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Vitamin D and falls frailty — DGM MCQ

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ModerateFrailtyVitamin D and falls frailtyDGM

A 90-year-old man is housebound with frailty, proximal weakness and recurrent falls. Diet is poor and vitamin D is deficient. Calcium is normal and there is no acute fracture. Current medicines include amlodipine. What is the most appropriate management?

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Correct answer: E — Vitamin D replacement with strength and balance support

Vitamin D deficiency should be corrected, but frailty-related falls also need strength, balance and multifactorial support. Vitamin D alone is incomplete, benzodiazepines and immobility worsen falls, and carotid surgery is not indicated. Frailty interventions work best as combined plans.

Reference: NICE NG249; NICE CG32