Eating for Whole Health: Functional Approaches to Food and Drink

Transcription

1 ABOUT THE COURSE Eating for Whole Health: is an advanced, standalone clinical education course designed to introduce VA clinicians to the Whole Health approach as it relates to a fundamental aspect of self-care nutrition. This two-day course is designed for clinicians who are likely to incorporate nutrition recommendations into Veterans Personal Health Plans. It is informed by the latest research in nutrition and draws from the wisdom of dietitians and functional nutrition practitioners from throughout the VA and beyond. The focus of this course is not to mandate how nutrition guidance is given to Veterans, but rather to offer a learning environment that supports curiosity, exploration, and open discussion of topics that can at times be somewhat complex or controversial. During this course, participants will have an opportunity to explore a number of nutritionrelated topics, ranging from how our foods affect our bodies at a molecular level, to how best to support Veterans in making changes related to their eating patterns. They will be introduced to a series of Whole Health tools and techniques, as well as an array of nutrition resources that can support their clinical work. Areas of focus will include how to optimize collaboration between dietitians and other care team members, how food serves as information for body processes, nutrition success stories from throughout the VA, and a series of patient vignettes focused on how Food & Drink can influence prevention of chronic disease and influence pain, mental health, and gastrointestinal function. The latest thinking on fats, proteins, carbohydrates and various micronutrients, such as vitamins and minerals, will be discussed. Mindful awareness, food safety, and fundamental cooking tips and guidelines will also be addressed. Participants will take time to assess their own nutrition practices and build on their professional skills with motivational interviewing and personal health planning with Food & Drink as a specific focus. They will practice with partners and in small groups. This course can accommodate up to 100 participants, including dietitians, providers, and others who incorporate nutrition recommendations into health plans. Participants would ideally represent a number of different teams or departments either within one given facility, or from multiple facilities. The understanding would be that they take what they learn back to their respective teams.

2 During this program, you will be invited to: Learn more about the Whole Health approach, particularly when it comes to Food & Drink, and how this area of self-care interconnects with other aspects of Whole Health Become familiar with the latest research regarding how nutrition can influence health Understand how what we eat can serve as information; i.e., how specific nutrients can affect our bodies biochemical and genetic functioning Reflect on your own eating patterns, identifying strengths and opportunities to make healthy choices Discuss the benefits and potential limitations of various eating patterns or diets, and learn where to obtain more information about different eating guidelines that are popular with Veterans Learn about and explore local and national resources related to healthy eating Focus on key concepts related to food safety, recognizing how culture and socioeconomic constraints influence eating patterns Identify fundamental cooking techniques to share with Veterans The course will help you to: Understand key concepts of the Whole Health approach, especially as related to Food & Drink Describe key aspects of functional nutrition and how they can fit into your practice Outline how nutrition can have health-promoting as well as therapeutic effects, particularly for mental health, gastrointestinal health, pain, and prevention of chronic disease Create Personal Health Plans that incorporate nutrition components Recognize physical signs and symptoms related to nutritional imbalances Identify what the latest research suggests regarding the health effects of at least five popular herbs and spices More effectively guide patients when it comes to positively changing their eating patterns List at least five key nutrition resources offered within the VA

3 AGENDA DAY 1 MORNING Eating for Whole Health: Time 7:30am 8:00am 8:00am 9:30am 9:30am 10:30am 10:30am 10:45am 10:45am 11:15am 11:15am 12:15pm 12:15pm 1:15pm Topic/Title Registration 1. Introductions Site Welcome Introduction to the Course Large Group Introductions Food & Drink from the Whole Health Perspective Introduction to Functional Nutrition Introduction to Nutrition and Food Services in the VA Whole Health Food & Drink Bingo 2. You Are What You Eat: The Power of Food & Drink Nutrition Makes Biochemistry Relevant! Nutrigenomics Macro-, Micro-, and Phytonutrients Small Group Exercise: Best Meal Ever Break 3. A Tale of Two Foods: Don s Donut and Barb s Broccoli What Happens to the Donut? What Happens to the Broccoli? 4. Chewing the Fat and Getting the Skinny: Gathering Nutrition Information Nutritional Assessment: The PHI What are Veterans Eating? The Standard American Diet Diet Recalls and Diet Journals Food & Drink Questions The Nutrition Physical Exam Partner Exercise: Assessing Your Own Eating Lunch with Learning Exercise

