The Pulse is a weekly segment where we sit down with OAHS staff members to learn more about the latest local healthcare news and some of the wonderful things they do on a daily basis. This week we sat down with OAHS Health Coach, Sara Tollakson, to learn more about her role as a health coach and the services she and her team provide.

Oftentimes, people are looking for fast, easy and good-tasting foods to fit a busy lifestyle. Whether it’s carry-out, food court, office cafeteria or sit-down restaurant, there are smart choices everywhere. Here are 30 tips to help

you eat healthy when eating out.

1. Think ahead and plan where you will eat. Consider what meal options are available. Look for restaurants or carry-out with a wide range of menu items.
2. Take time to look over the menu and make careful selections. Some restaurant menus may have a special section for “healthier” choices.
3. Read restaurant menus carefully for clues to fat and calorie content. Menu terms that can mean less fat and calories: baked, braised, broiled, grilled, poached, roasted, steamed.
4. Menu terms that can mean more fat and calories: batter-fried, pan-fried, buttered, creamed, crispy, breaded. Choose these foods only occasionally and in small portions.
5. Order the regular or child-size portion. Mega-sized servings are probably more than you need. For a lighter meal, order an appetizer in place of a main course.
6. It’s OK to make special requests, just keep them simple. For example, ask for a baked potato or side salad in place of French fries; no mayonnaise or bacon on your sandwich; sauces served on the side.
7. Hunger can drive you to eat too much bread before your meal arrives. Hold the bread or chips until your meal is served. Out of sight, out of mind.
8. Think about your food choices for the entire day. If you’re planning a special restaurant meal in the evening, have a light breakfast and lunch.
9. Limit the amount of alcohol you drink. No more than one drink for women and two for men. Alcohol tends to increase your appetite and provides calories without any nutrients.
10. Tempted by sweet, creamy desserts? Order one dessert with enough forks for everyone at the table to have a bite.
11. Split your order. Share an extra large sandwich or main course with a friend or take half home for another meal.
12. Boost the nutrition in all types of sandwiches by adding tomato, lettuce, peppers or other vegetables.
13. A baked potato offers more fiber, fewer calories and less fat than fries if you skip the sour cream and butter. Top your potato with broccoli and a sprinkle of cheese or salsa.
14. At the sandwich shop, choose lean beef, ham, turkey or chicken on whole grain bread. Ask for mustard, ketchup, salsa or lowfat spreads. And, don’t forget the veggies.
15. In place of fries or chips, choose a side salad, fruit or baked potato. Or, share a regular order of fries with a friend.
16. Enjoy ethnic foods such as Chinese stirfry, vegetable-stuffed pita or Mexican fajitas. Go easy on the sour cream, cheese and guacamole.
17. At the salad bar, pile on the dark leafy greens, carrots, peppers and other fresh vegetables. Lighten up on mayonnaise-based salads and high-fat toppings. Enjoy fresh fruit as your dessert.
18. Eat your lower-calorie food first. Soup or salad is a good choice. Follow up with a light main course.
19. Ask for sauces, dressings and toppings to be served “on the side.” Then you control how much you eat.
20. Pass up all-you-can-eat specials, buffets and unlimited salad bars if you tend to eat too much.
21. If you do choose the buffet, fill up on salads and vegetables first. Take no more than two trips and use the small plate that holds less food.
22. Load up your pizza with vegetable toppings. If you add meat, make it lean ham, Canadian bacon, chicken or shrimp.
23. Look for a sandwich wrap in a soft tortilla. Fillings such as rice mixed with seafood, chicken, or grilled vegetables are usually lower in fat and calories.
24. Build a better breakfast sandwich: replace bacon or sausage with Canadian bacon or ham and order your sandwich on a whole grain English muffin or bagel.
25. Be size-wise about muffins, bagels, croissants and biscuits. A jumbo muffin has more than twice the fat and calories of the regular size.
26. Try a smoothie made with juice, fruit and yogurt for a light lunch or snack.
27. Refrigerate carry-out or leftovers if the food won’t be eaten right away. Toss foods kept at room temperature for more than two hours.
28. Grabbing dinner at the supermarket deli? Select rotisserie chicken, salad-in-a-bag and freshly baked bread. Or, try sliced lean roast beef, onion rolls, potato salad and fresh fruit.
29. Always eating on the go? Tuck portable, nonperishable foods in your purse, tote, briefcase or backpack for an on-the-run meal. Some suggestions are peanut butter and crackers, granola bars, a piece of fresh fruit, trail mix, single serve packages of whole grain cereal or crackers.
30. For desk-top dining, keep single-serve packages of crackers, fruit, peanut butter, soup, or tuna in your desk for a quick lunch.

