News for and about BWFH Staff and Employees I go the extra mile to make sure The Butterfl y Project patients and families understand how to takes fl ight at BWFH arrive at their destination. Ceci Moreno, A symbol of peace and tranquility,y, INFORMATION DESK RECEPTIONIST the butterfl y has come to representent the transition taking place at the eendnd ooff life on 6 South. During her preceptorship, Lindseyy Mc- Dermott, RN, fi rst became familiarar withwith the Butterfl y Project. As a Unit Councilouncil member on 6 South, along with TTracyracy Soon aafterfter the project began, a post- Healy, RN, she presented the ideaa to the implementation survesurveyy revealed that 93 team at Brigham and Women’s Faulkneraulkner ppercentercent ooff resrespondersponders ffeltelt that the pprojectroject Hospital. “I just thought it was really nice had a positive impact on end of life care because the kitchen staff knew, families and families. The staff on 6 South now knew, social work, everybody knew,” says hopes to collaborate with the Nursing McDermott. Practice Committee and Unit Councils to facilitate implementation on other inpa- That’s how I show I CARE. The aim of the project is to enhance tient fl oors. patient and family centered care for those nearing the end of life. When the patient Supported by evidence-based research, or family decides to stop invasive treat- the Butterfl y Project was accepted as a ments like labs and vital signs and focus poster presentation at the Horizons 2014 on comfort measures only, a butterfl y is Critical Care Symposium this spring, placed outside of the patient’s door. “It’s where it won Best Poster. Another framed a non-verbal communication to the staff educational poster hangs in the hallway of up here to go the extra mile for the family, 6 South to inform visitors and remind staff or check in on them, make sure there’s a of the butterfl y’s signifi cance. recliner at night, make sure the patient is comfortable,” says McDermott. Healy says, “Every role, no matter what you have on our fl oor, participates somehow in end of life care.” Whether it’s obtaining bereavement cards, providing comfort measures or just being respectful of grieving family members, the butterfl y is a quiet reminder of the transition taking place. Tracy Healy, RN Lindsey McDermott, RN C.ommunicate A.ppearance R.espect E.xtend BWFH Pulse 1 The Nutrition Clinic at BWFH helps diabetics live healthier lives Living with diabetes can be a challenge. Patients often feel like high-carbohydrate foods. Oliveira’s cooking class addresses they are restricted from eating the foods they love. But Nancy these issues. She helps patients learn how to use their favorite Oliveira, MS, RD, LDN, in the Nutrition Clinic at Brigham and ingredients in healthful nutrient-packed recipes that have less Women’s Faulkner Hospital, in partnership with Brigham and salt and fat. Women’s Family Care Associates, is working to make the task of controlling blood sugar seem less daunting. The diabetes Latino cooking class features nutrition education, a cooking demonstration and a tasting. The recipes she makes in- Oliveira offers both nutrition classes and cooking classes in Eng- clude Fiesta Bean and Quinoa Salad (a play on classic beans and lish and Spanish to those living with prediabetes and diabetes, rice), Meatball Rice Soup (which meets the whole plate model their families and anyone else looking to lose weight and live with its lean protein, high-fi ber carbohydrate and abundance of a heart healthy lifestyle. She stresses this nutrition information non-starchy vegetables) and Chocolate Banana “Ice Cream” (a applies to those who do and do not have diabetes. It’s a healthy cool treat that’s sure to satisfy any sweet tooth). In her recipes, way of eating that will benefi t those who want to lose weight, Oliveira uses low-sodium broth for soups and fl avors with herbs those with heart disease and more. and spices rather than salt. She says, “Use more herbs, more fresh ingredients and maybe just a pinch of salt.” In fact, the use When facing diabetes, many patients fear having to cut out of your favorite herbs and spices can help make any healthy meal sugar, carbohydrates and starches completely. But “it’s not just taste more like the comfort food you crave. about cutting out sugar,” says Oliveira. It’s about portion control and a balanced plate. The balanced plate model recommends Whether you have prediabetes or diabetes, you want to lose you fi ll one-quarter of your plate with lean protein like chicken weight or you simply want to live a heart healthy lifestyle, the Nu- or fi sh, one-quarter with a high-fi ber carbohydrate like brown trition Clinic at BWFH has advice and cooking tips that can help rice, whole wheat pasta, quinoa or