8. Panel Summary
      Personal Author:
      Hinshaw, Ada Sue
      Published Date:
      Sep 1989
      Source:
      Public Health Rep. 104(Suppl):78-79
      File Type:
      Filetype[PDF - 429.80 KB]
    9. Panel Summary
      Personal Author:
      Shulman, Lawrence E.
      Published Date:
      Sep 1989
      Source:
      Public Health Rep. 104(Suppl):59-61
      File Type:
      Filetype[PDF - 637.64 KB]
    10. The awareness of osteoporosis among health professionals, consumers, and journalists.
      Personal Author:
      Renner, J H
      Published Date:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):87-90
      Description:
      A survey of physicians, consumers, journalists, and experts on osteoporosis showed that the level of awareness, particularly among consumers and physicians, regarding osteoporosis and calcium supplementation is high. Professionals and consumers alike...
      File Type:
      Filetype[PDF - 523.13 KB]
    11. Alternative strategies for prevention of postmenopausal osteoporosis.
      Personal Author:
      Lindsay, R
      Published Date:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):66-70
      Description:
      Osteoporosis is more readily prevented than treated, and early intervention with effective therapy would be expected to reduce significantly the impact of osteoporotic fractures among the aging population. For the postmenopausal female population, es...
      File Type:
      Filetype[PDF - 949.82 KB]
    12. Technical aspects and clinical interpretation of bone mineral measurements.
      Personal Author:
      Wahner, H
      Published Date:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):27-30
      Description:
      Four procedures--single photon absorptiometry, dual photon absorptiometry, dual energy radiography, and quantitative computed tomography--allow nontraumatic measurement of bone mineral, with high accuracy and precision, under conditions generally enc...
      File Type:
      Filetype[PDF - 895.05 KB]
    13. Bone mass measurement, fracture risk, and screening for osteoporosis.
      Personal Author:
      Rosenthal, D I; Tosteson, A N;
      Published Date:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):31-33
      Description:
      There is a positive relationship between bone mass and resistance to breaking. Measurements of the spine made by quantitative computed tomography (QCT) and dual photon absorptiometry (DPA) appear to allow a determination of the risk of vertebral comp...
      File Type:
      Filetype[PDF - 586.36 KB]
    14. Public Health Rep ; v. 104, Suppl. 1 : table of contents
      Published Date:
      Sep-Oct 1989
      Source:
      Public Health Rep. 104(Suppl)
      File Type:
      Filetype[PDF - 392.36 KB]
    15. Conference executive summary: priority education messages on the prevention and treatment of osteoporosis.
      Personal Author:
      Kuntze, P M; Fitzpatrick, S C; Troendle, G; Hamilton, D R; Vanderveen, J; Veiga, R V; Danello, M A;
      Published Date:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):1-6
      File Type:
      Filetype[PDF - 1.24 MB]
    16. Osteoporosis in the older woman: a reappraisal.
      Personal Author:
      Resnick, N M; Greenspan, S L;
      Published Date:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):80-83
      Description:
      Osteoporosis is most acutely experienced by the elderly, yet little research has focused on this problem in this group. Recommendations for osteoporosis prevention and treatment in the elderly have been extrapolated from studies of perimenopausal wom...
      File Type:
      Filetype[PDF - 782.12 KB]
    17. Hormonal therapy in climacteric women: compliance and its socioeconomic impact.
      Personal Author:
      Notelovitz, M
      Published Date:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):70-75
      Description:
      Hormonal therapy can effectively enhance the quality of life for postmenopausal women, and prevent climacteric-related conditions such as osteoporosis. Since long-term therapy is often required, compliance becomes an important issue. This can best be...
      File Type:
      Filetype[PDF - 1.49 MB]
    18. Is osteoporosis a pediatric disease? Peak bone mass attainment in the adolescent female.
      Personal Author:
      Chesnut, C H
      Published Date:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):50-54
      Description:
      Osteoporosis in the elderly woman is determined by the amount of peak bone mass in adolescence, the premenopausal maintenance of such peak bone mass, and the rate of postmenopausal bone mass loss. The majority of research efforts in the past have bee...
      File Type:
      Filetype[PDF - 1.03 MB]
    19. Public Health Rep ; v. 104, Suppl. 1 : Masthead
      Published Date:
      Sep-Oct 1989
      Source:
      Public Health Rep. 104(Suppl)
      File Type:
      Filetype[PDF - 779.11 KB]
    20. Panel Summary
      Personal Author:
      Pappas, Virginia M.
      Published Date:
      Sep 1989
      Source:
      Public Health Rep. 104(Suppl):21-22
      File Type:
      Filetype[PDF - 355.83 KB]
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