Resources: Long Term Care

New FRS Tool for LTC

The FRS is the first tool of its kind developed and validated to predict hip fracture for LTC residents over a 1-year time period. Embedded in MDS 2.0, the FRS tool automatically calculates hip fracture risk for LTC residents based on their MDS 2.0 assessment data.

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2015 Osteoporosis LTC Recommendations’ Presentation

The 2015 Osteoporosis LTC Recommendations Presentation informs you how to apply the 2015 Fracture Prevention Recommendations for frail older adults in long-term care;  improve fracture risk assessment and identification of residents at high risk and  how to choose non-pharmacological and pharmacological therapies for residents at high risk of fracture.

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2015 Recommendations for Preventing Fractures in LTC

The 2015 Recommendations for Preventing Fracture in Long Term Care, is the first guideline in Canada focused on preventing fractures among the frail and elderly in long-term care, where fractures are much more common than among community-dwelling seniors.

Launched in 2015, the Recommendations include an integrated falls and osteoporosis assessment as well as various treatment strategies is specifically designed to reduce immobility, pain, hospital transfers and most importantly, improve the quality of life of residents at these facilities.

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LTC E-learning Module

The Ontario Osteoporosis Strategy for Long Term Care (OOSLTC) in collaboration with the Ontario College of Family Physicians (OCFP) has developed a certified webinar program, ‘Clinical Application of the Long-Term Care Fracture Prevention Recommendations for Frail Older Adults.’ The program presents a comprehensive approach to deliver non-pharmacological and pharmacological therapies to reduce immobility, pain and transfers to hospitals while improving the quality of life of residents in LTC.

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Osteoporosis LTC Video Series

Osteoporosis Canada, Ontario Osteoporosis Strategy, University of Waterloo and GERAS Centre for Aging Research launched a four-video series earlier this year, aimed at educating health care professionals to prevent falls and fractures for long term care (LTC) residents.   Osteoporosis and falls are the leading cause of fractures in LTC homes and 44% of LTC residents are at high risk for fractures. The video series promote exercise and safe movements to prevent falls and fractures in LTC and focuses on personal support workers, physiotherapists & physiotherapist assistants, group exercise trainers (e.g., fitness instructors, kinesiologists) and restorative care staff. The LTC video series can be viewed at: or

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LTC Fracture Prevention Quick Reference Guide

This 2-page quick reference guide is a tool that provides a quick summary of information including Fracture Risk Assessment on Admission and Fracture and Fall Prevention Strategies for residents living in long-term care environments.

LTC Fracture Prevention Order Set
LTC Therapy Tool

The Long Term Care Safe Administration Therapy Tool for osteoporosis was revised in May 2018 by the Ontario Osteoporosis Strategy and GERAS Centre for Aging Research to include recent changes to the Limited Use Codes.

Keeping it Together: Osteoporosis Conversation Sheet

Keeping it Together: Osteoporosis Conversation Sheet developed in partnership with the Ontario Association of Residents Council (OARC) provides suggestions on how long term care residents can start conversations about osteoporosis.

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