Nutrition and Wound Healing Jennifer Kanetsky Dietetic Intern
- Slides: 36
Nutrition and Wound Healing Jennifer Kanetsky Dietetic Intern
Objectives • Understand what nutrition is and its importance • Identify the 3 macronutrients • Identify healthier food choices • Understand the importance of nutrition related to wounds
Why is it important to be healthy? Being overweight or obese can lead to… • Hypertension • High cholesterol • Type 2 diabetes • Heart disease • Stroke • Gallbladder disease • Osteoarthritis • Sleep apnea • Cancer
Why is it important to be healthy? Being underweight can also lead to problems… • Heart Disease • Diabetes • Breast Cancer • Slow wound healing • Infertility • Osteoporosis
What is nutrition • It is providing the proper nutrients to your body allowing for proper growth and development.
Blood sugar control • Blood sugar goals ▫ Pre-prandial: 90 -130 mg/d. L ▫ Post-prandial: <180 mg/d. L ▫ Each episode of blood sugar out of range can delay wound healing.
What is in our food? • Carbohydrates ▫ 4 calories per gram • Protein ▫ 4 calories per gram • Fat ▫ 9 calories per gram
Carbohydrates • 50 -60% of calories • Purpose: ▫ Provide the body with energy ▫ Preferred energy source • Types: ▫ Simple ▫ Complex
Simple Carbohydrates • Easily broken down • Provides quick energy • Excess converted to fat for storage
Complex Carbohydrates • Broken down more slowly ▫ More fiber �Broken down slowly = fuller longer = longer satiated • Majority of carbohydrates in the diet should be complex
Complex Carbohydrates • Examples: ▫ 1 slice whole-grain bread ▫ 1 cup whole grain cereal ▫ ½ cup cooked pasta or rice
White Rice vs. Brown Rice White Rice Brown Rice 1 cup (158 g) • 206 calories • 0 g Fat • 55 mg Potassium • 1 g Fiber • 4 g Protein • 24 mg Magnesium • 0. 8 mg zinc 1 cup (195 g) • 216 calories • 2 g Fat (mono and polyunsat) • 84 mg Potassium • 4 g Fiber • 5 g Protein • 86 mg magnesium • 1. 2 mg zinc
Protein • Purpose: ▫ Promotes muscle and connective tissue growth; ▫ Formation of antibodies to strengthen immune system ▫ Foundation of hormones, enzymes, and blood cells • Found in: ▫ ▫ ▫ meats, poultry, and fish beans and peas tofu eggs nuts and seeds milk & dairy products
Protein Tips • Choose leaner meats ▫ Substitute ground turkey for beef • Get hooked on fish! Eat fish twice a week for a great source of protein! • Include protein at every meal to curb feelings of hunger
Fat—I can actually eat fat? • 20 -30% of calories • Purpose: ▫ Essential for absorption of some vitamins ▫ Protects body organs • Types ▫ Saturated ▫ Unsaturated
Saturated Fats • The “bad” fat • Solid at room temperature ▫ White, visible fat found in meats ▫ Dairy products �Whole milk �Butter �Cream �Hard cheeses ▫ Coconut and palm oils
Unsaturated fats • The “good” fat • Liquid at room temperature ▫ Examples: �Olive and canola oil �Nuts/nut butters �Fish oils �Avocado
Fat Tips • Choose olive oil when cooking versus butter • Choose low-fat or fat-free alternatives • Avoid fried foods and bake or grill instead • Substitute applesauce or plain yogurt for oil when baking
Vitamins and Minerals • Vitamin C ▫ Increases the strength of the wound as it heals, creates collagen in the skin, important in the creation of blood vessels, and helps with iron absorption. • Vitamin A ▫ Helps fight off infection, controls inflammatory response. • Zinc ▫ Helps body synthesize proteins and develop collagen
