#Dietitian Smiths Falls

[fpf-gym-smiths-falls]

Unlock Your Fitness Potential with Nutrition Consultancy in Smiths Falls

Are you struggling to achieve your fitness goals despite regular workouts? The missing piece might be your nutrition intake and a meal plan! At Functional Performance Fitness, we believe that a balanced diet is just as important as exercise when it comes to achieving peak performance.

Our expert dietitians in Smiths Falls work closely with you to create personalized nutrition plans in Smiths Falls tailored to your unique needs, goals, and lifestyle. Whether you're looking to lose weight, build muscle, or simply improve your overall health, our nutrition consultants are here to guide you every step of the way.

[fenweak]

2018 pat/jon fics!

In keeping with tradition, here are some of my favorite fics that came out in 2018. Technically, it’s easier to sort through ao3 now to see all these for yourselves, but anyway! i love lists, and i love listing wonderful things so. :3 Do check the list out if you missed out on any and give these authors some love. Happy New Year, all! :D

Canon Divergent

when the clock strikes twelve by crystaljules - T | 6,508 | friends to lovers in new year's eves

Pop Your Corn Like A Champ by mending_fences - E | 2,065 | rookie year pwp

Big Spoon, Little Spoon by aseaofwords - G | 765 | gasp, there's only one bed!

Patrick and the Lucky Potato by Bittersweet - G | 794 | hockey superstitions

In The A.M. by SecondCitySavage - E | 613 | established relationship pwp

I Thought It Was A Floating Door by Mullsandmutts - 3,211 | rookie initiation of sorts

No, I Never Told Lies To You by fourfreedoms - E | 3,033 | celly realizations

The Future Is Bulletproof (the Aftermath Is Secondary) by CitrusVanille - T | 2,422 | marriage proposal

Five Times Jonny’s There to Back Patrick up (And One Time It’s the Other Way Around) - T | 3,521 | what the tin says

Throwing Rocks at Your Window by Linsky - M | 2,267 | getting together

Into You by hatrickane - E | 4,531 | friends with benefits

Same Old - 1,900 | friends with benefits with angst

This is awkward by writingintothevoid - M | 2,244 | masturbation getting together

Shitshow by AnythingThrice (WIP) - E | 16,297 and counting | relationship negotiations, porn with feelings

Hockey House by aseaofwords - M | 20,476 | pat helps jonny raise a baby

The Scars That Words Have Carved by Linsky - E | 15,964 | soulmates AU

A How-To Guide for Idiots in Love by lucky1  (WIP)- E | 12,462 and counting | Cosmo-based wooing

Transverse Velocity by fourfreedoms - E | 2,236 | Orbital Resonance h/c timestamp

A Certainty I Envy by hatrickane - E | 15,015 | time travel, friends to lovers

Eyes on the Horizon by heartstrings - E | 35,380 | future fic

Baby One More Time by fourfreedoms, sorrylatenew - E | 7,981 | first time, internalized homophobia

a bulletproof bond by thirteentorafters - T | 1,791 | summer fluff

Beg for it by Clever_grrl - E | 1,524 | pwp

running across the meadow by ishybishy - E | 2,219 | fluff and angst and smut

nobody does it like juliette by thirteentorafters - T | 4,323 | established relationship plus dogs!

Bruises on My Knees for You by Linsky - T | 2,529 | getting together

On This Day (February 27, 2018) by AnythingThrice - T | 2,191 | angsty introspection

Fortune Says by artanis_aman - E | 63,360 | BDSM pwp

Light by Bittersweet - G | 283 | short domestic fluff

I'mma need two hands - E | 1,563 | pwp

The One with the Sex Bet by Linsky - E | 11,621 | friends with benefits to lovers

Don't Forget To Breathe by fourfreedoms - E | 13,513 | friends with benefits

For Science by Linsky - M | 2,600 | first time

Light as a Feather by WolvesoftheBlueMist - T | 1,595 | marriage proposal

finished, yet by thirteentorafters - T | 1,426 | grief over death

Project: Thanksgiving by windsthatwhisper - G | 1535 | established relationship fluff

Streets of Chicago by TheNorthRemembers - E | 79,749 | h/c, friends to lovers

Operation: Christmas Gift by windsthatwhisper - G | 1,166 | future fic

There's a Ghost in My Home (And It Just Won't Go) by crankyrage - T | 11,616 | depression

I'll Be Your Detonator by CitrusVanille - M | 17,645 | marriage of convenience

Shawty With You by allthebros  - E | 5,279 | 5 + 1 mistletoe kisses

we live in the memories(of the season of light) - 1,437 | holiday season h/c

On the right side of too much by Sail_On - 4,518 | established relationship pwp

AUs

Fathoms Above by aseaofwords - T | 14,451 | mermaid!jonny

Muscle Stim by sahiya - E | 7,672 | physical therapist!jonny

Make You Crazy Over My Touch by liveinfury - E | 26,757 | porn star!jonny, fluffer!pat

Ignite My Fire, Object Of My Desire by ThalassicThedes - 6,939 | college theater acting au

it's only you and me by crystaljules - T | 2,489 | college au angst

All It Ever Was by hatrickane - E | 8,249 | fraternity AU

Let's Ride The Vibrations by FallingOutOfTouch - T | 10,303 | barista!patrick

a love to burn by peeks - E | 2,916 | college au pwp

Who Knew by themistrollsin - G | 2,434 | college AU

soft hands by Caivallon - E | 10,337 | ballet-dancer-turned student!pat, hotelier!jonny

forever only by gasmsinc - E | 3,621 | 1940s established relationship AU

(Shut Up and) Sing It With Me by CitrusVanille - T | 6,152 | model!jonny, followed by

Let Me See Your Jazz Hands by CitrusVanille - T | 2,669 | established relationship model!jonny

Little Demon Goes To College by fourfreedoms - E | 2,423 | established relationship installment of the Accepted Practice series!

bonnie and clyde by gasmsinc - E | 3,576 | 1920s mob AU

The Future Is Ours To Seize by PensToTheEnd - E | 27,878 | former rentboy pat au, established relationship

the road less traveled by thundersquall - E | 12,374 | farmer!jonny

Between the Pipes by sorrylatenew - E | 4,206 | a/b/o

Eternal Ice by NightfireRed - G | 9,119 | regular office guys AU

broadcast by Pinkmanite - E | 3,250 | cam guy!pat, established relationship

The Full Monty by CoffeeKristin (WIP)- E | 22,849 | professional Dom!jonny

trace your path between the stars by thundersquall - E | 15,859 | space military a/b/o!

One Wedding Too Many by hockeyhawk - M | 5,850 | four weddings and a funeral AU

I'm asleep dreaming that I'm awake wondering if I'm dreaming (and it’s the best dream I ever had) by Caivallon - G | 1,162 | Ladyhawke AU

Ashes, Poison, and Thorns: a fairytale by allthebros - T | 1,950 | Cinderella AU

In Every Corner by hatrickane - E | 7,518 | Miss Congeniality AU

look me in the face (hold my gaze) by Pinkmanite - T | 9,296 | CMBYN AU

we're never done with killing time by liveinfury - T | 6,026 | soulmates au

Handsome, Clever and Rich by CoffeeKristin - T | 12,017 | Edwardian Period obliviousness

Hard liquor with a bit of intellect by huntersandangels - G | 5,745 | drunk texting proposals

Soothing ruffles feathers by candy_belle - M | 2,022 | wingfic!

Drown me sweetly by Caivallon - M | 1,476 | doctor!jon, mer!pat

Greenhouse Effect by allthebros - M | 1,888 | fuckbuddy realizations

Got Your Back by Prialee (WIP)- T | 39,768 | friends to lovers, 50/50 AU

That Feeling When by fourfreedoms - E | 4,612 | military AU

immigrant song by gasmsinc - E | 4,338 | 1988 is thorki

No Capes by sorrylatenew - T | 3,797 | The Incredibles AU!

Summer Changes by CoffeeKristin - G | 1,272 | summer camp love

Expected Result timestamp by hatrickane - E | established relationship

If you like pina coladas by CoffeeKristin - T | 2,621 | meet cute in a Jimmy Buffett concert

Somebody To Love by ThalassicThedes - 7,852 | 1960s AU, first time

efficacy by thirteentorafters - M | 12,014 | rookie year mpreg

God Only Knows by Linsky - E | 26,512 | mormon!jonny

The Care and Keeping of Your Kitten by Celly1995 - T | 5,564 | kitten kaner!

A Little Nip in the Air by Celly1995 - E | 12,030 | kitten!kaner tries catnip

Tell the Stars I'm Coming Home by allthebros (WIP) - E | 15,817 and counting | apocalypse angst

You gave me home and I lost myself by Caivallon - E | 4,823 | coffee shop in Thailand AU

A Healthy Dose of Vitamin Sea by Celly1995 - E | 16,137 | established relationship, part of the kazer dick cake fic of shame and glory series

Bigger on the Inside by Linsky - E | 25,671 | doctor who fusion

take a walk on the wild side by tazernkaner - T | 3,045 | college frat party AU

You Know I Dreamed About You by kayclandestine - M | 31,942 | they meet at a Hawks convention AU

We don't pray for love by runphoebe - E | 2,912 | HOT prequel to an angsty, unhealthy relationship fic Gonna Bite Your Feelings Out

Forever & Always, My Baby You'll Be by windsthatwhisper - G | 1,259 | kidfic

the shape of you by thundersquall - E | 15,962 | college au, always a girl!pat

Just A Spark by heartstrings - E | 19,751 | college au, magical realism

Every Little Thing He Does (is magic) by jezziejay - M | 65,459 | police chief!pat, witch!jonny, bonus little magic girls and a faithful doggo

bulletproof by thirteentorafters - M | 2,456 | Mr. and Mrs. Smith AU

Fearless child, broken boy (Tell me what it’s like to burn) by Caivallon - T | 1,359 | Hunger Games AU

Ricochet by heartstrings (WIP) - E | 40,075 and counting | partners in crime angst

i think of you in colors by toewsin (haroldslouis) - E | 24,893 | figure skating coach!pat, hockey coach!jon, Shattuck AU

Black Sunflowers by windsthatwhisper - E | 23,360 | mob boss!pat

We've Waited for the Calling by allthebros - E | 23,125 | small town horror au. love and magic and monsters!

