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Taking the Confusion out of Food Label Reading

When choosing food to consume as a family, we all value fresh and wholesome nutrition, but food marketing often results in packaging which can be intentionally or unintentionally misleading.  Labels are intended to draw your attention to a product, so it can take some added effort to figure out what the true nutritional value is.

Below are some tips we find helpful to guide food choices that are healthy, safe foods for your kids & family!

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Parents: How to set the emotional tone

It’s easy to understand why we feel distressed when our child is upset: we want desperately to help, we wish the situation were different, or neither we nor our child is in an ideal position to cope with the emotions at hand. Sometimes, we find our pulses racing, our emotions churning, and our voices raising when our children are not exactly in control. 

Children benefit from being shown another option during moments of dysregulation.  This is called setting the emotional tone.  

In order for your child to get from enraged to a mindset of protesting and problem solving, a few things have to happen, but overall, you are creating a space where they can begin to mirror your volume, language, behavior, attitude, and body language to reset. 

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Family Meditation

Have you tried Meditating with your child?
Research says, give it a go!

Some of the benefits include:

  • Teaches them how to take full, controlled breaths.
  • Promotes calmness and relaxation.
  • Improves their focus and attention span.
  • Enhances self-awareness.
  • Improves mood and energy level.
  • Promotes mental clarity.
  • Provides a positive experience for parent and child.

Why not give it a try? Check out our previous post on Meditation to help get you and your family started!  

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Teen Nutrition: Potassium

🍌🍑🥦 Teen Nutrition Talk 🍅🥔🍠🌱

Why is Potassium so important?

Potassium is crucial for the function of several vital organs including the heart & kidneys. Potassium also plays a role in nerve transmission a process which occurs throughout the body consisting of a stimulation and a reaction.

How much Potassium is recommended per day for Teens?

  • Boys – 3,000 mg
  • Girls – 2,300 mg

Did you know there are many more plant- based sources of Potassium than just a banana? Here are some great sources of Potassium to include in your Teens meals!

  1. Fruit & Dried Fruit: Apricots, prunes, raisins, oranges & bananas
  2. Vegetables: acorn squash, potatoes, spinach, tomatoes & broccoli
  3. Beans & Legumes: Lentils, kidney beans, soybeans & nuts

Does your Teen like any of these foods?

Which items do you think you can add more of?

Source: https://ods.od.nih.gov/factsheets/Potassium-Consumer/

Teen Nutrition: Vitamin C

Teen Nutrition Talk 
🍓🍊🍋🥭🥝🥦🥔🥬

Vitamin C has so many important roles in the human body!

  1. Antioxidant: Protects against free radical cell damage
  2. Wound healing: Makes the protein collagen wound repair
  3. Boosts Immune Function
  4. Increases absorption of plant-based iron

Daily Recommended Amount

  • Teen Boys: 75mg
  • Teen Girls: 65mg 

Great Food Sources to Provide Vitamin C for your Teen!

  1. Citrus Fruits: oranges, grapefruit
  2. Other Fruits: kiwi, mango, strawberries, cantaloupe,
  3. Vegetables: red & green bell peppers, tomatoes, green leafy vegetables, broccoli
  4. Beverages Fortified with Vitamin C- Check the nutrition panel to make sure Vitamin C was added!

Don’t Forget- Prolonged cooking and storage often decreases Vitamin C content. Eat these items raw, microwave or steam to receive the most Vitamin C! 

https://ods.od.nih.gov/factsheets/VitaminC-Consumer/

 

Meditation, getting started

Meditation. 

We all know we should do it. 

But why? 

And how do we get started? 

There are endless health benefits associated with regular meditation. 

Below are just a few great ones!

 

Meditation can reduce stress, control anxiety, improve emotional health, enhance self-awareness, lengthen attention span, reduce age-related memory loss, help cultivate gratitude, improve mood, help release attachments and/or addictions and more. 

