Acupuncture for Cancer Patients: Pain and Anxiety Relief at RCC

By Faith Protsman, MD, Regional Medical Director, VITAS HealthcareVietnam War veterans face unique obstacles throughout the twilight of advanced illness. For hospice care providers to tailor care to meet the needs of veterans who have served in this theater of war, they must consider the tribulations these patients face as they reach the end of their lives.The Vietnam War era was a very tumultuous time to be a soldier. The United States' prolonged involvement in a war of questionable motivation left society with disdain toward the government and its institutions, especially the military.Coupled with horrific images shown on television, constant controversy was a new reality and negative public opinion formed around this conflict, of which those serving the nation were not spared.Careful consideration is necessary when treating patients facing these traumas.Tours of duty proved to be traumatizing in many ways. Young soldiers, some having just turned 18, were drafted into a war that many of them did not believe in. They were not fighting for love of country and God; rather, they were fighting for survival and out of fear for their lives.Intimate battles in the dense jungle led many to be subjected to the horrors that come with fighting in a foreign land that was only familiar to the elusive guerilla enemy soldiers.Servicemembers did not receive a warm welcome when returning home from Vietnam, often being judged and labeled as cruel and even inhumane.Moral Injury Can Impair Mental HealthThis perfect storm of trauma led to lasting moral injury that plagues many veterans for their entire lives. Veterans returning from the war were marginalized and pushed into isolation, often turning to alcohol and substance abuse, which worsened their anxiety and exacerbated their strife.Questions like Ive never spoken about the war, can I now? Was the war moral or immoral? and Was I a good soldier? come bubbling to the surface later in life as their illnesses intensify and their defenses weaken.Careful consideration is necessary when treating patients facing these traumas.The restlessness that can result from post-traumatic stress disorder (PTSD) is often treated with benzodiazepines. In most cases, these medications can bring relief through calming the patient.Yet, there is a common trend amongst veterans who cope with trauma that results in the opposite effect.Benzodiazepines can lower the walls that Vietnam veterans have built up throughout a lifetime of suppressing trauma and negative memories. This class of medications can exacerbate the symptoms of PTSD as traumatic experiences and feelings of regret resurface. Benzodiazepine-induced inhibition of neurotransmission can even lead to agitated toxic psychosis, increased anxiety, hostility, and rage.1The Value of Compassion Along with Clinical CareRemaining considerate does not end with simply staying mindful during the planning of clinical solutions. Providing care for Vietnam veterans requires a high level of empathy.A key to an empathetic approach is taking the time to listen nonjudgmentally. Though seemingly simple, practicing nonjudgmental, open communication with patients facing trauma from war can help avoid the all-too typical responses of Its okay and You did what you had to do.These patients do not need sympathy, because they have been judged enough throughout their lives. When care teams approach them without judgment, they honor the sacrifices these heroes have made.VITAS hospice care provides compassionate care approaches that are tailored to meet the distinctive needs of Vietnam veterans. With the Veterans Administration (VA) offering hospice care as part of its medical package, VITAS team members can provide empathetic psychosocial support, while utilizing clinical solutions that help manage symptoms.The qualifications for veterans to receive hospice benefits include: A life-limiting illness Treatment goals that focus on comfort, rather than curative treatments A life expectancy of 6 months or less, if their illness runs its normal course Veterans also benefit from the option to receive concurrent care through the VA. The VA can provide curative treatments as the patient simultaneously receives symptom-managing comfort care administered by the hospice care provider of their choosing.Offering solace, while remaining compassionate when patients need it most, is too often overlooked in the busy practice of healthcare. Acknowledging the adversity that Vietnam War veterans have had to face throughout their lifetimes and adapting care approaches to meet their needs is the best way for healthcare providers to give back to those who have sacrificed so much for the preservation of freedom.1Paton, C. (2018, January 2). Benzodiazepines and disinhibition: A review: Psychiatric bulletin. Cambridge Core. Retrieved November 2, 2022, from https://www.cambridge.org/core/journals/psychiatric-bulletin/article/benzodiazepines-and-disinhibition-a-review/421AF197362B55EDF004700452BF3BC6