Irreplaceable - M | 23,631 | first time, tattoo-related shenanigans

Son of a Preacher Man by PensToTheEnd - M | 22,432 | future priest!jon, homeless!pat

Téméraire by Pinkmanite - E | 24,531 | spy AU, angst with a happy ending

sugar, we're going down swinging by thundersquall - E | 59,112 | baker!pat, hotelier!jonny

Something Uniquely Him by hatrickane - E | 13,838 | a/b/o, age difference

No, It's Not A Secret by SimoneClouseau - E | 13,825 | college au, always a girl!jonny, size kink

Keep the fucking lights on by runphoebe - E | 8,661 | not hockey players, daddy kink, established relationship

You Turned My Head by hockeyhawk - E | 11,072 | incubus jonny

More Than Who We Are by amoergosum - E | 14,548 | trainer dietitian!jonny

Le Moose-bouche by AbschaumNo1 - T | 2,717 | established relationship, restaurant au

Can You Lyft Me Up? by Mullsandmutts - G | 27,912 | single dad!pat, meet cute

The Boy who kissed the Moon by Caivallon - M | 71,771 | childhood friends falling in love

Sweet Like Candy Kanes by sasha_annes - T | 21,060 | candy shop AU

your soul cries out (our hands are tied) by thirteentorafters - E | 18,313 | soul bonds

i know you are (but what am i) by booktubelover7 - T | 57,984 | always a girl!pat, high school AU

The Reality of Things by windsthatwhisper (WIP) - E | 8,232 | french teacher!jonny

a song someone sings by gasmsinc - E | 45,751 | anastasia au 

[juniperpublishers-crdoj]

Grocery Store Tours are an Effective Way to Provide Nutrition Education to Low Income Minority Populations

Authored by Christina Ralston

Abstract

Objectives: The objective of this study was to provide nutrition education via grocery store tours to improve the nutrition knowledge of the participants and to foster positive behavioral changes to decrease the incidence of obesity and its' related diseases such as diabetes and hypertension in the Memphis community. According to the Health Belief Model, providing "cue to action” in the form of nutrition education will bring about positive behavior change.

Methods: Participants attended a 90 -minute grocery store tour and discussion and completed a 10- question survey at the end of the tour. The surveys were analyzed for participants learning and anticipated behavioral changes. Numeric answers on the survey were totaled as a percent of the total answers and open- ended questions were analyzed using semantic content analysis.

Results: Prior to the tours, participants (n=125) reported eating fewer than the recommended servings of fruit and vegetables per day (78%). However, 88% reported that they would increase their intake based on

Conclusions and implications: Grocery store tours proved to be an effective method of providing nutrition education for adults. This supports the Health Belief Model that procing "cues to action” does bring about behavior change. By understanding proper nutrition, participants may be able to avoid obesity and its related co-morbidities.

Keywords: Education; Nutrition; Grocery store tours

    Introduction

The state of Tennessee has a high rate of adult obesity (33.8%) and adults who are overweight (34.9%) in comparison to other states [1]. Tennessee's high school students have the second highest rate of obesity (18.6%), in the nation [1]. Obesity is linked to high rates of hypertension (38.5%) and diabetes (12.7%) [1]. Furthermore, an increased rate of heart disease, arthritis, and obesity-related cancers are more prevalent in Tennessee. Poor diet contributes to increased medical costs as overweight individuals spend more on healthcare each year than their non-overweight counterparts. Memphis has the highest obesity rate of any city in the US. Memphis has a high (63%) African American (AA) population and AAs have a higher than average rate of obesity and diseases associated with it. In the US, non-Hispanic blacks make up 48% of obese individuals [2]. Additionally, Memphis has a high poverty rate (26.2%) and residents may lack an understanding of how to eat healthy on a budget. Lack of education about proper nutrition, the ability to incorporate healthy options into their diet and the knowledge of healthy food preparation, may contribute to the high rate of obesity among AAs. Proper nutrition education is essential for those who want to eat healthy, lose weight, reduce blood pressure and glucose to avoid heart disease and premature death. There are several models that explain why an individual would or would not act to improve their health.

Accordingtothe Health BeliefModel, there are three components to behavior change; an individuals' perceptions of the likelihood of getting a disease, the modifying factors and the likelihood of action [3]. In the first component, an individual’s perceived susceptibility to the disease and the perceived seriousness of the disease are considered. In the second component, modifying factors, demographic and sociopsychological variables and cues to action (outside influences such as education) are considered. These modifying factors along with individual perceptions result in the third component, the likelihood of action, which means the likelihood that a person will act to prevent the "disease.” Therefore, nutrition education should address the individual perceptions of the disease (percent of AAs who are obese, have diabetes, etc.) and the modifying factors (education on prevention and treatment via education). According to the model, when these two components are addressed, behavior change will be the outcome.

Other evidence supports the hypothesis that proper nutrition education produces a positive behavioral change. Rustad and Smith offered three nutrition education sessions with presentations, demonstrations and activities to 118 low- income women (ages 23-45) at various community settings [4]. The education sessions contained pre- and post-tests pre- and post-test to evaluate comprehension and behavioral changes. The researchers detected improvements in nutrition knowledge and favorable nutrition behavioral changes based on pre- and posttest answers (P <.05). These authors concluded that short term nutrition education provided to women on their level does brings about positive behavioral change.

In 2009, a telephone survey of WIC participants in California determined that improved nutrition awareness and positive behavioral changes resulted from nutrition education [5]. After receiving nutrition education about fruits and vegetables, whole grains, and lower-fat milk, the survey respondents reported improved awareness of the value of whole grains, low fat dairy, and increased color variety in fruits and vegetables, as well sometimes” foods such as desserts and fried foods. Improvements in family consumption of fruits, vegetables, whole grains, and low-fat dairy were positive behavioral benefits of the study.

Nutrition education may assist people to live healthier, but many people don't have access to proper nutrition education or can't afford to consult a registered dietitian. Due to the demand for an intervention to end the cycle of obesity in the Memphis community, the University of Memphis (UM) nutrition department has taken great strides to educate the city. The initiative UM has taken includes education on healthy eating habits and ways to revamp the way the public shops for groceries. Additionally, education is provided on the causes of obesity related diseases and exactly how diet effects these diseases and the incidence of obesity and its’ related diseases in the AA population of Memphis. One to two times a month, grocery store tours are held at local supermarkets to educate the public on smart and healthy ways to shop for food. These group tours are hands-on strolls through the stores, which allows everyone to participate and learn from the dietetic intern in an informal setting. The purpose of this study was to determine the efficacy of providing nutrition education, in the form of grocery store tours, to improve the nutrition and disease knowledge of the participants and to foster positive behavioral changes, to decrease the incidence of obesity and its' related diseases, such as diabetes and hypertension, in the Memphis community.

    Materials and Methods

Starting in January 2015, dietetic interns began to provide grocery store tours for people in low income areas of Memphis.The tours focused mainly on increasing fruit and vegetable intake, although healthier options from each area of the grocery store were discussed. The tour guide led the participants through the grocery store and described the healthier items in each area, such as hydrogenated vegetable oil vs olive oil and processed cheese vs natural cheese. Participants in the tour were provided with specific food items food items to taste and they were asked to complete a 10-question survey at the end ofthe tour Figure 1. No demographic data were collected. At the end of the tour, participants entered a drawing to win a prize. All prizes were related to food and nutrition, such as kitchen towels, pot holders, and measuring cups and spoons. Interns were trained in compliance with the Grocery Store Tour Training Kit [6]. A training session was held in the fall of 2014 and every August thereafter, for to account for new interns. Interns conducted the tours on Saturday mornings, in pairs and provided tours to 5 stores in lower income areas of Memphis and 1in North Mississippi.

Grocery store tours were advertised at the public libraries and surrounding businesses in 5 areas of Memphis and 1 in North Mississippi. The program director and her graduate assistant for the project also spread the word by appearing on two Memphis television stations and one radio station every fall and spring. In February 2017, the local newspaper, Memphis Commercial Appeal, published an article about the tours. Although the tours were targeted to AAs, they were open to everyone and the tours were free of charge. The study was exempt from Institutional Review Board approval at the University of Memphis. Tour surveys were analyzed to determine the outcome of the program. The numeric answers were totaled and expressed as a percentage of the total. Tour participants were asked open ended questions about what they learned from the grocery store tour and the responses were analyzed using semantic content analysis [6]. Procedural steps for content analysis of open ended questions were as follows: Participants' responses were read by the program director and by a research assistant separately to look for overall themes and patterns. Using inductive analysis, common themes, patterns, and categories were generated and identified. These common themes, patterns and categories were assigned code words, and these code words were approved for use in the analysis [7]. The researcher and research assistant independently read and identified significant statements in line-by-line analysis, using the approved codes. Coded segments were matched for rater reliability. Frequencies of themes, patterns, and categories were calculated and by various identifiers.

    Results

A total of 125 participants from January 2015 to March 2017 took part in a grocery store tour. Some participants didn’t complete the entire survey or provided multiple answers for a single question. Thus, the sample sizes of tables differ. Survey results revealed that only 33% believed they were healthy eaters and only 22% reported eating the recommended 4-5 fruits and vegetables a day. Because of the tour, 88% planned to increase their fruit and vegetable consumption.

The following themes arose from the coded segments of the question, what did you learn about nutrition today: food labels, be healthy, reduce salt intake, buying fruits and vegetables, balanced diet, fats. When asked specifically what they learned about fruits and vegetables, more specific themes arose. Table 1 & 2 show the results of the three open-ended questions about participant learning with the themes and percentages for each theme. Table 1 shows the overall nutrition learning outcome from the grocery tours. Thirty seven percent of the participants stated they learned the importance of food labels and how to read them. Table 2 displays increased awareness among the participants concerning fruits and vegetables. Twenty nine percent learned how to choose and eat produce, as well as the seasons for certain fruits. Thirty two percent learned that the order of preference for vegetables is fresh, frozen, and then canned.

