Biography
Rukshini Puvanendran is a consultant in the family medicine service at the KK women and children’s Hospital in Singapore. She runs the menopause andbosteoporosisi services of the hospital. She is also assistant professor in Family medicine at the Duke NUS Medical School.
Abstract
Introduction:Osteoporosis Patient Targeted and Integrated Management for Active Living (OPTIMAL) is a fracture prevention program instituted in the public hospitals in Singapore since 2008 (2). The program included patients over 50 years of age with osteoporosis. The program constituted an osteoporosis education, falls assessment, falls prevention exercises and pharmacotherapy. Additionally case mangers followed up the patients with six follow up encounters over 2 years. We report on the outcome of the program. METHODS:Patients were interviewed by an investigator (not the assigned case manager) and falls, fracture and compliance to medication and exercise was evaluated. Compliance to medication was assessed by the medication possession ratio and verified via patient interview. RESULTS:101 patients were recruited based on WHO Fracture Risk Assessment Tool (FRAX) for primary fracture prevention . 95 patients had completed a 2-year follow-up at the hospital and were evaluated as part of this study. 77.89% of the patients reported compliance to medication. The commonest reasons for non adherence to treatment are not seeing the importance of medication and fear of side effects. CONCLUSION:Our report suggests that a fracture prevention program with structured education and case management can be effective in improving treatment rates.
Biography
Sultan Saleh has been graduated from King Abdulaziz University as Medical Doctor May 2016. A Founding member of “Student Research and Innovation Unit†in association with Deanship of Graduate Studies and Research in Faculty of Medicine, King Abdulaziz University. 1st place as best student prepared presentation in Radiology rotation 2014. I have the passion for doing research. I have also been appointed leader of several projects. For further information about me, I would be glad to send my resume.
Abstract
Completeness of medical record is essential as deficiencies could pose risk to patients’ health. Interns/residents who do the admission clerking are therefore expected to take a detailed history and perform a thorough physical examination to all patients at admission. We are questioning the completeness of their notes according to what they had been taught as students. A retrospective study of 860 patients who were admitted during two months from 1st of December 2014 to 31st of January 2015. Admission notes were reviewed through the electronic medical record health information system and were evaluated using a checklist structured using the referenced textbooks for medical students. The data were summarized into frequency and relative frequency. Average informativeness index was calculated using Guilbert’s equation.The overall average informativeness index was 50%, which is unsatisfactory. In the history taking part of the survey, In the history taking part of the checklist, notes of “associated symptoms†were the most informative (82.4%) while previous episodes, family history, medication and allergies were informative in 5.6%, 2.9%, 4.8% and 1.9% of the notes, respectively. The physical examination part shows an overall extreme lack of informativeness especially breast examination that wasn’t documented informatively in any of the notes. This retrospective study delineated that the standards are not completely followed by interns/residents. Future research should be conducted regarding the reasons as an attempt to solve this issue.