In todays fast-paced world, its easy to overlook the importance of a balanced diet. One essential component that often gets neglected is fiber. Fiber plays a crucial role in our overall health, from supporting digestion to reducing the risk of chronic diseases. However, many people fall short of meeting their daily fiber requirements. In this comprehensive guide, we will explore the benefits of fiber and provide practical tips to help you boost your fiber intake and improve your well-being.Why Fiber MattersBefore diving into the ways to increase your fiber intake, its essential to understand why fiber is so important for our health. Fiber is a type of carbohydrate found in plant-based foods that cannot be broken down by our digestive enzymes. There are two types of fiber: soluble and insoluble.Soluble fiber forms a gel-like substance when mixed with water and helps regulate blood sugar levels and lower cholesterol. It can be found in fruits, vegetables, legumes, oats, and barley. On the other hand, insoluble fiber adds bulk to the stool, promoting regular bowel movements and preventing constipation. It can be found in whole grains, nuts, and seeds.A diet rich in fiber offers numerous health benefits. Firstly, it supports digestive health by preventing constipation and promoting regular bowel movements. Secondly, fiber plays a role in maintaining a healthy weight as it promotes satiety, reducing the likelihood of overeating. Additionally, fiber is known to reduce the risk of chronic conditions such as heart disease, type 2 diabetes, and certain types of cancer.Assessing Your Fiber IntakeTo determine whether youre meeting your daily fiber needs, its important to assess your current fiber intake. The recommended daily intake of fiber varies based on age and gender. Generally, adult men should aim for 30-38 grams of fiber per day, while adult women should aim for 21-25 grams.To assess your fiber intake, you can use a food diary or a mobile app to track the fiber content of the foods you consume. By keeping a record of your meals and snacks, you can gain insight into your fiber consumption patterns and identify areas where improvements can be made.Increasing Fiber Intake: Practical TipsNow that we understand the importance of fiber and how to assess our current intake, lets explore some practical tips to increase our fiber consumption. By incorporating these strategies into your daily routine, you can gradually boost your fiber intake and reap the benefits of a fiber-rich diet.Embrace Whole GrainsOne of the simplest ways to increase your fiber intake is to choose whole grains over refined grains. Whole grains, such as brown rice, quinoa, and whole wheat bread, contain the entire grain, including the bran, germ, and endosperm. These components are rich in fiber, vitamins, minerals, and antioxidants.When shopping for grains, look for labels that indicate 100% whole grain or whole wheat. Replace refined grain products like white bread, pasta, and rice with their whole grain counterparts. Start by making small changes, such as swapping white rice for brown rice or choosing whole wheat bread for your sandwiches.Load Up on Fruits and VegetablesFruits and vegetables are not only packed with essential vitamins and minerals but are also excellent sources of fiber. Aim to include a variety of fruits and vegetables in your daily meals and snacks. Each meal should feature at least one serving of fruits or vegetables.To boost your fiber intake, opt for fruits and vegetables with edible skins, such as apples, pears, and cucumbers. These skins are rich in insoluble fiber. Additionally, include high-fiber options like berries, avocados, broccoli, and Brussels sprouts in your diet.Incorporate Legumes and PulsesLegumes and pulses, such as beans, lentils, and chickpeas, are versatile and nutritious sources of both fiber and plant-based protein. These legumes can be added to soups, stews, salads, or used as a meat substitute in various dishes.Try incorporating legumes into your meals at least three times a week. You can make a hearty bean chili, prepare a lentil curry, or add chickpeas to your salads. Experiment with different recipes and seasonings to find combinations that you enjoy.Choose Fiber-Rich SnacksSnacking can be an opportunity to boost your fiber intake, especially if you choose the right snacks. Instead of reaching for processed and low-fiber options, opt for snacks that are naturally high in fiber.Nuts and seeds, such as almonds, chia seeds, and flaxseeds, make excellent fiber-rich snacks. Sprinkle them over yogurt, oatmeal, or salads for added crunch and fiber. Additionally, popcorn, air-popped without excessive butter or salt, is a whole grain snack that provides a satisfying crunch.Make Smart SubstitutionsWhen preparing meals, look for opportunities to make smart substitutions that increase your fiber intake. For example, instead of using refined flour in your baking, try using whole wheat flour or a combination of whole wheat and all-purpose flour.Similarly, replace refined pasta with whole wheat or legume-based pasta options. These alternatives offer more fiber while still allowing you to enjoy your favorite pasta dishes. Gradually incorporate these substitutions into your cooking routine to make them a sustainable habit.Stay HydratedAs you increase your fiber intake, its crucial to stay hydrated. Fiber absorbs water, adding bulk to your stool and promoting