When asked if they enjoyed taste testing the foods on the tour, 92% said yes. New foods were tasted by 68% of the participants. Most participants had not tasted edamame, dried fruit, sun-dried tomatoes, chick peas, artichoke, kefir/yogurt, or a yogurt smoothie. When asked to name the best part of the store tour participants provided more than one answer (n=154); 32% said learning from the interns, 20% said taste testing/tasting something new and 14% said learning how to cook/prepare in a healthier manner for nutrition benefits. Seventeen percent of participants reported learning how to read and understand a food label was the best part of the tour, while other responses were: "seeing the store in a new light”, "sharing ideas with other participants” and "all of it was great”.

    Discussion

The participants in the store tours enjoyed learning from the interns and sharing information with each other, perhaps because the grocery store is a non-threatening learning environment. Participants were encouraged to ask questions on the spot about concepts which they didn't understand, such as which fats are healthiest. Store tour participants reported increased awareness of a variety of fruits and vegetables, how to select ripe ones, their importance in a healthy diet, and how to prepare them for consumption. These findings support the findings of the WIC study in which survey respondents indicated that they learned the importance of eating a variety of fruits and vegetables and that they and their families would increase their fruit and vegetable consumption, as 88% of our participants planned to do [5]. Similarly, the FOOD cents (low socio-economic) adult nutrition education program in Western Australia aimed to provide knowledge, skills and motivation to purchase nutrient dense foods on a budget for take-out over the past 20 years [8]. Smith and Jones performed a randomized study to examine the efficiency of the Expanded Food and Nutrition Education Program for low-income families [9]. Individuals that were part of this study were either assigned to immediate education or delayed education. During the first eight weeks, participants with immediate education received intervention, but the delayed education participants did not receive any intervention. Results showed that both the immediate and delayed education control groups improved behavior during their pre- and post-education. The current study supports the results of the WIC study and the FOOD cents study and the notion that "cues to action” (outside influences such as education) does bring about behavior change in low income populations.

    Conclusion

The store tours given by interns, in this study, proved to be an effective way to teach the public how to shop and cook in a manner which should lead to better overall health. Providing nutrition education in a familiar, relaxed environment may be a better way of teaching lower income, minority populations, as opposed to teaching in a more formal setting, such as a clinic or physicians' office. Research supports that proper nutrition education does lead to behavior changes and thus may decrease the incidence of obesity, diabetes and hypertension in Memphis.

    Funding

This project was funded by: The Better Produce for Health Foundation, Office of Minority Health and Disparities Elimination, Division of Health Disparities Tennessee Department of Health, Kroger stores of Memphis and the AARP Fresh Savings Program.

    Authors Contribution

Williams Hooker developed the idea for the program. In addition, Dr Williams Hooker provided the oversight, conducted the analysis, and wrote the manuscript. Ms Ralston and Abounassif implemented the program, organized the tours and tour leaders, and contributed to the manuscript.

To Know More About Current Research in Diabetes & Obesity Journal  Please click on: https://juniperpublishers.com/crdoj/index.php

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[dinafbrownil]

Government-Funded Day Care Helps Keep Seniors Out Of Nursing Homes And Hospitals

SAN MARCOS, Calif. — Two mornings a week, a van arrives at the Escondido, Calif., home of Mario Perez and takes him to a new senior center in this northern San Diego County town, where he eats a hot lunch, plays cards and gets physical therapy to help restore the balance he lost after breaking both legs in a fall.

If he wants, he can shower, get his hair cut or have his teeth cleaned. Those twice-weekly visits are the highlights of the week for Perez, a 65-year-old retired mechanic who has diabetes and is legally blind.

“The people here are very human, very nice,” he said. “I’m gonna’ ask for three days a week.”

The nonprofit Gary and Mary West PACE center, which opened in September, is California’s newest addition to a system of care for frail and infirm seniors known as the Program of All-Inclusive Care for the Elderly.

The services provided by PACE, a national program primarily funded by Medicaid and Medicare, are intended to keep people 55 and older who need nursing home levels of care at home as long as possible and out of the hospital.

The program is more important than ever as baby boomers age, its proponents say.

“The rapidly growing senior population in California and across the country will put enormous strain on our current fragmented, and often inefficient, health care delivery system,” said Tim Lash, president of Gary and Mary West PACE. California officials consider PACE an integral part of the state’s strategy to upgrade care for aging residents.

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The National PACE Association said data it collected for 2019 shows seniors enrolled in PACE cost states 13% less on average than the cost of caring for them through other Medicaid-funded services, including nursing homes.

Perez, like 90% of PACE enrollees nationwide, is a recipient of both Medicaid and Medicare. He’s part of a population that typically has low income and multiple chronic conditions.

PACE participants who do not receive government medical benefits can pay out of their own pockets. At Gary and Mary West, the tab ranges from $7,000 to $10,000 a month, depending on the level of care.

Nationally, 50,000 enrollees participate in PACE programs at over 260 centers in 31 states. In California, PACE serves nearly 9,000 vulnerable seniors at 47 locations.

PACE programs nationally offer all services covered by Medicare and Medicaid, and staff members include nurses, primary care doctors, social workers, dietitians, drivers and personal care attendants, as well as physical, occupational and recreational therapists. PACE enrollees commonly have conditions such as vascular disease, diabetes, congestive heart failure, depression and bipolar disorder.

About two-thirds of PACE participants have some degree of cognitive impairment. The Gary and Mary West center is no exception, which is why it has alarms on all the doors. If participants become agitated, they are led to the “tranquility room,” a softly lit space with an ocean soundtrack and a recliner.

The center is California’s newest addition to a holistic system of care for frail and infirm seniors known as the Program of All-Inclusive Care for the Elderly. (Credit: Tim Ingersoll, West Health)

On weekdays, participants can arrive at the center as early as 8 a.m. and stay until 4:30 p.m. A PACE driver provides transportation to and from the center, as well as to appointments with outside specialists.

The center goes a step further than most other PACE programs: It offers dental care. Staff dentist Karen Becerra said some of her patients have cried for joy when they learned they were going to have their teeth fixed or replaced.

“These are folks who have terrible teeth,” Becerra said. “And if they have painful mouths, they have poor nutrition.”

Perez is missing teeth, but he was all smiles when he talked about his upcoming dental appointment. “They’re going to put new ones in,” he said.

The center opened with money donated by San Diego billionaires Gary and Mary West, telemarketing and telecommunications entrepreneurs. They’ve donated about $11 million to establish PACE centers around the country.

The center in San Marcos is spacious and cheery, with sofas and chairs scattered about and plenty of natural light. It’s meant to feel “like a friendly inviting living room,” said Dr. Ross Colt, a retired Army colonel who joined Gary and Mary West PACE a year ago as the primary care physician on staff.

Enrollees can repair to a patio to get fresh air or tend herbs in planter boxes. And they can participate in activities such as bingo, coloring and Trivial Pursuit, led by a recreational therapist.

Just down the hall from the main lounge are patient exam rooms decorated with photographic murals of sunsets and seascapes.

Center participants can get physical and occupational therapy in a rehabilitation gym, and the facility has a spa where they can shower or get their hair done.

Dr. Ross Colt, a retired Army colonel, joined Gary and Mary West PACE a year ago as the primary care physician on staff. (Credit: Tim Ingersoll, West Health)

The executive director, Renata Smith, recalled a woman whose husband had been bathing her with a garden hose before she joined PACE. “We’re talking about basic human dignity here,” Smith said. “The spa makes participants feel good about themselves.”

PACE programs also send personal health care aides to the homes of participants.

Twice a week, an aide named Sylvia Muro picks up Perez at his home and takes him out to shop for groceries. Sometimes they stop at McDonald’s for pancakes and sausage.

Colt said participants come to him for checkups about once a month, but he can see anyone with a medical problem on a moment’s notice.

Unlike doctors in private practices, “I have the luxury of seeing them for an hour if I need to. And I can bring them back tomorrow if I need to,” he said.

Such access can save a diabetes patient from missing an insulin injection and avoid a costly hospital admission.

“That’s what the benefit of this model is,” Colt said. “The patient doesn’t want to go stay in the hospital, the family doesn’t want them to, and society doesn’t want them to.”

Smith, the center’s executive director, noted another important benefit: “the comfort of social interaction and something to wake up to every day.”

This KHN story first published on California Healthline, a service of the California Health Care Foundation.

from Updates By Dina https://khn.org/news/government-funded-day-care-helps-keep-seniors-out-of-nursing-homes-and-hospitals/

[yassinetop]

20 Best Weight Loss Stories

Kim Kardashian Claims to Drop 70 Pounds

Whether or not you believe it, Kim Kardashian has repeatedly claimed that she dropped a whopping 70 pounds after having her baby last December. "I think dieting is so important to weight loss, whereas, I didn't really ever think that before," she told PEOPLE. "I thought, 'Oh, I can work out, I can just eat whatever I want.' But you have to work out all the time." Kardashian claimed that the low-carb Atkins 40 plan is what helped her shed the pounds, adding that she aimed for 1,800 calories a day, along with intense workouts. Intrigued? Then don't miss these 15 Amazing Weight Loss Tips from Kim Kardashian's Nutritionist!

Mariah Carey Only Eats Two Things

One thing is for sure: Mariah Carey loves attention. So, it's only fitting that her latest weight loss strategy would raise a few eyebrows. The strategy? Consuming only two foods. "It's really hard. My diet, you would hate it," Carey tells E! News. "All you eat is Norwegian salmon and capers every day. That's it."

Britney's Bod Slays

This one's more about an awesome weight loss maintenance and fitness story than a dramatic before-and-after transition. With her resident show in Vegas, it's no secret that Britney Spears has gotten back in killer shape and has been turning heads for well over a year. But she garnered more-than-usual attention earlier in 2016 after a smokin' hot performance at the 2016 Billboard Music Awards in May. (We know you wanna watch it!) And then she recently celebrated her 35th birthday with another sexy performance at the Jingle Ball in LA. How does she do it? It's not exactly a secret, people. As she says: "You wanna hot body? You better work…"

Kayla Itsines Helps Millions

There's no doubt that 2016 was the biggest year yet for Instagram sensation Kayla Itsines, who now has nearly 6 million followers. Known for her online fitness guides, Itsines hosted a massively successful '2016 Sweat Tour,' but it also made her second guess naming her guides "Bikini Body." She noted on Instagram: "I originally called it 'Bikini Body Guides' because when I asked my clients what their goals were, 99 percent said at some stage that they just wanted 'to feel comfortable in a bikini,' so I didn't think twice when I called it that." She told Bloomberg, however, that she now regrets the name since it's not only about looking and feeling good in a bikini, but it's about being strong. Regardless of the name, it's clear that this is only the beginning; just see how many hashtags #bbgprogress #sweatwithkayla there were this year for endless weight loss inspiration.

