M&P-PRD-TEM-030-032511-S

Know about Osteoporosis

Health Promotion and Education Program

Rev. 2014

© 2014 MMM Healthcare, Inc. – PMC Medicare Choice, Inc.Reproduction of this material is prohibited

MP-HEP-PPT-115-01-021914-S

ObjectivesAfter the presentation you will be able to:

•Define in simple words what osteoporosis is

•Identify at least two risk factors for developing osteoporosis

•Mention at least two ways to prevent falls and fractures

Pre Test1. A risk factor of osteoporosis is:

a. ___ smoking b. ___ Being overweight

2. Treatments for osteoporosis include: a. ___ Use of medications and exercise b. ___ Use of a cane or walker

Pre Test

3. One risk factor for developing osteoporosis is:a. exerciseb. have a low calcium diet

4. To prevent falls it’s recommended to:a. wear slippers (flip flops)b. have eyes checked annually

Did you know…• Approximately 50% of all women over 50 years in the United States will have a fracture of the hip, wrist, or vertebra (bones of the spine) during their lifetime (The North American Menopause Society, 2010). •Osteoporosis can occur at any age in both men and women but is more common among older women (NIH, 2011). •There is no cure for osteoporosis, but some measures can be taken to delay it.

• It is a disease in which bones become fragile and more likely to fracture.

• It occurs when the body fails to form new bone, or when too much old bone is reabsorbed by the body, or both.

What is osteoporosis?

• Some symptoms may not occur in the early stages of the disease.

• The symptoms in the advanced stage are:

Signs and Symptoms

Bone pain or tenderness (in the bone) Mild or frequent fracturesLoss of height over timeBack or neck pain due to fractures

of the bones of the spine Kyphosis or stooped posture,

also called "dowager's hump"

Risk factors for developing osteoporosis

• Age: Women over 50 and men over 70

• Gender: Women have a higher risk of developing osteoporosis than men

• Low levels of hormones: testosterone in men, estrogen in women

• Drinking alcohol

• Having relatives who have had osteoporosis

• Being thin and having a small build

• Smoke

• Lack of calcium and vitamin D in the diet

• Lack of physical activity

Risk factors for developing osteoporosis

How to know if I have Osteoporosis?

• There is evidence that uses X-rays and acoustic waves (sound) to measure the amount of calcium and other minerals in the bone, for

example:

– Computed Tomography (CT Scan) – radiation

– X-ray of the spine or hip fracture detection

– Bone Densitometry - is the most used

Treatment

The objectives of treatment for osteoporosis are:

• Control the pain associated with the disease

• Slow down or stop the bone loss process

• Preventing fractures with medicines that strengthen bone when necessary

• Minimizing the risk of falls that might cause fractures

Exercise

• It is recommended to exercise 30 minutes a day, 5 days a week. This helps to strengthen the muscles and bones. It also reduces the chance of fractures in people with osteoporosis.

• What can you do? -Walk* -Climb stairs * -Lifts weights * -Dance *

* As long as your doctor has given the approval

Recommendations

• Your doctor may recommend a supplement that provides the calcium and vitamin D you need.

• This vitamin helps you absorb calcium.

• Consume at least 1,200 milligrams of calcium per day and 800 to 1,000 IU of vitamin D

•Almonds •Yogurt •Cheese •Sesame •Oranges•Low-fat milk •Green leafy vegetables (spinach, broccoli)•Dried herbs (oregano, rosemary, basil)

Follow a diet that gives you the right amount of calcium, vitamin D and protein!

Foods rich in vitamins and calcium

Recommendations for the health of your bones

• Do not smoke - smoking reduces the ability to regenerate bone before and after fracture.

• Reduce salt intake - salt increases calcium waste body through urine.

• No sodas – they contain phosphorus

– Even though your body needs this mineral, it reduces bone density in high amounts.

Recommendations for the health of your bones

• Limit alcohol consumption

– reduce to less than 16 oz. because it affects calcium absorption and reserves

• Reduce caffeine

• more than one cup of coffee a day reduces the absorption of calcium.

• It’s very important to prevent falls

• A simple fall can change your life

• The elderly are more prone to fractures due to falls

• Examine your vision annually

Fall Prevention

How I can keep from falling?

• Make sure you have good lighting in the house

• Electrical cords should not be lying on the floor on areas where you walk

• Put hand rails in the bathtub, toilet and both sides of the stairs so you can lean

Recommendations to prevent falls

•In the kitchen, place the items you use most within reach so that you can easily reach them •Wear shoes with non-slip soles •Avoid using "slippers”; they could make you stumble and you fall •Use proper shoes and equipment to help (cane, walker) •Get plenty of rest

Recommendations to prevent falls

• Apply heat or cold to the joints • This can help to cope with the pain in the

feet.

• Limit foods high in sodium

Recommendations to prevent falls

• Keep a healthy weight • Comply with your

medication therapy• Stay active • Visit your primary doctor

regularly • Keep good lighting in your

home.

•Strengthen your bones through exercise, a diet high in calcium (1,200 mg) and vitamin D (1000 IU)

•Remember, the key is prevention.

• If you have osteoporosis, the probability of a fracture is greater

• Therefore, it is important to prevent falls to avoid fractures

Remember

Post test

1. A risk factor for osteoporosis is: a. ___ smoking b. ___ Being overweight

2. Treatments for osteoporosis include: a. ___ Use of medications and exercise b. ___ Use of cane or walker

1. A risk factor for osteoporosis is: a. ___ smoking b. ___ Being overweight

2. Treatments for osteoporosis include: a. ___ Use of medications and exercise b. ___ Use of cane or walker

Post test

Post test

3. One risk factor for osteoporosis is: a.____ exercise b.____ having a low calcium diet

4. To prevent falls it’s recommended to: a.____ wear slippers b.____ have eyes checked annually

Post test

3. One risk factor for osteoporosis is: a.____ exercise b.____ have a low calcium diet

4. To prevent falls it’s recommended to: a.____ wear slippers b.____ have eyes checked annually

For an immediate health consultation call us:

MMM: 1-866-677-7779

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TTY (Hearing impaired): 1-866-690-7771

For more information, call

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1-866-517-0701 (toll free)

Monday to Friday from 7:30 a.m. to 4:30 p.m.

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Where to get help…

References1. Medline Plus. Generalidades sobre la osteoporosis.

National Institutes of Health 2012. Obtained on february of 2013 from: http://www.nlm.nih.gov/medlineplus/spanish/ency/article/000360.htm

2. Seniors Health. What is Osteoporosis? National Institutes of Health, 2011. Obtained on february of 2013 from: http://nihseniorhealth.gov/osteoporosis/whatisosteoporosis/01.html

3. National Institutes of Health. Osteoporosis, 2012. Obtained on february of 2013 from: http://www.nlm.nih.gov/medlineplus/spanish/osteoporosis.html