regular bowel movements. Without an adequate fluid intake, fiber can lead to constipation and discomfort.Make sure to drink plenty of water throughout the day. Aim for at least eight glasses of water, or about 64 ounces. Additionally, incorporate hydrating foods into your diet, such as watermelon, cucumbers, and soups, to support your hydration goals.Gradual Increase and MonitoringWhen increasing your fiber intake, its important to do so gradually to allow your body to adjust. Suddenly consuming large amounts of fiber can lead to digestive discomfort, including gas, bloating, and cramping.Start by adding small amounts of high-fiber foods to your meals and gradually increase the portions over time. This gradual approach will give your digestive system time to adapt and minimize any potential discomfort.As you increase your fiber intake, pay attention to how your body responds. Everyones tolerance to fiber differs, and certain high-fiber foods may affect individuals differently. Keep a food diary to track your symptoms and identify any triggers or patterns.Mindful EatingIncorporating fiber into your diet is not only about the choices you make but also about how you consume your meals. Practicing mindful eating can help you appreciate the flavors and textures of fiber-rich foods while allowing your body to recognize satiety cues.Take the time to chew your food thoroughly and savor each bite. This mindful approach to eating can enhance your digestion and improve your overall eating experience.Seek Recipe InspirationFinding new and exciting recipes that incorporate fiber-rich ingredients can make your journey to increasing fiber intake more enjoyable. Look for cookbooks, online recipe blogs, or food magazines that focus on wholesome, whole-food based meals.Experiment with new flavors, spices, and cooking techniques to make your meals more appealing. By expanding your culinary repertoire, youll discover a wide range of delicious dishes that are both nutritious and fiber-packed.Support Your Gut HealthFiber plays a vital role in maintaining a healthy gut microbiome. The trillions of bacteria in your gut thrive on fiber, fermenting it to produce beneficial compounds that support overall health. To support your gut health, focus on incorporating a diverse range of fiber-rich foods into your diet.In addition to fruits, vegetables, whole grains, and legumes, consider adding fermented foods to your meals. Foods like yogurt, sauerkraut, kimchi, and kefir are rich in probiotics that contribute to a healthy gut microbiome.  Disclaimer: This article is for informational purposes only and does not provide medical advice. While we at Chefs for Seniors specialize in providing healthy, customizable meals, we are not medical professionals. Always consult with your healthcare provider for medical advice, diagnoses, and treatment plans to fit your specific needs.

In todays fast-paced world, sugar has become an integral part of our daily lives, infiltrating everything from our morning coffee to our afternoon snacks. However, the consequences of excessive sugar consumption are well-documented, ranging from weight gain and diabetes to heart disease and even cognitive impairment. Fortunately, there are natural sweeteners that can satisfy our cravings for something sweet while providing added health benefits.In this article, well explore five natural sweeteners that not only taste delicious but also offer a range of nutritional advantages over refined sugar. Whether youre looking to revamp your baking recipes, enhance your morning beverage, or simply make more mindful choices, this guide will equip you with the knowledge to make the switch to these natural sweeteners and enjoy a sweeter, healthier lifestyle.Raw HoneyRaw honey stands out as one of the most remarkable natural sweeteners, boasting an impressive nutritional profile that sets it apart from its refined counterparts. Unprocessed and unfiltered, raw honey retains its inherent enzymes, antioxidants, vitamins, and minerals, making it a true superfood.One of the key benefits of raw honey is its ability to support a healthy immune system. The enzymes and antimicrobial properties present in raw honey can help fight off harmful bacteria and promote the growth of beneficial gut flora. Additionally, the antioxidants in raw honey can neutralize free radicals, reducing the risk of oxidative stress and inflammation.Beyond its immune-boosting properties, raw honey also offers a gentler impact on blood sugar levels compared to refined sugar. Its low glycemic index ensures a more gradual release of energy, helping to regulate blood sugar fluctuations and potentially reducing the risk of type 2 diabetes.When it comes to incorporating raw honey into your diet, the options are endless. Drizzle it over your morning oatmeal, stir it into your tea, or use it as a natural sweetener in your baking recipes. Just be mindful of the heat, as raw honey is best consumed in its raw, uncooked state to preserve its nutritional benefits.SteviaStevia, a natural sweetener derived from the leaves of the Stevia rebaudiana plant, has gained tremendous popularity in recent years as a viable alternative to artificial sweeteners and refined sugar.One of the primary advantages