 

How to get started: 

  • Location is important- find a safe quiet space.
  • Start in a comfortable seated posture with legs crossed or straight out in front of you. 
  • It may help to sit on top of a cushion or yoga block. 
  • Align your posture by sitting up, allow your shoulders to roll back and down, slight tuck of the chin to align the cervical spine, and close your eyes. 
  • Place both hands to your belly to draw awareness to the breath. 
  • Taking deep inhales though the nose, feel the belly rise and deep exhales from the mouth, feel the belly fall. 
  • Continue even inhales to even exhales. 
  • Focus on the breath: the sound and the sensation. 
  • LET GO OF ALL EXPECTATIONS. 
  • There is no wrong way of meditating. 

Consistency is key! 

Start with 5 minutes per day. Same time of the day is helpful.

 

~Namaste~

Teen Nutrition: Zinc

Todays Teen Nutrition Talk 🤩🌱🧠💪

Is your child between the ages of 13 and 19 years old?
If you answered YES, this post is for YOU!

Zinc is one of the top 10 essential nutrients for teens! 

Zinc is necessary for proper growth & organ development. 
Zinc is also critical for optimal immune function.

Recommended Amounts 
Teen Boys- 11mg daily 
Teen Girls- 9mg daily

Include more of these Zinc-Hearty Sources in your teens diet to ensure recommended amounts are reached.

  1. BEANS & LEGUMES: baked beans (2.9mg per serving), chickpeas (1.3mg per serving), kidney beans (0.9mg per serving), peas (0.5mg per serving)
  2. NUTS & SEEDS: pumpkin seeds (2.2mg per serving), cashews (1.6mg per serving), almonds (0.9mg per serving)
  3. WHOLE GRAINS: oatmeal (1.1mg per serving)
  4. FORTIFIED BREAKFAST CEREALS
  5. SEAFOOD- oysters provide the greatest amount of zinc (74mg per serving). Crab (6.5mg per serving) and lobster (3.4mg per serving) are also good sources of zinc. https://ods.od.nih.gov/factsheets/Zinc-Consumer/#h3
This is the second post in our series on the Top 10 Nutrients for Teens. You can read the first post here.
If you would like to learn more about our services or have a family meal plan created with you and your children in mind, contact our team at fitness@retreatpvb.com!

Top 10 Nutrients for Teens

Lets talk Teen Nutrition 🍎🥦

This essential period of growth requires key nutrients for your child to reach their optimal status of mental and physical functioning!  

Do you know the top 10 Nutrients for Teens?!

In no specific order…

  1. Calcium
  2. Iron
  3. Zinc
  4. Vitamin D
  5. Potassium
  6. Vitamin C
  7. Fiber
  8. Protein
  9. Carbohydrates
  10. Unsaturated Fat

Nutrition is important during adolescence for growth and development! 🥑🍒🌱

Follow along as we discuss each of these important nutrients for adolescents!

Starting off with Calcium

Teens need Calcium for bone growth & development!🦴

Here are some AWESOME plant-based calcium sources to ensure your teen is getting enough🥬 🥜🥛🥗

  • -SEEDS: sesame, celery & chia seeds (also provide omega 3 fatty acids which help reduce inflammation)
  • -BEANS: most beans have some calcium! Beans providing the most calcium include wing beans (24% of RDI) & white beans (13% of RDI). (Beans & lentils are also high in fiber, protein & provide iron, zinc, potassium, magnesium & folate).
  • -ALMONDS: provide 8% of calcium RDI. (Also provide protein, fiber, vitamin E, magnesium, manganese & omega 3 fatty acids).
  • -DARK GREEN LEAFY VEGGIES: Broccoli, kale, spinach, collard greens & rhubarb
  • -FORTIFIED FOODS: (this just means processed foods, in which calcium has been added). This includes breads, tortilla, crackers & cereals. Make sure to read the nutrition panel & ingredients list! These products may be high in sugars, oils & preservatives.
  • -SOY & EDAMAME: Tofu provides 86% of calcium RDI & Edamame provides 10% of calcium RDI. (These are also high in protein and folate).
  • -FORTIFIED DRINKS: Non- dairy milk such as almond or soy milk. Soy milk usually provides the greatest amount of calcium at 30% of RDI. Also, fortified orange juice can provide up to 50% of calcium RDI.
  • -FIGS: Provide 5% of calcium RDI. (Also high in fiber, antioxidants, potassium & vitamin K). 