Khloé Kardashian Sheds Major Pounds

Kim Kardashian called Khloé her "weight loss idol" after the reality star shed a significant amount of weight. Unfortunately, she went from being body shamed for being "the fat Kardashian" to being body shamed for being "too skinny." Whatever your judgment may be, there's no denying her weight loss story has inspired many. She credits her drop in size to small tweaks in lifestyle and her diet, saying that her "biggest tip for starting off strong is to swap out some common foods you eat for healthier versions." Now that's a suggestion we can definitely get behind. Many of these 40 Ways to Lose Weight in 4 Seconds are along the same lines.

Revenge Body With Khloé Kardashian

She wouldn't be a Kardashian if she didn't capitalize on her media attention, so Khloé announced that she would have a new show on E!—Revenge Body with Khloé Kardashian. The show has enlisted a number of A-list trainers including Simone de la Rue, Lacey Stone and Gunnar Peterson to work with the reality star to help contestants overcome traumatic life experiences through fitness.

Bride-To-Be Loses Over 100 Pounds

After seeing her engagement photos, Texas bride Haley J. Smith set off on a weight loss journey that resulted in a 100-plus pound weight loss in 15 months. How did she do it? She enlisted a workout buddy (her husband), tracked her progress, ordered smart at restaurants (and tracked her calories), cooked more, and ate a diet rich in protein (think salmon and chicken). Sounds do-able, right? For more on Haley's incredible transformation, check out The 5 Tricks One Woman Used to Lose 100 Pounds!

Megyn Kelly Swears by the F-Factor Diet

Megyn Kelly was in the spotlight for many things this year, not least of which was her reliance on a fiber-rich diet prescribed by celebrity dietitian Tanya Zuckerbrot to stay trim. In fact, the 40-something Fox News anchor not only praised Zuckerbrot's F-Factor diet and book on her show, she mentions it in her new book, Settle for More. Don't miss these 9 Ways Megyn Kelly Stays Slim at 45 for more insights into this star's slim figure.

Guordan Banks Drops 70 Pounds

Singer-songwriter Guordan Banks started his weight loss journey in 2015 and he's now down 70 pounds. Banks, who is behind the #1 single "Keep You In Mind," says he credits his weight loss with moving more (he's a fan of basketball), cutting out certain foods (like soda, bread, and fried foods), and opting for a diet full of water and lean protein (like fish and vegetables). Check out these 23 Ways to Accidentally Start Your Diet Today to see how you may be on a weight loss track you didn't even realize you were on!

Drew Barrymore Sheds 20 Pounds

As we age, losing those extra few pounds gets all the more challenging since our metabolism slows down. But Barrymore worked with celebrity nutritionist Kimberly Snyder to go from 144 to 124 pounds, and she did it all while filming her Netflix show, Santa Clarita Diet. Snyder, who is the author of several books and a proponent of a daily green smoothie, prescribes vegan or vegetarian with her weight loss plans; Barrymore, a carnivore, followed Snyder's methods but added some protein like fish and chicken. Barrymore kept it real, though, when she admitted that she "dreams of pizza."

Adrienne Bailon Reveals Pre-Wedding Weight Loss

After headlines declared she might be pregnant (she was not), Adrienne Bailon embarked on a 15-pound weight loss, which she revealed on Instagram. "Well folks, I've lost 15lbs & counting! Can't stop. Won't stop. Focused! Ha. It's always tea time in my dressing room! Loving my detox with @fittea! Have you joined me?! Um, it's November 1st! The perfect time to start! Stay classy lol. XO." This post was also captioned "#ad" so we might want to take it with a grain of salt when she credits her Fit Tea with this pre-wedding weight loss.

Gabourey Sidibe Sets Out To Get Healthy

Gabourey Sidibe showed off her weight loss—estimated by some to be as much as 100 pounds—on Instagram in a snap from Watch What Happens Live's red carpet. While the star has been vocal about how much she suffered because of her weight growing up, she has yet to reveal exactly how much she lost and how. For someone who was accustomed to being overweight, we wonder if her motivation was anything that might be on our list of 33 Reasons to Lose Weight Other Than Fitting Into Skinny Jeans.

Oprah Backs Weight Watchers

After buying a stake in Weight Watchers, the superstar influencer and media mogul once again set off on a weight loss journey. By mid-June, she showed off a 30-pound weight loss and wrote on Instagram, "Best Health report card ever! Total cholesterol 180. LDL 82. thanks to #wwsmartpoints #ClevelandClinic #AnnualCheckup."

John Goodman Is Almost Unrecognizable

A 2014 knee surgery caused by his unhealthy lifestyle served as a wake-up call for 10 Cloverfield Lane's John Goodman, who in March 2016 shocked fans when he showed up at LAX looking thinner than ever. It has been an ongoing journey for the actor; Goodman credits the tried and true method of diet and exercise for his newly svelte physique.

Lunch Lady Loses 100 Pounds

In the fall of 2015, 260-pound Tammy McRae, who works at Carver Elementary School, decided she was going to lose weight. Instead of eating donuts for breakfast and frequenting Wendy's and McDonald's, she started eating off her cafeteria menu—and the results were staggering. For breakfast, her diet typically includes fresh fruit and cereal; lunch has a menu of things like broccoli and cheese, a baked potato, and boneless chicken wings. At night, she says she has a little bit of fruit or a little yogurt. By September 2016, McRae weighed in at 160 pounds and garnered some much-deserved attention for her resourceful strategy. Speaking of lunch, get some smart tips with these 18 Lunch Rituals to Help You Lose Weight.

Widow Heals Emotional Wounds Through Weight Loss

After her husband took his life in 2015, Justine McCabe ballooned to 313 pounds. With the support of her friends and family, McCabe began documenting her 124-pound weight loss journey on her Tumblr page, taking daily selfies (she now updates via Instagram @HairStarGetsFit). How did she do it? Motivated by the daily selfies, she got a gym membership, worked out six days a week and ate clean. She also challenged herself and faced her fears by doing things like skydiving, traveling abroad alone, and climbing the Eiffel Tower. What made this story so great is that it's not only about weight loss but about emotional healing, which is why McCabe uses the hashtag "#Ichoosetolive." Now that's a weight loss mantra we love!

Penn Jillette Lost 100 Pounds Eating Potatoes

Comedian and magician Penn Jillette released his book Presto!: How I Made Over 100 Pounds Disappear this year, in which he chronicles his weight loss journey. His efforts kicked off in a very unconventional way, though; he ate nothing except potatoes for two weeks. About five naked potatoes a day to be exact, which resulted in an 18-pound weight loss. After that, he ate nothing besides vegetables for three months. He now follows a diet with no animal products, processed grains, or added sugar or salt—and has kept the weight off. The lesson of story? Do what works for you, as long as you get to a healthy, sustainable place eventually!

Rob Kardashian Begins His Journey

In a recent episode of Rob & Chyna, Kardashian says, "I'm not comfortable in my skin. I'm not comfortable with this weight. So, I feel like I'm not happy with anything I do right now." The reality star was reportedly around 300 pounds at his heaviest, and my how things have changed! He recently posted the above snap on Instagram saying: "Oh yeah we snapping back lol,,, baby will be here in 4 weeks and I'm done with carrying this pregnancy weight me and my baby gonna be righttttttt ,,, MOTIVATION TIME‼️ we almost there Chy FAAAAACK Chy looks so bomb here aghhhh ." Moreover, his type 2 diabetes is in remission, thanks to a low-carb diet and doing cardio at least five times a week.

New Zealand Woman Gets Honest About Weight Loss

New Zealand woman Simone Anderson has been chronicling her weight loss journey on social media—and after some backlash that claimed her images were Photoshopped, she posted a very honest image showing the excess skin gathered around her torso. Then, months later, she shared an unforgettable "before and after" comparison of her dramatic skin removal surgery.

Jonah Hill Gets In Shape

The comedian has seen his weight fluctuate over the years (he lost weight for his roles in Moneyball and The Wolf of Wall Street, but soon gained it back); but this summer, Hill seemed to be thinner than ever. Dr. Philip Goglia, who worked with the star, revealed that Hill would send him pictures of his food to prove that he was on track and eating healthy things like protein-rich salmon and eggs. Speaking of, find out the 26 Things You Need To Know Before Buying A Carton of Eggs now!

[yesterdaysdreams]

Ask a Dietitian: Why Should I Eat Seasonal? Does Eating Organic Matter?

The wise Michael Pollan once said, “Don’t eat anything your great-grandmother wouldn’t recognize as food.” While this all sounds well and good, truth is this practice can be quite hard to accomplish. Farming and agriculture practices have changed drastically in the past 100 years, bringing about both positive and negative consequences. Yes, we have greater access to food year-round, but at what cost to our health and environment? On the contrary, if we only eat seasonally might we be at risk of inadequate micronutrient intakes in the “off seasons,” when fresh produce is not available? Grab a cup of something tasty and let’s review what the research tells us.

Fact: Until about a hundred years ago, human diets were tied closely with what was in season. Depending on where you lived, acquiring a fresh tomato in the dead of winter was difficult, if not impossible. That’s not to say our ancestors didn’t adapt; for centuries, fresh produce has been stored to extend the period that food is available (canning, fermenting, etc.). Our bodies are designed to thrive on a wide variety of foods, however, when it comes to eating real food there are several nutritive benefits to trusting nature’s perfect timing.

Here are some examples:

A tomato develops over half of its lycopene concentration in the final stages of ripening.

Greater sun exposure yields higher level of antioxidants in fresh produce; when you select in-season berries, grapes, avocados, apples, greens, eggplants, etc., you’ll be majorly upping that antioxidant dose.

A study comparing in-season and out-of-season broccoli found that the out-of-season broccoli only had half the concentration of vitamin C when compared to the in-season option.

Cucumbers and summer squash (which ripen in the hot summer months) help cool the body and provide extra water and antioxidants needed to beat the heat, while winter produce like onions and kale are more calorically dense and provide a different set of phytonutrients (1).

