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Nurses and CNAs on all shifts will need to be comfortable with the basics of a gluten-free diet.
An icon (similar to fluid restrictions and fall risks) can be used to identify residents who cannot have gluten-containing food, medications, or communion. Ask your dietitian to give clinical and food service staff a review of celiac disease and gluten-free diets. In this issue: The 2016 Leaders of Tomorrow Awards, managing disruptive visitors, grannycam policies and more.
Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. The last time you were in the grocery store or a health food mart did you notice the aisles filled with gluten-free foods? Celiac disease, also called celiac sprue, gluten-sensitive enteropathy, gluten intolerance, and non-topical sprue, is an autoimmune disorder that is passed down genetically.  It affects affect both adults and children.
While most people with celiac disease have a variety of symptoms, some have no symptoms at all. The only treatment option for those with celiac disease is to completely eliminate gluten from their diet. There is some debate regarding whether oats need to be completely eliminated from the diet in people with celiac disease. People who follow a gluten-free diet can consume starches including: corn, rice, potato, beans, quinoa, millet, buckwheat, arrowroot, and nut flours. With an increased awareness of celiac disease, manufacturers are now providing gluten-free versions of many foods including pasta, pizza, cookies etc. On the other hand, there is one advantage to following a gluten-free diet: Individuals who follow a gluten-free diet are less likely to consume processed foods since many processed foods contain gluten. Over the past decade, going gluten-free has been touted as a way to boost health and energy, lose weight, cope better with ADHD, autism, headaches, and help with other health conditions. In reality, there’s nothing inherently healthier about a gluten-free diet, especially pre-packaged “gluten-free” products, processed with extra additives such as sugar and fat to improve palatability.
Experts now believe that celiac disease represents just one extreme of a broad spectrum of gluten intolerance that includes millions of people with less severe – but nevertheless symptomatic – reactions to the protein. We believe that after five consecutive weeks at GreenLite, you will feel more empowered and in control of your weight. The main issue with following the gluten-free diet is that you cannot always tell if particular food contains gluten or not. Natural gluten-free foods are eggs, meats, fish and fowl, most dairy products, unprocessed beans, nuts, seeds, fruits and veggies as well. A bigger challenge is to avoid wheat products as they are commonly sold by many different names.
To makes things easier it’s a good idea to remember that you shouldn’t eat following products unless they are made with soy, rice or corn: candies, cakes, pies, breads, cookies and crackers, French fries, sauces, pastas, processed meats, chips, seasoned snacks and soups. Another important thing is that some medications and vitamins consist of gluten as well so remember to always check the information about the composition of your drugs and supplements before you put them into your mouth. Some products are labeled with “may contain gluten” disclaimer, what actually means that you should avoid them as they are probably contaminated with the protein. The reason is so called cross-contamination that can occur during the manufacturing process. Now you know the basics of the gluten-free diet and you will be probably interested in some diet plans. Subscribe to our social channels so you can keep up with all fresh news and tips from this weight loss blog.
Unlike a peanut allergy, where casual skin contact can be deadly, gluten in personal care soaps and lotions generally is not a concern unless the resident has behaviors that will cause problems—for example, eating bubbles and tasting lotions. CareOne, LLC, a skilled nursing and assisted living company, recently trained its staff in gluten-free diets in all of its 70 facilities. Such identification is particularly useful for those who cannot self-advocate and for others at risk for ingesting personal hygiene products.
Most professional organizations have recognized the knowledge deficit and have continuing education programs available.
This is an opportunity to make sure other allergens, such as latex and fish, are properly noted by other departments besides nursing and dietary, including housekeeping (for latex) and the pharmacy (for fish as found in the Omega-3 supplement). When a person with celiac disease eats foods containing gluten (don’t worry we’ll explain what gluten is later on) their body responds with a strong an immune response that causes damage to the small intestine.