https://youngwomenshealth.org/2013/10/17/calcium/

*RDI is the Recommended Daily Intake

What’s the difference? Physician Assistant vs Nurse Practitioner

Health care delivery has undergone significant changes in the last few decades. The need for cost-effective care skyrocketed along with the number of people living with chronic illness demanding access to care. At times it has been said that individuals trained as a Nurse Practitioner or a Physician Assistant are interchangeable as medical providers. While many hospital systems may hire Nurse Practitioners or Physician Assistants to fill similar roles, the training and licensure of each program prepares the clinician to practice in a different way. 

The Physician Assistant profession was created in the mid 1960’s to meet the growing demand for access to health care, specifically access to primary care providers. Duke University Medical Center offered the first official program training individuals to provide medical care as a Physician Assistant based on the “fast track” programming for individuals trained to provide medical care during World War II.

Nursing pioneers were up to similar work across the country in Colorado, as the first Nurse Practitioner program was developed in 1965 at The University of Colorado to meet the growing demand for primary care providers in that region of the country. Many of the early Nurse Practitioner’s were trained in certificate programs through hospital systems and universities before formal Master’s Programs were developed.

The foundational training of a Registered Nurse, including hours of clinical experience, sets the Nurse Practitioner apart from the track Physician Assistants take.

The primary differences in training for a Physician Assistant and a Nurse Practitioner is found within the names of each. A Physician Assistant is trained similarly to a physician, under the medical model after completing the following requirements:

  • Bachelors Degree (GPA above 3.0)
  • Program Pre-requisite courses 
  • GRE or MCAT (program specific)
  • 1 year clinical experience in a healthcare setting.

Once admitted, PA programs focus on a comprehensive general medical education in addition to the clinical experiences. Most PA programs are over 100 credit hours completed in 2 years. The different Master of Health Sciences curriculums provides PA students with depth of knowledge in the basic medical sciences and clinical medicine, as well as skills in administration and research.

PA programs today are Master’s level programs with both didactic and clinical experiences that prepare individuals to take the Physician Assistant National Certification Exam or “PANCE” exam, achieving the certification designation of PA-C and opportunity to move on to state licensure. PA Certifications in subspecialty areas are available including in Mental Health/Psychiatry, this is achieved by completing the PA Certificate of Added Qualifications (PA-CAQ) clinical experience and passing the exam.

What is important to remember is that both PA and APRN programs support clinical care that is evidence based and held to standards at the state licensure and national certification levels.

Nurse Practitioners are first and foremost nurses. They are trained in the nursing model to practice the art and science that is nursing. They are licensed to practice as an RN prior to continuing their education in Nursing to become an Advanced Practice Registered Nurse (APRN). Graduate level nursing programs require the following:

  • Bachelor of Science in Nursing (BSN) from an accredited program (GPA 3.0-4.0)
  • RN license in good standing with the state
  • GRE entrance exam 
  • 1-2 years Nursing Experience (programs vary)

Nurse Practitioners are trained at Master’s or Doctoral levels (depending on the program or specialty) as well as must sit for their specialty’s board certification exam and meet the licensure requirements for their state. Nurse Practitioner’s can sit for the American Academy of Nurse Practitioners Certification Board (AANPCB) or the American Nurses Credentialing Center (ANCC) exam. Master of Science in Nursing programs can be completed in 18 months while Doctor of Nursing Programs and PhD Nursing programs are completed between 3 – 5 years depending on full or part time course work. These advanced nursing programs range from 70 – 100 credit hours. 

The Doctor of Nursing Practice is a Clinical Degree that prepares the Advance Practice Nurse to translate research evidence into nursing practice, understand and contribute to healthcare policy (including budgets, financial management, leadership theory), as well as cultivating practice expertise in their specialty. APRNs are independent licensed providers and required to sit for board certification in their specialty.

