Ohio Nurse - June 2021

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Page 12 Ohio Nurse June 2021 Will Your Next Prescription Be for the Pharmacy or the Farmacy? Joanne Evans MEd, RN, PMHCNS-BC Adapted from the Indiana Nurse Association Bulletin Almost 2500 years ago, Hippocrates said, “Let food be thy medicine and medicine be thy food” (Smith, 2004). These words are still relevant today. The leading causes of death in the United States from disease are heart disease, followed by cancer, chronic lung disease, stroke, Alzheimer’s, diabetes, and chronic kidney disease. (National Center of Health Statistics, 2021). Diabetes is increasing at a rapid rate in the U.S. (Diabetes Research Institute, 2020). According to the Food and Drug Administration (FDA), over 20,000 prescription drug products are approved for marketing (U.S. Food and Drug Administration, 2018). The National Health and Nutrition Examination Survey in 2015–2016 shows 45.8% of the U.S. population uses prescription drugs (Martin, et al., 2019). All medications, whether over-the-counter or prescription medications, may have side effects. It is the pharmaceutical companies that benefit the most from people being sick. Is it possible that some chronic diseases could be prevented or reversed through nutrition? There has been extensive research for well over 40 years showing how food can be used to treat and sometimes reverse many chronic diseases. Campbell and Campbell (2006), Esselstyn (2008), McDougall (2013), Greger (2015), and Barnard (2020) have all discussed this in their publications. Their research shows that plant-based nutrition prevents and reverses heart disease, diabetes, and some cancers, decrease cholesterol, and reduces blood sugar levels. Plant-based nutrition also decreases obesity and complications from being overweight and improves mood, sleep, energy, depression, and anxiety; reverses many chronic diseases and increases work productivity. What specifically does plant-based nutrition include (PBN)? ● Vegetables – dark greens, yellows and orange, sweet potato, etc. ● Whole Grains – pasta, rice, corn, whole grain bread, tortilla, etc. ● Fruit – whole fruit for fiber ● Legumes – beans, peas, lentils, tofu, soymilk, chickpeas, etc. ● Nuts and seeds ● Limited processed foods ● Avoiding oil, flour, and sugar There are almost 4 million nurses therefore it seems we could make a dramatic change in health care for people in the U.S. if we shared information about plant-based nutrition. In addition, nurses work in a wide variety of settings including hospitals (state, local and private), outpatient offices, regulatory agencies, organizations, schools, residential care, and more. I have conducted several 21-day plant-based programs utilizing the free, online Kickstart Program published by the Physicians Committee for Responsible Medicine (2021). The results were published in the American Journal of Nursing (Evans et al., 2017) and the Holistic Nursing Association Journal (2015). Laboratory data was collected and analyzed, and it found that several participants lowered their cholesterol by as much as 59 points within a 21-day period, while others lost weight and reported an improvement in energy and sleep. (Evans, 2015). There seem to be many reasons nurses do not share information about PBN. Some nurses feel they did not know enough and were worried they could not answer the patient’s questions; they thought it was too difficult; did not know whom to refer patients to; thought it may be too expensive to adhere to a PBN diet; and thought patients may not be interested (Evans, 2020). All the nurses who interviewed for my book, Cultivating Seeds of Health with Plant-Based Nutrition, Nurses Share Educational Approaches to Prevent and Reverse Chronic Disease (Evans, 2020), learned about PBN after graduation from their nursing programs. Sometimes it was after their own illness or when a family member became ill. Several nurses saw their patients taking the recommended medications, and they were still not getting well. Others recognized that “everything in moderation” was not working. Others read the China Study (2006) or saw the movie Forks Over Knives, both of which convinced them that PBN was the way to treat many chronic diseases (Evans, 2020). Once nurses become knowledgeable about PBN, they have many opportunities to share this information, including: - Showing movies and talking with colleagues about plant-based nutrition - Incorporating PBN into all discussions about chronic diseases - Encouraging hospitals to have plant-based foods at all meals - Asking more detailed questions about nutrition on intakes with patients, including: ● How many fruits did you eat in the past 24-48 hours? ● How many vegetables did you eat in the past 24-48 hours? ● How many portions of dairy food did you eat in the past 24-48 hours? ● How many portions of meat did you eat in the past 24-48 hours? ● Have them complete a nutritional assessment - http://4leafsurvey.com There are several groups available for nurses interested in learning more about plant-based nutrition. PCRM hosts the Nurses Nutrition Network, which provides educational programs for nurses (https://www.pcrm.org/good-nutrition/ nutrition-for-clinicians/nurses-nutrition-network). The American College of Lifestyle Medicine has a nurse support group and provides educational presentations open to all nurses. https://lifestylemedicine. org/What-is-Lifestyle-Medicine.
