Does routine screening of Vitamin D status occur for Residents of Rural Multipurpose Facilities?

Mrs Elizabeth Jeffries2, Mrs Catherine Forbes1, Miss Anne Christie3, Miss Ming Hu4

1Western NSW LHD, Parkes, Australia, 2Western NSW LHD, Bathurst, Australia, 3Western NSW LHD, Condobolin, Australia, 4Western NSW LHD, Dubbo, Australia

Background
Western NSW Local Health District (WNSWLHD) is the largest health district in New South Wales. There are 421 residential aged care (RAC) beds across the districts twenty-five Multi-Purpose Service (MPS) facilities. Vitamin D deficiency has associations with frailty, is an independent predictor of falls, and occurs in approximately 68-86% of institutionalised elderly in Australia (1-5). A lack of evidence of assessment of Vitamin D status in RAC residents was identified by the virtual dietetic team prompting investigation.
checks in people aged over 65 living in MPS facilities in

Aims
To determine current practices surrounding the assessment and treatment of Vitamin D status and frequency of weight checks in people aged over 65 living in MPS facilities in WNSWLHD.

Process
A remote file audit was conducted retrospectively over 12 months (July 2019 to June 2020) via e-medical records (eMR) through CERNER PowerChart to 16 MPS sites. This audit reviewed residents for frequency of weight monitoring and Vitamin D screening and supplementation over a 12-month period.

Results
Thirty-one present of residents had their Vitamin D levels checked during the 12 month period, of which thirty-two percent were identified as mildly-moderately deficient. Monthly weight checks had occurred in seventeen percent of residents and monthly malnutrition screening in thirty-one percent.

Future Directions
These results identify the need to implement annual Vitamin D testing and monthly weight and malnutrition screening processes for all permanent residents, to promote and maintain the health and wellness of this at risk population group. Ongoing staff education and significant change management will be essential to the success of this initiative.


Biography:

Bio to come.

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