4 DAY 1 AFTERNOON Time 1:15pm 2:15pm 2:15pm 2:45pm 2:45pm 3:00pm 3:00pm 4:00pm 4:00pm 4:30pm Topic/Title 5. Eating for the Health of It: General Guidelines Nutrition Guidelines and Tools Nutrition Wisdom for Everyone Veteran Vignette: Nicholas Asks, How Should I Eat to Stay Healthy? Small Group Exercise: What Makes for a Healthy Eater? Success Story: VA Washington, DC 6. Mindful Eating: Mindful Awareness and Food Mindful Eating Research Mindful Eating Experience: The Types of Hunger Break 7. Your Brain on Food: Nutrition and Mental Health Veteran Vignette: Jim Asks, Can Food Help My Depression? Clinical Research on Food and the Brain What You Eat and How You Think: Biochemistry Nutritional Etiologies of Mental Health Disorders What Diet is Optimal for Brain Health and Mental Health? Wrap Up, Q&A, and Pulse Checks 4:30pm End of Day 1

5 DAY 2 MORNING Eating for Whole Health: Time 7:30am 8:00am 8:00am 9:00am 9:00am 10:00am 10:00am 10:15am 10:15am 11:15am 11:15am 12:15pm 12:15pm 1:15pm Topic/Title Registration 8. Food and Your Future: Nutrition and Prevention Veteran Vignette: Tonya has Metabolic Syndrome and High Cancer Risk Nutrition and Cancer Prevention Nutrition and Cardiovascular Disease Nutrition and Diabetes 9. Serving It Up: Healthy Cooking Tips Healthy Teaching Kitchen Demo Advice From Your Nutrition Colleagues Success Story: VA Jesse Brown Break 10. Food and the Gut Veteran Vignette: GI Joe and IBS Functional Medicine Perspectives on GI Health Acidity, Food Intolerances, and the Microbiome How Dietitians Can Help 11. Nutrition and Pain Veteran Vignette: Ann has Arthritis Eating and Inflammation Omega-3 Fatty Acids Prebiotics and Probiotics Veteran Vignette: Mike has Headaches Food & Drink for Headaches Lunch with Learning Exercise

6 DAY 2 AFTERNOON Time 1:15pm 2:00pm 2:00pm 3:00pm 3:00pm 3:15pm 3:15pm 4:15 pm 4:15pm 4:30pm 4:30pm Topic/Title 12. Eating in Context: External Factors That Affect Nutrition Finances and Food Deserts Cultural Factors Food Safety The Setting for the Meal: Subconscious Influences on Eating Patterns 13. Nutrition and Health Plans 1: Creating PHPs Principles of Personal Health Planning Shared and SMART Goals Importance and Confidence Rulers Food & Drink Elevator Speeches Personal Health Planning Templates Small Group Exercise: Applying Whole Health Principles to Food & Drink Topics Break 14. Nutrition and Health Plans 2: Changing the System Partner Exercise: Co-Creating a Nutrition Plan Large Group Discussion: The Nutrition Team Eating for Whole Health: Your Practice Whole Health Implementation Eating for Whole Health Resources Wrap Up, Q&A, and Evaluations End of Course Thank You!

7 TRAINING TEAM BIOS J. ADAM RINDFLEISCH, MPHIL, MD J. Adam Rindfleisch is Medical Director of the University of Wisconsin Integrative Health Program and Associate Professor at the University of Wisconsin Department of Family Medicine & Community Health. He graduated from the College of Idaho and completed a Masters of Philosophy at Oxford University. He attended Johns Hopkins University School of Medicine and completed his family medicine residency at the University of Wisconsin Madison. In 2005, Adam completed the University of Arizona Online Integrative Medicine Fellowship and a UW Fellowship in Academic Integrative Health. For 11 years, in the role of Integrative Health Fellowship Director, he developed a comprehensive Integrative Health curriculum for fellows, residents and faculty colleagues. Adam has an integrative primary care practice and routinely does integrative health consultations. Adam s interests include dietary supplements, mind-body medicine, clinician self-care and shamanism. His wife Kirsten, also a family physician, and Adam have two sons and a dog who thinks he is a person. SHERRY BREWER, MD, ABOIM, IFMCP Sherry Brewer has worked as a primary care physician at the VA for 19 years and currently practices at the Bettendorf CBOC in Iowa. She also runs a small functional medicine private practice. She has a Bachelor of Science degree in Chemical Engineering from The Ohio State University. She completed her medical training and internal medicine residency at the University of Kentucky. Her passion is functional medicine and she is an Institute for Functional Medicine Certified Practitioner. Additionally, she completed an online integrative medicine fellowship with the University of Arizona and is board certified in integrative medicine. She has additional training in HeartMath, Battlefield Acupuncture and the Bredesen protocol for reversing cognitive decline. Her interests include autoimmune disease, methylation and gut and brain health. She is a single mom to four boys and two girls and likes to ski, play volleyball, read and practice yoga.

