Prevention of osteoporosis

Mrs. Ferguson's daughter is very concerned about the possibility that Mary will fall and injure herself again. Following a discussion of treatment options with both women, you prescribe a combination of lifestyle, nutritional and pharmacological modalities for Mary.

  1. Perform a literature (MEDLINE or EMBASE) search to identify the following:
    1. A commonly-used, evidence-based initial treatment regime for this patient. Reference your answer to a recent North American practice guideline and cite ONE relevant review article from your search.
  2. Choose ONE lifestyle, ONE nutritional and ONE pharmacologic intervention from the chosen treatment regime and fine an original research article (not a review article) that supports each of the three interventions you have picked.
  3. Submit the search strategy that you used in #1.
  4. Mrs. Ferguson has a 10-year-old grand-daughter, Ainsley, who is health and active in soccer and swimming. Last summer, she was kicked in the shin during soccer practice and sustained an undisplaced tibial fracture that healed after 8 weeks in a cast.
    1. Does Ainsley have osteoporosis, based on this information?
    2. What is Ainsley's normal, recommended dietary calcium intake?
    3. Identify a reputable source of patient health education to give to Ainsley's mother on this topic. Provide a copy of the material and cite the source.