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@Estela Kennen, Thank you. It had been attended to. Let me know what you feel.

Loneliness is bad experience for patient with osteoporosis, bad for their health and wellbeing. It can even be as harmful as smoking. The rural-urban migration of family members in Nigeria often leads to a higher probability of older people living alone, and minimizes family/social networks, which increases old age loneliness in patients with osteoporosis.

Loneliness, is not necessarily about being alone. Instead, if patient with osteoporosis feel alone and isolated, then that is how loneliness plays into his or her state of mind. For example, a patient with osteoporosis might feel lonely despite being surrounded by caregivers and relatives. A patient beginning his first admission at hospital might feel lonely after being in hospital ward, despite being constantly surrounded by other patients and medical practitioners. Loneliness has a wide range of negative effects on both physical and mental health and one of the health risks associated with loneliness is alcoholism and drug abuse which can lead to further fracture in patient with osteoporosis.

"Lonely patients with osteoporosis may consume more alcohol and get less exercise than those who are not lonely. Their diet can be higher in fat, their sleep can be less efficient, and there can be report of more daytime fatigue. Loneliness also disrupts the regulation of cellular processes deep within the body, predisposing one to premature aging."

Tips to Prevent Loneliness by patients with Osteoporosis
Loneliness can be overcome by patient with osteoporosis. It does require a conscious effort on their part to make a change. Making a change, in the long run, can make them happier, healthier, and enable them to impact others around them in a positive way.
Here are some ways to prevent loneliness by patient with osteoporosis:
• Recognize that loneliness is a sign that something needs to change.
• Understand the effects that loneliness has on their life, both physically and mentally.
• Consider doing community service or another activity that they enjoy. These situations present great opportunities to meet people and cultivate new friendships and social interactions.
• Focus on developing quality relationships with people who share similar attitudes, interests, and values with them.
• Expect the best. Lonely people with osteoporosis often expect rejection, so instead they should focus on positive thoughts and attitudes in their social relationships.
On I.O.S, we have programmer to design the software in person of Mr Gbenga Adaramodu who is a renowned software engineer.

@Susan Jackewicz,What differentiate older adults especially patients with osteoporosis is to have high rates of fractures, which are associated with higher morbidity, higher mortality, and more frequent social and home health care complications than in younger patients. This is going to be factored into our survey. Any fracture in an older adult may be complicated by low Bone mineral density, and all should be referred for testing and treatment.

Starting vitamin D supplementation and referring for outpatient BMD testing can be done from the emergency department in order to improve healing and prevent subsequent fractures in patients with osteoporosis. Physicians must also give increased attention to a patient’s social situation and ability to care for the injury at home. Physicians should be aware of occult fractures, or X-ray-negative fractures, especially when a patient has persistent pain or inability to ambulate. Once identified, older adults with fractures should be treated swiftly and aggressively. When surgical repair is indicated, it should not be delayed due to the patient’s age, as delays more than 24 hours are associated with higher complication risks.

Be proactive with time management is a kind of one cap fit all approach that can go a long way in assisting old people and young ones including nursing mother in attending to their health to live healthier, longer and prevent future fracture. They should really focus on planning out their schedules and designating certain days of the week to accomplish particular tasks including having time to take care of their health, family, visit exercise centre and library.

Our team shall be more than happy to meet with Mariah Burton Nelson to share storytelling tips with us during the proposed webinar. We are more than interested.

Local librarians shall be supplied with easily accessible information to guide patrons to the most relevant (online or offline) information through training, regular update on new information, meeting and online discussion. Computers, online public access catalog (OPAC), union catalogue, CD-ROM, scanner, radio frequency identification, tele text, facsimile, photocopy, printing technology, bar code, document delivery services, interlibrary loan, indexing and abstracting services, chat services, current-awareness service, selective dissemination of information, scanned copies, bulletin board services, electronic services and e- resources, digital library, audiovisual materials, internet, library website and database shall also make available for the use of patients with osteoporosis through librarians.