1. A Pulmonary Diet Plan Covert A Operation
An easy way to help patients eat well and live well with pulmonary disease

2. CPR Consistency Planning Responsibility
At St John’s Healthy Lifestyles, we have an acronym for CPR. It is consistency, planning and responsibility

3. Be Consistent with eating habits
Consistency
Be Consistent with eating habits
5-6 smaller meals
Nutrient Balance
Co2 production
Sodium control
Portions/Calories
Many seniors only eat 2 meals per day and many eat out too much for their disease state. If they want to be well while they live, they need to be encouraged to follow guidelines just like a person with celiac, diabetes, cancer or any other disease that requires dietary manipulation. I always tell my husband for 55 years he got to eat whatever he wanted and now he has to change if he wants to live well. Of course nutrient balance is important along with a decreased sodium intake. 77% of sodium intake comes from restaurants! And then there is the sugar, fat, salt addiction from our food supply. High added sugar in foods will increase CO2 production and it is hidden everywhere. 25 g to 27 g per day. Have them track it for fun.

4. Planning Plan food intake! Plan time! Plan money!
Planning is key. The opposite of planning is the rut (Corrie Ten Boom). Many say it is expensive to eat healthy. It is not. Planning is the key. We need to show them the short cuts and remind them to accept help. Studies show people do better when they accept help.

5. WE all know…. With Pulmonary Patients
Breathing requires energy; many are tired
Good nutrition helps fight infections
Must make it easy
Remind them to eat with their oxygen on

6. MORE!! Weight Loss Weight Gain We Also Know… 1380 - 1800 Calories
Averages!

7. A PLAN Busy Day? Meal plan 1 What mode are YOU in today?
What will your day look like?
Normal Day?
Meal plan 2 or 3
Just a few examples of how it can work. These plans can be individualized and changed around.

8. S2 200 calories Approximately 300 mg of sodium or less
Snack 1 & Snack 2 S1
100 calories
Approximately 100 mg of sodium or less
S2 200 calories Approximately 300 mg of sodium or less
Takes label reading out and calorie counting out. This is the covert part of the meal plan

9. Meal 3 & Meal 4 M3 300 calories Approximately 500 mg sodium
Some of these may be a little higher, but no more than mg

10. Mode 1 Example – set times
S2 7:30 am
S2 9:30 am
S1 noon
S2 2:00 pm
S2 4:00 pm
M4 6:00 pm
S1 8:30 pm
Patient can add their own times to the mode

11. Egg Toast Oil S 2 7:30 am Mode 1 Weight Loss
Choose from the list provided. To make these more calories for those needing to gain weight without adding more food bulk…
Fry egg, smother toast in SF butter
Try these soups found at Reasors dip croutons in oil with some balsamic vinegar

12. Applesauce Walnuts Oatmeal and Cinnamon
S :30 am
Applesauce Walnuts Oatmeal and Cinnamon

13. S Noon
Mini Clif Bar

14. Homemade soup Triscuts
S :00 pm
Homemade soup Triscuts

15. S :00 pm
0% Greek Yogurt Flavored Coffeemate Creamer Pepperidge Farm Cinnamon Toast

16. M :00 pm
Chicken
Beans/rice
Salsa
Veggies
Grapes

17. Roasted Parsnips Or Butternut Squash Puree
S :30 pm
Roasted Parsnips Or Butternut Squash Puree

18. Mode 1 Weight Gain S2 – Egg, Toast, Oil
(add 2 tsp. SF butter to toast )
S2 – Applesauce, Walnuts, Oatmeal, Cinnamon
(+ more crushed walnuts +100)
S1 – Mini Clif Bar
(change to S2 by adding a banana (+100)
Choose from the list provided. To make these more calories for those needing to gain weight without adding more food bulk…
Fry egg, smother toast in SF butter
Try these soups found at Reasors dip croutons in oil with some balsamic vinegar

19. Continued S2 - Homemade Soup, Triscuts
(change to croutons dipped in oil + 150)
S2 – 0% yogurt/creamer with cinnamon toast
(use full fat Greek yogurt calories)
M4 – Chicken, beans/rice, salsa, veggies, grapes
(Add more unsalted butter to veggie and avocado + 150)
S1 – Roasted parsnips or other vegetable
(change to an S2 SF choc. banana w/ nuts +100)
Crushed nuts can amazingly add more calories and less bulk to have to chew
Beans/gerd try beano
Just drizzle SF choc. syrup

20. Full fat yogurt in place of 0% Avocado
Added 750 more calories
Oils
Unsalted butter
Crushed nuts
Full fat yogurt in place of 0%
Avocado
~1400 to ~2200
Does not change sodium content, only calories.

21. Pulmocare Glucerna Boost Glucose Control Ensure High Protein IsoPure
Supplements
Pulmocare
Glucerna
Boost Glucose Control
Ensure High Protein
IsoPure
Always an option

22. You can lead a horse to water but You can’t make them drink!
Responsibility
You can lead a horse to water but You can’t make them drink!
Finally their responsibility

23. The only route to hope that is certain
Responsibility is
The only route
to hope
that is certain
- Jay Adams

24. C P R

25. Questions?
Thank You