QI 155 Improve bone health of patients at increased risk of osteoporosis

Abstract

Aim: To ensure Eden Ward patients have bone risk factors identified, assessed and required interventions applied within 3 months of admission. Epilepsy and a diagnosis of Intellectual Disability have both been shown to independently contribute towards poor bone health and osteoporosis. Decreased bone mineral density and vitamin D deficiency are independent risk factors. Many female inpatients with intellectual disability with and without Epilepsy admitted to a low secure unit have multiple risk factors for poor bone health. This includes admission to secure services, medication, physical inactivity, poor nutrition, smoking, falls/trauma. This increases their overall risk of osteoporosis and fractures. Bone health has not previously been monitored. Tools Used: Staff Questionnaires; PDSA Cycles - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-pdsa-cycles-model-for-improvement.pdf Project Impact: 100% of patients on Eden Ward have had their risk factors for bone health assessed (previously this was 0%). Bone health education workshops have been delivered to staff to increase awareness and improve practise. As part of the care plan, appropriate investigations are now being requested and monitored. Next steps will be; 1. Explore if changes can be rolled out to other inpatient wards. 2. New patient admissions to have 1:1 information sessions and completion of bone health care plan within 3 months of admission. 3. Annual audit of Bone Health Care Plans.