What Role Does Nutrition Play in Dementia Care Plans?

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

Maintaining proper nutrition is a crucial aspect of healthy aging, especially for seniors who wish to continue living independently and enjoying their golden years. By stocking your pantry with the right combination of nutrient-dense foods, you can empower yourself to prepare wholesome, energizing meals that support your overall well-being. In this article, well explore the top pantry essentials that should be on every seniors radar.The Importance of a Well-Stocked PantryA thoughtfully curated pantry is the backbone of a balanced diet. When you have a variety of healthy ingredients on hand, it becomes significantly easier to whip up nutritious meals on the fly, without the need for multiple trips to the grocery store. This not only saves you time and money but also helps you avoid the temptation of less-than-ideal food choices that can compromise your health.Pantry Essentials for SeniorsNow, lets delve into the specific pantry items that should be on every seniors radar. These versatile and nutrient-dense foods will serve as the foundation for countless delicious and nourishing meals.Whole GrainsWhole grains, such as brown rice, quinoa, and whole-wheat pasta, are powerhouses of fiber, vitamins, and minerals. These complex carbohydrates provide sustained energy and can help regulate cholesterol levels and blood pressure, reducing the risk of chronic conditions. Oatmeal, a classic breakfast staple, is another excellent whole-grain option that can be easily customized with fresh fruit, nuts, and a touch of honey.Beans and LegumesBeans and legumes are true nutritional superstars, offering a potent combination of protein, fiber, and antioxidants. From kidney and black beans to chickpeas and lentils, these versatile ingredients can be incorporated into soups, stews, and even meatless chili, providing a satisfying and filling base for your meals.Nuts and SeedsNuts and seeds are nutrient-dense snacks that can also be used to enhance the flavor and texture of various dishes. Almonds, pistachios, walnuts, and pumpkin seeds are all excellent sources of healthy fats, protein, and essential minerals. Keep a variety of these on hand for quick and nourishing between-meal bites or to sprinkle on top of salads, oatmeal, and yogurt.Canned GoodsCanned goods, such as tuna, salmon, and a variety of fruits and vegetables, are convenient and cost-effective pantry staples. These items often have a long shelf life, making them ideal for seniors who may not have the time or energy to frequent the grocery store regularly. When selecting canned goods, opt for low-sodium or no-added-salt options to keep your sodium intake in check.Spices and HerbsElevating the flavor of your meals is not only enjoyable but can also encourage healthier eating habits. Spices and herbs, such as garlic, ginger, turmeric, and basil, are not only packed with antioxidants but can also help reduce the need for salt, sugar, and unhealthy fats in your cooking. Experiment with different flavor combinations to keep your taste buds engaged and your meals exciting.Healthy Fats and OilsIncorporating healthy fats into your diet is crucial for maintaining overall health. Olive oil, avocado oil, and coconut oil are excellent choices for cooking, dressings, and marinades. Additionally, consider keeping a bottle of apple cider vinegar on hand, as it can be used to add a tangy twist to a variety of dishes, from salads to stir-fries.Dried Fruits and NutsFor a quick and satisfying snack, keep a selection of dried fruits and nuts in your pantry. Raisins, apricots, and cranberries provide a natural sweetness, while nuts like almonds, walnuts, and cashews offer a crunchy texture and a boost of healthy fats and protein. These shelf-stable items can also be used to add texture and flavor to baked goods, oatmeal, and trail mixes.Honey and Maple SyrupWhen it comes to satisfying your sweet tooth, opt for natural sweeteners like honey and maple syrup. These alternatives to refined sugar can be used in baking, drizzled over yogurt or oatmeal, or even incorporated into marinades and dressings. Not only do they provide a touch of sweetness, but they also offer additional health benefits, such as antioxidants and anti-inflammatory properties.Whole-Wheat Flour and Baking EssentialsFor any of your baking needs, keep a supply of whole-wheat flour, baking soda, baking powder, and spices like cinnamon and nutmeg. These ingredients can be used to create healthier versions of your favorite baked goods, from muffins and breads to cookies and scones. Experiment with natural sweeteners like honey or maple syrup to reduce your intake of refined sugars.Putting It All TogetherBuilding a well-stocked pantry takes time and effort, but the benefits are well worth it. Start by gradually incorporating these essential items into your shopping routine, and dont be afraid to try new recipes and flavor combinations. Remember, healthy eating is a journey, and by embracing these nutrient-dense pantry staples, youre taking a significant step towards nourishing your body and supporting your overall well-being in the golden years!  