8 NANCY ANN COTTER, MD Nancy Ann Cotter is a graduate of McGill University, SUNY Buffalo School of Medicine, and Baylor College of Medicine. She is boardcertified in Physical Medicine and Rehabilitation, Integrative/ Holistic Medicine and Medical Acupuncture, and holds certifications as a Clinical Nutrition Specialist and Functional Medicine practitioner. Dr. Cotter is an Assistant Clinical Professor of PMR at Rutgers/ New Jersey Medical School, and has been teaching acupuncture to other physicians for 15 years. She uses nutrition, acupuncture, herbal medicine and lifestyle modification as first line tools in her practice. Dr. Cotter was the founding Medical Director of the Integrative Medicine Program at Atlantic Health in New Jersey, and currently leads teams in Integrative Medicine and Integrative Pain Management for VA New Jersey. She also serves as a Clinical Champion and Subject Matter Expert for the Integrative Health Coordinating Center, Office of Patient Centered Care in the VA Central Office. Dr Cotter has authored multiple publications in Integrative Medicine. Her clinical expertise is in helping patients with chronic conditions find balance and vitality in their lives by accessing and enhancing their own healing potential. Her programmatic expertise is in bringing Integrative Medicine to institutions, and she recently graduated with the inaugural class of the Leadership Program in Integrative Healthcare at Duke University. COSTA FOTOPOULOS, MS, RDN, CDN, CNS Costa Fotopoulos has served in the VHA for over 16 years. During this time, he has worked in many areas including Dialysis, MOVE, Diabetes, and Primary Care, as well as covering in other areas of the healthcare system. He has a significant amount of training relevant to Whole Health for Food and Drink including a Certificate of Training in IFMNT (Integrative Functional Medical Nutrition Therapy) and completion of the Functional Medicine Advanced Practice Module (Cardio metabolic) from the Institute of Functional Medicine in In 2007, Costa completed his PhD in Natural Health from Clayton College and became a Certified Traditional Naturopath. He also obtained a Chartered Herbalist Diploma from the Dominion Herbal College in He brings nutritional science into the realm of the layperson and makes it easy for patients to understand and learn about nutrition in relation to health and well-being.

9 GAIL MEISSEN, RC, CD Gail Meissen has 36 years of experience in various settings throughout the health care continuum as a registered dietitian/nutritionist. For the past five years, Gail has served as a Field Implementation Team Specialist with the VHA Office of Patient Centered Care and Cultural Transformation. In this role, she serves as a health care consultant to facilities throughout the country helping implement activities to support cultural transformation in the experience and practice of health care. This includes a variety of analytical, planning, evaluative and advisory services, as well as strategic planning efforts and events at the facility, VISN and national levels. Gail also collaborates with other national program offices sharing program goals and best practices, and nurturing mutually beneficial relationships. Previously, Gail has worked as a clinical dietitian, a management consultant at a private nursing home and home health care agency, and in VHA at the Madison VA Hospital as the MOVE! Coordinator, Veterans Health Education Coordinator, and Chief, Nutrition and Food Service. Gail has always had a passion to help educate others about healthy eating and shares the philosophy that food can be one s medicine. Gail received her BS degree in Dietetics from UW-Stevens Point. She has a certificate from the Academy of Nutrition and Dietetics in adult weight management and is currently pursuing certification in integrative and functional nutrition. SHARI POLLACK, MPH, RDN, LDN Shari Pollack is the Employee Wellness Coordinator at the Jesse Brown VA Medical Center in Chicago. Acting on her interest in food as medicine, Shari left behind a career in social services to pursue a career in nutrition. She earned a Master of Public Health degree in Human Nutrition from the University of Michigan and did her dietetic internship at the Edward Hines, Jr. VA Hospital. Her first several years as a clinical dietitian left her feeling that something was missing from the conventional approach to nutrition. Attending the Institute for Functional Medicine s (IFM) Functional Nutrition Conference in 2010, she knew she had found her home. Shari has since completed four IFM Advanced Practice Modules and a six-month mentorship with functional dietitian Susan Allen, one of the pioneers in the field. Shari also serves as the Continuing Professional Education Editor of The Integrative RDN, the

10 quarterly newsletter of the Dietitians in Integrative and Functional Medicine dietetic practice group. She lives in Skokie, IL with her husband and two daughters, who only occasionally complain about having to bring healthy lunches to school. MARITÉ HAGMAN, MPH, AEH Marité Hagman received her Master of Public Health with a health policy and medical ethics focus from the UCLA School of Public Health. She worked with Kaiser Permanente establishing hospital ethics committees and developing a regional medical ethics program, and at the State Medical Society of Wisconsin, where she directed a team in developing state and national policies. A personal experience of treatment-resistant illness led Marité to explore alternative modalities and mind, body and spirit healing, and to pursue a four-year energy healing program, during the years when she was raising three children. Through her private healing practice, she supported individuals with personal transformation. She also coauthored a year-long Coming of Age program designed to help youth explore their values and spiritual beliefs. More recently, Marité returned to systems work at the University of Wisconsin Department of Family Medicine and Community Health as the program manager under contract with the Veterans Health Administration to support system transformation to a Whole Health model of care, and also received certification as an organizational trainer for the HeartMath Institute.