Symptoms in adults can include: change in appetite, weight loss, stomach cramping, fatigue, muscle cramping, pain in your bones and joints, abnormal stools, or weakness.
The first is a blood test that checks for the presence of certain auto-antibodies in the blood. The effects of a gluten-free diet are seen almost immediately with symptoms resolving within a few days.
It is important to pay attention to ingredients that are derived from gluten as well including malt, modified food starch and bran. While there is no question that people with celiac disease should follow a gluten-free diet, eliminating any type of food from your diet comes with some risks and thus it may not be a good idea if you don’t have celiac disease. Yeah, it’s a stretch but we’re trying to stay positive.  Also remember, you don’t have to go gluten-free to keep your diet healthy.  Keep it well balanced with fruits, vegetables, lean proteins and whole grains! A rough estimate is that as many as 10% have a related condition known as non-celiac gluten intolerance, or gluten sensitivity. While it is true that wheat flour is a source of carbohydrates, gluten-free foods often contain additional ingredients that are just as high, if not higher in carbohydrates than wheat flour, such as rice flour or potato flour.
Even if you avoid all gluten-containing grains and products made of them, you’ll have to check labels carefully to avoid hidden sources of gluten, as it’s often found where you least expect it (i.e.
Similar to what happens with other processed foods, manufacturers add extra sugar, fat and salt, and remove the fiber to simulate the texture and satisfying fluffiness that gluten imparts, creating an unhealthy product.
Select more fruits, vegetables, dairy products, eggs, lean meats, and naturally gluten-free WHOLE grains like brown rice and quinoa. If you are not feeling the program is working for you, just let us know within 30 days and we will refund your initial visit. For the best WordPress experience, please update your browser or learn how to browse happy! The concept of gluten-free diet is simply to exclude the protein what is useful to treat celiac disease.
There are many people that are just oversensitive to gluten, so going gluten-free diet may benefit them with feeling better and living healthier. If you feel frustrated with the gluten-free restrictions, try to think positively and focus on what you already achieved and the products you can eat. You can find foods that are naturally gluten-free, those that consist of gluten and those that used to contain gluten but are also available in the gluten-free form. However, you must be aware that some of them are also sold mixed with gluten-containing grains.
These are barley, rye, wheat and triticale – which is actually the cross between the last two. If you suffer from celiac disease, even just a traces of gluten can influence your digestive system, what may end up with diarrhea or other health issues.
Some food producers use the same equipment for different products so all of their foods can contain a traces of gluten even if some are basically gluten-free. Appropriate snacks to manage low blood sugars will have to be available—graham crackers are off limits. She writes and speaks nationally on managing allergy and intolerance diets in institutional settings. In addition, celiac disease can manifest itself as Dermatitis Herpetiformis, itchy blisters most commonly found on the face, elbows, buttock, knees and ankles (you would know if you had these). Auto-antibodies are antibodies that attack your body’s own tissues as opposed to normally functioning antibodies which attack foreign substances in the body like viruses and bacteria. After a few weeks on a gluten-free diet the small intestine will heal and begin to function normally. The easiest way to remember which grains contain gluten is the acronym BROW: barley, rye, oats and wheat. However, since there is no way to determine if someone will be able to tolerate oats, and oats are frequently cross-contaminated with gluten, it is best for people with celiac disease to avoid oats.
A gluten free diet does allow for plenty of unprocessed foods including meat, fish, fruit, eggs, and vegetables. Many people following a gluten-free diet turn to gluten-free processed items to fill in their cravings for bread, pasta and cookies. Gluten, a protein in wheat, rye and barley, shows up in bread and pasta, but may also hide in many other foods, such as cold cuts, salad dressings, beer, and even licorice. Since gluten is a large, hard-to-digest protein, it’s possible that there may be some kind of gluten intolerance in all of us.

If the test comes back negative, try a gluten-free diet for a week to see if you feel better. Another potential pitfall is that many gluten-free products contain lower amounts of essential nutrients and can cause deficiencies in Iron, Vitamin B9 (folic acid), Vitamin B12, Vitamin D, Magnesium and fiber. As you can see, there are a number of whole food, low carb, gluten-free options and the diet prescribed is not too far off from what we recommend here at GreenLite Medicine. Eating only gluten-free products prevents some serious complications and helps control the symptoms. However, the symptoms are sometimes not noticeable which is dangerous as celiac disease is associated with higher risk of heart issues and cancer.
But with time you will probably notice that there are many gluten-free products available on the market and you know a plenty of delicious gluten-free recipes.
A lot of them, like a gluten-free bread or pasta are commonly available in regular grocery stores. Unfortunately, barley is what malt is made of, which means you should choose alcohol drinks very carefully. But before you get angry with the producers, you must know that the problem can also occur at your home. Being able to accommodate residents and their guests provides goodwill and positive public relations.
Although gluten-free foods have vastly improved in taste and texture, there are differences between these items and their traditional wheat-based counterparts. If cognitive decline prevents the resident from being able to retain diet information, it is our responsibility to provide quality gluten-free products to maximize acceptance. In addition to celiac disease, non-celiac gluten intolerance is now being recognized and some people are choosing a wheat-free diet as a lifestyle choice. In children, common symptoms include: projectile vomiting, stunted growth, and behavior changes in older children.
The auto-antibodies we look for in celiac disease include immunoglobulin A (IgA), anti-tissue transglutaminase antibodies (tTGA) or anti-endomysium antibodies (EMA). Gluten-free products are typically lower in fiber, B Vitamins, calcium, Vitamin D, zinc, iron, and magnesium when compared with products containing gluten. What’s more, many foods you already buy are gluten-free and many are easy to find in gluten-free form. In the diet you can include products like buckwheat, arrowroot, amaranth, flax, rice, soy or corn. But don’t worry, there are gluten-free beers, wines and even vodka available on the market so you can party like everyone else.
It takes some time and experience to learn all the names of the products you need to avoid. The good example is using a common toaster for both gluten-free and regular bread or preparing foods on common surfaces. There are gluten-free substitutes and your activity aides can find them when the need arises.
Support groups may be available in your area to assist in identifying local resources for good-tasting food. Depending on the result of your blood work, a biopsy of the small intestine may be done to confirm the diagnosis of celiac disease. Switching from whole wheat bread or cereal to products made with rice or potato flour can lead to a lack in fiber intake, causing constipation. Untreated, the inflammation gradually damages the intestines and hampers the absorption of vitamins and minerals and can lead to malnutrition and weight loss. In honor of National Celiac Disease Awareness Month it only seems appropriate to learn a little about celiac disease and the role of gluten-free foods, since approximately 1 in 133 Americans are affected by celiac disease. Finally, if the biopsy suggests the presence of celiac disease, improvement of your symptoms while adhering to a gluten-free diet would help confirm the diagnosis. In addition, many gluten-free items are higher in fat than their non-gluten-free counterparts including sweets like cookies, cakes and crackers. A strict gluten-free diet is the only treatment for celiac disease, to control symptoms and prevent complications.

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