Question

A 77-year-old woman with dementia and recurrent falls is found to have a vitamin D level of 20 nmol/L (deficiency <25 nmol/L). She lives in a care home. According to NICE guidelines (NG48 and PH56), what is the recommended approach for vitamin D supplementation in this patient?

Accepted Answer

High-dose loading regimen of vitamin D followed by regular maintenance

Answer

Advise increased sunlight exposure only

Answer

Regular maintenance dose of vitamin D 800 IU daily without loading

Answer

Dietary advice to increase vitamin D rich foods

Answer

A single annual high-dose injection of vitamin D

Practice question

A 77-year-old woman with dementia and recurrent falls is found to have a vitamin D level of 20 nmol/L (deficiency <25 nmol/L). She lives in a care home. According to NICE guidelines (NG48 and PH56), what is the recommended approach for vitamin D supplementation in this patient?