NATIONAL OSTEOPOROSIS FOUNDATION OSTEOPOROSIS CLINICAL UPDATES Rehabilitation of Patients With Fragility-Related Fractures CE APPLICATION FORM

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1 NATIONAL OSTEOPOROSIS FOUNDATION OSTEOPOROSIS CLINICAL UPDATES Rehabilitation of Patients With Fragility-Related Fractures CE APPLICATION FORM First Name: Last Name: Mailing Address: City: State: Zip/Postal Code: Country: Phone Number: Address: Please tell us about your practice: (circle all that apply) Degree/Credentials: Densitometrist Doctor of Osteopathy Medical Doctor MS/MPH Nurse Practitioner Registered Dietitian Registered Nurse Occupational Therapist Physician Assistant Pharmacist PhD Physical Therapist Radiology Technician Social Worker Student/Resident/Intern/Fellow Medical Specialty: Dietetics Emergency Medicine Endocrinology Family Practice Geriatrics Internal Medicine Obstetrics and Gynecology Oncology Orthopedics Pain Management Pediatrics Pharmacy Physical Therapy Physiatrist Public Health Radiology Rehabilitation Research Rheumatology Primary Practice Setting: Academic medical center Community/Rural Health Hospital Military/Veteran s Administration Osteoporosis Center Outpatient Care Center Pharmacy Private Practice Rehabilitation Center Radiology/Diagnostic Center Research facility Women s Center After completing this page, complete the post-test found on pages 2-3 and record your answers on the CE Reporting Form found on page 4. Once you have completed the post-test, please fill in your payment information, complete the evaluation on page 5, print/scan and return the form to NOF at: National Osteoporosis Foundation Education Department th Street NW, Suite 850, Washington, DC Fax: Attn: Clinical Updates CE

Practitioner Registered Dietitian Registered Nurse Occupational Therapist Physician Assistant Pharmacist PhD Physical Therapist Radiology Technician Social Worker Student/Resident/Intern/Fellow

2 Rehabilitation of Patients With Fragility-Related Fractures Continuing Education Post Test Test Questions: Please re c o rd your answers on the CE Reporting Form found on the next page. 1. Which of the following statements is true for patients who have suffered a hip fracture? a. Few patients receive inpatient rehabilitation before release from the hospital. b. Relatively few options exist to treat osteoporosis once fragility fractures occur. c. Once the fracture has been healed, no further therapy is recommended. d. Gains made during inpatient rehabilitation are lost once therapy is discontinued. 2. True or false. Bone mineral density (BMD) measurement is not required before initiating osteoporosis treatment in patients who have experienced a fragility fracture and have risk factors for osteoporosis. a. True. b. False. 3. Which of the following movements should be avoided in patients with osteoporosis? Movements that involve: a. Forward bending and twisting. b. Mild to moderate skeletal loading. c. Lower extremity weight bearing. d. More than moderate exertion. 4. The single most important factor in reducing fracture risk in osteoporosis patients listed below is: a. Effective drug therapy. b. Avoiding immobilization. c. Reducing incidence of falls. d. Balance and strength training. 5. What percentage of fragility fractures are caused by falls? a. 50% b. 30% c. 70% d. 90% 6. Which of the following considerations is most important when treating patients for the psychological consequences of osteoporotic fractures? a. Forward bending/twisting movements should be avoided. b. Drugs to reduce fracture risk may have GI side effects. c. Sedating antidepressant medications should be avoided. d. Falls are the leading cause of fragility fracture. 7. Of the following, which is the best intervention plan for a postmenopausal patient 70-years-old, with a history vertebral fracture, recently recovered from breaking her wrist after a fall from standing height: a. Increased calcium and vitamin D intake and exercise for strength, balance, and fall prevention. b. Antiresorptive therapy, balance and strength training, and adequate calcium and vitamin D intake. c. A program of exercise that includes resistance training and high-impact activities such as jogging. d. All of the above. 8. Which of the following medications increase a patient s risk of falling? a. Proton pump inhibitors, vitamin D analogs, and statins. b. Beta blockers, corticosteroids, and bisphosphonates. c. NSAIDs, anti-diabetic agents, thyroid hormone. d. CNS-active drugs, diuretics, vasodilators, and antihypertensives.