Nutrient retention is optimized if fruits and vegetables are gently handled, exposed to proper sunlight and stored at high relative humidity. Storing in boxes and spraying with hormones just can’t mimic nature’s perfect recipe; when produce is picked prior to ripening, it is often sprayed with hormones to speed up that ripening process and produce a ripe-ish looking berry. Problem is, prior to hitting shelves, that berry is crammed into a tiny box with no exposure to sunlight, therein given no chance to ripen properly and accumulate all those tasty nutrients.

Speaking of produce hitting store shelves, how long does that process really take? According to a publication from UC Davis, in the U.S. fruits and vegetables may spend weeks (if not months) in transit before making it to the consumer. The journey starts from harvest where food spends about five days “on the road” before arriving at a distribution center. From there, transportation time from these distribution centers range from as little as a few days if going by air freight to several weeks if sent by refrigerated ship. Produce then spends 1-3 days on a shelf (if not longer) and an estimated seven days on home shelves before consumption. That’s a whole lot of time for nutrient degradation to occur in a tiny little box (cringe!). Furthermore, transporting produce sometimes requires irradiation (zapping the produce with a burst of radiation to kill germs) and preservatives (such as wax) to protect the produce (2). But what’s a gal or fella to do? I don’t know about you, but I don’t have a live-in chef. It’s just me and my brood, living paycheck to paycheck, doing our best to get a home-cooked meal on the table each night.

If the USDA recommends making half your plate fruits and vegetables, how realistic is it to fill that plate with only local, in-season selections? Enter The 100 Mile Diet. This was a project started by a couple who wanted to see if it was possible to consume only locally-produced food (defined as staying within 100 miles from Vancouver city) over the course of one year. I��d highly recommend checking out the book for yourself, but in a nutshell, the couple did achieve their goal. However, they described the time needed to acquire and prepare a nutritionally balanced, seasonal diet throughout the year as being equivalent to a part-time job. (3) Yowzas.

So here’s where I land. Yes, the undesirable storing and acquisition of an out-of-season veggie may not be the most nutritious option. However, I daresay eating an out-of-season vegetable is worse than eating no vegetable at all. But, if we’re really trying to challenge ourselves, I’d recommend trying to eat in season as much as possible. I’ve created this fancy 5-star system to simplify things:

★ – eat a vegetable

★★ – eat an organic vegetable from the “Dirty Dozen” (see link below)

★★★ – eat an organic, in-season vegetable

★★★★ – eat a local, organic, in-season vegetable

★★★★★ – GROW a local, organic, in-season vegetable

I’m totally digging (pun definitely intended) this past post on Gardening 101. If you live in the city, try planting some fresh herbs or a small pot of lettuce in your window. Investigate the community garden situation in your area—these are often free and right in your backyard. If you are able to plant a garden in your yard, give it a try and do NOT feel discouraged if your harvest isn’t plentiful the first season or two. Gardening isn’t for the faint of heart and takes patience.

Finally, try to eat sustainably, even if it’s in modifying one grocery item per week. When you select cheap produce, we do so by passing on the environmental costs of pollution and degradation to our future children, great-grandchildren and so on. Check out EWG’s list of the Dirty Dozen to know specifically which organic produce is worth the extra pennies. Avoid pesticides and wash fresh produce. While studies have not shown a direct correlation with reduced disease risk and consuming an all organic diet, by selecting organic produce when possible you will be reducing your exposure to possible disease inducing pesticides.

It’s all at your fingertips, friends, city girl or farm boy—pay no mind. All you need is some dirt, a pot, sunshine and a positive attitude. Farmers markets and CSA’s are amazing options for obtaining fresh, delicious, in-season food for your enjoyment while also supporting your local economy. These websites are great for connecting you with a local CSA or farmers market (US residents & Canada). Get out there and get your fingernails dirty! – Sarah

A note from Lindsey:

Hey everyone! In my last post on gut health, I briefly discussed the benefits of fermenting. This fall, if you’re feeling blue about the long, cold, winter months ahead with minimal access to fresh produce, take heart; fermenting vegetables is a great way to get crafty in the kitchen and prolong those summer (or fall, or winter) crops. The fermentation of vegetables (like sauerkraut and kimchi) was born of practicality—a way to preserve the harvest well into winter. But this also serves as a dual purpose of increasing beneficial bacteria, enzymes, and vitamins (4). By preparing foods traditionally, we are maximizing their nutrient density. 

Credits // Author: Sarah O’Callaghan with contributions from Lindsey Kelsey. Photography: Elsie Larson.

References: 1. Bliss, Nishanga (2012). Real Food All Year. Oakland, CA: New Harbinger Publications 2. Halweil, Brian (2004). Eat Here: Homegrown Pleasures in a Global Supermarket. W.W. Norton & Company 3. Smith, Alisa & MacKinnon, J.B. The 100 Mile Diet: A Year of Local Eating. (2007) Random House Publishers 4. McGruther, Jennifer (2014) The Nourished Kitchen: Farm-To-Table recipes for the Traditional Foods Lifestyle.

The post Ask a Dietitian: Why Should I Eat Seasonal? Does Eating Organic Matter? appeared first on A Beautiful Mess.

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[superiorfacts-blog]

There are lots of ways to lose a lot of weight fast.

Though, some of them make you unsatisfied and hungry.

Losing weight is hard—As there are a lot of ways to lose weight than simply eating better and working out, which takes lots of sweat and starvation. If you really want to enhance your chances for long-term success to adjust the performance that surroundings your meals and physical activity. These are little tricks and tips which will definitely help you to drop pounds without even trying a heavy workout. Try the following fast and easy tips to lose weight for one week and believe that these will really work.

Drink Water Before Every Meal

This would be fantastic If you may 10 to 12 glass of water that will help you to lose weight, increase your skin and make you feel more energetic. Just drinking 12 glasses of water a day, before your meals may help to reduce your weight to reap these benefits.

Enhance Your Skin: While drinking water before every feast may not be what might as well be called drinking from the wellspring of youth, it absolutely can enhance unpleasant, dry skin that is very normal this season, which can be declined by drying out. You may not feel as parched amid the icy winter a very long time as you do amid the sweltering summer ones, yet drinking water is critical regardless of what the climate.

Lose Weight: Many studies have proved that drinking water before suppers can bring about consuming fewer calories, which can at last prompt weight reduction. This is likely in light of the fact that the water gives a feeling of completion, so not as much sustenance is expected to achieve the purpose of satiety. In addition, it doesn’t hurt that picking water as your drink of decision rather than avoid calorie refreshment can spare more than 100 calories for each glass.

Energize Your Day: Research has demonstrated that even a slight lack of hydration can cause a drop in vitality levels. It bodes well as water is pivotal for almost every arrangement of your body to work legitimately. What’s more, prepare to have your mind blown. On the off chance that you are parched, you are most likely as of now somewhat got dried out. Keep this from occurring by drinking water consistently for the duration of the days a glass before every dinner is the ideal approach to remain on a vitality boosting track.

Eat Mindfully

We spend most of our time in thinking about food especially when it comes time to lose weight. There are several studies that have proved mindful eating plans always the big help in treating eating illnesses and perhaps help with weight loss.

A starter kit for mindful eating

Experts suggest starting gradually with mindful eating, eating one meal a day or a week in a slower, more attentive manner. Here are some tips that may help you get started:

Set your time to eat a normal-sized meal.

Try to use chopsticks if you do not use them.

Eat silently for five minutes.

Take small bites and chew well.

Cut Calories By Making Simple Swaps

Trying to losing weight around definitely slicing calories the sorts of sustenances you eat will just end in disappointment, so you’re in an ideal situation rolling out more sensible improvements. You don’t have to stop eating all the things you like just to lose weight. Try to eat steamed rice and grilled chicken over fried food. Moreover, you can also include vegetables to enhance the fiber and water. You must try to cut out liquid calories by ought to water or coffee in the place of high-calorie coffee drinks. Regardless of the possibility that you have a feeling that you’re making a decent showing with regards, you may be shocked at how only a couple of changes can have a major effect. You could wind up sparing yourself many calories on a nibble just by settling on some extraordinary eat. Attempt these sustenance swaps that will enable you to get in shape.

Swap so you can drop

Getting in shape isn’t as extreme as it appears. To drop a pound, you have to dispense with 3,500 calories, by consuming them off and additionally cutting them from your eating routine. Just by eating 500 fewer cal­ories every day, in principle, you will lose a pound seven days. We gathered together some simple changes you can make-pick a couple and the scale will begin to move.  What’s more, recall, while presenting a nourishment swap, give yourself an opportunity to get accustomed to it, prompts Robin Anderson, an enrolled dietitian with Revive Wellness, a coalition of wellbeing practition­ers in Edmonton. “The higher in salt, fat, and sugar a nourishment is, the more addictive it is,” she says, “so when you eat something other than what’s expected, your taste buds require time to modify.”

By trying this simple swaps in your eating habit and style you can easily lose weight.

Take Some Dark Chocolate

Dark chocolate is the best friend if you want to weight loss. There are the following benefits of eating Chocolate:

It Decreases Body Fat

On account of certain flavanols that exist in chocolate, the sweet treat has been found to enable lower to glucose and furthermore diminish muscle to fat ratio as per the American Chemical Society’s Journal of Agricultural and Food Chemistry. “Flavanols are plant-based supplements and are more common in dim chocolate than in drain chocolate,” clarifies Carrillo. Be that as it may, a lot of anything can prompt weight to pick up, so be extremely determined about part control! “Purchase separately wrapped dim chocolate pieces, and have maybe a couple as a pastry,” says Smith.

It Controls Appetite

Trust it or not, chocolate really contains a fair measure of fiber, which helps hold your hunger in line and increment sentiments of satiety. One 3.5-ounce bar of 70% dull chocolate contains around 16% of your day by day prescribed admission. Obviously, sustenances like cereal or broccoli will dependably prove to be the best with regards to fiber content. By the by, when we’re talking desserts—picking dim chocolate over nutritiously purge confections for an evening tidbit will postpone that “hangry” feeling substantially more viable.

