carol braunschweig, phd, rd › wp-content › uploads › 2017 › 08 › 1.2.3... ·...
TRANSCRIPT
CarolBraunschweig,PhD,RD
Foodisfuel� Usedformetabolismwhichchangesfoodandoxygenintoenergyandcarbondioxide
� Energyisusedforallofyouractivities� sleepingtoexercise
Foodprovidesnutrients� Carbohydrates,FatandProteindeterminehowmuchenergyyouwillhaveandhowmuchcarbondioxideisproduced
� Carbondioxideisawasteproductthatleavesyourbodyviayourbreathing
� Whenthereistoomuchcarbondioxideinyourbodyyoufeelweak
BreathingwithCOPD� Requiresmoreenergy� Musclesinvolvedmayneedupto10timesmorecaloriesinpeoplewithCOPDthaninthosewithout
GoodNutri;on� Helpsfightinfections� ChestinfectionshappenmoreofteninpeoplewithCOPD
� Theycanleadtohospitalizations� Goodnutritioncanreduceyourriskofinfections
Establishyourgoalweight� BeingeitheroverweightorunderweightisnotgoodifyouhaveCOPD
� Ifyouareoverweightyouworkhardertobreathe� Ifyouareunderweightyoumaygetmorelunginfectionsand/oryoumayfeel
weakandtired.
Monitoryourweight� Weighyourselfonceortwice/week� Ifyouaretakingdiureticsorsteroidsyoushouldweighyourselfdailybecauseyourweightmayfluctuate
� Ifyougainorlosemorethan2lbsinonedayor5lbsinaweekcontactyourdoctor
Fluidintake� Fluidshelptokeepmucusthinandeasiertocoughup� Drink6-8glassesofnon-caffeinatedbeverages/day� Limitcaffeine(coffee,tea,cola,MtDew,chocolate)asitmayinterferewithsomeofyourmedicines
Fiber� Fiberistheindigestiblepartofplantfood� IthelpsmovefoodthoughyourGItract,helpscontrolbloodglucoseandkeepcholesterollevelsatgoallevels
� Fiberrichfoodsinclude:� Vegetables� Fruits� Cookeddriedpeasandbeans� Whole-grainfoods� Bran� Wholegrainpasta
Fiber� Thegoalistoconsume20-35gmoffiber/day� Exampleofhowtoeatthismuchfiberin1day:
� 1Call-brancereal(18gm)� Sandwichwith2sliceswholegrainbread(4gm)andamediumapple(4gm)
� 1Cpeasatdinner(8gm)
Salt� Eatingtoomuchsaltcausesthebodytoholdontotoomuchwaterwhichcancausebreathingtobemoredifficult� Removethesaltshakerfromyourtable� Useherbstoflavoryourfood� Don’taddsalttofoodwhencooking� Readfoodlabels� Avoidfoodsthathave>300mgsodium/serving
Oxygen� Ifyouuseacannulaforcontinuousoxygenwhereitwhileyoueat� Eatinganddigestionrequireenergysoyouwillneedtheoxygen
Foodsthatcausebloa;ng/gas� Afullorbloatedstomachmightmakebreathinguncomfortable
� Avoidfoodsthatcausegasorbloating� Carbonatedbeverages� Fried,greasyorspicyfoods� brusselsprouts,cabbage,cauliflower,corn,cucumbers,leeks,
Potassium� Besuretogetenoughifyoutakeadiureticthatcausesyoutolosepotassium� Oranges� Bananas,� Potatoes� Asparagus� tomatoes
ShortofbreathaFerea;ng?� Clearyourairwaysatleastonehrbeforeeating� Eatslower,takesmallbitesandchewslowly� Breathdeeplywhilechewing� Putyourutensilsdownbetweenbites� Chooseeasytochewfoods� Eat5-6smallmeals/day� Drinkliquidsattheendofthemeals� Eatsittingup� Usepursedlipbreathing
Eatavarietyoffoods
Too;redtoeatlaterintheday?� Choseeasytopreparefoods� Askfriends/familytohelpwithmealpreparations� CheckoutMealsonWheels� Freezeextraportionsofwhatyoucooktodayandsavefora“tired”day
� Restbeforeeating� Tryeatingyourmainmealearlyintheday
Noappe;te?� Avoidnon-nutritiousbeverages(coffee/tea)� Eatmoreproteinandfatandlesssimplesugars� Eatsmallfrequentmeals� Walkordosomelightactivitytostimulateyourappetite
� Keepfoodvisibleandwithineasyreach
Noappe;te?� Drinkbeveragesafterthemeal� Planmealstoincludeyourfavoritefoods� Eatthehigh-caloriefoodsfirst
Snacks� Eatsnacksthathavehighproteinandhighcalories� Keepsnacksvisible
Howtogainweight� Drinkahighcaloriedrink� Avoidlowfatorlowcalorieproducts� Usewholemilk,cheeseandyogurt� Highcaloriesnacks
� Icecream� Cookies� Pudding� Cheeseandcrackers/peanutbutterandcrackers� Granolabars� Custard� Nachoswithcheese� Breadstickswithcheesesauce
Somehighcaloriesnacks� Supershake
� 1Cwholemilk� 1Cicecream� 1pkgCarnationinstantbreakfastPourintoablenderandmixwell(55oCalories)
PeanutbuJershake� ½Cheavywhippingcream� 3TBLpeanutbutter� 3TBLchocolatesyrup� 1½CchocolateicecreamPourallingredientsintoablendernadmixwell(1090calories)
GreatGrapeSlush� 2grapejuicebars� ½Cgrapejuice� 2TBLcornsyrup� 1TBlcornoilPourallingredientsintoablenderandmixwell
Othercalorieboosters� Non-fatpowderedmilk
� Addtocreamedsoups,yogurt,scrambledeggs,pudding,mashedpotatoes,custard,hotcereal
� Creamcheeseorshredded,melted,sliced,cubedorgratedcheese� Addtosandwiches,snacks,casseroles,crackers,eggs,soup,toast,pasta,potatoes,riceorvegetables
Othercalorieboosters� Nutdust
� Addtopudding,gravy,mashedpotatoes,salads,yogurt
� Mayonnaise,butter,margarineorsourcream� Addtosandwiches,bread,casseroles,soups,eggs,cookedcereals,pasta,potatoes,rice,vegetables,pudding
Ques;ons?