Patient counseling for osteoporosis prevention.
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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:
  • File Type:
  • Supporting Files:
    No Additional Files
    1. Filetype[PDF - 1.00 MB]
      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 method...
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      Filetype[PDF - 1.00 MB]
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    2. Filetype[PDF - 567.78 KB]
      Personal Author:
      Bowen, O R
      Published Date:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):11-13
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      Filetype[PDF - 567.78 KB]
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      Filetype[PDF - 567.78 KB]
    3. Filetype[PDF - 670.92 KB]
      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 s...
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      Filetype[PDF - 670.92 KB]
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      Filetype[PDF - 670.92 KB]
    4. Filetype[PDF - 2.08 MB]
      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, inade...
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      Filetype[PDF - 2.08 MB]
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    5. Filetype[PDF - 504.19 KB]
      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 ther...
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      Filetype[PDF - 504.19 KB]
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    6. Filetype[PDF - 1.02 MB]
      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 endom...
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      Filetype[PDF - 1.02 MB]
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    7. Filetype[PDF - 429.80 KB]
      Personal Author:
      Hinshaw, Ada Sue
      Published Date:
      Sep 1989
      Source:
      Public Health Rep. 104(Suppl):78-79
      File Type:
      Filetype[PDF - 429.80 KB]
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      Filetype[PDF - 429.80 KB]
    8. Filetype[PDF - 637.64 KB]
      Personal Author:
      Shulman, Lawrence E.
      Published Date:
      Sep 1989
      Source:
      Public Health Rep. 104(Suppl):59-61
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      Filetype[PDF - 637.64 KB]
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    9. Filetype[PDF - 523.13 KB]
      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 physi...
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      Filetype[PDF - 523.13 KB]
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    10. Filetype[PDF - 949.82 KB]
      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 impac...
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      Filetype[PDF - 949.82 KB]
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    11. Filetype[PDF - 895.05 KB]
      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 nontra...
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      Filetype[PDF - 895.05 KB]
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    12. Filetype[PDF - 586.36 KB]
      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...
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      Filetype[PDF - 586.36 KB]
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    13. Filetype[PDF - 392.36 KB]
      Published Date:
      Sep-Oct 1989
      Source:
      Public Health Rep. 104(Suppl)
      File Type:
      Filetype[PDF - 392.36 KB]
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      Filetype[PDF - 392.36 KB]
    14. Filetype[PDF - 1.24 MB]
      Personal Author:
      Kuntze, P M ; Fitzpatrick, S C ; ...
      Published Date:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):1-6
      File Type:
      Filetype[PDF - 1.24 MB]
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      Filetype[PDF - 1.24 MB]
    15. Filetype[PDF - 782.12 KB]
      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 osteoporos...
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      Filetype[PDF - 782.12 KB]
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    16. Filetype[PDF - 1.49 MB]
      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...
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      Filetype[PDF - 1.49 MB]
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      Filetype[PDF - 1.49 MB]
    17. Filetype[PDF - 1.03 MB]
      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, ...
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      Filetype[PDF - 1.03 MB]
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    18. Filetype[PDF - 779.11 KB]
      Published Date:
      Sep-Oct 1989
      Source:
      Public Health Rep. 104(Suppl)
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      Filetype[PDF - 779.11 KB]
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      Filetype[PDF - 779.11 KB]
    19. Filetype[PDF - 355.83 KB]
      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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      Filetype[PDF - 355.83 KB]
    20. Filetype[PDF - 186.86 KB]
      Personal Author:
      Peck, William A.
      Published Date:
      Sep 1989
      Source:
      Public Health Rep. 104(Suppl):91
      File Type:
      Filetype[PDF - 186.86 KB]
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      Filetype[PDF - 186.86 KB]

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