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Whole Person Wellness. Purpose. Enhance present medical care with suggestions you can discuss with your health care provider. Offer resources, practical suggestions and encouragement. Nutrition Recommendations for Spinal C ord I njury. Karen Cota, RDN, LD, CDE
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Purpose Enhance present medical care with suggestions you can discuss with your health care provider. Offer resources, practical suggestions and encouragement
Nutrition Recommendations for Spinal Cord Injury Karen Cota, RDN, LD, CDE Registered Dietitian Nutritionist Aiken-Augusta Holistic Health
Prevent Constipation with Fiber & Fluids • Fruits, vegetables and whole grains = FIBER • Fill half your plate with vegetables at meals.
Prevent Constipation with Fiber & Fluids • Choose fruits for snacks. • Fiber goal = 25-35 grams/day. • Drink 48-64 ounces of water or unsweetened beverages per day
Preserve Muscles Prevent Pressure Ulcers with Adequate Protein • Protein is found in meat, poultry, eggs, fish, tofu, beans and nuts or nut butters. • Try to choose non-meat proteins at least once a day. • Beans are also excellent fiber.
Choose lean or low-fat meats. Fish twice a week is good for your heart health. • Avoid fried foods. • 6 ounces of protein foods/day should be adequate unless there is skin breakdown
To Prevent Excess Weight GainControl Calories • Choose water or unsweetened beverages. • Choose lean meats, avoid fried foods. • Control portions, eat on a 9 inch plate.
Use healthy plate method with half plate of vegetables to reduce calories, but stay full. • Avoid snacking on processed snacks that are high in fat, sugar and salt…choose fruit, nuts or whole grains.
Resources • www.choosemyplate.gov • www.move.va.gov • www.myfitnesspal.com • www.sci-health.org • Karen.w.cota@gmail.com
Five W’s and How of Using Essential Oils to Enhance YOUR Health Presented by Elena Prendergast, DNP, APRN, FNP-C
Disclosure: I am an Independent Wellness Advocate with an essential oil company. I am receiving no financial compensation for this educational presentation This presentation is free of commercial bias or endorsement of any product or company I have no additional financial disclosures These statements have not been evaluated by the FDA. This information is not intended to diagnose, treat, or cure diseases and should not be construed as medical advice. Always consult with your healthcare provider relative any medical conditions
What are essential oils • How are essential oils used • Benefits and risk of essential oils • Safety considerations Objectives By the end of the presentation the learner should understand:
Aromatic, volatile compounds • Extracted from plant parts: • Flower, leaf, roots, stems, and bark • 70-100x more powerful than plant • Steam distilled or expressed • Aromatherapy: use of essential oils for therapeutic purposes What... are Essential Oils?
When... did essential oil usage begin?
1500 BC to 1 Century AD Pre-essential oil eraEgyptians use Myrrh as a wound salve 16th Century French surgeon uses Oil of Roses to treat wounds 1880s First published research on Essential Oils: Thyme and Eucalyptus oils used as surgical antiseptics 1995 Australian research on using Tea Tree Oil against MRSA 2013 to Present Increased recognition/ research on using Essential Oils to address antibiotic resistant infections Essential Oils as Antimicrobials (Adapted from Tisserand Institute, 2018)
Where... Is the evidence?
Databases PubMed CAM *1272 results Science Direct Allied and Complementary Medicine Database Essential Evidence Plus EBSCO Health Literature National Cancer Institute: PDQ Complementary Therapies in Clinical Practice International Journal of Clinical Aromatherapy Clinical Practice Institutional Government agencies Healthcare Policies and Procedures Research Education Complem. therapy Supported by evidence
Immediate results • Cost effective • Low side effects • Anti: • bacterial/viral/fungal/ • septic/inflammatory • Emotional support • Relaxation/sleep • Analgesic • Digestive/Immune support Why... essential oils?
ANYONE desiring to: • Reduce toxic load • Enhance health • Manage symptoms holistically • Physical • Emotional Who... would benefit from essential oils?
How... do essential oils work?
How... are Essential Oils Used?
Aromatic Most recommended Diffusers Hydrosols Nasal inhalers Cotton pad Topical Recommended Neat versus diluted application Carrier oils Jojoba FCO Almond Internal Exercise Caution Consult trained professional Dilute in a capsule Cooking Essential Oil Uses
How do I balance… Topical • Benefits: Relaxing, nurturing, increase circulation, elevate mood • Precautions: Phototoxic, chemical burns/irritation Inhalation • Benefits: Relaxing, elevate mood, immune support • Precautions: headache, nausea, sneezing, allergic reaction
Purchase quality oils! • Dilute essential oils with a carrier oil • NEVER use near eyes or in ears • Do a Patch test • Use a dilution chart • Check for contraindications • Avoid flames • Store away from children • Consult HCP or aromatherapist How... can I use essential oils safety?
