social support

Food Friday: Feeding the Recovering 

Last week on Food Friday we looked at "Feeding the Unwell". We talked about patients who were quite ill or in the early post op phases. This week we will go on to pleasanter things and talk about the time frame when patients are feeling better, but still are unable to cook healthy attractive food for themselves. 

Nutritional requirements are increased while recovering. In particular, nutrients and protein needs are particularly increased, similar to that for pregnancy. There are other special needs. For example, the need to avoid constipation is key. Those recovering from surgery or whose mobility has been limited are prone to constipation, and this can be a significant source of discomfort. Strategic food choices can help avoid this. 

Those who are recovering may have had antibiotics. They may benefit from probiotics such as yoghurt, kefir, sauerkraut, and kombucha. 

Appetite is often diminished in the recovery period. Foods need to be especially appealing and tailored to the patient’s preferences. It also is best to foster a small frequent meals type schedule. 

Between all this, you as the caregiver or helpful friend have several options: 

  • Bring freshly made food which can be portioned out over time.
  • Bring frozen food which can be heated up.
  • Bring ziplock freezer bag “ Kits” of food for use in slow cookers or fast cookers ( pressure cookers like InstantPot) which the patient might have. 
  • Make sure the patient has enough healthy handy beverages. Consider herb tea, probiotic Kombucha, milk if tolerated and lightly sweetened drinks. 
  • Bring frozen “smoothie kits” containing yogurt or kefir, fruits, and veggies. 
  • Use the secret weapon of some wholesome sweets, .i.e. dark chocolate, or a slice of fruit pie to kickstart a recovering person’s appetite. 
  • Use the secret weapon of salty foods like pickles, salsa or sauerkraut to induce someone to drink more water. 

 

Here are some of my Pinterest Boards with recipes which may inspire you. 

Instant Pot Tips and Recipes

Paleo Nutrition

 

Pick dishes with ample protein, fruit, veggies, and fiber. Include healthy fat such as avocado, nuts, olive or coconut oil. For specific information on these, see below: 

Protein

Fiber

Healthy Fat

Smoothies

 

Here are some tips to make your culinary caregiving experience more manageable and satisfying. 

  • Visit your patient first to see how she really is doing. 
  • Make sure you know her allergies, intolerances, preferences and level of hunger. 
  • Check in regarding who else will be helping, and whether someone else has organized a meal schedule. 
  • Organize a meal schedule yourself using Google Docs or another method of your choice. 

 

Your patient will not just be well fed; She will have the pleasure of seeing you and the knowledge that you care.  

Wellness Wednesday: Family and Social Support and Health

I have a pretty healthy family, and a pretty healthy group of friends. However, sometimes someone get sick or needs a surgery. I am always grateful and amazed at how people rally to help. At the same time, I think of my many patients who have to go it alone, even though they are not doing well. 

What is the relationship of social support to health ? It’s huge. I decided that if I write a blog post highlighting this interesting connection, that more people would connect with others in times of need. 

The most common form of social connection is marriage. Marriage is clearly associated with health. But there are some interesting particulars. Numerous studies over the last 150 years have noted this association. In more recent years, the association was questioned, on the hypothesis that perhaps healthier people marry. This turned out not to be true. In fact, unhealthier men were more likely to marry. 

If you parse the date further, the “ marriage effect “ is seen to be stronger as couples age. Moreover the effect is stronger for men than it is for women. Non married stable partners also have greater health than singles, however not as much as married people. There is not yet enough data to comment on whether same sex married couples share this health benefit of marriage. 

What are the particular mental and physical advantages associated with marriage and social support ? 

  • decreased depressive symptoms
  • better recovery from episodes of depression
  • lower heart rate and blood pressure 
  • lower serum cholesterol 
  • higher immune function 
  • reduced risk of Alzheimers 
  • better outcomes for hospitalized patients
  • decreased likelihood of chronic disease, disability, mental illness, and death

How do marriage and social support confer this improve effect on both mental and physical health ? There are several observations about those who are married, partnered or have good social support that seem likely to hold the answers : 

  • better social connectons
  • presence of companionship 
  • better emotional support 
  • better economic well being and more likely to be insured
  • more likely to keep medical appointments and get recommended screenings
  • more likely to take prescribed medications 
  • safer behaviors 
  • better nutrition 
  • more likely to get regular exercise

Dan Buettner in Blue Zones, identified social support as a principal correlate of extreme  longevity. He was focusing on groups of people around the world who lived healthy until past the age of 100. Regardless of place or culture, social support was key.

I think this is a powerful reminder for all of us to assess our our family and social connections. Are our relationships in good working order ? Those relationships may be more important than we realized. 

 

References: 

http://www.uniteforsight.org/gender-power/module1

http://www.jhsph.edu/research/centers-and-institutes/johns-hopkins-center-to-eliminate-cardiovascular-health-disparities/about/influences_on_health/family_social_support.html

http://www.economist.com/blogs/economist-explains/2015/01/economist-explains-0

http://www.webmd.com/sex-relationships/guide/relationships-marriage-and-health

http://www.health.harvard.edu/newsletter_article/marriage-and-mens-health

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2729718/

https://www.bluezones.com/2014/03/blue-zones-history/