Osteoporosis Management and Care Plan

Patient Information

Name: _________________________ Date: __________________________ Primary Care Provider: ___________

Diagnosis Overview

• T-score: ______
• FRAX Score: ______
• Previous Fractures: Yes ___ No ___

Treatment Plan

Medications

• Prescribed Medications:
  • Name: ________________
  • Dosage: ______________
  • Frequency: ___________
  • Special Instructions: _________

Lifestyle Modifications

Exercise Program

• Weight-bearing exercises: ____ times per week
• Resistance training: ____ times per week
• Balance exercises: ____ times per week

Nutrition Plan

• Daily Calcium Target: ______ mg
• Vitamin D Target: ______ IU
• Dietary Sources: ________________

Fall Prevention Strategies

• Home safety assessment completed: Date _______
• Recommended modifications:

  1. ---

  2. ---

  3. ---

Monitoring Schedule

Follow-up Appointments

• Next DXA Scan: ______________
• Bone Health Review: _________
• Lab Tests: _________________

Risk Factors to Monitor

• Smoking Status
• Alcohol Consumption
• Physical Activity Level
• Diet Quality

Emergency Plan

Warning Signs

• Sudden back pain
• Height loss
• Changes in posture
• Unexplained fractures

Emergency Contacts

1. Primary Care: ______________
2. Orthopedist: ______________
3. Emergency Contact: _________

Patient Goals

1. Short-term: ________________
2. Long-term: ________________

Signatures

Patient: _______________ Date: _______ Provider: ______________ Date: _______