June 2021 Ohio Nurse Page 13 Our patients need to have a choice on how they will resolve their chronic health issues, and nurses are wellpositioned to educate patients on nutritional options to help prevent and possibly reverse many chronic diseases. Patients should be given all the options to make an educated decision about their health. Sometimes it starts with medications while they are making nutrition and lifestyle changes. Eventually, it may be the nutritional changes that reverse the chronic disease process. Let 2021 be the year of change! Resources Some examples of breakfast might be the following: ● Cold cereal – with soymilk or rice milk with berries or another fruit ● Oatmeal with non-dairy milk with cinnamon and raisins ● Blueberry buckwheat pancakes and meat-free bacon For lunch, you might consider: ● Veggie burger with whole grain bun and salad ● Soy yogurt, fruit, vegetable soup, whole wheat bread ● Hummus wrap with whole wheat pita, shredded carrots, cucumber, tomato Some options for dinner might include: ● Black bean chili with cornbread, salad, greens ● Whole grain pasta marinara with mixed vegetables, salad ● Fajitas with peppers, onions, tomatoes, beans, broccoli Resources for learning about plant-based nutrition are the following: ● Campbell, T. C., & Campbell,T. (2004). The China Study. Startling implications for diet, weight loss and long-term health. BenBella Books. ● Greger, M., & Stone, G. (2015). How not to diet: Discover the foods scientifically to prevent and reverse disease. Flatiron Books. ● Greger, M. (2019). How not to diet. Flatiron Books. ● McDougall, J. (2013). The starch solution. Rodale Books. ● Barnard, N. (2018). The vegan starter kit: Everything you need to know about plant-based eating. Grand Central Publishing. ● Esselstyn, C. (2007). Prevent and reverse heart disease. Avery Publishing. Cookbooks include: ● Campbell, L. (2018). The China study cookbook. Benbella Books. ● Barnard, N. (2010). The get healthy, go vegan cookbook: 125 easy and delicious recipes to jump-start weight loss and help you feel great. Da Capo Lifelong Books. ● Greger, M. (2017). How not to diet cookbook. Flatiron Books. ● McDougall, J., & McDougall, M. (1999). The McDougall quick and easy cookbook: Over 300 delicious low-fat recipes you can prepare in fifteen minutes or less. Plume Publishing. ● Esselstyn, A., & Esselstyn, J. (2014). Prevent and reverse heart disease cookbook. Avery Publishers. Websites: • Dr. Greger - https://nutritionfacts.org • American College of Lifestyle - https://www.lifestylemedicine.org • Dr. McDougall - www.drmcdougall.com • Physicians Committee for Responsible Medicine - www.pcrm.org • Forks Over Knives - https://www.forksoverknives.com/ Apps: ● 21-Day Vegan Kickstart – PCRM ● Forks Over Knives ● Michael Greger - Dr. Gregers’ Daily Dozen Plant-based movies include: • Forks Over Knives – especially for diabetes, heart disease, and chronic health issues • Code Blue – focusing on medical training and health care system • Game Changers- focus on vegan athletes • Eating You Alive - food connected to chronic disease References Barnard, N. (2020). Your body in balance: The new science, of food, hormones, and health. Grand Central Publishing. Campbell, T. C., & Campbell, T. (2006). The China Study. Benbella books. Diabetes Research Institute. (2020). Diabetes statistics. https://www.diabetesresearch.org/diabetesstatistics Esselstyn, C. (2008). Prevent and reverse heart disease. Avery Publishing. Evans, J. (2015). Plant-based nutrition: Will the next prescription be from the farmers market or the pharmacy. American Journal of Holistic Nursing, 35(2):28-9. Evans, J. (2020). Cultivating seeds of health with plant-based nutrition: Nurses share educational approaches to prevent and reverse chronic disease. https://www.amazon.com/Cultivating-Seeds-Health- Plant-based-Nutrition/dp/B08GFSYGJJ Evans, J., Magee, A., Dickman, K., Sutter, R., & Sutter, C. (2017, March). A plant-based program – nurses experience the benefits and challenges of following a plant-based diet. American Journal of Nursing, 117(3), 56-61. Greger, M. (2015). How not to diet. Flatiron Books Martin, C. B., Hales, C. M., Gu, Q., & Ogden, C. L. (2019). Prescription drug use in the United States, 2015–2016. (Issue Brief No. 334). NCHS Data Brief. Hyattsville, MD: National Center for Health Statistics. https://www.cdc.gov/nchs/products/ databriefs/db334.htm McDougall, J. (2013). The Starch solution. Rodale Books. National Center of Health Statistics. (2021, March 1). Leading causes of death. https://www.cdc.gov/nchs/ fastats/leading-causes-of-death.htm Physicians Committee for Responsible Medicine (PCRM). (2021). Start your journey to health. https://kickstart. pcrm.org. Smith, R. (2004). Let food be thy medicine. BMJ, 328(7433). https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC318470/ U.S. Food and Drug Administration. (2018). Fact Sheet – FDA at a glance. https://www.fda.gov/about-fda/fdabasics/fact-sheet-fda-glance Over the past year, we have noticed that many employees have rediscovered the importance of time outside of the office walls. Some are even hesitant to come back to a job that does not provide the flexibility that many of us have become accustomed to. Job seekers—whether currently unemployed or not—are looking for a role that provides a true work-life balance. At Interim HealthCare, we believe you are your best self and an even better colleague when you’re taken care of. That’s why we offer flexible scheduling with no mandatory overtime. Help create your schedule and choose a caseload that works best for you. BUILD A CAREER THAT LETS YOU LIVE THE LIFE YOU WANT. With areas dedicated to home health, palliative care, hospice, staffing, and more, we’re constantly evolving to meet the healthcare needs of tomorrow. Think you’re MADE for a career in home care? We know we have a place for you! Text “CARINGJOBS” to 89743 or call 855.509.7900 to speak with someone on our team. For more information on upcoming hiring events near you, check out www.interim-health.com/hiring-event or see all open positions here: https://bit.ly/2Lv06RZ
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Ohio Nurse - June 2021

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