Guardian Nurses
September 2010

IN THIS ISSUE

Flu Shots
 
"I Have Liver Cancer"

Nine Common Weight Loss Mistakes
 
Lighter Notes
 
 

What's New at
Guardian Nurses
 

 
Flu Shots  
 
We have established a strategic partnership with a local woman-owned business to provide flu shots to groups larger than 50.  Call us for more information.
 
"I Have Liver Cancer"

One of our clients referred to us a 55 y/o man because he had just been told he had primary liver cancer.

Not knowing what to do, where to go, who to see or what questions to ask when he got there, he asked for our help.
 
Pam Buckner, RN, spoke with the patient, reviewed the already completed testing, and set up an appointment the next week with an another oncologist specializing in GI cancers. 
 
Pam went with the patient to the appointment, interacted with the physician, and supported the patient during the discussion.  
 
After additional testing, it was determined that the patient did NOT have liver cancer! Pam was elated to be able to share his life-changing news with him, his wife, and his sister.  Moral of this story?  Get a second opinion.
 
Lighter Notes
 
Joanne, Megan Vaughan, Betty
Visit to Eleven Madison
 
Recently, Nurse Advocate Joanne Simone traveled to New York's Columbia Presbyterian Medical Center to accompany one of our patients to a consultation visit with a neurosurgeon.  Afterward, Joanne and Betty Long stopped in at the highly acclaimed restaurant, Eleven Madison Park.  Megan Vaughan, Service Director & Mâitre de Fromage, took them on a tour of the kitchen and had a special dessert treat made just for them. It involved concord grapes, bourbon and liquid nitrogen!  Who knew liquid nitrogen could be so tasty!
 

Throughout our daily work with patients and their families, we find ourselves in many, diverse conversations about their health.  Questions come up about their new diagnoses, about their treatment plan, and about how they can contribute more positively to their health and wellness. 

 

Of course, alot of folks want to know, having been unsuccessful at past attempts, how they can lose weight.  Not that every diagnosis or health care issue can be eliminated with weight loss, but many of our country's most problematic chronic diseases (high blood pressure, high cholesterol, diabetes, and heart disease) can be impacted.

 

Creative programs and surgeries continue to be introduced to address weight loss.  The diet industry is a billion dollar business that counts on repeat business.  The number of gastric bypass surgeries continues to increase. People want to lose weight.  But the biggest mistake they make, especially women, is that they want to change everything at once. They vow to eat perfectly.  And as most of us know from our own lives, perfection is almost impossible.  (Unless you are Phillies pitcher, Roy Halladay, but I digress).  And perfection, when it comes to weight loss, is unnecessary.     

 

With many thanks to Guardian Nurses' nutrition consultant, Flavia Herzog, MA, RD, LDN, we list below what she considers the nine most common mistakes individuals make. Flavia also offers why they will not lead to weight loss and in fact often cause weight gain, and simple steps to take to change these behaviors.  

   
Betty Headshot 3 From 50th PartyPick one mistake and vow to change!
 
Betty Long
Betty Long, RN, MHA, President and Founder
Guardian Nurses Healthcare Advocates, Inc.
 
 
Nine Common Mistakes of Weight Loss
 

Mistake #1: Skipping meals, especially breakfast

What goes wrong: Slows down your metabolism and/or causes you to overeat later on in the day.

Simple steps to take: Breakfast doesn't have to take long. A piece of fruit, a bagel or a granola bar are enough to "break your fast" and jump start your digestion.

 

Mistake #2: Grazing or "picking" all day instead of eating a meal

What goes wrong: May become physically full but you'll be left emotionally/mentally feeling like you are still hungry.

Simple steps to take: Eat 3 meals and 1-2 snacks per day. If you take time to slow down and eat a meal you'll feel more satisfied and ultimately eat less.

 

Mistake #3: Eating while distracted (driving, reading, working, watching TV)

What goes wrong: Can lose track of how much you eat and cause you to eat more because you didn't taste what you ate.

Simple steps to take: Focus on what you are eating and savor each bite. If you taste and enjoy your food you will not need to go back for more.

 

Mistake #4: Avoiding dietary fat

What goes wrong: Fat is satisfying and keeps us feeling full 3 times longer than eating carbohydrates alone. It is also essential for the absorption of fat-soluble vitamins.

Simple steps to take: Balance your fat, protein and carbohydrate intake. Do not eliminate any of these. Choose healthy fats such as olive oil, fatty fish (salmon), & nuts; whole grain carbo­hydrates & fruit; and lean proteins.

 

Mistake #5: Avoiding carbohydrates

What goes wrong: Carbohydrates are our bodies' main source of energy; provide important vitamins and minerals & fiber. Activity is very hard to do without them.

Simple steps to take: Again, balance your fat, protein and carbohydrate intake. Do not eliminate any of these.

 

Mistake #6: Over exercising while under eating

What goes wrong: Slows down your metabolism & decreases the effectiveness of your workouts.

Simple steps to take: Do not go overboard. Decrease your calories in manageable increments while gradually increasing your activity. For example, cut out 200 calories per day and add in 20 -30 minutes of activity.

 

Mistake #7: Never allowing yourself treats; Good Food/ Bad Food mentality

What goes wrong: You can't resist forever and eventually, you will end up overindulging.

Simple steps to take: Learn moderation and let go of the guilt. It really is ok to have a few Hershey Kisses EVERY day. Do not categorize foods as Good or Bad. All foods can be part of a healthful diet when eaten in balance and moderation.

 

Mistake #8: All or nothing thinking

What goes wrong: One little "mistake" means it's time to go all out today and start being "good" again tomorrow.

Simple steps to take: Be forgiving. If you think you overindulged let your body make the adjustment: you won't feel as hungry later. Stop putting pressure on yourself to eat "perfectly."

 

Mistake #9: Weighing yourself multiple times a day

What goes wrong: Makes you feel that all the healthful changes you have made are not work­ing, you get frustrated and you eat. Weight loss (or gain) is not detectable from hour to hour.  Honest.

Simple steps to take: Get rid of your scale, or at the very least, only weigh yourself 1-2 times per month (but always at the same time of the month).

 

 Again, our thanks to our friend and nutrition consultant, Flavia Herzog, MA, RD, LDN
Guardian Nurses

Guardian Nurses Healthcare Advocates

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