The role of the nurse practitioner can differ somewhat depending on the state in which the APRN is practicing. Certain states allow work to be completely independent, whereas others require them to work in a collaborative agreement with a Physician. The State of Florida requires APRN’s to practice with a collaborative agreement and general supervision from a physician or dentist. Nurse Practitioners are independent prescribers for non-controlled substances, after 2 years of practice experience in the State of FL APRN’s are eligible for their DEA License and prescriptive rights for both controlled and non-controlled substances.

 

Elizabeth Winings, DNP, APRN, PMHNP-BC

At the Retreat PVB we have Elizabeth Winings, DNP, APRN as our Director of Nursing. She is ANCC board certified as a Family Psychiatric Mental Health Nurse Practitioner. After completing her Bachelors of Science in Nursing at The University of Florida in 2011 and a 1-year surgical nurse residency program through the VA Hospital in Gainesville, FL she transitioned to community based care as an emergency room nurse for 2 years. These experiences inspired her to pursue advanced training in mental health and nutrition. She completed her Masters of Science in Nursing at the University of Florida in 2013 and began practicing as a Psychiatric Nurse Practitioner in Jacksonville in the spring of 2014, initially at The UF Health Department of Psychiatry in their outpatient adult, child and adolescent clinic. She transitioned to join the team at Nemours Specialty Clinic in the fall of 2015 where she was able further specialize in the care of children and adolescents in the outpatient setting as well as on the inpatient Behavioral Health Unit at Wolfson Children’s Hospital. While working as a Nurse Practitioner, Dr. Winings continued her education as well as specialized in Plant Based Nutrition through Cornell University and completed a 300 hour internship in Lifestyle Medicine at The True North Health Center in Santa Rosa, CA. She completed her Doctor of Nursing Practice through UF in 2016. Dr. Winings grew up in Jacksonville and is honored to bring her passion for nursing, wellness, and mental health to the community of Ponte Vedra Beach and surrounding areas. Come experience the personalized care of a Nurse Practitioner at The Retreat at Ponte Vedra Beach!

Psychiatric Direct Care Membership

We are so thankful for our clients and excited to offer Direct Psychiatric Care Membership Plans in 2019! Each plan outlined below is a different RPVB monthly membership option covering the costs Psychiatric of care at The Retreat at Ponte Vedra Beach. You can read more about the details of each plan as well as contact our office if you are interested in learning more!

1. Point of Care

Personalized psychiatric care in an inviting and comfortable environment is available right here in Ponte Vedra.  At The Retreat at PVB, psychiatric medication management services are accessible and affordable without compromising quality of care.  Medications recommendations and management is combined with supportive care, careful measurement of response, and consideration of alternative and integrative therapies.

What is the cost?  $147.00 per month

What is included?

  • 1-2 visits monthly.
  • Visits will last 15 to 30 minutes.  
  • Family support, coordination with other providers, discounted admission to Retreat sponsored events
  • You will receive a 50% discount on fitness and educational services (excludes personal fitness, individual academic coaching) in 2019!

How do I know if Point of Care is right for me?  You have been treatment responsive in the past. You are new to treatment and this frequency of care has been advised by your provider. You are in already in psychotherapy therapy with your own therapist or counselor for regularly recurring (not open ended) visits. You are not currently in therapy but are willing and able to begin counseling/therapy, if it is recommended as part of your treatment plan.

2. Enhanced Psychopharmacology

Medication management plays a role in treatment and recovery of many psychiatric and emotional conditions.  Evidence-based interventions are employed along with measurements to follow response to remission. We are committed to helping you feel confident that the medication you are taking is making a difference.  

What is the cost?  $297.00 per month

What is included?

  • 2 visits monthly.
  • Visits will last 30 to 45 minutes.  
  • Priority scheduling for early morning and afternoons.
  • Family support, coordination with other providers, discounted admission to Retreat sponsored events
  • You will receive a 50% discount on fitness and educational services (excludes personal fitness, individual academic coaching) in 2019!

How do I know if Enhanced Psychopharmacology is right for me?  You have complex or treatment refractory conditions or a preference for longer visits. You will benefit from additional supportive and brief Cognitive-Behavioral Therapy interventions.  You may or may not also be involved in therapy with a psychologist, counselor, or therapist outside RPVB.

