Accreditation Statement: AMDA – The Society for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation Statement: AMDA – The Society for Post-Acute and Long-Term Care Medicine designates this Internet Enduring Material for a maximum of 3.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
ABPLM Designation Statement: This Internet Enduring Material has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 3.5 clinical hours toward certification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.
Session Description: This session will describe the pathophysiology of vitamins and their role in disease prevention. We will use a case-based approach to discuss vitamin deficiencies and appropriate replacement options. We will also discuss the dangers of using mega doses of vitamins and vitamin-drug interactions. We will discuss, if with adequate nutrition, it is necessary to replace vitamins, and if so which ones.
Describe the physiological role for vitamins
Discuss vitamin deficiency syndromes and how to recognize them in the clinical setting
Explain abuse of vitamins and the adverse effects of hypervitaminosis
Discuss the role of vitamin supplementation in the post-acute long-term care setting
Speaker(s): Suzanne C. Cryst, RD, CSG, LD T.S. Dharmarajan, MD Meenakshi Patel, MD, MMM, CMD Naushira Pandya, MD, CMD
Reference(s): 1. Issue: BCMJ, Vol. 53, No. 7, September 2011, page(s) 370 Council on Health Promotion. 2. Bischoff-Ferrari HA, Dawson-Hughes B, Staehelin HB, et al. Fall prevention with supplemental and active forms of vitamin D: Meta-analysis of randomized controlled trials. BMJ 2009; 339: b3692. 3. Pedersen JI. Vitamin D requirement and setting recommendation levels & mdash; current Nordic view. Nutr Rev 2008; 66: S165-S169. 4. Pittas AG, Chung M, Trikalinos T, et al. Systematic review: Vitamin D and cardiometabolic outcomes. Ann Intern Med 2010; 152: 307-314. Ansell JE, Kumar R, Deykin D. The spectrum of vitamin K deficiency. JAMA. Jul 4 1977; 238(1): 40-2. [Medline]. Kristin M McCabe, Michael A. Adams, Rachel M. Holden. Vitamin K Status in Chronic Kidney Disease. Nutrition. November 2013; 5: 4390-4398. Krasinski SD, Russell RM, Furie BC. The prevalence of Vitamin K deficiency in chronic gastrointestinal disorders. Am J Clin Nutr. Mar 1985; 41(3): 639-43. [Medline]. [Full Text]. 3. Neurosci Lett. 2003 May 8; 341(3): 173-6 Plasma Vitamin C, cholesterol and homocysteine are associated with grey matter volume determined by MRI in non-demented old people. Whalley LJ, Staff RT, Murray AD, Duthie SJ, Collins AR, Lemmon HA, Starr JM, Deary IJ. UK.