Diabetes is a chronic condition that affects millions of people worldwide, causing high levels of glucose (sugar) in the blood. Over time, this can lead to serious health complications, including heart disease, nerve damage, and kidney problems. While managing diabetes often requires medication, there are also natural ways to lower your blood sugar levels and improve your overall health. In this article, well explore the top strategies for regaining control over your blood sugar naturally. From dietary adjustments to lifestyle changes, well provide you with the knowledge and tools you need to take charge of your blood sugar and live a healthier, more vibrant life!Understanding the Importance of Blood Sugar ControlMaintaining healthy blood sugar levels is crucial for everyone, but especially those with diabetes or prediabetes. High blood sugar, also known as hyperglycemia, can cause a range of adverse effects on the body, including: Increased risk of heart disease and stroke Damage to blood vessels, leading to vision problems, nerve damage, and kidney issues Slower wound healing and increased susceptibility to infections Fatigue, increased thirst, and frequent urination By taking proactive steps to lower your blood sugar, you can significantly reduce the risk of these debilitating complications and improve your overall quality of life.Dietary Strategies for Blood Sugar ManagementOne of the most effective ways to control blood sugar is through the foods you consume. Here are some dietary strategies that can help:Focus on Fiber-Rich FoodsFiber is a crucial component in regulating blood sugar levels. Foods high in fiber, such as whole grains, vegetables, fruits, and legumes, slow the absorption of carbohydrates, preventing rapid spikes in blood sugar. Aim to incorporate a variety of fiber-rich foods into your meals and snacks.Prioritize Lean ProteinsProtein-rich foods like lean meats, poultry, fish, eggs, and tofu can help slow the digestion of carbohydrates, leading to a more gradual release of glucose into the bloodstream. Combining protein with carbohydrates at each meal can help maintain stable blood sugar levels.Choose Healthy FatsHealthy fats, such as those found in avocados, nuts, seeds, and olive oil, can also play a role in blood sugar management. These fats can help slow the absorption of carbohydrates and provide a sense of fullness, reducing the likelihood of overeating.Limit Added Sugars and Refined CarbohydratesFoods high in added sugars and refined carbohydrates, like white bread, pastries, and sweetened beverages, can cause rapid spikes in blood sugar. Limit your intake of these items and opt for complex carbohydrates, which are digested more slowly.Incorporate Chromium and Magnesium-Rich FoodsCertain minerals, such as chromium and magnesium, have been shown to help regulate blood sugar levels. Foods rich in these nutrients include leafy greens, nuts, seeds, and whole grains.Lifestyle Modifications for Blood Sugar ControlIn addition to dietary changes, adopting a healthy lifestyle can also contribute to better blood sugar management. Here are some key lifestyle modifications to consider:Regular ExerciseRegular physical activity can improve insulin sensitivity and help your body better utilize glucose. Aim for at least 30 minutes of moderate-intensity exercise, such as brisk walking, swimming, or cycling, most days of the week.Stress ManagementChronic stress can disrupt the bodys ability to regulate blood sugar levels. Practice stress-reducing techniques, such as meditation, yoga, or deep breathing exercises, to help keep your blood sugar in check.Adequate SleepLack of sleep can negatively impact blood sugar control. Aim for 7-9 hours of quality sleep each night to support your bodys natural blood sugar regulation.Maintaining a Healthy WeightExcess weight can contribute to insulin resistance and higher blood sugar levels. Achieving and maintaining a healthy weight through a balanced diet and regular exercise can have a significant impact on blood sugar management.Monitoring and Tracking Your ProgressEffective blood sugar control requires ongoing monitoring and tracking. Here are some strategies to help you stay on top of your progress:Regular Blood Glucose MonitoringUse a home blood glucose meter to check your levels regularly, especially before and after meals. This will help you identify patterns and trends in your blood sugar levels, allowing you to make informed dietary and lifestyle adjustments.Keeping a Food and Activity JournalDocumenting your food intake, physical activity, and blood sugar readings can provide valuable insights into how your body responds to different factors. This information can help you fine-tune your approach and identify any potential triggers for blood sugar spikes.Collaborating with Your Healthcare TeamWork closely with your healthcare provider, such as a registered dietitian or certified diabetes educator, to develop a personalized plan for managing your blood sugar. They can provide guidance, support, and recommendations based on your individual needs and health status. Regaining control over your blood sugar naturally is a journey, but its one that can have a profound impact on your overall health and well-being. By incorporating the strategies outlined in this guide, you can take proactive steps to manage your diabetes, reduce your risk of complications, and improve your quality of life. Remember, every small change you make can contribute to significant improvements in your blood sugar levels and overall health. Embrace the process, celebrate your successes, and dont hesitate to seek support from your healthcare team and loved ones along the way! 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.