NOS resources for DXA services and staff

1. NOS resources for DXA services and staff www.nos.org.uk/healthprofessionals • April 2018

3. And yet…

4. By working with health professionals, we can improve access to services and the quality of care people desperately need

5. Evidence and understanding Partnerships and collaboration Listening and advocating Vision: End osteoporosis and improve bone health Our Vision and Aims Our Aims: CURE CARE SUPPORT PREVENT Pursue a cure for osteoporosis Improve access to quality care services Help people with osteoporosis to live well Promote bone health to prevent osteoporosis Our work is underpinned by:

6. Comprehensive osteoporosis resources for health professionals www.nos.org.uk/healthprofessionals

7. e-learning courses developed by experts for you

8. NEW online course for DXA technicians and radiographers! Bone Densitometry Foundation Course (e-learning) www.nos.org.uk/bdfc

9. On completion of the online course, you will have a basic understanding of: • osteoporosis, its assessment and prevention • the effects of and regulations on radiation associated with DXA • the principles and practical techniques of DXA www.nos.org.uk/bdfc

10. www.nos.org.uk/bdfc

11. Which cell type is primarily responsible for bone formation? • Firbroblast • Osteoblast • Osteocyte • Osteoclast

12. Which cell type is primarily responsible for bone formation? Osteoblast

13. What percentage of the annual radiation exposure to the UK population is due to Medical Exposures? • 14% • 50% • 1% • 75%

14. What percentage of the annual radiation exposure to the UK population is due to Medical Exposures? • 14%

15. The correctly acquired Lumbar spine scan will start and stop at what landmarks? Start in the intervertebral disc space of L4/5 and end at the disc level of T12/L1 B. Start in the sacrum at S1 and end following the visualisation of 12th rib C. Start so that the whole of L5 and end so that the whole of T12 are visualised D. Start in the body of L5 and end in T12 with rib evident

16. The correctly acquired Lumbar spine scan will start and stop at what landmarks? Start in the body of L5 and end in T12 with rib evident

17. www.nos.org.uk/bdfc

18. Professional development courses and events

19. National Training Scheme for Bone Densitometry Do you work in DXA? Then this is the course for you! The only course offering ‘Certification in Bone Densitometry’ to provide you with proof of your competency to perform bone densitometry measurements. • Next course will be in 2019 • Online examination and submission of portfolio of work www.nos.org.uk/ntsbd

20. Mellanby Course: Diagnostic tests for osteoporosis Attend one or both days of this unique course – a must attend for anyone working in the field of osteoporosis or other metabolic bone diseases.

23. Service development – support and resources

24. For health services • We work with the NHS to improve care for people living with osteoporosis: • Assisting with the development of Fracture liaison services including our FLS Toolkit, Clinical Standards, Service Delivery Team and FLS Champions’ Network • Providing Peer Review • www.nos.org.uk/fls

25. Clinical Guidelines Our guidelines will support you to: provide evidence-based best practice reduce the burden of fractures improving outcomes for patient ensure appropriate use of NHS resources. www.nos.org.uk/for-health-professionals/tools-resources/

26. Our guidelines include: FLS Clinical Standards and Competency Framework Guidelines for the provision of a clinical bone densitometry service Vitamin D and Bone Health A practical guide to bone densitometry in children www.nos.org.uk/for-health-professionals/tools-resources/

27. New guidelines Clinical Guidance for the Effective identification of Vertebral Fractures Quality Standards for Osteoporosis and Prevention of Fragility Fractures www.nos.org.uk/for-health-professionals/tools-resources/

28. Vertebral Fracture Identification “It’s a sad thing, but I really do believe that if the fracture I suffered in my spine had been spotted earlier than it was, I would have been spared a great deal of pain and suffering.“ Christine Sharp on life with vertebral fractures www.nos.org.uk/for-health-professionals/tools-resources/

29. What percentage of women aged 50-79 years have vertebral fractures? • 12% • 6% • 9% www.nos.org.uk/for-health-professionals/tools-resources/

30. What percentage of women aged 50-79 years have vertebral fractures? • 12% www.nos.org.uk/for-health-professionals/tools-resources/

31. What percentage of vertebral fractures in the UK are undiagnosed? • 10% • 55% • 70% www.nos.org.uk/for-health-professionals/tools-resources/

32. What percentage of vertebral fractures in the UK are undiagnosed? • 70% www.nos.org.uk/for-health-professionals/tools-resources/

33. So what should we do? THINK: Vertebral Fracture www.nos.org.uk/for-health-professionals/tools-resources/

34. So what should we do? IDENTIFY: Clearly and consistently www.nos.org.uk/for-health-professionals/tools-resources/

35. So what should we do? REPORT: recommending next steps www.nos.org.uk/for-health-professionals/tools-resources/

36. Download the guidelines Clinical Guidance for the Effective identification of Vertebral Fractures www.nos.org.uk/for-health-professionals/tools-resources/

37. For your patients

38. For your patients • Reliable easy to understand information • Access to support, face-to-face, online or over the telephone • The helpline is for health professionals too! • 0808 800 0035

39. People contact us for emotional and practical help to manage their condition: • Concern about drug treatments • Worries about the effects of vertebral fractures (body shape, continence etc.) • Living with constant pain • Lifestyle, diet and exercise

40. Patient leaflets and factsheets • Bone density scanning and osteoporosis factsheet • Bone markers (blood and urine tests) and osteoporosis factsheet • Scans and Tests and osteoporosis leaflet

41. www.stopatone.nos.org.uk

42. Keep up to date, sign up for Osteoporosis Update! www.nos.org.uk

43. Join as a member Professional Membership: • Bespoke health professional e-newsletter (Osteoporosis Update) • Osteoporosis Review (Journal) • Osteoporosis News (Magazine) • Discount on subscription to Osteoporosis International

44. Or follow us social media @OsteoporosisHCP /national-osteoporosis-society

45. Join one of our Facebook groups @OsteoporosisHCP

47. Get in touch E: info@nos.org.uk T: 01761 471771 W: www.nos.org.uk

48. And remember… www.nos.org.uk

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