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Springer Publishing Company
Osteoporosis: Clinical Guidelines for Prevention, Diagnosis, and Management / Edition 1

Osteoporosis: Clinical Guidelines for Prevention, Diagnosis, and Management / Edition 1

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Osteoporosis is a preventable disease. But each year some 500,000 people are hospitalized from osteoporosis fractures, and another 180,000 people are placed into nursing homes from injuries due to osteoporosis.

What can nurses, clinicians, medical researchers, physiologists, health care policy experts, and other providers do to diminish, if not eradicate, the disease from local to global scales? What are the best methods for care and treatment? Osteoporosis addresses these questions, and more. Designed as a complete reference, Osteoporosis presents vivid explanations plus illustrations of specific surgical procedures to guide in the preparation and post-operative rehabilitation of the patient for surgical repairs of fractures. Chapters also discuss leading components of a patient's recovery, from dietary requirements and exercise, to fall prevention, quality of life and independence issues.

The authors highlight disease prevention strategies and various models of community outreach that have proven effective in educating target populations about osteoporosis, encouraging proper lifestyle choices, and helping children to achieve their maximum bone potential at a young age.

Osteoporosis can be prevented. Here is the book to help you, and your health care institution, do just that.

Product Details

ISBN-13: 9780826102768
Publisher: Springer Publishing Company
Publication date: 10/19/2007
Edition description: New Edition
Pages: 280
Product dimensions: 7.00(w) x 10.00(h) x 0.63(d)

About the Author

Sarah Hall Gueldner, DSN, is Professor of Nursing and fellow in the Institute of Primary and Preventative Health Care at Binghamton University, in Binghamton, New York, and the Arline H. and Curtis F. Garvin Visiting Professor of Nursing at Case Western Reserve University (2006-2007). Dr. Gueldner earned a Bachelor of Science in Nursing degree from the University of Tennessee College of Nursing in Memphis, a Master of Nursing degree from Emory University, and a Doctor of Science in Nursing degree from the University of Alabama in Birmingham, where she was named Medical Center Graduate Fellow. She completed postdoctoral study in psychoneuroimmunology at Emory University. Dr. Gueldner held an appointment as Senior Research Scientist at the University of Georgia Gerontology Center from l988-l994 and is a Fellow in the American Academy of Nursing, the National Academies of Practice, the Gerontological Society of America, and the Association of Gerontology in Higher Education.

Dr. Gueldner's research centers on health promotion in elderly populations, with secondary work related to the development of a picture tool to measure personal sense of well-being in compromised populations. She served as the principal investigator of a federally funded study that examined the benefits of exercise in nursing home residents and community-dwelling elders and has published the findings of her five-year study profiling the prevalence of osteoporosis in rural women. She has also conducted lifestyle research testing a number of interventions, including exercise, environmental enrichment, mood, life satisfaction, and immunocompetence in elderly populations. Given that smoking places individuals at greater risk for developing osteoporosis, Dr. Gueldner is principal investigator for a randomized, double-blind clinical trial that tests a variety of interventions to support smoking cessation.

Theresa N. Grabo, PhD, ARNP, BC, is Associate Professor of Nursing and Director of the Graduate Program at Binghamton University, in Binghamton, New York. She is also a fellow in the Institute of Primary and Preventative Health Care at the University. Dr. Grabo practices at Valley Gyn Specialists in Luzerne, Pennsylvania. She earned a Bachelor of Science in nursing degree from the State University of New York at Buffalo, a Master of Nursing degree and Family Nurse Practitioner Certificate from Binghamton University, a Master of Public Administration from Marywood University in Scranton, Pennsylvania, and a PhD from the University of Pennsylvania. She served as a Fellow in the Summer Nursing Research Institute, International Center of Research for Women, Children and Families at the University of Pennsylvania School of Nursing.

Dr. Grabo has over 20 years experience as a Nurse Practitioner providing care to women and has focused her research activities on the health problems of midlife women including heart disease, osteoporosis, female sexual function, and hormone therapy. She is co-investigator on a National Institute of Nursing Research grant investigating ways to improve heart healthy behaviors among rural women.