It Reduces Stress

It’s not your creative ability: Eating little measures of chocolate consistently can enable you to unwind, as indicated by an examination distributed in the Journal of Proteome Research. Stress triggers weight pick up on the grounds that it causes your cortisol levels to spike, expanding craving and urging you to eat in view of feelings instead of physical need—both of which bring about gorging. On the off chance that you can deal with your feelings of anxiety, you can better control what you put in your mouth. Eating dull chocolate expands serotonin and endorphin levels in the mind, which mitigates sentiments of stress and nervousness and lift your inclination.

It Reduces Inflammation

At the point when your body is excited, it encounters issues at the cell level. Endless aggravation has been not just connected to coronary illness, tumor, and diabetes, yet additionally has been found to build insulin protection, and meddle with sentiments of craving and digestion controlling hormones. Crunching on dull chocolate with some restraint can help forestall and repair the cell harm caused by aggravation in light of the fact that the flavanols found in cocoa contain calming properties, as indicated by an American Journal of Clinical Nutrition examine.

Lose weight by taking the stairs.

Both strolling and climbing stairs are types of aerobic consuming activity that are successful at consuming calories. They likewise can be performed by various force, contingent upon your wellness level and the measure of calories you wish to consume. Counsel with your medicinal services supplier before starting an activity program.To achieve solid weight reduction, you’ll have to eat a very much adjusted eating routine and partake in physical activity, for example, stair climbing. As a weight-bearing activity that fabricates solid bones, stair climbing additionally adds to counteracting osteoporosis, as indicated by FamilyDoctor.org. You can climb stairs with no favor hardware at home or at work. Numerous rec centers additionally have stair climbing machines to use.Climbing stairs is a high-impact practice that likewise reinforces the muscles of your lower body. When you climb stairs, you are conflicting with gravity, which causes the muscles of your thighs, backside, and calves to work harder than they would on level ground. You will consume a larger number of calories climbing stairs than you will stroll on the grounds that it is a more enthusiastic high-impact action. For instance, a 155-pound singular consumes around 446 calories in an hour strolling upstairs. On the off chance that you have a past filled with knee wounds, counsel with your social insurance supplier before starting a stair climbing program.

Eat More

Trust it or not, a get-healthy plan that excessively limits calories will set you up for disappointment, as will a skipped feast. There is a time when cutting calories will conflict with weight reduction on the grounds that expending a couple of calories prompts expanded hunger and low satiety as your body averts starvation. You will think that its difficult to actualize you’re adhering to a good diet objectives when you’re feeling eager and disappointed. Also, you will experience the ill effects of desires, at last making, you fall into under-eating and over-eating cycles. Your body will settle on a decision: lose muscle to fat ratio or lose muscle. An insufficiently powered body will drop calorie-consuming muscle as opposed to fat. Unreasonable loss of slender bulk prompts weight reduction without change of body creation or wellbeing. This abandons you baffled and regularly fighting your weight. Ever believe that there could be a more pleasurable and effective approach to deal with your weight? and it’s straightforward: eat high-volume nourishments all the more frequent. Make an eating intend to control your calories and ensure you’re eating adjusted dinners and tidbits. A predictable eating example will control your vitality level, hunger, desires, blood glucose and insulin levels. Furthermore – eating standard dinners and bites enable you to rehearse divide control and fuel your resting digestion.

[15topwrestlers-blog]

15 Wrestlers Who Are On Top of WWE

Nutrition For Wrestlers

I am no dietitian but a dietitian is not any wrestler, nor would they know the best wrestler's food plan. It goes with out saying that a wrestler's weight loss plan is among the more essential parts in wrestling, considering how many people actually minimize weight throughout our careers.

During the final months of my aggressive profession there are solely a handful of days that I did not write down my weight each morning, what I consumed and the way a lot I worked out. By the end, I was utilizing my earlier days as a mannequin to observe two or three days earlier than a match. Albeit the craziness, the concept labored. Under, I will present you a few sample pages from my wrestler's weight loss program, but it surely's important to remember that everybody's body is different. If for some reason the wrestler's weight-reduction plan that worked for me would not for you, keep experimenting. Remember experimentation is greatest carried out within the low season.

Wrestler's Diet Generalizations

First, in any wrestler's eating regimen the drink of alternative must be water. It's one of the simplest ways to keep you hydrated. Water is just like the gasoline for our automotive, without it, we can not run. On match days we should be going from full to half a tank, not half solution to empty.

Ingesting a sports activities drink when you'll be able to is also necessary on a wrestler's weight-reduction plan. The rule of thumb is simply drink one if you labored out for over an hour. The problem is that sports activities drinks do not go through your system as shortly as water so you need to be careful with them. The only other beverage I drank was green or white tea with no components like sugar or milk. At first I used to be not an enormous fan of tea, nevertheless; gradually over time, I discovered to find it irresistible and I nonetheless drink no less than two cups of the stuff a day. Tea is high in antioxidants, and a natural diuretic which helps fluids cross by your system quicker.

A great guideline to follow is to stay hydrated so long as possible as my cutting weight post pointed out.

I wouldn't begin reducing out water until the day earlier than a weigh-in. In highschool this is very tough since weigh-ins occur nearly each other day. That is why I recommend highschool wrestlers to all the time go one weight class higher than they intend to. If extra wrestlers targeted on wrestling in high school as a substitute of what weight class, and who they must dodge, they would be much better fitted to the game in school. Plus high school students are still rising, and reducing weight impedes that course of. I made the error of sucking out too much weight on my wrestler's weight loss plan in highschool and it ruined my metabolism.

It is best to make your personal food as a lot as possible, to know precisely what you're eating. There aren't many locations where you may get a well-balanced meal, together with the marketed healthy places. Making your individual food is the smartest (and least expensive) technique to dwell when you find yourself on a wrestler's food regimen. In the event you reside on your own and have hassle in the kitchen, purchase a healthy cookbook to help you get started.

Wrestler's Weight-reduction plan Really helpful Foods

Any greens, fruit (it helps hydrate you), yogurt with dwell energetic cultures, egg whites (whole eggs are advantageous every so often), walnuts, almonds, granola, oatmeal, peanut butter and jelly on entire wheat bread, hen (baked or grilled), brown rice (not the Chinese meals kind), quinoa (one other grain), beans (if from a can rinse them off and then re-season), tuna (rinse), shrimp (not fried), and veggie burgers. Those meals mainly constituted my weight loss program through the season excluding the meals out, our group shared after sure matches.

I additionally restricted my sodium intake as much as possible by by no means including salt to anything. Stemming vegetables is one of the best ways to cook them. The principle elements to virtually all my dishes were extra virgin olive oil, onion and garlic.

Avoid all varieties of quick meals when you find yourself on a wrestler's food regimen through the season. "Food plan" stuff, like soda is just not the best option either. It's higher to drink sugar and burn it off then drink diet soda and watch TV. There are in fact, sure meals vices that all of us have. Mine was frozen yogurt, teddy grahams, fruit snacks, baked cheetos and sizzling sauce. Hot sauce was primarily the one added sodium I allowed myself to have. Do not deny your self of your food vices completely, otherwise you will go nuts. In our modern supermarkets there are various options to get your "repair." If it's cookies, you can buy 100 calorie packs of them. If it is chocolate, eat just a few blocks a day. Wrestlers burn so many energy that it isn't the end of the world in the event that they fall off their wrestler's food plan once in a while.

The top 10 feminine wrestlers of today are judged by their athleticism, their "stage" presence and their keen to be taught and progress to what the fans need to see. Wrestlers, properly if that is what you wish to name them, like Kelly Kelly and Eve Torres don't belong on a high 10 listing a wrestlers. They might be considered models, divas, and the top 10 of quick ranking boosts. Your more consistent and dependable followers choose the artwork of the entertainment over the the pillow combat matches, not because they are not all in favour of great thing about the women, however they turn on WWE and TNA for their love of wrestling leisure.

Featured first on the top 10 of feminine wrestlers of now, is WWE Diva Maryse Ouellet.

She came in as a contestant of the Diva Search WWE had to recruit stunning gifted wrestlers. Though the contest has proved to be principally a failure, it did deliver to life a couple wrestlers that took the time and effort to do greater than show their legs. Their participation in practice and training brought them to a high level. In Maryse's case, this opportunity brought her to a really high level. She has rapidly grow to be a fixture on WWE tv and has had the WWE Divas title for fairly some time. Her inexperience does show within the ring and she can be paraded in bikini matches from time to time. Maryse hits number 10 because of her persistence in changing into a respected wrestler for her capacity... and her appears.

Beth Phoenix is an excellent wrestler with great abilities. Unfortunately, the "Glamazon" gimmick that is used has taken away from her capability and has given her much less vital story traces. Beth hits quantity 9 on this record as a result of she does have the flexibility. You may expect her future in wrestling to be long and profitable.

Natalya Neidhart is quantity 8. With the suitable story strains and push from promoters, Natalya could at some point high this list. Her father was Jim "The Anvil" Neidhart and she was educated in the dungeon by the Hart Household. This means she is really powerful! Natalya additionally has a stable which refers to themselves as The Hart Dynasty which consists of Tyson Kidd and David Hart Smith. David is the son of Davey Boy Smith, Tyson Kidd is the final particular person to be trained out of the Hart dungeon. Now provided that WWE would let her wrestler extra.

Daffney might be probably the most underrated feminine wrestler on this record. She is available in at number 7 as a result of she is a great wrestler. What separates her from others is her capacity to behave as well. With an performing background, this TNA Knockout and Shimmer lady ought to have plenty of doors open for her. Daffney was as soon as Cruiser weight champion in WCW and nonetheless remains extremely athletic and hardcore.

Melina Perez takes the 6th spot. WWE Diva and very proficient wrestler. It's recognized that she was one of the quickest learners and best technical wrestlers amongst all of the Diva stars. Best Wrestlers WWE The sky is the limit for Melina and her expertise, her future tremendously is dependent upon WWE format and story strains as WWE seems to go for weight and looks over talent at times.

Our fifth ranked female wrestler of right this moment is Angelina Love, also known as Angel Williams. The Canadian magnificence largely identified for her role in TNA because the chief of the "Lovely Individuals" where she has been embarrassing wrestlers since her arrival, even taking the title from Awesome Kong. You possibly can take into account her rank a demotion considering that her matches normally embrace the help of Madison Rayne and Velvet Sky.

