Quality Improvement Project: Vitamin D Supplementation in the Nursing Home Residents

2010 ◽  
Vol 11 (3) ◽  
pp. B20
Author(s):  
Mamata Yanamadala ◽  
Mamata Yanamadala ◽  
Gwendolen Buhr
Keyword(s):  
Vitamin D ◽  
Quality Improvement ◽  
Nursing Home ◽  
Nursing Home Residents ◽  
Vitamin D Supplementation ◽  
Quality Improvement Project ◽  
Improvement Project

Experience With Implementation of a Quality Improvement Project for the Care of Nursing Home Residents

2009 ◽  
Vol 24 (2) ◽  
pp. 100-104 ◽  
Author(s):  
Debra Parker Oliver ◽  
Denise Bickel-Swenson ◽  
Steven Zweig ◽  
Robin Kruse ◽  
David Mehr
Keyword(s):  
Quality Improvement ◽  
Nursing Home ◽  
Nursing Home Residents ◽  
Quality Improvement Project ◽  
Improvement Project

scholarly journals The Effect of Ultraviolet B Irradiation Compared with Oral Vitamin D Supplementation on the Well-being of Nursing Home Residents with Dementia: A Randomized Controlled Trial

2020 ◽  
Vol 17 (5) ◽  
pp. 1684
Author(s):  
Bistra I. Veleva ◽  
Monique A. A. Caljouw ◽  
Jenny T. van der Steen ◽  
Bart J. A. Mertens ◽  
Victor G. M. Chel ◽  
...  
Keyword(s):  
Vitamin D ◽  
Nursing Home ◽  
Nursing Home Residents ◽  
Well Being ◽  
Vitamin D Supplementation ◽  
Mean Difference ◽  
Ultraviolet B ◽  
Control Group ◽  
Bone Homeostasis ◽  
Randomized Controlled

There are indications that ultraviolet B (UVB) exposure has beneficial effects on well-being through mechanisms other than vitamin D synthesis alone. We conducted a randomized controlled multicenter trial to compare the effects of UVB light and vitamin D supplementation (VD) in terms of the well-being of nursing home residents with dementia. Participants were randomly assigned to the intervention group (UVB group, n = 41; half-body UVB irradiation, twice weekly over 6 months, with 1 standard erythema dose (SED)) or to the control group (VD group, n = 37; 5600 International units (IU) cholecalciferol supplementation once a week). The main outcome was well-being, measured by the Cohen-Mansfield Agitation Inventory (CMAI) and the Cornell scale for depression in dementia at 0, 3, and 6 months. Secondary outcomes were QUALIDEM quality of life domains and biochemical parameters of bone homeostasis. Intention-to-treat analysis with linear mixed modeling showed no significant between-group differences on agitation (p = 0.431) or depressive symptoms (p = 0.982). At six months, the UVB group showed less restless/tense behavior compared to the VD group (mean difference of the mean change scores 2.2, 95% CI 0.8 to 3.6; p = 0.003 for group x time interaction) and lower serum 25(OH)D3 concentration (estimated mean difference - 21.9, 95% CI −32.6 to −11.2; p = 0.003 for group difference). The exposure of nursing home residents with dementia to UVB light showed no positive benefits in terms of wellbeing. UVB treatment may have a positive effect on the restless/tense behavior characteristic of advanced dementia but more research is needed to confirm this finding.

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