whole wheat cous cous and you to eat well without feeling deprived of your favorite foods. one-half with non-starchy vegetables like broccoli, spinach, kale or asparagus. To stay up to date on the Nutrition Clinic’s cooking classes and other events, check BWFH’s Facebook page or call the Nutrition In her nutrition classes, Oliveira focuses on the balanced plate Clinic at 617-983-4455 to be added to their email list. and reviews different types of foods and how they can affect *Source: http://www.diabetes.org/in-my-community/awareness-programs/ blood sugar levels. She also gives tips on what to look for on latino-programs/ food labels and why portion size matters. Finally, she suggests healthy snacks that will keep you satisfi ed without causing a spike in blood sugar. She says, “Try to avoid eating just bread or crackers alone. Always try to have it with something.” She has a simple formula for snacks that makes it easy: carbohydrate + fi ber + protein. Some options include a slice of whole wheat bread with two slices of turkey, a whole grain English muffi n with one tablespoon of peanut butter or a small piece of fruit with 20 almonds. According to the American Diabetes Association, “Diabetes is an urgent health problem in the Latino community. Their rates of diabetes are almost double those of non-Latino whites.”*This may be attributed to the fact that Latino recipes often include Students learn about the balanced plate model in registered dietitian beans, rice, fried meats, plantains, tortillas and other starchy Nancy Oliveira’s diabetes nutrition class. Published by Marketing and Public Affairs 617-983-7565 / [email protected] We welcome your feedback and suggestions for future issues. 2 BWFH Pulse Build a relationship with your primary care provider at BWFH Your primary care provider is your fi rst con- and social workers who do short-term psy- gaging people in the importance of their tact for all matters related to your health. chotherapy and fi nd community resources healthcare. Every touch you have with the Regardless of age, your relationship with for patients. With all that available in one patient can make a difference and it adds your primary care provider is important. A practice, patients can get complete care, to the relationship,” he says. primary care provider can treat temporary reducing the need for visits to urgent care ills and ailments and also help you live centers and the ED. All of the primary care providers at BWFH a healthy lifestyle to prevent illness and agree, when you’re not feeling well or catch a budding health issue before it In his West Roxbury offi ce, Dr. John Lewis have a question about your health, your becomes a serious problem. at Brigham and Women’s Faulkner Com- fi rst call should be to your primary care munity Physicians is able to build relation- provider. Available for both annual exams At Brigham and Women’s Faulkner Hos- ships with his patients who sometimes and same-day appointments for urgent pital, primary care providers are available even walk in while out running errands in care, your primary care provider can help on-site and in the community. Within the the neighborhood. “Being in the commu- you feel better today and stay healthy for hospital you will fi nd Brigham and Wom- nity, we have families. The parents come tomorrow. en’s Family Care Associates and Brigham and then the kids start coming,” he says. and Women’s Primary Physicians. With That relationship with patients is the heart As of May 2014, all doctors in the Brigham offi ces in West Roxbury and Hyde Park, of the practice. and Women’s Family Care Associates Brigham and Women’s Faulkner Commu- nity Physicians provide care to those who prefer not to travel to the hospital. “I think medicine is all about relationships. Relationships Dr. Roy Welker at Brigham and Women’s between you and your patients, your staff and your patients Primary Physicians fi nds having his practice and you and your staff. Once you get those relationships within BWFH very helpful for both staff down, medicine is easy after that,” SAYS DR. LEWIS. and patients. “It’s great for me because when I see someone I can literally give them anything they want within these four walls,” says Dr. Welker. With so many Their position in the community helps group and Brigham and Women’s Faulkner services available within the hospital, or- Brigham and Women’s Faulkner Com- Community Physicians group are accept- dering tests and procedures is simplifi ed, munity Physicians build relationships with ing new patients. Several doctors in the and the patients can get all of their care patients, but it’s also benefi cial to be part Brigham and Women’s Primary Physicians in the same place rather than traveling to of the larger BWFH system.