Beverages • Don’t forget about liquid calories! • Beware of beverages with added sugars ▫ Gatorade, energy drinks, soda, mixed drinks, sweetened coffees, even juices and vitamin waters • Interesting fact according to the CDC: ▫ Over half of Americans consume sugary drinks daily, particularly teens and young adults
Coke: 8 oz of coke = 27 g sugar = 100 calories 20 oz bottle= 65 g sugar = 240 calories If you had 8 oz/day = 700 calories/week 10 week course= 7, 000 calories To burn 100 calories: -Walk up 33 flights of stairs - Walk uphill for 15 minutes - Power walk for 20 minutes - Run 1 mile
Vitamin Water: 8 0 z. = 13 g sugar = 50 calories 1 Bottle = 33 g sugar = 125 calories 1 Bottle day = 875 calories/week 10 week TFG program = 8, 750 calories
Beverages • Choose water as much as possible, but if you must… ▫ Try adding lemon to water ▫ Choose unsweetened tea or black coffee
Healthy snack options • • • An apple with 1 -2 Tbsp PB A piece of fruit with low fat string cheese Greek low fat/nonfat yogurt Whole grain crackers with fruit or vegetables Edamame
Keys to a Healthy Diet • Variety • Moderation • Balance
Change of Plate? Old New
Change of Plate • Grains- 6 servings ▫ Make half your grains whole grains � 1 slice whole grain bread � 1 cup whole grain cereal �½ cup rice/oatmeal • Vegetables- 2 ½ -3 servings ▫ Vary your veggies � 1 cup raw spinach �½ cup broccoli � 1 medium potato
Change of plate • Fruit- 2 servings ▫ Focus on fruit �½ cup strawberries � 1 large banana �½ cup dried fruit ▫ Dairy- 3 servings �Get your calcium-rich foods � 1 cup milk � 1 cup yogurt � 1 slice cheese
Change of plate • Protein- 5 ½ - 6 ½ ounces ▫ Go lean with protein � 1 oz meat/ 1 slice turkey meat � 1 egg �¼ cup cooked beans • Oils- 6 teaspoons ▫ Choose healthier unsaturated oils � 1 Tbsp. oil = 3 tsp. � 2 Tbsp. peanut butter = 4 tsp. oil � 2 Tbsp. Italian dressing = 2 tsp.
Which do you think is better? Subway 6” Turkey Subway 6” Tuna
… s i h T t a E Subway 6” Turkey 280 calories 3. 5 g Fat …Not That Subway 6” Tuna 530 calories 30 g Fat
Which do you think is better? Whopper Jr. Bourbon Whopper
… s i h T t Ea Whopper Jr. 340 calories 19 g Fat …No t Tha t Bourbon Whopper 910 calories 57 g Fat
How many calories do I need? • To burn 1 pound of fat you must burn 3, 500 calories • 1 pound a week = 500 calories a day burned • 2 pounds a week = 1, 000 calories a day burned
Questions?
- Wound healing nutrition handout
- Systemic factors influencing wound healing
- Concealed puncture wounds
- Meal intake cna meal percentage chart
- Factors delaying wound healing
- Rank and wakefield classification of wounds
- Factors affecting wound healing ppt
- Primary union wound healing
- Dietetic support worker
- Csulb dietetic internship
- Amrita bains
- Sodexo dietetic internship interview questions
- Keiser university distance dietetic internship
- Uva dietetic internship
- Cal poly pomona dietetic internship
- Texas student dietetic association
- Montclair state dietetic internship
- Dietetic internships in georgia
- Dietetic internships in georgia
- Elizabeth mellott
- Mechanic task 1
- Intern and extern
- Healing and rebuilding our communities
- Enaahtig healing lodge and learning centre
- Institute of health and healing
- Doing good and healing all
- Creixement extern
- Ansoffs vækstmatrice eksempel
- Mediu intern al organismului
- Intern mate
- Internship program outline
- Intern 2
- Konkurrencetragtmodellen
- Voolksraad
- Advance organizer biologie
- Configuraties van mintzberg
- Intern milieu