Cardiac Diet Courtney Brooks

ObjectivesTo 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.

Your Thoughts on Cardiac DietWhat types of patients have you

noticed are you delivering cardiac trays to?

What does heart healthy mean to you?

Who Needs a Cardiac DietCoronary Heart Disease (plaque

buildup in arteries)History of heart attacks and strokesHypertension (high blood pressure)High CholesterolCongestive Heart Failure (fluid

around the heart)Diabetes and Kidney Disease (heart

related problems usually)

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 fatFiber (20-25 grams/day)

The Basis of Cardiac Diet

Great Living Menu RegularSodium Restricted/CardiacConsistent Carbohydrate

What is the difference?

The ChangesMain 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 butterLean ground beef and turkey portioned

appropriatelySauces made with low sodium stocks and herbsSmaller dessert portions

Diet Orders for CardiacCardiac/MediterraneanLow CholesterolLow Fat2 GM Na (less than 2 milligram

sodium)Sodium RestrictedCardiac restrictions can be added

as modifiers to other diets

Do’s and Don'tsCardiac Diet

Condiments Drink Food 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 milk ham, bacon, sausage, processed cheese, canned soups, deep fried foods, gravy sauces, meat with skins, biscuits, second desserts

Which Item is on Our Menu Now?

OR

OR

Fried Chicken

Baked Chicken

Brown Rice

White Rice

Which Item is on Our Menu Now?

OR

OR

Mashed Sweet Potatoes

Mashed Potatoes

Canned GreensFresh Greens

Catering to the PatientsTips 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*

Patient X

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

Thanks for ListeningKeep up the Good Work!!!

Questions and Quiz Time