The Vitamin D Deficiencies:
Physicians’ Education &
Communication
By: Katherine Astaneh, BSN, RN
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Search Engines &
Key Words
Databases Used
Key Words
CINAHL
JSTOR
Cochrane Review
Agency for Health Care
Research and Quality
PubMed
Sage
Vitamin D
25 Hydroxyvitamin D
Survey
Awareness
Physicians
Supplementation
Meta Analysis
Pregnancy
Fetus
Children
Adolescent
Less + light + living
Controversy
Communication
Education
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Strategy Methods
Included in Search
Full Text Articles
Meta Analysis
Peer Reviewed
Randomized Surveys
Government Agencies
Evidence Based Practice
Excluded in Search
Google
.com sites
Year older than 2009
Adults not of child-bearing age Other disease of vitamin D
Forbes.com, 2014
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Controversy
Are physicians up to date on new
standards of practice?
American Academy of Pediatrics (AAP)
Institute of Medicine (IOM)
Endocrine Society’s Clinical Practice Guidelines
U.S. Department of Food and Drug Administration
U.S Department of Agriculture
Are physicians communication skills patient population friendly?
No medical jargon used
Allow time for patient questions
(petrieflom.law.harvard.edu)
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What exactly is the problem? (part 1):
Education
AAP, 2011
To date no consistent Vitamin D level of supplementation (Kopes-Kerr, 2013).
Why?
Studies are continuously being performed with new evidence
contraindicating previous studies.
No Set Standard of dosing or testing of populations for Health
Care Professionals.
hy is the issue importan
Vitamin D Deficiency:
Education & Communication
Increase knowledge & ability of physician
Increase in satisfied patient population
Increase in compliance Fa ct foo s re: l
Increase in awareness ds contatitude
,
ain ing race/
Increase in healthy community vitaminethnicit
.
D
Non-c o due t mpliant ra o L ac t k of a es on the waren rise ess y, s ki n pig me nta tio
n,
ven re gi a c in tion c a f tis of s a k c a L
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(Sundailyhealth.com)
ho is affected-by this issu
Breast-Feeding Mothers
Impact
Physicians
Knowledge deficient
Inability to express educational information to patient
Word of mouth for lax health care
Increase in health care cost which can affect physician personally and in the healthcare facility where employed
Patients
Knowledge deficient due to lack of VDD details
Inability to make corrective actions leading to further implications
Society
Knowledge deficient
Leads to unhealthy society due to VDD related disease
Consider VDD in everyone-society would eventually be gone
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Where to start
Awareness Assessment of Physicians
Educate as needed
Give seminars at local schools
Office information parties and invite patients
Offer Visual Aids for office (see following slides)
Communication abilities in physician to patient situations Survey patients for compliance
Ask why/why not compliant
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de u t ti La
Vitamin D Deficiency around the World
t ec ff
E
(U.S. Department of Agriculture, 2011)
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Foods Fortified in Vitamin D
U.S. Department of Agriculture
U.S Department of Agriculture,
2011
U.S. Food & Drug Administration
National Institute of Health, 2014
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Solutions
Stay informed
(workplacepossibilities.com)
V. A physician shall continue to study, apply, and advance scientific knowledge, maintain a commitment to medical education, make relevant information available to patients, colleagues, and the public,
