Why you should read this article

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To enhance your awareness of the risk factors for osteoporosis, fragility fractures and falls

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To understand the pharmacological interventions and lifestyle changes that can reduce risk of fragility fractures in older people

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To count towards revalidation as part of your 35 hours of CPD, or you may wish to write a reflective account (UK readers)

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To contribute towards your professional development and local registration renewal requirements (non-UK readers)

Osteoporosis is a chronic skeletal condition characterised by low bone mass and microarchitectural deterioration of the bones that disproportionately affects older people. Older people with osteoporosis are at increased risk of sustaining fragility fractures, and this risk is compounded by factors such as falls and frailty. Fragility fractures can have several physical and psychological effects, potentially affecting an older person’s quality of life and reducing their life expectancy. Therefore, it is important that nurses can identify individuals at risk of osteoporosis and recognise the factors that may predict fragility fractures. This article outlines the main risk factors for osteoporosis and details the assessment and management of patients with this condition. It also explains the pharmacological interventions and lifestyle changes that can reduce the risk of fragility fractures in older people with osteoporosis.