1. Cardiac Diet Courtney Brooks

2. Objectives To understand the uses, components, recent changes made and do/don’ts of the cardiac diet. Associates will be able to recall at least one focus of the cardiac diet. Associates will be able to recognize at least one heart healthy item. Associates will be able to list one approved and not approved item for the cardiac tray.

3. Your Thoughts on Cardiac Diet What types of patients have you noticed are you delivering cardiac trays to? What does heart healthy mean to you?

4. Who Needs a Cardiac Diet Coronary Heart Disease (plaque buildup in arteries) History of heart attacks and strokes Hypertension (high blood pressure) High Cholesterol Congestive Heart Failure (fluid around the heart) Diabetes and Kidney Disease (heart related problems usually)

5. Main Focuses of the Cardiac Diet Low Sodium (< 2000 mg/day) Low Cholesterol (< 200 mg/day) Low in “Bad Fats” (Saturated < 7% of total calories) 25-30% of calories from fat Fiber (20-25 grams/day)

6. The Basis of Cardiac Diet

7. Great Living Menu Regular Sodium Restricted/Cardiac Consistent Carbohydrate What is the difference?

8. The Changes Main changes are 50 % reduction in sodium, average total and saturated fat reductions of 48- 59%, and average cholesterol reduction of 65% an increase in dietary fiber of over 20% Cooking with scratch ingredients and whole foods Increase in whole grain use (pasta, brown rice, whole grain breads and crackers) Olive oil replaces butter Lean ground beef and turkey portioned appropriately Sauces made with low sodium stocks and herbs Smaller dessert portions

9. Diet Orders for Cardiac Cardiac/Mediterranean Low Cholesterol Low Fat 2 GM Na (less than 2 milligram sodium) Sodium Restricted Cardiac restrictions can be added as modifiers to other diets

10. Do’s and Don'ts Cardiac Diet CondimentsDrinkFood Items DO sugar, coffee creamer, Mrs. Dash, Promise margarine, pepper, vinegar, lemon, mustard, fat free mayo, light/fat free salad dressings, light/fat free sour cream, hot sauce, spices and herbs. Ketchup (1 packet) coffee, tea, juice, skim milk Any thing on the menu Turkey bacon & turkey sausage products (1 portion/ 1 piece) DON’T (unless specified per RD) salt, cream sauce, sour cream, cream, butter, oils 2% or whole milkham, bacon, sausage, processed cheese, canned soups, deep fried foods, gravy sauces, meat with skins, biscuits, second desserts

11. Which Item is on Our Menu Now? OR Fried Chicken Baked Chicken Brown Rice White Rice

12. Which Item is on Our Menu Now? OR Mashed Sweet Potatoes Mashed Potatoes Canned Greens Fresh Greens

13. Catering to the Patients Tips on Selling the Cardiac Diet: “Try our oven fried chicken, tastes like fried chicken but is better for you.” “Our brown rice is a great side item full of filling fiber and nutrients” “The sweet potatoes are mashed to perfection and cooked from scratch” “Braised greens accompany the meal and taste even better with added hot sauce or Mrs. Dash.” *When samples of menu items are offered-participate so you will be able to describe the menu items to patients*

14. Patient X Is on the cardiac diet and asks for extra salt and butter…how do you respond???

15. Thanks for Listening Keep up the Good Work!!!

16. Questions and Quiz Time