Aging Beautifully Part 1: Osteoarthritis
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Aging Beautifully Part 1: Osteoarthritis

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Aging Beautifully Part 1: Osteoarthritis Aging Beautifully Part 1: Osteoarthritis Presentation Transcript

  • http://cdn.c.photoshelter.com/img-get/I00003y_jD.L.ggA/s/750/750/252700003.jpg
  • AgingBeautifully:Visions & RealitiesPart I: OsteoarthritisBy Christine HortillosaPharm.D. 2013 CandidateUniversity of Texas at Austin College of Pharmacy4. 9. 2013 http://www.goodlifeguide.net/wp-content/uploads/2012/09/beach-seniors-X-license.jpg
  • The Visionof Joint Health
  • If I aged beautifully, I would… http://www.grandcamp.com/blog/wp-content/uploads/2012/01/at-play-with-grandkids.jpg
  • If I aged beautifully, I would… http://lightenupsystems.com/wp-content/uploads/2011/04/Senior-couple-on-the-Beach-Medium.jpg
  • If I aged beautifully, I would…
  • …without pain.
  • The Realityof Joint Health
  • 27 MM $65 MM OSTEOARTHRITIS
  • PAIN STIFFNESShttp://www.accesspharmacy.com.ezproxy.lib.utexas.edu/popup.aspx?aID=7997492
  • Education on OA Medications Diet and Exercise Surgeryhttp://www.clipartguide.com/_named_clipart_images/0511-0905-2016-1540_Old_Man_Walking_with_a_Cane_clipart_image.jpg Management
  • Medications Opioids Topical AnalgesicsAPAP NSAIDS (types) PPI
  • MedicationsRecommendations for High-Risk Patients If GI Safety If CV Safety If Renal Safety is paramount is paramount is paramount COX-2 inhibitor Naproxen APAP PPI PPIIf all else fails, use an OPIOID cautiously.
  • Pharmacists are critical in effective osteoarthritis management.http://www.toledoblade.com/image/2012/01/22/800x_b1_cCM_z_cT/pharmacist-bryan-01-23-2012.jpg
  • With your help, I can… http://www.grandcamp.com/blog/wp-content/uploads/2012/01/at-play-with-grandkids.jpg
  • With your help, I can… http://lightenupsystems.com/wp-content/uploads/2011/04/Senior-couple-on-the-Beach-Medium.jpg
  • With your help, I can…
  • …without pain.
  • REFERENCES1. Hunter DJ. Insights from imaging on the epidemiology and pathophysiology of osteoarthritis.Radiol Clin North Am 2009; 47:539–551.2. Zhang Y. Jordan JM. Epidemiology of osteoarthritis. Clin Geriatr Med 2010; 26: 355-369.3. Harvey WF. Hunter DJ. Pharmacologic intervention for osteoarthritis in older adults. Clin GeriatrMed 2010; 26: 503-515.4. Zhang W. Moskowitz RW. Nuki G, et al. OARSI recommendations for the management of hip andknee osteoarthritis, part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis Cartilage2008; 16:137–162.5. American College of Rheumatology Subcommittee on Osteoarthritis Guidelines. Recommendationsfor the medical management of osteoarthritis of the hip and knee: 2000 update. Arthritis Rheum 2000;43:1905–1915.6. Rostom A. Moayyedi P. Hunt R. Canadian Association of Gastroenterology Consensus Group.Canadian consensus guidelines on long-term nonsteroidal anti-inflammatory drug therapy and the needfor gastroprotection: Benefits versus risks. Aliment Pharmacol Ther 2009; 29:481–496.7. Buys LM. Elliott ME. Chapter 101. Osteoarthritis. In: Talbert RL, DiPiro JT, Matzke GR, PoseyLM, Wells BG, Yee GC, eds. Pharmacotherapy: A Pathophysiologic Approach. 8th ed. New York: McGraw-Hill;2011. http://www.accesspharmacy.com/content.aspx?aID=7997482. Accessed April 9, 2013.8. Pictures throughout the slide deck: see bottom of individual slide.