Tara, formerly often called Victoria, is ranked quantity 4 because of her shear energy and determination to be the most effective at what she does. She was convinced into wrestling by the former WWE famous person Chyna. Victoria has overwhelmed a few of the finest together with Lita and Velvet Sky. In July 2009 she became the TNA Knockouts champion just after a couple months of her arrival.

Gail Kim has taken feminine wrestling to new heights, which is why she lands at number 3. She is a excessive-flying athlete very like Lita, former WWE, with even a bit of more finesse. Gail has beaten nearly everyone in her path excluding Awesome Kong.

Michelle McCool hits the quantity 2 spot. Like Maryse, she was a contestant on WWE Diva Search. Although this former college trainer has the talents to prove she belongs in wrestling. Wonderful talent and an important persona, Michelle should be a fixture in wrestling for a very very long time.

Our number 1 female wrestler of right now goes to Awesome Kong, also known as Amazing Kong and Kia Stevens. She now wrestles for TNA and has had numerous expertise wrestling in Japan with different super talents there. Awesome Kong is probably the most dominant feminine wrestler of anytime. Every opponent she has confronted has been demolished. Kong has the technical skills, and she or he scares anyone who faces her. To top it off, she is not afraid to climb the highest of the ropes.

Combined Martial Artwork and Final Preventing Championships have exploded in popularity. More and more people are training for MMA and UFC tournaments. Regardless of being "combined" martial arts, there seems to be a dominate skill set inside the cage: wrestling, or ground game.

The interest of the article is to discover three potential reasons for why athletes proficient in the ground game continually excel in MMA contests, and people three are high quality of instruction, expertise developed, and the rules of the competition. These are, what I contemplate, to be the top causes wrestlers proceed to reign supreme in MMA competitors.

First, let's think about the quality of instruction. Many individuals in martial arts have incredible teachers, however one thing to contemplate is the length of time any pupil of the arts has been learning martial arts. With wrestling, it's a sport backed by many colleges, and begins as early as elementary faculty. This means there are kids studying the best way to work on the bottom without having to pay membership dues like they must do at any martial arts studio. This permits a broader base of potential fighters to draw from; not just the mother and father that can afford it.

Further, in contrast to a martial artwork studio that can continue to teach you regardless of skill so long as you pay the dues, wrestling coaches are pushed to provide results; not paychecks. This implies college students should compete for a place on the workforce which places a number of strain on wrestlers to increase their abilities. With out the power, he won't make the crew. If a wrestler stays on the workforce through school, it means he might have as many as seven years of expertise underneath his belt with one other four to 5 years in college to coach, all before getting into an MMA contest. The low value, long term, and competitive nature of instruction goes an extended technique to creating competent fighters who are most comfy on the ground.

Second, let us take a look at the skills wrestlers are taught from day one and the way it improves their fighting means. One of the most necessary fundamentals to any bodily confrontation is positioning. Take into consideration how properly you may defend your self if your opponent is standing behind you. You are not going to do too nicely with that. Wrestlers are drilled on positioning, and figuring out where the most effective place to be a selected transfer. They change into very conscious of how their opponent is maneuvering, and whether he's in good or dangerous place.

As a wrestler, if someone have been trying to set you up for a throw, you'd immediately really feel your opponent's shift in body weight, and you'd know exactly where to position yourself to neutralize his benefit. Wrestlers have an incredible working data of positioning which they can use to their advantage whereas standing, or sprawled on the bottom. This forces anybody else to work a lot tougher than they often need to, and this works in the wrestler's favor by carrying down an opponent's energy reserves.

Whereas preventing a wrestler, you possibly can "fuel out" in a short time for those who're not used to coping with someone who is snug while standing or working the ground sport. As soon as his opponent is tired, the wrestler can capitalize on this by going for the submission, or using some other strategy to end the fight. If he can seal the cope with a punch, he'll punch. No space of the battle is off limits to a wrestler, while many hanging-only fighters are uncomfortable with engaged on the bottom.

Lastly, since we're speaking the MMA arena, we've got to contemplate the nature of the foundations of the sport to totally understand the advantage wrestlers may have. Ultimately these fights are a sport. Violent they may be, however a sport they're still. Deadly strikes and crippling blows are strictly prohibited, which is definitely advisable for any sport the place the athletes anticipate to have a career. Managers wouldn't have anybody to handle if their fighters solely lasted one fight, both. Further, there is a restricted attraction to no-holds-barred combating. This was the issue UFC confronted in its inception. There was too much blood, and the final inhabitants discovered it distasteful. Only a few corporate sponsors have been keen to tie their image to such brutal entertainment.

As soon as certain guidelines had been put in place, there was a lot less blood and fewer genuine accidents. Now that the UFC was much less of a blood sport and more of a full contact contest, its recognition skyrocketed. An unintentional side-impact of those rules was giving an edge to wrestlers. Take into account the number one protective posture in ground combating; the full guard. The defender has his legs around the waist of the aggressor to forestall a full mount. In the ring the place groin assaults are prohibited, this can be a wise plan of action. Exterior the ring, however, even the least educated particular person can see why presenting your attacker with your most susceptible part would be fairly foolish.

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Top 10 Low-Carb Fall Fruits and Veggies

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Low-Carb Fall Fruits and Veggies

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Fall presents some of the best eating of the year with a variety of healthy fruits and vegetables loaded with nutrients.

But if you’re following a Paleo nutrition plan, you’re probably thinking staples of fall and winter meals, like potatoes, carrots, parsnips and squashes are too starchy to fit into your low carb diet.

Think again because there are a lot of great tasting nutritional powerhouses on the fall menu that are low on the glycemic index (GI), which will fit perfectly into your diet. Some of the lowest GI foods are those you never thought would stare you down at the end of your fork.   

Glycemic? “The glycemic index is a nutritional scale that ranks foods containing carbohydrates from 0-100 based on how much they raise blood glucose levels after eating,” says Stefanie Senior a Toronto based Registered Dietitian in private practice. “Foods with a low glycemic index (anything less than a score of 55) create a slower and steadier rise in blood sugar after eating, which helps control hunger and food cravings.”

They are the foundation of any bodybuilder’s diet plan, as sugar intake that the body does not burn as fuel, gets stored as fat.

Click through for Stefanie’s top 10 low glycemic foods to feast on this fall.

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Spaghetti Squash

Lauri Patterson/Getty Images

Squash is a starch so it has to be high on the glycemic index, right?  Not so says Stefanie. “True some squash varieties score high, like acorn squash (at 75), but spaghetti squash is very low on the glycemic index ranking only 24 out of 100. “Not only is it low in calories, but spaghetti squash is a good source of fiber which can reduce the risk of cardiovascular disease and lower blood cholesterol levels,” Stefanie adds.

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Apples

Calin Niculescu / EyeEm / Getty Images

Nothing says fall better than that first bite into a crisp apple. Yeah, it’s a fruit and yeah, many fruits are a no-go for Paleo snacking lifters, but apples are low on the glycemic index (rating of 20), are packed with fiber (20% of your total daily requirement), and tucked inside the skin are heart healthy flavonoids, a special type of antioxidant. Be adventurous this year. Go beyond the apples you grew up with like Macintosh, Delicious and Granny Smith, and try any of the new strains like Fuji, Gala, Honeycrisp and Cripps Pink.

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Pears

Like apples, pears are low on the glycemic index (rates 39), high in fiber providing 20% of your daily fiber needs and chock full of antioxidants. We all grew up eating Bartlett’s, but look for other easily available varieties like Bosc, Anjou and Asian pears.  

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Grapefruits

Surprise! You may have thought that citrus fruits are way out of bounds, assuming they are high on the glycemic index. But think again. Grapefruits clock in at rating of only 25. Since our school days, we’ve known that citrus fruits are a great source of Vitamin C, but grapefruits are also high in Vitamin A potassium (keeps blood pressure in check and builds protein) and magnesium (blood pressure stabilizer, builder of strong bones). Like most fruits, they are also high in healthy fiber. To maximize nutritional value, choose the red variety, loaded with the antioxidant lycopene (the same antioxidant in cooked tomatoes and other red produce). Lycopene has been shown to destroy free radicals in the body, which damage cells. 

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Oranges

Though higher on the glycemic index than grapefruit (at 40), they are still very low in triggering blood glucose. And like grapefruit, oranges are high in potassium and the antioxidant vitamins C and A.   

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Broccoli

This fall season veggie is a staple on a bodybuilder’s dinner plate, registering a measly 15 on the Glycemic Index, but packs a boatload of nutrients. Part of the cruciferous family of vegetables which are associated with lowering the risk of certain cancers like lung and colon cancer, broccoli is also high in fiber, high in vitamin K which strengthens bones and teeth, vitamins C, and A and Vitamin E, important for a strong immune system, and healthy skin and eyes.

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Cauliflower

Broccoli’s cool weather cruciferous cousin, cauliflower’s nutritional profile is very similar to broccoli, low on the glycemic index (10 score), and like broccoli it contains folate, a nutrient your body needs to form red blood cells, as well as manganese, a mineral that contributes to strong bones and supports sex hormone production.

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Brussels Sprouts

Yuck you say? “Maybe that’s because you’ve never tried them roasted,” suggests Stefanie. Coated in heart healthy olive oil and sprinkled with salt, after 45 minutes in the oven, Brussels sprouts become soft and chewy while the roasting brings out their natural sugars giving this low glycemic veggie (15 on the scale) an almost sweet candy taste. One cup of the sprouts will provide 195% of vitamin K, 125% of vitamin C, and 10% or more of vitamin A, folate, potassium and manganese a trace element important for bone health and prevention of osteoporosis.

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Cabbage

Cabbage is one of those vegetables that seem to be in season all year round, but like all cruciferous veggies, they ripen at the end of the summer and get a bit sweeter as the weather gets colder. Like all cruciferous vegetables, cabbage, is associated with lower risks of certain cancers. High in a of a type of flavonoid (plant nutrient) called anthocyanin, which is responsible for the deep red variety, cabbage has also been shown to reduce the inflammation that may lead to heart disease.

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Kale

kale

Are we still talking about kale? You bet, and for good reason. With an almost zero rating on the GI index, this cool season green may be the ultimate superfood: it contains 206% of our daily allowance for Vitamin; 684% for Vitamin K and 134% for Vitamin C.