3. Wellcare Advantage Counseling

Set your goals for wellness and chart your course with the support and strategies for success.  Discover the barriers to making the changes you desire. Find the motivation to achieve your vision of thriving.  Take a deep dive into the psychological factors impacting your Wellness goals. Attain the practical advice for your diet, exercise plan, and decisions making to surpass your expectations.  

What is the cost?  $497.00 per month

What is included?

  • 3 visits monthly.
  • The first visit of the month with last 60 minutes and include goal setting and planning.  The second 2 visits are 30 minutes and will examine progress and barriers and set short term goals.
  • Family support, coordination with other providers, discounted admission to Retreat sponsored events
  • You will receive a 50% discount on fitness and educational services (excludes personal fitness, individual academic coaching) in 2019!

How do I know if Wellcare Advantage Counseling is right for me?  You are looking for combination of positive psychology and wellness care.  You are interested in making some changes to your lifestyle. You want support setting and reaching goals related to diet, exercise, and health-seeking behaviors. You do not require management of medications.  

4. Comprehensive Psychiatric Care with Psychotherapy

The Retreat at PVB was founded with the determination to provide a level psychiatric of care that has nearly been eliminated by managed care.  We are dedicated to spending our time in the service of our patient. We are committed to a model of prevention and respect for the multidimensional factors leading to issues that bring people through our doors.  Optimal results cannot be obtained without consideration of normal development, relationships, past experiences and insight into the how, the why, and the now. When indicated, medication management should enhance the process of growth or recovery in therapy.  

What is the cost?  $997.00 per month

What is included?

  • 4 visits monthly.
  • Visits will last 60 minutes.  
  • Priority scheduling for early morning and afternoons.
  • Family support, coordination with other providers, discounted admission to Retreat sponsored events
  • You will receive a 50% discount on fitness and educational services (excludes personal fitness, individual academic coaching) in 2019!

How do I know if Comprehensive Psychiatric care with Psychotherapy is right for me?  You are curious about your internal life and you are looking for insight and answers to help you live a more peaceful or content life. You will benefit from Psychodynamic Psychotherapy or Cognitive-Behavioral Therapy and are ready to commit to regular sessions.  You may or may not be taking or considering taking psychiatric medications or alternative. You are not currently involved in therapy with a psychologist, counselor, or therapist outside RPVB, unless specialty referral is necessary.

5. *ADD ON* Concierge Care to Comprehensive Psychiatric Care with Psychotherapy

The addition of Concierge Level Care is available at the RPVB.  Weekday appointments though regularly scheduled with be adjusted to accommodate your schedule, including evening and weekends.  You will have access by email and phone to your doctor as questions or concerns arise. Coordination of subspecialist care will be completed by your doctor, as indicated.  You will receive expert psychopharmacology informed by psychological formulation, which will incorporate parents and family, in the case of children in care.

What is the cost?  $1197.00 (an addition of $200 per month)

What is included?

  • 4+ visits monthly.
  • Visits will last 60 minutes, family consultation and coordination up to 1 hour a month.  
  • Family support and feedback, comprehensive coordination of care with other provider
  • Priority scheduling for early morning and afternoons.
  • Admission for you and a guest to Retreat PVB sponsored events.
  • You may attend unlimited group fitness classes and educational services at the Retreat (excludes personal fitness, individual academic coaching) for a nominal charge ($10.00 a month) in 2019!  

How do I know if Comprehensive Psychiatric care with Psychotherapy Plus is right for me?  You are curious about your internal life and you are looking for insight and answers to help you live a more peaceful or content life. You will benefit from Psychodynamic Psychotherapy or Cognitive-Behavioral Therapy and are ready to commit to regular sessions.  You may or may not be taking or considering taking psychiatric medications or alternative. You are not currently involved in therapy with a psychologist, counselor, or therapist outside RPVB, unless specialty referral is necessary. You have a demanding schedule and require your provider to adapt to your schedule.  You prefer significant amount of family involvement and feedback. You benefit from time over the phone or by email with your provider.

 

2019 Direct Care Membership Plans