Bold Voices - June 2018 - 14

AT THE BEDSIDE

February. Half
will take the
classes, half
won't and
readmission
rates will be compared.
"After the first phase,
some folks checked
back into the hospital.
Those numbers,
and the reasons for
dropouts, have not
been assessed, but
McCullough says most
participants have
managed to stay readmission-free." d

Cooking Classes Help
Patients With CHF

W

ithin hours of their admittance for congestive heart failure (CHF),
a hospital offers many patients an
opportunity to take cooking classes.
"Can Cooking Classes Keep Chronic
Heart Failure Patients Out of the
Hospital?" on National Public Radio,
notes that Goldring Center for Culinary
Medicine at Tulane Medical Center in
New Orleans made the offer as part of
the pilot phase of an 18-month study.
The goal was to determine whether
cooking meals can reduce the 30-day
readmission rate in half for patients
with CHF. At the time, Tulane's readmission rate was 22 percent.

Can cooking meals halve the
30-day readmission rate for
patients with CHF?
Many patients who were offered
cooking classes at the center had a
history of eating saturated fat and
sodium. They were ideal subjects, since
these eating habits can lead to hypertension and coronary artery disease,
which may increase the likelihood of
developing CHF.
Program research coordinator
Colleen McCullough interviewed 120
potential study subjects and enrolled
60. About 30 have taken classes after
being discharged from the hospital. But
it's been challenging to improve their
eating habits, McCullough adds in the
article.
For instance, many of the patients
live below the poverty line, so they have
food insecurity and limited access to
nutritious meals. Mobility can be an
issue for them, so poor public transit
adds to the problem. To mitigate the
transportation issue, taxi vouchers were
included in the grant request.
The second part of the study, with
20 randomized controls, began in

14 JUNE 2018 | AACN BOLD VOICES

©Paula Burch-Celentano | Tulane University

Beware of Chicken Nuggets -
and Other Ultra-Processed Foods

A

study conducted in France linked a 10 percent increase in the proportion of
ultra-processed foods in the diet to a greater than 10 percent rise in the risk of
overall and breast cancer.

"Consumption of Ultra-Processed Foods and Cancer Risk: Results From NutriNetSante Prospective Cohort," in BMJ, reviewed the medical records and eating habits of
104,980 adults, 18 years and older, of whom 78.3 percent were women. They tracked
their consumption of 3,300 different foods for nine years (2009-2017), using 24-hour
dietary records.

Consumption of

The study focused on ultra-processed foods, which
ultra-processed
are made with ingredients not usually found in home
kitchens, adds a related article in USA Today. "Ultrafoods may be linked
processed foods include items such as instant noodles,
to an increased risk
TV dinners, factory-made baked goods, soda and pretty
of cancer.
much anything whose packaging contains long lists of
additives, preservatives, flavorings and colorings. These
foods also tend to contain high levels of sugar, fat and salt."
"If confirmed in other populations and settings, these results suggest that the rapidly
increasing consumption of ultra-processed foods may drive an increasing burden of
cancer in the next decades," the study notes. "Further studies are needed to better
understand the relative effect of the various dimensions of processing (nutritional
composition, food additives, contact materials, and neoformed contaminants) in
these associations."
Eating a lot of these foods can lead to weight gain, and being overweight can increase
the risk of cancer, so it's difficult to disassociate the effects of diet and weight, the
article adds. Other study limitations include the fact that most participants were
women, which might affect the generalizability of the results. d
REFERENCE: Fiolet T, Srour B, Sellem L, et al. Consumption of ultra-processed foods and cancer risk: results from NutriNetSante prospective cohort [published online February 14, 2018]. BMJ. doi:10.1136/bmj.k599.


https://www.npr.org/sections/thesalt/2018/02/01/581891870/can-cooking-classes-keep-chronic-heart-failure-patients-out-of-the-hospital https://www.npr.org/sections/thesalt/2018/02/01/581891870/can-cooking-classes-keep-chronic-heart-failure-patients-out-of-the-hospital https://www.npr.org/sections/thesalt/2018/02/01/581891870/can-cooking-classes-keep-chronic-heart-failure-patients-out-of-the-hospital http://www.bmj.com/content/360/bmj.k322 http://www.bmj.com/content/360/bmj.k322 https://www.usatoday.com/story/news/health/2018/02/15/study-suggests-link-between-consumption-ultra-processed-foods-and-cancer/340338002/

Table of Contents for the Digital Edition of Bold Voices - June 2018

Urine
The Power of Possibility
Sepsis: What Nurses Can Do
New Sepsis Bundle From Surviving Sepsis Campaign
Understanding CERPs for Specialty Certification Renewal
In Our Journals
Transitions
America’s ‘Other’ Drug Problem Needs Attention
Effect of Haloperidol on Reducing Mortality
Transitional Care Nurses Can Reduce Admissions of Older Patients
ASHP Developing Standardized Medication Concentrations
Online AACN Course on Care of Older Adults
Hospital Programs Help Employees Cope With Traumatic Events
National Summit on Identification, Prevention and Management of Burnout
Barbershops Help Black Patrons Control Hypertension
Nurse Treats Himself for Myocardial Infarction Using Telehealth
We Have Consensus: TeleICU Continues to Evolve
Cooking Classes Help Patients With CHF
Beware of Chicken Nuggets — and Other Ultra-Processed Foods
Apple Watch Might Randomly Reboot in ICUs
Wound-Monitoring App Helps Reduce Hospital Readmissions
All Antidepressants Beat Placebo for Acute Major Depressive Disorder
Patients’ Online Search Trends
‘Timeout’ Reduces Medication Errors
Possible Link Between High Fitness and Reduced Risk of Dementia
DAISY Award Honors Nurses Who Exemplify Exceptional Compassion and Skill
Interviews With Two Acute Care Nurse Practitioners
Hiring for Cultural Fit
AACN Unveils Updated Online Pharmacology Course
Appreciating the Little Things
Bold Voices - June 2018 - Cover1
Bold Voices - June 2018 - Cover2
Bold Voices - June 2018 - Urine
Bold Voices - June 2018 - The Power of Possibility
Bold Voices - June 2018 - New Sepsis Bundle From Surviving Sepsis Campaign
Bold Voices - June 2018 - Understanding CERPs for Specialty Certification Renewal
Bold Voices - June 2018 - Transitions
Bold Voices - June 2018 - Effect of Haloperidol on Reducing Mortality
Bold Voices - June 2018 - Online AACN Course on Care of Older Adults
Bold Voices - June 2018 - National Summit on Identification, Prevention and Management of Burnout
Bold Voices - June 2018 - Nurse Treats Himself for Myocardial Infarction Using Telehealth
Bold Voices - June 2018 - We Have Consensus: TeleICU Continues to Evolve
Bold Voices - June 2018 - 13
Bold Voices - June 2018 - Beware of Chicken Nuggets — and Other Ultra-Processed Foods
Bold Voices - June 2018 - Wound-Monitoring App Helps Reduce Hospital Readmissions
Bold Voices - June 2018 - Patients’ Online Search Trends
Bold Voices - June 2018 - Possible Link Between High Fitness and Reduced Risk of Dementia
Bold Voices - June 2018 - DAISY Award Honors Nurses Who Exemplify Exceptional Compassion and Skill
Bold Voices - June 2018 - 19
Bold Voices - June 2018 - Hiring for Cultural Fit
Bold Voices - June 2018 - AACN Unveils Updated Online Pharmacology Course
Bold Voices - June 2018 - Appreciating the Little Things
Bold Voices - June 2018 - Cover3
Bold Voices - June 2018 - Cover4
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