Accreditation Statement: AMDA – The Society for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation Statement: AMDA – The Society for Post-Acute and Long-Term Care Medicine designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credit(s) ™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
ABPLM Designation Statement: This internet enduring material has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 1.5 clinical hours toward certification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.
Session Description: The fracture rate for adults living in long-term care (LTC) is 4-8 times that of similarly aged adults living in the community. Hip fractures are one of the most serious consequences of osteoporosis and one of the leading causes of hospitalization. Vertebral fractures have also been a concern in residents with a reported prevalence of up to 30%. Additionally, multiple vertebral fractures can be a substantial cause of pain, anxiety, depression, reduced pulmonary function and agitation. It can be difficult to identify residents at high risk of fracture, as the current fracture risk assessment tools (e.g. FRAX® WHO Fracture Risk Assessment Tool) provide 10-year fracture risk and have not been validated in LTC. Most research regarding risk assessment and pharmacological therapies has not included those with multiple co-morbidities. In this session, presenters will provide guidance regarding recommendations for fracture prevention developed using the GRADE approach. These recommendations target the teams caring for frail older adults in LTC. The session will be divided into three lectures. The first lecture will discuss the development of the 2015 Recommendations for Fracture Prevention in LTC using the GRADE approach. The second lecture will discuss enablers, tools, challenges and barriers to the implementation of recommendations in LTC. Finally, the third lecture will present an approach and quality measures for the care of residents at high risk of fractures presenting with multiple chronic conditions.
Discuss recommendations for fracture prevention in long-term care using the GRADE approach.
Discuss enablers, challenges and barriers to implement recommendations for fracture prevention in long-term care.
Describe an approach and quality measures for the care of residents at high risk of fractures presenting with multiple chronic conditions.
Speaker(s): Alexandra Papaioannou, MD, BSN, MS Sid Feldman, MD Paul Katz, MD, CMD