Eric D. Newman, MD, received his Bachelor of Arts degree in Biology from The Johns Hopkins University, and his Medical Degree from The Pennsylvania State University College of Medicine, in Hershey, Pennsylvania. He completed an internal medicine residency at University of North Carolina (Chapel Hill) and a rheumatology fellowship at Geisinger Medical Center. During his medical school training, Dr. Newman was the recipient of a two-year NIH research grant. He has been on staff at Geisinger since 1988, and has been Director of Rheumatology since 1997. In 2002 he was appointed Vice-Chairman of the Division of Medicine. In 2006 Dr. Newman was named Director of the Clinical Trials Office for the Geisinger Health Care System. He is very active in clinical research, focusing on clinical trials and outcomes research in rheumatology. Dr. Newman developed and maintains the Rheumatology Diagnosis, Treatment, and Outcomes Database, which currently has information on 30,000 patients encompassing over 220,000 clinic visits.

Dr. Newman has played an integral role in the design, implementation, and monitoring of the Geisinger Osteoporosis Disease Management Program since its inception in 1996. The program includes published guidelines, bone density testing, and outcomes analysis, and it has received 3 national awards and generated 12 peer reviewed publications. He developed the Geisinger Mobile DXA Program, which brings state-of-the-art osteoporosis risk assessment directly to the primary care site. Over 3,500 DXAs are performed yearly in the Mobile Program. In addition, he is a physician leader in the Advanced Access Program and is nationally recognized for his pioneering work in process redesign to improve access to care for patients with rheumatic diseases.

David R. Cooper, MD, is a graduate of Binghamton University in Binghamton, New York, with Bachelor of Arts degree, and a graduate of the Thomas Jefferson University Medical School with an orthopedic residency in Philadelphia. He is the director of The Knee Center in Wilkes-Barre, Pennsylvania, and his orthopedic practice specializes in the care and treatment of knees, including arthroscopic surgery and knee replacement. He has personally performed over 6,000 arthroscopies and 500 knee replacements in his career. He is an adjunct professor at Kings' University in Wilkes-Barre, and at the Decker School of Nursing at Binghamton University. He is also the attending orthopedic surgeon at the Pocono Raceway for the NASCAR events each year. In addition to his clinical practice, Dr. Cooper lectures and teaches nationwide. He has presented at the national conference of the American Bar Association, at the LRP Publications national workers' compensation program, and is the recipient of the Professional Education Seminars, Inc. Excellence in Teaching Award.

Read an Excerpt


Table of Contents


    Foreword, May L. Wykle



  1. Introduction and Overview, Sarah H. Gueldner, Eric D. Newman, Theresa N. Grabo, and David Cooper

  3. Demographic Perspectives: The Magnitude of Concern, Janice Penrod, Annabelle M. Smith, Susan Terwilliger, and Sarah H. Gueldner
  4. The Pathogenesis of Osteoporosis, Sheri A. Stucke, Bernadette M. Lombardi, Sarah H. Gueldner, and Theresa N. Grabo

  6. Diagnostic Tests and Interpretation, William T. Ayoub
  7. Pharmacological Management, Theresa N. Grabo and Daniel S. Longyhore
  8. Surgical Management of Fractures, Eric Seybold, Heather Hazlett, and David R. Cooper

  10. Diet and Bone Health, Helen Smiciklas-Wright and Catherine E. Wright
  11. Exercise Mandate: Preventative and Restorative, Renee M. Hakim and Janet Ramos Grabo
  12. Osteoporosis and Fall Prevention, Roberta A. Newton
  13. Maintaining Independence and Quality of Life, Marlene Joy Morgan

  15. Maximizing Peak Bone Mass in Children, Adolescents, and Young Adults: A Public Health Priority, Leann M. Lesperance
  16. A Model for Improving Access to Osteoporosis Care: The Geisinger Health System Mobile DXA Program,
    Eric D. Newman
  17. A Model for Community Outreach: Cooperative Extension Osteoporosis Prevention and Screening Programs,
    Marilyn A. Corbin, Jane Trainor, Chin-Fang Liu, and Sarah H. Gueldner
  18. Health Policy and Insurance Reimbursement, Geraldine R. Avidano Britton, Katherine Kaby Anselmi, and Laura Pascucci
  19. Emerging Approaches in the Prevention of Osteoporosis, Carolyn S. Pierce, Guruprasad Madhavan, and Kenneth J. McLeod
  20. Appendix A: Resources and Related Links

    Appendix B: Diagnoses That Support Medical Necessity for Bone Densitometry for Reimbursement


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From the Publisher

Praise for the first edition: "This book will raise awareness and inform health professionals about this often preventable and treatable disease."—Doody Enterprises, Inc.

Customer Reviews