CHARLOTTE COUNTY OSTOMY SUPPORT GROUP
A 501(C) (3) nonprofit organization (Tax deductible donations)
President: Jerry Downs 629-7568…Email:email@example.com
Vice President:Bonnie Coker:423-8542
Secretary: Lovelle Meester: 637-8167
Lorelie Godbout 603-474-9063
Treasurer: Karen Chalfant: 623-0088
Jan Doner:……… 914-6296
Newsletter : Gloria Patmore RNET (Retired) & Karen Chalfant
Programs and Education: Jerry Downs, Penny Maki RNET,CWS 205-2620
Gloria Patmore RNET (retired)
Nancy Frank RN,BSN,CWOCN: 629-5118
Jill Lindsay RN,BSN,CWOCN 629-1181
Visitation: Penny Maki RNET CWS, Nancy Frank RN,BSN,CWOCN
Library: Karen Chalfant
Products: Bonnie Coker
John P. Rioux MD, F.A.C.S. Penny Maki RNET,CWS, Jill Lindsay,RN,BSN,CWOCN
Nancy Frank RN,BSN,CWOCN
Tuesday December 8, 2015 12noon
Golden Corral Restaurant
1451 Tamiami Trail
December Newsletter Charlotte County Ostomy Support Group
Our December meeting will be our Christmas Party at the Golden Corral, 1451 Tamiami Trail, Punta Gorda, at noon time on Tuesday December 8th. President Downs announced that the cost will be just $11 and will include the wide variety of foods, salads, desserts, beverages, and even the tip! You can include friends and relatives if you would like since that back room will hold a good size party. The room will be festive. When you come into the restaurant let them know you are with our group and you will payKaren Chalfant, our treasurer, as you enter our reserved room at the rear of the restaurant. Karen will pay the restaurant.
Joan Huber will have a table set up to receive your unwrapped gift for the gift exchange. It can be something you would like to pass on to someone else that you have enjoyed through the years, or something new if you choose. You will be given a number or card that will be pulled during the gift exchange. One fun thing that takes place is a gift can be taken away from you after you have won it by a later winner, but only a couple of times. So come join in the fun!!!
Our meeting for November was well attended, and the room in Gables East is just beautiful. We did have a couple of Christmas luncheons held in this room some years ago. It is bright and cheery and rather elegant. It is so nice to see our returning members, and this included Bill Crandall and his wife Betty. He is back to his old vigorous self, having recovered from his surgeries and health problems that he had experienced in this past year. We had new ostomates San Landon and Kenneth Dueul attending their first meeting and receiving much needed support and education, ( the reason for our meetings!) Nurses attending included Penny Maki RNET,CWS, Jill Lindsay RN BSN WOCN, and Joan DeLorenzo RN,BSN. Joan will be applying for a scholarship and will be attending school to be a WOCN in the near future. She is working with Jill and Nancy in Fawcett Hospital, and the Wound Care and Hyperbaric Medicine Facility. Money raised from our chance drawings benefits our efforts to have a healthy treasury, so even when you don’t win a prize, your contribution is very meaningful. Winners from our Chance drawings this month were: Olympia $10-Elaine Bandenberg; Winn Dixie $20-Loralie Godbout; Golden Corral 2 Buffets-Bill Crandall; Panera Bread $20-Jerry Downs, Subway 6” sub, San London. Your contributions totaled $85, enriching our treasury. We are a fortunate group not needing to charge dues with the donated room and refreshments, and also having money to donate to other organizations and provide scholarships.
Our speaker, Lynn Clark Registered Dietitian and Licensed Dietitian, works at Bayfront Health in Punta Gorda, and has been working in this field for nine years. She came very well prepared with a Power Point presentation and print outs for those of us attending.
Her suggestions, basic guidelines:
Eat at regular intervals throughout the day, with three or more times a day.
Chew your food well. This is especially true for the ileostomate, to avoid blockages.
Introduce new foods into your diet one at a time. If a food causes a problem when eaten soon after surgery eliminate that food for a period of time and then introduce it again gradually a few weeks later.
Be careful about the calories you consume, especially during the holidays. There is so much temptation with the cookies, candies, and pies. Weight gain can cause real problems for the ostomate by changing the shape of your abdomen. Keeping a good fit of your faceplate and pouch can become a problem.
Drink plenty of fluid-especially if you have a large portion of your colon missing. Additional fluid is needed in hot weather and when exercising.
Tips to prevent Blockages:
The ileostomy opening is small and a blockage can occur with certain foods. Lynn says you may not have to stop eating them, just try with small amounts and chew well. Lists include popcorn, nuts, and seeds, coconut, dried fruit, raisins, Chinese vegetables, vegetable skins, salad greens, celery, peas, raw pineapple, mushrooms, relishes, corn and coleslaw.