Your Healthcare Provider • Evidenced-based databases • Only choose quality oils • Trusted sources https://www.cancer.gov/about-cancer/treatment/cam/patient/aromatherapy-pdq • Take a course https://www.aromahead.com/courses/online/introduction-to-essential-oils https://tisserandinstitute.org/how-essential-oils-work-in-the-body/ How Do I Get More Information?
References • Buckle, J. (2015). Clinical Aromatherapy: Essential Oils in Healthcare 3rd edition. St. Louis: Churchill Livingstone, an imprint of Elsevier Inc. • Chen, T. et al. The Clinical Effects of Aromatherapy Massage on Reducing Pain for the Cancer Patients: Meta-Analysis of Randomized Controlled Trials. Evid Based Complement Alternat Med. 2016;2016:9147974. doi: 10.1155/2016/9147974 • Dossey, B. & Keegan, L. (2015). Holistic Nursing: A Handbook for Practice 7th edition. Boston: Jones & Bartlett Publishers.• Gok Metin ,Z. & Ozdemir, L. The Effects of Aromatherapy Massage and Reflexology on Pain and Fatigue in Patients with Rheumatoid Arthritis: A Randomized Controlled Trial. Pain Manag Nurs. 2016 Apr;17(2):140-9. doi: 10.1016/j.pmn.2016.01.004• Hosseini , S., Heydari, A., Vakili, M., Moghadam, S. & Tazyky, S. Effect of lavender essence inhalation on the level of anxiety and blood cortisol in candidates for open-heart surgery. Iran J Nurs Midwifery Res. 2016, Jul-Aug;21(4):397-401.• Lakhan, S.E., Sheafer, H.& Tepper , D. The Effectiveness of Aromatherapy in Reducing Pain: A Systematic Review and Meta-Analysis. Pain Res Treat. 2016.• Lindquist, R., Snyder, M., & Tracy, M. (2014). Complementary &Alternative Therapies in Nursing 7th edition. New York: Springer Publishing Company.• Reis, D. & Jones, T. Aromatherapy: Using Essential Oils as a Supportive Therapy.Clinical Journal of Oncology Nursing. 2017 Feb 1;21(1):16-19.
References • Roberts, K. & Campbell, H. Using the ‘M’ technique as therapy for patients at the end of life: two case studies. International Journal of Palliative Nursing. 2011; 17(3):114-118.• Tisserand, R. & Young, R. (2014). Essential Oil Safety 2nd edition. Churchill Livingston, New York, New York: Churchill Livingston.
Questions... (KLBD Kosher Certification, 2018)
Mind Body Connection Gail Pendergrast, BSN, MS, CPC Professional Life and Health Coach Aiken-Augusta Holistic Health
How to do you control your thoughts? • It takes practice • Talk back • Picture a STOP sign • Talk to yourself! “thank you for sharing….. However……..” • Replacement thoughts
Other practices for integration of the Mind and Body • Yoga • Qui Gong or Tai Chi • Harvard Medical School refers to Tai Chi as "medication in motion." • Mindfulness Practices • Medical Hypnosis for pain Control
Cultivate the Gratitude Habit Daily • Journal • Before you are out of bed…. 10!!! • Meal times • Spread the joy…. Text, call or write one to three people daily to express gratitude. • Prayer or meditation time
Who do you “let” ruin your day? • What does it mean when we do that? • 7 billion people in the world…….. Choose wisely!
Resources for Enhancing Mind Body Connection 4-7-8 Breath Video Demonstration Yoga : A story from a man with a spinal cord injury and how yoga helps https://www.nchpad.org/485/2369/SCI~-~Reconnecting~the~Body~and~Mind~with~Yoga Resource Booklet from Shepherd Spinal http://www.spinalinjury101.org/details/resources
Books: The Healer Within (Roger Jahnke) How to Meditate (Pema Chodron) The Balance Within (Esther Sternberg) What to Say when You Talk to yourself (Shad Helmstetter) Medical Hypnosis www.asch.net (to read more and find provider).
Decision Time • What one to three things do you want to work on to help you cope and be more fully well? • What questions to do you have from today’s workshop?