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Women's Health & Osteoporosis Time Tool For Nurses Launch Page
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Women's Health & Osteoporosis Time Tool For Nurses Launch Page

A Resource from the American College of Preventive Medicine 


Osteoporosis, like many other chronic diseases, takes years to develop, a gradual process of declining bone strength. Unlike other chronic diseases, it takes a greater toll on women, especially postmenopausal women. After menopause, the rate of bone loss accelerates.  Therefore, maintaining bone mass throughout life is a vitally important goal for all women. Having stronger bones going into menopause is the best protection. The impact of osteoporosis cannot be overemphasized. Nearly half of all women eventually suffer an osteoporosis-related fracture. The consequences are enormous, especially if it’s a hip – loss of mobility, independence and quality of life. Only 2 in 5 hip fracture sufferers regain their previous level of function; one in five dies within a year from related complications. 

Women underestimate the importance of bone health. Many clinicians do as well. They are the frontline for preventing osteoporosis as well as identifying and intervening early. But, because there are no symptoms, it is a difficult process to monitor. Many clinicians are not aware of the risk factors, risk calculation tools, indications for bone density testing and how to comprehensively treat osteoporosis or osteopenia.

The Osteoporosis Time Tool developed by the American College of Preventive Medicine is an innovative educational tool designed to assist the physician in a brief consult on the topic of women and osteoporosis. It will increase awareness, provide education, and offer the guidance of the best evidence and guidelines in the delivery of an effective intervention. The tool includes an executive summary of the evidence and a practical approach to delivering the needed services to patients in the context of a clinical visit. It is complemented by a robust clinical reference document delineating the epidemiology, the clinical evidence, recommendations by various professional and government entities, and additional resources. 

This educational activity is intended for nurse practitioners 

After completing this program participants should be able to:

  • Describe indications for performing bone densitometry, using DXA
  • Understand the use of the WHO FRAX algorithm for fracture risk
  • Discuss a strategy for pharmacological management of osteoporosis, including options for administration and potential adverse effects
  • Advise patients about adherence to medications for osteoporosis, guidelines for taking oral bisphosphonates
  • Discuss the importance of nonpharmacologic approaches in the overall treatment plan, including the current recommendations for calcium and vitamin D

"This continuing nursing education (CNE) activity was approved by the American Association of Occupational Health Nurses (AAOHN), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.”

The American College of Preventive Medicine designates this educational activity for a maximum of 1.0 credits.

The estimated time to complete this activity is 1.0 hour. 

To earn CNE credit for this educational activity:

  1. Read the CNE information on this page.
  2. Read the Time Tool and Clinical Reference.
  3. Complete the CNE post-test exam with a score of at least 70%.
  4. Complete the CNE evaluation survey.
  5. Your CNE certificate will be sent to you via email.


September 2010 through August 2012.  Original release date: September 2010


These materials have been reviewed by the following nurse practitioners to ensure the continued scientific accuracy and medical relevance of information presented and its independence from commercial bias.

  • Brenda Tocket, RN
    Procter and Gamble
  • Phyllis Symuleski, RN
    Procter and Gamble


In the interest of providing an educational experience free of commercial bias the American College of Preventive Medicine was responsible for decisions regarding educational content and allocation of funds.  All individuals involved in the planning, development, and delivery of educational activities are required to sign a conflict of interest statement in which they disclose any relevant financial interests or other affiliations with industry or other associations which may have direct and substantial interest in the subject matter of the CNE activity. Such disclosure allows program participants to better evaluate the objectivity of the information presented in the program.

  • Larry Mattson, Medical Writer, has disclosed no financial relationships.
  • Brenda Tocket, RN, has disclosed no financial relationships.
  • Phyllis Symuleski, RN, has disclosed no financial relationships.
  • Jennifer Edwards, ACPM staff, has disclosed no financial relationships.



This ACPM Time Tools series has been funded through an unrestricted educational grant provided by MDVIP.


If you have questions regarding this CNE activity, please contact cme@acpm.org.








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