ICEECE2012 Nurses Abstracts (1) (28 abstracts)
Childhood osteoporosis: screening, prevention, treatment and safe handling practices in a tertiary care pediatric hospital
Nicole Kirouac 1 , Leslie Galloway 1 , Joanna Gies 4 , Raili Macleod 1 , Paige McCullough 1 , Anna Mendoza 1 , Kathy Miller 1 , Gina Rempel 1, , Arlene Stocki 1 , Shayne Taback 2, , Sandy Taylor 1, & Brandy Wicklow 1,
1Health Sciences Centre, Winnipeg Children’s Hospital, Winnipeg, Manitoba, Canada; 2University of Manitoba, Winnipeg, Manitoba, Canada; 3The Manitoba Institute of Child Health, Winnipeg, Manitoba, Canada; 4Rehabilitation Centre for Children, Winnipeg, Manitoba, Canada.
Osteoporosis is a challenge facing children of all ages with a variety of health conditions and physical abilities. The reality of this challenge spurred the development of the child health program’s interdisciplinary bone health project team in a tertiary care in-patient pediatric hospital. The team’s goal was to develop protocols and tools to identify ‘at risk’ children and ultimately prevent fragility fractures in this group of children. The use of standardized evidence-based diagnosis, treatment, and prevention protocols empowers all care providers to make bone health a priority for their patients. An interdisciplinary approach to bone health and fracture prevention is the key to successful outcomes for all children at risk for osteoporosis. Strategies included the development and implementation of 1) an evidence-based screening tool to allow primary caregivers to quickly recognize the child who is most at risk for osteoporosis, 2) a ‘Fragile: Handle with Care’ protocol for ‘at risk’ children along with identifiable signage that alerts caregivers and others who handle the child of the need to do so safely, 3) a bone health algorithm for hospital staff to guide them from screening through diagnosis, prevention or treatment protocols, and 4) a resource for families and caregivers that includes the definition of pediatric osteoporosis, diagnostic criteria, prevention strategies, nutrition and lifestyle recommendations related to activities of daily living, safe handling practices, and tips to prevent injury. Critical success factors and challenges of spreading this hospital wide screening and intervention program will be reviewed. Statistics of the percentage of children admitted to the centre who meet the osteoporosis risk category through this screening will be presented. The team’s current focus includes identifying children with osteoporosis in the community by expanding the screening and fracture prevention protocols through the education of pediatric outpatient treatment areas, community care providers and families.
Comments/keywords: This is a poster to share this novel project.
Keywords: Pediatric Osteoporosis, Multidisciplinary Team, Screening, Prevention, Treatment, Bone Health.
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Endocrine Abstracts
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