There you have it. Stefanie Senior’s Top Ten Fall Foods that build your body, fuel your muscles and honor the bounty of fresh foods available during this autumn harvest season.

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from Bodybuilding Feed http://www.muscleandfitness.com/nutrition/lose-fat/top-10-low-carb-fall-fruits-and-veggies via http://www.rssmix.com/

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8 Simple Ways to Stop Impulse Buying

Surge pricing (price increases due to demand) has changed everything in the buyer-seller dynamic. Every time I use an app like Uber and see a surge price for a trip, I am much more likely to confirm a purchase before the price goes up on future rides.

While the Fear of Missing Out (FOMO) has always been an underlying force in the market, new business models that play on these fears call for a new kind of thinking about impulse buying.

Emotional Buying

Buying is emotional because people are emotional. The most rational, data-driven purchase decision is wrapped up in emotional issues like fairness, sacrifice and hope. Buying on impulse can feel empowering in the moment and devastating later.

Unrestrained impulse buying can be a serious problem, closely related to a gambling addiction. Financial controls can assist, as can dedicated groups for overcoming these impulses. If you’re searching for a group to join, try something like Smart About Money or Daily Worth.

Most people only require some tips and reminders to help assess their purchasing intent before getting in the checkout line or clicking “Buy Now!”

This compilation of personal advice on combatting impulse buying comes directly from some of the sharpest minds in the financial sector.

8 Tips to Spending Wisely in a FOMO World

Online Window Shopping

“I used to impulse buy a lot in my 20s. I loved the thrill but hated the aftertaste. Like a lot of people, I am a huge online shopper (thanks, Amazon). To help keep the impulses at bay, I will often fill my cart and get almost through the checkout process, then close the tab and move on. Sometimes I will go back, but only after I have had a cooling-off period. Ninety-nine percent of the time, I never buy what’s in the cart. For me, I have the satisfaction of shopping, without the ultimate regret.” – Krista Cavalieri, principal at Evolve Capital.

Use Cash

“We can shift ourselves from mindless spending to mindful spending. Portion out your spending money as cash every pay period. Dietitians ask their clients to use measuring cups and portion out their food because people become disconnected from what a portion size really looks like. We can also become disconnected from our money and what we’re really spending when we’re solely using credit and debit cards.” – Christine Luken, author of “Money Is Emotional.”

Stick to Your List

“Most impulse temptations come from the larger stores – like Costco and Target – where there’s an item you weren’t planning on buying. You went for other planned purchases, but there’s a deal that’s ‘just too good’ to pass by. Even if it’s a good deal and on sale, no matter what the discount is, it’s still 100% more than what you were planning to spend anyway.” – Jeremy Walter, founder of Fident Financial.

Know a Need vs. a Want

“Things I’d enjoy having – but don’t actually need – can always be bought at a later date if some extra funds (i.e., a larger-than-expected income tax refund) become available. And the savings derived from curbing impulse purchases always allowed me to regularly fund my IRA.” – Timothy Wiedman, assoc. professor of Management & Human Resources, Doane University.

Delete the Apps

“Remove shopping apps. Having easy access to your favorite stores through mobile apps is certainly convenient, but too tempting for scrolling to lead to spending. Delete them from all devices and only go to the sites when you have a planned purchase.” – Jennifer McDermott, consumer advocate, Finder.com.

Create Your Own Value Comparisons

“Set up value comparisons. Rather than falling for their comparisons, create your own comparison using things that give you pleasure. Every time you’re tempted to purchase something unnecessary, compare it to the things you really value and enjoy. Example – $50 = family movie night; $5 = double scoop ice cream.” – Pamela Yellen, author of “The Bank on Yourself Revolution.”

Shop With a Clear Mindset

“If you’re having a bad day, you might want to stay away from shopping. People who are upset tend to be more impulsive and could potentially spend more money during a retail therapy/shopping experience. Retail therapy is only temporary, and once the feeling of buying something new wears off, you’ll be upset again.” – Natasha Rachel Smith, personal finance expert at TopCashBack.

Take a Picture

“Here’s what I did to break myself from this compulsion to shop. I used my smartphone. Every time I saw something I liked, I took a picture of it. And if it was something I absolutely had to have, I would purchase it a week later. I usually found that within that week there was something else that grabbed my attention or I realized I already owned some variation of it.” – Eartha Watts-Hicks, Earthatone Enterprises.

Keep this list somewhere you can see it throughout the day. Read, recite and print out the best advice for your spending type. It will be time well spent. What are some things that you do to avoid impulse purchases? Let us know in the comments below!

The post 8 Simple Ways to Stop Impulse Buying appeared first on ZING Blog by Quicken Loans.

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An Emergency Room Designed for Older Patients

The emergency room was packed one night a couple of years ago when Marilyn Riffkin visited Holy Cross Hospital, in Silver Spring, Md., suffering from diverticulitis. She expected to wait for hours. But five minutes later, Riffkin was taken to an ER designed for non-trauma patients ages 65 and older.

SEE ALSO: 50 Ways to Cut Your Health Care Costs

Riffkin, 71, was the only patient. The nurse gave her a hot water bottle to ease the pain and hooked her up to an intravenous antibiotic. After Riffkin returned home, the ER called to see how she was doing. “They treated me like a gem,” she says.

Older adults account for 15% of all ER visits, and that share is sure to grow as the population ages. A study at one hospital found its geriatric ER reduced admissions of older persons, who federal data show are much more likely than younger patients to be admitted.

Holy Cross Hospital’s senior emergency room opened in 2009, the first of about 90 hospitals to build a geriatric ER. During a recent tour, Dr. James Del Vecchio, medical director and chairman of emergency services for Holy Cross Health, showed off the ER’s features.

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The eight treatment bays are separated by walls rather than curtains, to provide quiet and privacy. Mattresses are thick, and the phones have large numbers. The walls are painted a calming cream and soft brown—Del Vecchio says he learned the pale blue he originally wanted tends to look dirty to aging retinas.

Del Vecchio pointed to the floor, made of a non-slick wood alternative. “Hospital floors are usually white and shiny,” he says. “But shiny looks wet, and when patients think the floor is wet, they’re more likely to fall.”

SEE ALSO: How Much You’ll Pay for Health Care in Retirement

For design help, Holy Cross and other hospitals turned to the Erickson School, which offers programs in aging services at the University of Maryland, Baltimore. Using the latest research in geriatrics, Erickson focused in part on fostering communication between the staff, who are trained in geriatric care, and patients, who are often disoriented, says Judah Ronch, Erickson’s dean. The soothing environment helps reduce anxiety. “Stress can impair memory, and anything that promotes comfort improves rapport and the accuracy of information,” such as a patient remembering when she last took medication, Ronch says.

Targeting the Health Needs of Seniors

All patients are screened for cognitive impairment and abuse. They’re also tested for fall risk: Broken bones or a poor gait could be signs of an undiagnosed physical condition or obstacles at home. And if someone is taking many medications, the hospital pharmacist will check for harmful interactions.

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Del Vecchio recalls one female patient whose daughter was about to place her mother in a nursing home because she was always groggy. The ER ruled out a stroke and sepsis when the pharmacist found the woman’s physician had increased a medication for nerve pain. The hospital cut back the dosage. “The great news was that she woke up,” Del Vecchio says, though her pain notched up a bit.

The medical staff recognizes that older patients often show different symptoms than younger patients for the same disease. For example, a person older than age 80 who is having a heart attack may not have chest pains but instead appear weak or fatigued. “Ill-defined symptoms could represent a more serious issue,” says Del Vecchio.

Over the years, Holy Cross’s geriatric ER has reduced the number of older patients who return within 72 hours. Del Vecchio says a big reason is the discharge process. Marcy Smith, the ER’s geriatric social worker, calls each patient the day after discharge to make sure prescriptions have been filled and an appointment with a doctor scheduled. If not, Smith will arrange to have the medication delivered or call the doctor herself.

SEE ALSO: 10 Things You Must Know About Medicare

Smith will also coordinate home care, the delivery of supplies to the patient or admission to a nursing facility. And for patients who have fallen at home, Smith may call on an expert to check for loose extension cords or other hazards. “We can set up whatever services that are appropriate, even before they are out of the ER,” Smith says.

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Acute Care Units for Seniors

Here’s a sobering statistic: One-third to one-half of patients older than age 70 who land in the hospital with an acute illness or injury leave more disabled than when they arrived. This is true even if they recover from the medical condition that sent them there, research shows. Many patients who may have been independent before will need help with walking, dressing and other activities when they go home.

Older patients are less likely than younger ones to bounce back from a stint in the hospital, in part because they may suffer from several chronic conditions. To help prevent the functional decline of geriatric patients, between 100 and 200 hospitals nationwide have opened Acute Care for Elders (ACE) units.

The ACE unit at the University of Alabama at Birmingham’s hospital is typical. Patients are treated by an interdisciplinary team that includes a geriatrician, nurse, social worker, dietitian, physical therapist, pharmacist and psychologist.

All new patients are tested for physical function and cognitive impairment. Even a mild cognition issue can lead to confusion and agitation after the addition of new medications, interrupted sleep, poor eating habits and days in bed. The delirium that may follow can result in permanent decline, says Dr. Kellie Flood, a geriatrician who directed the establishment of the 26-bed ACE unit at UAB in 2008.

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SEE ALSO: 5 Ways to Save on Prescriptions

At UAB’s unit, all the rooms are private, promoting a peaceful environment. The staff monitors medications for debilitating interactions. Patients who are able eat their meals in a chair, not in bed. Volunteers help with range-of-motion exercises. A “move and groove” music program, as well as card games and Sudoku, keep patients physically and mentally active.

Patients also do a lot of walking. “If a person was walking before coming in, the patient needs to be walking as much as possible in the hospital,” says Flood, director of clinical programs of the UAB’s Division of Gerontology, Geriatrics and Palliative Care.

A 2010 study found that patients who stayed in the Birmingham hospital’s ACE unit had lower 30-day readmission rates than older patients treated in the hospital’s regular acute-care unit. A study of another hospital’s ACE unit showed that its patients had shorter hospital stays than other older patients.

SEE ALSO: 11 Common Medicare Mistakes