Nursing management:

- Exercise and promoting independence (to maintain present muscle tone and strength)
- physical safety; (to promote body alignment that will serve to defer further deformity and
complications and to increase her mobility and independence)
- maintaining sufficient oxygen in tissue;
- the ability to hear verbal communications.
- Diet modification; increase calcium and vit D intake, promote reabsorption of calcium
- Encourage the patient to avoid excessive alcohol which can inhibits the formation of the bone
and ability to absorb calcium and may increase fall risk
- Deafness, related to either age or disease might lead to social isolation and patients should
have audiometry and provision of a hearing aid if necessary

Medical management:

- Control weight
- Adequate dietary calcium and vit D supplements
- Pain medication Non-steroidal anti-inflammatory drugs (NSAIDS)
- Bisphosphonate (retard bone resorption such as Fosamax by attaching to bone surface to
inhibit osteoclastic activity)
- Calcium supplements
- Drugs to reduce bone resorption/turnover:
 Calcitonin
 Cytotoxic antibiotic (mithracin) if severe
- Surgery:
- Orthopedic surgical procedures;
 Corrective osteotomy
 Fracture fixation
 Spinal decompression
 Joint arthtoplasty
 Tumor resection