Some foods produce more odor than others. If you experience a problem with any of these foods listed, eliminate it from your diet for a few weeks and then try it again in small amounts. Cauliflower, asparagus, broccoli, alcohol, Brussel sprouts, cabbage, onions, fish, cheese, eggs, and baked beans. Yogurt, parsley, cranberry juice, or buttermilk may help control odor.
Controlling gas: Everyone produces gas. If it becomes a problem try the following: 1) Eat at regular intervals. 2) Take your time while eating. You swallow air when eating fast. 3)Chewing gum can cause you to swallow air. 4)When you drink through a straw you are swallowing air as you create the vacuum to pull fluid up the straw. 5)Try eliminating the following gas producing foods: Beer, Brussel sprouts, cabbage, cauliflower, asparagus, dried beans and peas, fish, melon, milk, cucumbers, carbonated beverages, onions, radishes, soda, sweets, nuts, and dairy.
Constipation: Ileostomates don’t need to deal with this, but colostomates and urostomates are given the following information from Lynn: 1) Try increasing fluids. Drink more water, juice, tea or coffee-at least 8-10 glasses daily. 2) Include more high fiber foods in your diet: fresh fruit and vegetables (cooked or raw) and whole grain cereals (bran flakes, oatmeal, etc.) and breads. Other food/drink found to help are coffee, chocolate, licorice, prune juice or lemon juice. 3) Increase activity.
Diarrhea: Loose stools in the colostomate or urostomate can be a problem. (The ileostomy output is normally loose or liquid) The following list of foods and drink can produce loose stools. Beer/alcohol, broccoli, chocolate, Baked Beans, Licorice, Prune Juice, Soups, Dried beans, Heavily spiced foods, very large meals, hot beverages, and Grape Juice.
1) Be aware that certain foods can increase urinary odor, in particular asparagus, garlic, onions and seafood. Some medications can affect the odor of urine as well.
2) Also be aware that eating beets will temporarily turn your urine a reddish color.
3) To maintain healthy kidney function drink 8-10 glasses of water daily.
4) Drinking quantities of 100% cranberry juice can help avoid urinary tract infections.
General Nutrition and daily food choices
Choose foods that are high in nutrients and low to moderate in calories to make sure you get the nutrients you need without overeating. Eat a variety of foods within each basic food group, which includes: Fruits, vegetables, Grains, Milk, Meat and Beans. Avoid foods and beverages that have added sugars or solid fats, since they provide few nutrients.
Be active every day
To prevent weight gain adults need 30-60 minutes a day of moderate to vigorous physical activity. If you have lost weight and want to keep it off, you need 60-90 minutes a day.
Control the calories you eat to manage body weight. You can avoid weight gain by cutting back 50-100 calories a day. The healthiest way to reduce your calorie intake is to avoid foods with added sugar and solid fats, and alcohol.
Choose fats wisely for good health: Fats and oils are important to your health. The type of fat and the amount makes a difference for your heart’s health. 1)Eat less than 10% of calories from saturated fat. 2)Keep the amount of trans fat you eat as low as possible. 3)Eat less than 300mgm of cholesterol daily.
This means limit your intake of ice cream, bacon, chicken skin, fatty meats, whole milk and other full fat dairy foods such as cheese, and foods that contain hydrogenated vegetable oils.
To lower cholesterol intake limit the amount of eggs, organ meats, shellfish, poultry, dairy products that contain fat.
To reduce your risk of heart disease, each week eat two 4 oz. servings of salmon, trout, light tuna, mackerel.
Eat plenty of fruits and vegetables, whole grains, and nonfat or low fat milk and milk products.
Fruits and vegetables guard you against stroke, type 2 diabetes, and cancer. You should eat
2 ½-6 ½ cups of fruit and vegetables each day. Select dark green, red and orange vegetables, and beans and peas. Choose whole fruit over juices. Eat at least 3 servings of whole grain foods such as whole wheat bread, brown rice or oatmeal in place of white bread or white rice.
Reduce your intake of sodium: Eat fewer processed and ready to eat foods. Read labels. Check nutrition information before buying or eating foods. Aim for less than 2300 mgm Sodium daily. Season foods with herbs and spices rather than salt, soy sauce or steak sauce. Choose fresh, rather than canned vegetables, fish, or meats. Eat potassium rich foods such as greens, tomatoes, oranges, melons and bananas to reduce the effects of salt. All this information, and much more, is included in the handouts from Lynn Clark RD, LD. If you missed the meeting look for copies at your next scheduled meeting.