Calcium and vitamin D are fundamental to bone health and form the cornerstone of osteoporosis prevention and management. However, optimal care requires an individualized approach that integrates dietary guidance, supplementation, and evidence-based pharmacotherapy. As advanced practice providers, nurse practitioners must be able to critically evaluate the literature, select appropriate pharmacologic therapy, and effectively educate patients about their treatment plan.
- A 59-year-old postmenopausal woman with a T-score of 2.3. Her past medical history is significant for low-trauma hip fracture 2 years prior, but otherwise healthy. Her current medications include a women’s multivitamin. Her family history is remarkable for a mother who had osteoporosis and died of breast cancer and a father who has diabetes. Using current clinical guidelines and a recent peer-reviewed journal article, develop a comprehensive management plan for this patient. Your discussion post should address:
- Recommended daily calcium and vitamin D intake and preferred sources
- Indications for initiating pharmacologic therapy
- Selection of an appropriate pharmacologic agent (e.g., bisphosphonate, SERM, anabolic agent, etc.) with rationale
- Monitoring parameters, duration of therapy, and key patient education points
Requirements: 250
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