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Working Together to Prevent Further Fracture after the first Experience in Older Adults with Osteoporosis.

Sharing best practice with patients & health workers to prevent further fracture after first experience in older adults with osteoporosis.

Photo of Adisa Kabiru
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How does your research relate to the Challenge?

Patients on top of the pain and anxiety of their fractures, patients face a disjointed system where the appropriate next step may not be recommended. The most successful in healing are often those who take a very proactive approach to their care. This research relates to the challenge as it ensures that the first fracture of patients with osteoporosis is their last by shopping for best practice, pairing patients with community health coordinators who have passion and love their job.

Tell us about your research:

Osteoporosis, which literally means porous bone, is a disease in which the density is quality of bone are reduced. There are many different diseases that can affect our skeletal system and Osteoporosis is one of them. Osteoporosis lessens bone strength and bone density (amount of bone mineral in bone tissue), which will lead to fragile bones. It mainly affects the hips, ribs, spine, and wrists. Male or female, at any age, can get this but it is mostly occurring in older women. Osteoporosis is very common, and there are more than 3 million cases a year. Our bones are living tissue and constantly changing. From the moment of birth until young adulthood, bones are developing and strengthening. Our bones are at their most dense in our early 20s – called peak bone mass. As we age some of our bone cells begin to dissolve bone matrix (resorption), while new bone cells deposit osteoid (formation). This process is known as remodeling. For people with osteoporosis, bone loss outpaces the growth of new bone. Bones become porous, brittle and prone to fracture. Among the qualities of good community Health Coordinators are: attention to detail, motivated attitude, patience and thoughtfulness when dealing with patients. The above qualities can be helpful to older adults’ after breaking a bone due to osteoporosis and make their first fracture their last. I am sharing this article so that health workers and patients can learn from best practice. It is expected of community health coordinator to: guiding patient with osteoporosis through the post-fracture pathway and helping them to understand the importance of managing and treating their Osteoporosis. Advocating for support for patients with osteoporosis like connect patients with a variety of resources available to them including clinical interventions such as a DEXA scan for bone mineral density to evidence based community resources such as a Matter of Balance can go a long way in preventing further fracture. Patients should have involved attitude and create time to address their health issues, patients should know the right questions to ask to assist health officers about their health, patients with osteoporosis should be visiting exercise class for seniors which is proven to build strength and balance for fall prevention, patients with osteoporosis should be reading books for ideas on living their best life by visiting library and at home, especially on retrofitting their home to prevent falling, patients with osteoporosis need to follow the instructions and advises from therapist, partners, extended family members, and local community organizations. Drugs which have been shown to decrease the risk of age-related osteoporotic fractures include oral bisphosphonates (alendronate, ibandronate, and risedronate), intranasal calcitonin, estrogen receptor stimulators (e.g., estrogen, selective estrogen receptor modulators [raloxifene]), parathyroid hormone (teriparatide), sodium fluoride, and strontium ranelate. Data are beginning to emerge supporting various combination therapies (e.g., bisphosphonate plus an estrogen receptor stimulator), though more data are needed to identify combinations which are most effective and confer added fracture protection. In addition, further research is needed to identify ideal regimens in special populations such as nursing home patients and men.

What is an insight, question, or provocation that might inspire others during this challenge?

Patients on top of the pain and anxiety of their fractures, patients face a disjointed system where the appropriate next step may not be recommended. The most successful in healing are often those who take a very proactive approach to their care, researching and asking questions to connect recommendations from care providers throughout the health system. However, not every patient has the time, will, or ability to do so, and some don’t feel it’s necessary because they trust the medical authority or because they’ve always been relatively healthy. Most of Orthopedic Surgeons are less focused on future fracture/osteoporosis prevention than on addressing the patient’s trauma from their bone break, and their administrators want to ensure they generating as much revenue as possible from their surgical practice. But some health systems have designated coordinators meant to provide continuity between moments of care. Often viewed as a luxury rather than an essential part of healing, good coordinators are scarce and manage many patients at a time, all while navigating the complicated worlds of health institutions and insurance coverage. Yet they are incredible advocates and guides for patients, and are well positioned to spot patterns and underlying causes like osteoporosis.

Tell us about yourself

Kabiru Adeniyi is chartered accountant and project management expert with deep experience in managing community projects. He is passionate about using human-centered design to make world a healthier more vibrant place. A Professional with years of experience in coordinating occupational educational therapy programs. Excels at monitoring patients and adapting therapy to meet changing needs. Experience working with patients of varying age ranges. Communicates effectively with caregivers.

If you participated in a Research Event, tell us which Chapter or city you came from:

Not Applicable.

(Optional) What might you need to understand to be successful in the Ideas Phase ahead?

I need assistance in using human-centered design, pitch, business plan, user's experiment map and Integrated Operating System platform to be used to send reminder message to patients with osteoporosis.

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Photo of Manisha Laroia

Thanks Adisa Kabiru for sharing your insights in the Research Phase! What ideas did your findings spark? Now is the time to share them in the Ideas Phase!

As you work on your submission, be sure to check out the following resources:
1] Challenge Personas and Journey Map: These stories provide a window into the lives of older adults and the health system, for which you are designing
2] Resources Page: This collection of resources spans osteoporosis, designing for health, and the Challenge process to support you in crafting your submission.
3] Evaluation Criteria: This is the criteria against which we will be evaluating your ideas. We highly suggest revisiting this throughout the Challenge process.
Here is the page:
https://www.openideo.com/content/healthy-bones-additional-resources

Submissions must be published on the OpenIDEO platform by July 3rd at 5 p.m. PST - but we HIGHLY encourage you to upload the first draft of your submission sooner rather than later, so our community team has time to provide feedback on your idea and because it’s just more fun.

Let me know if you have any questions. We'll also be hosting Office Hours on June 5th 8:30 AM PST. Add it to your calendar or save this link to join. [https://ideo.zoom.us/j/680604401]

See you in the Ideas Phase,
Manisha
OpenIDEO Community Fellow

Photo of Adisa Kabiru

@Manisha loroia, My idea has been posted. Thank you.

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