Amanda Berckes, MS, RD, LN
Registered Dietitian
Ortonville Area Health Services
(320) 487-4385
www.oahs.us

Authored by Academy of Nutrition and Dietetics staff registered dietitian nutritionists. 
Source: Finding Your Way to a Healthier You, U.S. Department of Health and Human Services, U. S. Department of Agriculture.

Are you interested in exploring a career in healthcare?

Through a joint effort with the Office of Rural Health and Primary Care, MN Department of Health and OAHS, we are accepting applications for the summer internship program. This Summer Health Care Intern Program (SHCIP) allows students to gain valuable experience in a health care setting and encourages students to explore health care careers.

Applicants must meet the following criteria:

• High School students who will be entering their senior year in the fall of 2019, or are 2019 high school graduates; or
• Post-secondary students who are enrolled in (and not graduating this school year) a Minnesota 2-year or 4-year health care degree-granting educational program; or are a resident of Minnesota enrolled in (but not graduating this school year) an out-of-state two-year or four-year health care degree-granting educational program.

For consideration, students must submit the following by March 27, 2019:

• Completed OAHS application
• Letter of intent including answers to the following questions: 1) Why are you applying for this internship? 2) What do you hope to get out of this internship? 3) What are your long-term goals? 4) What do you hope to observe, learn, and spend time doing?
• One letter of reference

Applications should be submitted to:

Ortonville Area Health Services
Attn: HR Office
450 Eastvold Ave, Ortonville, MN 56278

Applications are available at www.oahs.us/careers.
Phone: 320-839-4125
Email: hr@oahs.us
OAHS is an EOE

Did you know that only 1 in 10 adults meet the federal fruit or vegetable recommendations?

Federal guidelines recommend that adults eat at least 1½ to 2 cups per day of fruit and 2 to 3 cups per day of vegetables as part of a healthy eating pattern. Yet in 2015, only 9% of U.S. adults met the intake recommendations for vegetables and 12% of adults met the recommendations for fruit.  These numbers were even lower in Minnesota – only 8.1% of MN adults met the recommendations for vegetables and 11.6% met the recommendations for fruit.

Here are some tips to increase vegetable intake:

• Buy fresh vegetables in season. They cost less and are likely to be at their peak flavor.
• Stock up on frozen vegetables for quick and easy cooking in the microwave.
• Buy vegetables that are easy to prepare. Pick up pre-washed bags of salad greens and add baby carrots or grape tomatoes for a salad in minutes. Buy packages of veggies such as baby carrots or celery sticks for quick snacks.
• Use a microwave to quickly “zap” vegetables. White or sweet potatoes can be baked quickly this way.
• Vary your veggie choices to keep meals interesting.
• Buy canned vegetables labeled “reduced sodium,” “low sodium,” or “no salt added.”
• Keep a bowl of cut-up vegetables in a see-through container in the refrigerator. Carrot and celery sticks are traditional, but consider red or green pepper strips, broccoli florets, or cucumber slices.

At meals:

• Plan some meals around a vegetable main dish, such as a vegetable stir-fry or soup. Then add other foods to complement it.
• Try a main dish salad for lunch. Go light on the salad dressing.
• Include a green salad with your dinner every night.
• Shred carrots or zucchini into meatloaf, casseroles, quick breads, and muffins.
• Include chopped vegetables in pasta sauce or lasagna.
• Order a veggie pizza with toppings like mushrooms, green peppers, and onions, and ask for extra veggies.
• Use pureed, cooked vegetables such as squash to thicken stews, soups and gravies. These add flavor, nutrients, and texture.
• Grill vegetable kabobs as part of a barbecue meal. Try tomatoes, mushrooms, green peppers, and onions.

https://www.cdc.gov/mmwr/volumes/66/wr/mm6645a1.htm?s_cid=mm6645a1_w

https://www.choosemyplate.gov/vegetables-tips

Amanda Berckes, MS, RD, LN
Registered Dietitian
Ortonville Area Health Services
(320) 487-4385
www.oahs.us

Effective January 1, 2019, the Urinalysis test is being removed from the OAHS Direct Access Testing menu in order to assure that the most appropriate and timely follow-up for a possible urinary tract infection can be completed.   The health of our patients is our priority.  Individuals who are under age 18  can have a urinalysis performed during a provider visit.

Adults 18 years and older can have a urinalysis performed during a nurse visit.  Provider and Nurse visits can be scheduled by calling 320-839-6157.