In osteoporosis management prior to discharge, which combination is appropriate?

In osteoporosis management prior to discharge, which combination is appropriate?

• A. Calcium supplements and prescribed bisphosphonate medication
• B. Vitamin D, 200 international units (IU)
• C. Non-weight-bearing exercise into her daily routine when allowed by the physician
• D. Planning for a move from her residential home to an assisted living facility

Answer: (A)

Osteoporosis care at discharge focuses on preventing fractures by supporting bone strength through minerals and medications that slow bone loss. The best combination is calcium supplements with a prescribed bisphosphonate because calcium provides the mineral for bone, and the bisphosphonate reduces bone resorption, lowering fracture risk. A vitamin D dose of 200 IU is not sufficient on its own to protect bone health, since adequate vitamin D is needed to help calcium absorption and is typically higher than 200 IU daily for older adults. Weight-bearing and resistance activities are beneficial for bone health when prescribed by the physician, rather than non-weight-bearing exercise. Planning a move to assisted living addresses housing needs rather than osteoporosis management.

Osteoporosis care at discharge focuses on preventing fractures by supporting bone strength through minerals and medications that slow bone loss. The best combination is calcium supplements with a prescribed bisphosphonate because calcium provides the mineral for bone, and the bisphosphonate reduces bone resorption, lowering fracture risk. A vitamin D dose of 200 IU is not sufficient on its own to protect bone health, since adequate vitamin D is needed to help calcium absorption and is typically higher than 200 IU daily for older adults. Weight-bearing and resistance activities are beneficial for bone health when prescribed by the physician, rather than non-weight-bearing exercise. Planning a move to assisted living addresses housing needs rather than osteoporosis management.