$fore release from the hospital. b. Relatively few options exist to treat osteoporosis once fragility fractures occur. c. Once the fracture has been healed, no further therapy is recommended. d.$

3 9. True or false. Depression and fear of falling are common consequences of osteoporosis that contribute to social isolation and increased fracture risk. a. True. b. False. 10. Which of the following statements best summarizes the value of appropriate exercise therapy for patients recovering from osteoporotic fracture? a. Group exercise reduces social isolation and can help prevent depression in patients who have suffered fragility fracture. b. Exercise can improve balance, muscle strength, and posture, thereby reducing pain, functional incapacity, and fall/fracture risk. c. Principles of safe movement can be applied to all people, not just those at risk for or recovering from osteoporotic fracture. d. Group exercise improves physical function, reduces psychological stress, and reinforces social roles.

$b. Exercise can improve balance, muscle strength, and posture, thereby reducing pain, functional incapacity, and fall/fracture risk. c. Principles of safe movement can be applied to all people, not just those at risk for or recovering from osteoporotic fracture.$

4 NATIONAL OSTEOPOROSIS FOUNDATION OSTEOPOROSIS CLINICAL UPDATES: REHABILITATION OF PATIENTS WITH FRAGILITY-RELATED FRACTURES CE APPLICATION FORM Each participant is eligible for continuing education credit or a certificate of completion upon reading the newsletter, passing the post test with a score of 70% or higher and returning the completed activity evaluation. There is a $10.00 processing fee which can be paid by check or credit card. To receive a continuing education certificate or certificate of completion, complete and send this reporting form and evaluation with payment to the address/fax listed below. After reading each question on the post-test, please circle your best answer: Payment: 1. a b c d 6. a b c d 2. a b c d 7. a b c d 3. a b c d 8. a b c d 4. a b c d 9. a b c d 5. a b c d 10. a b c d Check AmEx MasterCard Visa Name on Card Billing Address Credit Card Number: Expiration Date: Security Code: Mail or Fax this form to: National Osteoporosis Foundation Education Department th Street NW, Suite 850, Washington, DC Fax: Attn: Clinical Updates CE

00 processing fee which can be paid by check or credit card.

5 OSTEOPOROSIS CLINICAL UPDATES: REHABILITATION OF PATIENTS WITH FRAGILITY-RELATED FRACTURES Educational Objectives Evaluation The educational objectives for this activity are listed below. Please use the following scale to rate how well this educational material enables you to achieve each objective. 1= Strongly Disagree; 2 = Disagree; 3 = Neutral; 4 = Agree; 5 = Strongly Agree Educational Objectives Develop a comprehensive plan to prevent fracture and improve physical function following fragility fracture. 2. Recommend appropriate pharmacologic and nonpharmacologic agents/interventions for pain management and fracture risk reduction in patients who have recovered from osteoporosisrelated fracture. 3. Demonstrate principles of safe movement for patients with osteoporosis. 4. Identify common physical, medical, and psychological factors that can increase a patient s risk for falling. 5. Identify the roles played by physical therapists, health educators, home health nurses, and other providers in addressing the long-term physical and psychological consequences of osteoporosisrelated fractures. Educational Activity Elements 1. Participation in this activity will help me better identify and treat patients with osteoporosis and low bone mass. 2. Material presented promoted improvements and/or quality in healthcare 3. Material presented was organized and easy to follow 4. Topic(s) was relevant and applicable to my practice 5. Course format enhanced achievement of learning objectives 6. The instructional materials were of high quality 7. Teaching and learning methods were effective 8. Learning assessment activities were appropriate 9. Material presented did not promote proprietary interests of a commercial entity As a result of this activity, I will: 1. Recommend a variety of pain management options to my post-fracture patients 2. Will provide fall prevention advice to patients who have experienced a fracture 3. Monitor fracture patients more thoroughly to ensure proper healing and management Would you be interested in participating in a follow-up study regarding this newsletter topic? Yes No

$Develop a comprehensive plan to prevent fracture and improve physical function following fragility fracture. 2.$

NATIONAL OSTEOPOROSIS FOUNDATION OSTEOPOROSIS CLINICAL UPDATES Vitamin D and Bone Health CE APPLICATION FORM

NATIONAL OSTEOPOROSIS FOUNDATION OSTEOPOROSIS CLINICAL UPDATES Vitamin D and Bone Health CE APPLICATION FORM First Name: Last Name: Mailing Address: City: State: Zip/Postal Code: Country: Phone Number: