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PBS's 'This Emotional Life': The Hospital Menu in the Modern Age

Posted: 07/25/10 08:00 AM ET

Thomas Edison wrote: "The doctor of the future will give no medicine but will interest his patients in the care of the human frame, in diet and in the cause and prevention of disease."

Medical technology has made dramatic leaps in the past 150 years. From the invention of the X-ray and the introduction of vaccines to the mind-blowing capabilities of high-tech 64 slice CT scanners that allow physicians to view the inner workings of the human form, the ways in which we practice medicine today seem light years ahead of our predecessors. And yet, oddly, one aspect of the hospital stay has remained surprisingly constant -- the menu.

Until recently, that is. Today's hospitals are learning how important a tool the menu can be when it comes to promoting healing, increasing nutritional awareness and improving their patients' emotional well-being. The twenty-first century has brought with it new ideas and sound philosophies relating to the bond between what we eat and how we feel, and nowhere is that link more dramatically felt than when one is forced to dine from a hospital bed. In the past the focus of hospital food was primarily somatic, although the lackluster fare did not always provide the much-needed healthy boost of vitamins and minerals. Today's hospitals have come to recognize not only the value of well prepared, fresh food in bolstering the immune system, but the benefits choice can have on a patient's psychological outlook during trying times. Food, it seems, is powerful medicine not only for the body, but also for the mind.

Since study after study continues to stress the influence proper nutrition has on rates of healing and overall health, many of today's hospitals have begun to address the tired stereotype befitting Jell-O cubes and ice chips, striving instead to serve fare that is both varied and enjoyable. In doing so, both patients and hospitals benefit. By allowing patients to choose their meals, they are given a degree of control over their situations, albeit small, which can go a long way toward reducing the stress of waiting for test results, exams or procedures.

Over time, it has become clear that the old methods of serving patients are no longer a match for the needs of the modern hospital or those it serves. Since the average age of the hospital patient continues to rise as Baby Boomers find themselves entering their sixties and demanding a standard of quality that they have grown to expect, many hospital administrators have opted to outsource food services in an effort to provide patients with quality meals that are prepared without taxing the hospital infrastructure itself.

Today, nearly 20 percent of American hospitals employ food service outsourcing in one form or another, and the trend is on the rise. By doing so, hospitals are able to focus solely on the task of ministering to patients, freeing up staff members who once doubled as waiters and providing patients with food prepared by culinary experts who take pride in conjuring up a variety of nutritious dishes guaranteed to surprise if not delight the most curmudgeonly gourmand. This not only increases efficiency, it results in improved service, better food, greater selection and higher patient satisfaction. To keep up with the modern patient's need to be pampered, many outsourcing companies have even begun to offer room service dining, which is in many ways similar to a hotel experience. When hungry, patients simply place an order with the kitchen, and their request is brought up in a timely fashion after having been vetted by the hospital dietitian. Food is freshly prepared and the menus are extensive.

Whether outsourced or not, many modern hospitals have committed to improving the quality and scope of their menus in an effort to capitalize on the link between healthy eating and psychological well-being. With greater variety comes better nutrition, as patients are not only eating healthier food free of excess sugars, starches and preservatives, they are eating more of it. The concept of food as preventive medicine has resulted in some leading hospitals offering primarily organic and chemical free food, including hormone free milk, antibiotic free chicken and beef and locally grown fruits and vegetables.

This stands as an excellent example of the way in which hospitals are beginning to regard education as a key factor in the continued health of their patients. Most American hospitals employ registered dietitians to ensure that patients eat healthy, well-balanced meals during their stay and receive the necessary education to continue such patterns at home. In this way, hospitals can do their part to proactively treat patients before they become sick as a result of obesity or lack of nutrition.

Understanding the full impact of a proper diet is no easy task for anyone, hospital patient or not. Modern times can often blur the lines between healthy or unhealthy, too thin or too heavy, without even addressing nutrition. Whether the focus is on obesity-associated morbidity or orthorexia nervosa (an antiphrastic oxymoron which is used to describe an unhealthy obsession with eating healthy), a hospital stay can help patients recalibrate their eating habits and promote greater combined mental and physical health in the future.

If you or a loved one find yourself in a hospital for any length of time, consider using your stay to familiarize yourself with the basics of nutritional healing and overall healthy eating. This will help you not only during your visit, but as you return to your regular lifestyle.

Get to Know Your Dietitian. Dietitians create menus that meet healthy eating guidelines set by the American Dietetic Association, as well as satisfying regional tastes (foods that are familiar to a large immigrant community, for example) and addressing specific patient related health needs such as those exhibited by diabetics, breast-feeding moms, wheat-allergy sufferers, etc. Your hospital dietitian will gladly provide advice and information on ways to improve your dining habits and cooking preparation, taking into account any health-related issues.

Shop Around. If you are not in the hospital as a result of an emergency situation, take a few minutes to find out what each of your neighboring hospitals have to offer in the way of dietary education, menu preparation, and room service dining. While medical expertise should always be the primary concern, you might be surprised at the quality of food service now being offered by medical centers in your area.

Use Your Down Time. While no one ever wants to be in a hospital, the periods of waiting between tests or while healing do provide many people with the opportunity to think about their health and reflect on ways to improve their quality of life once they are discharged. Ask questions and use the experts around you. By thinking long-term, you may be surprised to see just how easy it is to adopt healthier patterns once you are back to your normal routine.

By bringing the menu into the twenty-first century, today's hospitals hope to educate their patients in the ways in which proper nutrition can bolster not only the body, but the mind and spirit as well. As always, the evolution of medicine continues to take its cue from Hippocrates, who must have thought holistically when he said, "Let food be thy medicine and medicine be thy food."

This Emotional Life is a two-year campaign to foster awareness, connections and solutions around emotional wellness. Join our community at www.pbs.org/thisemotionallife.

Hospital Food

 
Thomas Edison wrote: "The doctor of the future will give no medicine but will interest his patients in the care of the human frame, in diet and in the cause and prevention of disease." Medical tech...
Thomas Edison wrote: "The doctor of the future will give no medicine but will interest his patients in the care of the human frame, in diet and in the cause and prevention of disease." Medical tech...
 
 
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yogajan
Well behaved women rarely make history
01:13 AM on 07/29/2010
The issue is one of economics (always look for a financial motive). Food services in hospitals, with the exception of the cafeteria, are not revenue generators. The costs of meals is bundled in the room fee and not directly reimbursed by insurance companies. It is simply cheaper to buy a gallon of slice peaches in high fructose syrup, than to buy fresh peaches and have someone clean and prepare them.

While this is a fact of life, several things can be done. Keep pressure on the hospital administration to provide better food, ask to see the head of dietary and complain, send letters to the board of trustees. If all else fails, have your family bring in food with the receipt on how much it cost and ask to have that amount deducted from your hospital bill.

BTW, doctors study biochemistry and understand the importance of nutrition, but Big Pharm is more influential in promoting drugs to counter the effects of poor nutrition.

Always follow the money.
01:27 PM on 07/28/2010
When I was hospitalized for an appendectomy recently I would NOT eat the food until the doctor said I couldn't go home unless I showed that I was able to eat.
How I wish I would have thought to have my husband bring me meals!!! DANG I ate that crap!
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Ljilja
http://graciouslivingdaybyday.com/
11:31 AM on 07/28/2010
After a breast cancer diagnosis, I had to have a number of surgeries, and spent quiet a bit of time in the hospital.

The food was horrible. Not only was it junk food - completely disgusting and without nutritional value, but it did nothing to promote healing. How counterproductive to spend so much money on trying to make people better just to give them food that goes counter to that very aim!

My family brought me food from home. They made nutritious broths, delicately cooked fish, seasonal fruits and vegetables. When I ate it, I felt that I was getting better.

http://graciouslivingdaybyday.com/
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CristineN
08:47 AM on 07/28/2010
Expecting a hospital to serve healing foods is like expecting a car dealership to sell bicycles. They are a "For Profit" business -profit from treating illness not healing or prevention. Did you see Jaimie Oliver try to bring the hospital on board with his get healthy/fight obesity program? If there was no media presence they would not have met him!
02:05 PM on 07/28/2010
But the people who run hospitals largely go into it because they are more interested in the doing good, believe it or not, than making huge dollars. And the leadership of most hospitals, nonprofit or for profit (which is a tax-status, of course), actually do care about healing and prevention. Because although repeat customers can be profitable, depending on their insurance and dxes, families and staff don't like it.

Jamie Oliver is a hero, and will do whatever it takes to create change in schools. Not many schools, before pediatric obesity became a national concern, involved kids in gardens or tried to put more vegetables on plates. But media attention has helped them, and so has Mrs. Obama.

No reason we can't do the same for hospitals. I think we can. I think most people expect hospitals to do good, and food is a first step in that direction.

http://drjohnlapuma.com
http://ChefMD.com
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lostfan13
02:23 AM on 07/28/2010
Not only is the food terrible, but it's sold at a huge markup as well.
04:18 PM on 07/27/2010
Well done. I have only had one adult hospitalization and the food was shockingly poor. Fortunately my wife had all of my meals brought in and the only thing I had from the hospital was coffee.

There is market for out catering of local restaurants and just better and more organic food in general in hospitals.
11:16 AM on 07/27/2010
My sister (who is a vegetarian) had to be hospitalized for the last trimester of her pregnancy and was on strict bed rest and could only get up to use the restroom. She told the hospital she was vegetarian and the only things they would bring her were cheese pizza, lasagne, and cottage cheese and peaches. We requested better food with no results so we just told them to cease meals entirely and we bought in food for her every day- all three meals.My dad was later hospitalized for six months and we went through the same thing only since he is not a vegetarian it was even worse. How is someone who is supposed to be recovering from an illness going to get better eating processed breads and canned fruit and baloney? In each instance the staff laughed at us for even suggesting a relationship between nutrition and health.
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Iwpach
What did I step in this time?
04:15 PM on 07/26/2010
First thing they can do is take High Fructose Corn Syrup off the menu.
04:19 PM on 07/27/2010
Agreed. If America really cares about health put cigarettes on the back burner and ban high fructose corn syrup in food.
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Sheldon101
sheldon101blog.blogspot.com Wakefield transcripts
02:57 PM on 07/26/2010
Patients who don't eat and drink enough can get into real trouble. That happened to my elderly mother who got badly dehydrated. The staff who remove food trays should be required to note down if the food and drinks are barely touched.
02:39 PM on 07/26/2010
Some hospitals, thankfully, have edible food, especially in the cafeteria. I seem to recall Baptist Hospital in South Miami, FL, has decent food, and those visiting patients at the facility get a token discount for their meal purchases. Not a bad deal.
12:54 PM on 07/26/2010
My daughter, who's a nutrition nut, has been on hospital bed rest for her pregnancy in Germany for the past eight weeks and has been served some of the worst food imaginable. I flew over to keep her company and to smuggle in good food from the outside, including vegetables, which would be maddeningly absent from her plate otherwise. Dinner is always -- no lie -- a slice of thin brown bread, two slices of Swiss cheese or some kind of baloney plus a few radishes and pickles. Patients get the same food no matter what their reason for being there, and even if they're pregnant and need extra nutrition. Fortunately, she'll be out in 10 days and can regain control over her diet.
11:03 AM on 07/26/2010
It's this easy - serve food that keeps you sick so they (hospitals and doctors) stay in business. If I ever have to go into the hospital, I will have my husband bring me my food.
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08:52 AM on 07/26/2010
I (thankfully and knock on wood) have not spent time in a hospital in many years, but I think this is a prime example of just how far out of touch doctors are from nutrition. It only makes sense that the quality of the food we put into our bodies will have an effect on our health. Be it in a matter of months in the form of weight gain or loss, energy levels, sleep quality etc...or over a span of years in the form of cancer heart disease, diabetes etc. You wouldn't put Pepsi in your cars gas tank and expect it to run properly, why should our bodies be any different?
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Kim Stagliano
Author All I Can Handle I'm No Mother Teresa A Lif
09:44 AM on 07/26/2010
Doctors who won't hesitate to put a young child in Risperdal or Abilify will laugh in the face of a Mom who askes if removing dairy from the diet might help behavior or asthma. There's a real derision regarding using food for health. When my FIL had cancer his docs at Dana Farber told him,"eat anything you want!" while he was in chemo - in other words, he wasn't in hospice and at the end of care.
01:10 PM on 07/26/2010
Kim,

I completely agree with you regarding the "derision" often associated with asking a modern day doctor about food as a potential remedy for a health ailment. It is interesting that the first medical doctors took exactly the opposite approach. Although I admire all the advanced medical breakthroughs, I think the medical establishment needs to get back to basics.

Hippocrates (who was born in 460 BC and is credited with the Hippocratic Oath and is considered the father of modern medicine) is famous for saying, "Let food be thy medicine and let thy medicine be food."

I wrote an article about this: http://reverse-diabetes-naturally.blogspot.com/2010/07/food-is-medicine-for-diabetic.html

Maxine Fox
http://reverse-diabetes-naturally.blogspot.com/
11:21 AM on 07/27/2010
Same thing- my dad had half his intestines removed due in part to having a terrible diet and they fed him more of the garbage that got him there in the first place the whole time he was there and told him to eat "whatever" after he left. I asked his doctor wouldnt it be better if he ate fresh fruits and veggies, less processed foods and limit meat and dairy and his reponse exactly was this "Sure, but that's not realistic so I don't waste time telling people things they're not gonna do anyways. Just take Metamucil."
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Kim Stagliano
Author All I Can Handle I'm No Mother Teresa A Lif
08:07 AM on 07/26/2010
Hospitals lop off breasts and send women home in 48 hours to save a few shekels. You expect them to buy organic food from Balducci's? I recall when my daughter was in a Children's hospital. I told the staff she is on a gluten and casein free diet. The had no idea what I meant. "No wheat. No Dairy." They brought her Cheerios and coffee creamer for breakfast. Most doctors/hospitals know the least about healthy eating. If only they could turn all food into a Willy Wonka-like pill, they'd be in their comfort zone.
12:46 PM on 07/26/2010
I understand the point you are making, but as a breast cancer survivor I find your first sentence sickening. My life saving procedure doesn't exist for you to make a point about food and diet. I hope your daughter is doing well.
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Kim Stagliano
Author All I Can Handle I'm No Mother Teresa A Lif
08:55 PM on 07/26/2010
You're right, Lisbeth. I apologize. It was a crass way of saying hospitals do not put patients first. I dropped flowers off to a friend tonight - tomorrow is her surgical biopsy. I apologize.

Kim
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Cherie King
01:23 AM on 07/26/2010
few hospitals spend the money and time to improve food. my boss from more than 10 years go told me people went to the hospital in York, ME for the food, for some reason it was so great.