of stevia is its ability to support healthy blood sugar levels. Unlike sugar, which can cause spikes and crashes in blood glucose, stevia has a minimal impact on insulin production and maintains a stable blood sugar response. This makes it an excellent choice for individuals with diabetes or those looking to manage their weight and maintain a balanced metabolism.Stevias versatility extends beyond its health benefits. It can be used in a wide range of applications, from sweetening your morning coffee to baking delectable desserts. The key is to use it judiciously, as a little goes a long way. When substituting stevia for sugar in recipes, start with a small amount and gradually increase until you achieve the desired sweetness level.DatesDates, the sweet and plump fruits from the date palm tree, have long been revered for their exceptional nutritional value and versatility as a natural sweetener. These delectable treats are packed with an array of essential vitamins, minerals, and fiber, making them a healthier alternative to refined sugar.One of the standout features of dates is their ability to provide a natural caramel-like sweetness without the need for added sugars or artificial ingredients. This makes them an excellent choice for those seeking to satisfy their sweet cravings while also nourishing their bodies.Beyond their sweetening capabilities, dates have also been linked to various health benefits. Studies suggest that they may help lower LDL (bad) cholesterol levels and reduce the risk of stroke, making them a heart-healthy addition to your diet.Coconut SugarCoconut sugar, derived from the sap of the coconut palm tree, has emerged as a popular natural sweetener that offers a unique blend of flavor and nutritional benefits. Unlike refined white sugar, which is stripped of its inherent nutrients, coconut sugar retains a wide array of vitamins, minerals, and antioxidants.One of the standout features of coconut sugar is its low glycemic index, which means it is absorbed more slowly by the body, resulting in a more gradual rise in blood sugar levels. This property makes coconut sugar an attractive choice for individuals concerned about managing their blood sugar or maintaining a balanced diet.Coconut sugars versatility extends beyond its health benefits. Its caramel-like flavor and granular texture make it an excellent substitute for traditional white sugar in a wide range of recipes, from baked goods to sauces and marinades. When using coconut sugar, you can simply replace it cup-for-cup in your favorite recipes, allowing you to enjoy the same sweet indulgence with added nutritional value.Maple SyrupMaple syrup, a beloved staple from the Northeast, stands out as a natural sweetener that not only delights the taste buds but also offers a remarkable nutritional profile. Derived from the sap of maple trees, this golden elixir is a true gift from nature, packed with essential vitamins, minerals, and antioxidants.One of the standout features of maple syrup is its impressive mineral content. It is particularly rich in manganese, a crucial mineral that plays a vital role in bone health, metabolism, and antioxidant defense. Additionally, maple syrup contains significant amounts of zinc, calcium, and potassium, all of which contribute to overall well-being.Beyond its mineral wealth, maple syrup also boasts a diverse array of beneficial plant compounds, including polyphenols and flavonoids. These antioxidants work to neutralize harmful free radicals, reducing the risk of chronic diseases and supporting a healthy immune system.Its worth noting that not all maple syrups are created equal. Opt for the darker, grade B varieties, as they tend to be richer in antioxidants and possess a more robust maple flavor. By making the switch to this natural sweetener, you can indulge your sweet cravings while nourishing your body with a wealth of essential nutrients.Blackstrap MolassesBlackstrap molasses, the final byproduct of the sugar refining process, is a remarkable natural sweetener that sets itself apart with its impressive mineral content and unique, robust flavor. Unlike refined white sugar, which has been stripped of its inherent nutrients, blackstrap molasses retains a treasure trove of essential vitamins and minerals.One of the standout features of blackstrap molasses is its high concentration of iron, a crucial mineral for maintaining healthy red blood cells and preventing anemia. Additionally, it is a rich source of copper, calcium, magnesium, and manganese, all of which play vital roles in supporting bone health, energy production, and immune function.Beyond its mineral wealth, blackstrap molasses also boasts a remarkable antioxidant profile. Studies have shown that this dark, viscous sweetener contains a higher concentration of polyphenols and other beneficial plant compounds compared to refined sugar and other sweeteners. These antioxidants can help neutralize free radicals, reducing the risk of oxidative stress and chronic diseases. While the bold, slightly bitter-sweet flavor of blackstrap molasses may not appeal to everyones taste buds, it can be easily incorporated into a variety of recipes. Use it to add depth and richness to baked goods, marinades, and sauces.