Aged Care – Case Study #1 – Living with Osteoporosis

Mary* is living with Osteoporosis; Osteoarthritis in shoulders, knees and hands; Type 2 Diabetes; Hypertension; High Cholesterol; and Asthma.


Mary was referred for in-home exercise physiology services through a six week Home Independence Program. In the past, she had participated in community exercise classes and walked regularly but had lost her motivation.

Needs and client goals

Mary was fiercely independent and wanted to stay that way. She had a positive attitude and knew that physical activity was the key to remaining independent. She was worried that she wouldn’t get out of her rut and didn’t want her health and independence to suffer as a result. Mary was concerned that a single fall could take away her independence and put her in a nursing home. Her goals were focused on regaining motivation to exercise and resuming daily walks.

Exercise prescription and results

Mary was seen in her home for weekly one-on-one exercise physiology sessions. She was given a daily home exercise program, which was reviewed each week. Exercises were simple and safe enough that she could do them without supervision. Because they were to be performed in her home, minimal equipment was used.

Mary was committed to her daily exercise routine, and as a result, progressed quickly. Mary was very happy with the exercises and enjoyed the challenge of a new exercise or exercise progression each week. She felt more mobile, her motivation had returned and she resumed walking. Mary attributed the gain in motivation to the weekly home visits.

Mary felt these sessions “kept her accountable”.

By the end of six weeks, Mary’s blood pressure and physical fitness had improved and she had lost 4cm around her waist. But more importantly, she gained the confidence and motivation to continue with exercise without assistance. Despite her age and chronic health conditions, Mary does not need any in-home services, and as a result, takes some burden off the already strained Aged Care system.

Mary is a great example of an older person with osteoporosis remaining independent in their own home.


*These case studies are based on research conducted by Accredited Exercise Physiologists, and are examples of how exercise can assist in a variety of factors relating to mental and physical health and well-being. It is important to not begin any exercise program without the supervision and guidance of an Allied Health professional. This case study has been re-written to be appropriate for the general public and was conducted by Accredited Exercise Physiologist: Jenna Davie