Stuffed Cabbage Rolls

Stuffed Cabbage Rolls

This twist on a classic favorite is versatile and can be adapted based on the ingredients you have available.

Ingredients:

1 large head of cabbage
1 pound lean ground beef, pork, poultry (uncooked)
1 can (15 ounces) tomato sauce, divided (see Notes)
1 cup cooked brown rice (see Notes)
1 cup chopped onion
½ cup chopped bell pepper
¾ teaspoon garlic powder
½ teaspoon basil
½ teaspoon oregano
¼ to ½ teaspoon paprika or cayenne pepper
¼ teaspoon salt
¼ teaspoon black pepper
¼ cup chopped parsley, dill or cilantro (optional)

Directions:

  1. Wash hands with soap and water.
  2. Rinse fresh vegetables under running water before preparing.
  3. Preheat oven to 350 degrees F.
  4. Use these steps to remove 12 cabbage leaves from the head:
    • Trim off the bottom of the cabbage and carefully remove the core with a sharp knife.
    • Place cabbage, core-side down, in a deep microwave-safe dish along with one inch of water.
    • Microwave on HIGH for 10 minutes.
    • Carefully remove cabbage from the microwave.
    • Let cool until safe to handle.
    • Pull leaves from the outside of the cabbage and set aside. Return to the microwave for 2 to 3 minutes, if needed, to remove enough leaves.
  5. Spread ½ cup tomato sauce on the bottom of a 9×12-inch baking dish.
  6. In a large bowl, mix together the beef, rice, ½ cup tomato sauce, onion, bell pepper, garlic powder, basil, oregano, paprika, salt and black pepper.
  7. Put about ¼ cup meat mixture in the middle of a cabbage leaf near the core end. Roll the bottom edge of the cabbage over the meat, then fold each side into the middle and continue rolling tightly. Place the roll seam side down in the baking dish. Repeat with remaining leaves and filling.
  8. Pour the remaining tomato sauce over the rolls.
  9. Cover the dish tightly with a lid or foil and bake for 1 hour. The cabbage leaves should be tender and the inside temperature at least 160 degrees F on a food thermometer.
  10. Spoon a little sauce from the bottom of the dish over a serving cabbage rolls and top with chopped parsley, if desired.
  11. Refrigerate leftovers within 2 hours.

Notes:

  • Use any cooked beans or grains in the filling, such as white beans and barley.
  • For a flavorful tomato sauce, add 1 teaspoon sugar and ¼ teaspoon each cumin and coriander before dividing. You can also make a sauce with chopped vegetables such as carrots and zucchini.
  • Use the remaining cabbage for a salad, soup or stir-fry.
  • No microwave? You can soften the cabbage leaves other ways:
    • Place the trimmed and cored cabbage in a deep pot. Cover with boiling water and simmer for about 4 minutes. Remove leaves with tongs as they soften.
    • Place the trimmed and cored cabbage in the freezer. Defrost cabbage in the refrigerator. The leaves will peel off easily.

From FoodHero.org

Death Doula: A Compassionate Companion Through The End-of-Life Journey

Death Doula: A Compassionate Companion Through The End-of-Life Journey

We each deserve to spend the last months, weeks, days, and hours of our lives in an environment that makes us feel empowered, human, and whole. But doing so requires frank conversations about death, which many of us struggle to have, even with ourselves. According to a 2018 national survey by the Conversation Project, only 32% of people have discussed their wishes for end-of-life care, even though 92% believe it’s important to have those discussions.

When we do manage to have those discussions, the systems around death and dying are complex and often exhausting to navigate, meaning many people who are terminally ill or dying end up with unmet needs, even when their support system is doing everything they can. 

Those situations are where a death doula—also called an end-of-life doula—can be helpful to have.

What is a death doula?

A death doula is a companion and guide through the end-of-life process. Their primary client is the dying person, though they also work with other members of the family, community, or care teams. Many death doulas take on small caseloads, allowing them to meet with clients more often and for longer sessions than care providers with intense caseloads or family caregivers with multiple responsibilities may be able to.

Death doulas provide six areas of support:

  • Presence: Acting as a nurturing, calming companion.
  • Emotional support: Being there for patients to talk to, being the person who doesn’t shy away from talking about death.
  • Information sharing. Educating on relevant topics as needed.
  • Proactive guidance. Anticipating patient needs and planning accordingly.
  • Resources connection: Referring out to appropriate providers and community resources.
  • Comfort measures: Using non-medical means to ease physical discomfort. 
  • Logistical support: Including household help, coordinating community care, etc. 

Why might you work with a death doula?

Since wants and needs at the end of our life are as unique as each of us, there are many reasons why you might engage a death doula. Common ones include:

  • You want the assistance of a compassionate guide when having those difficult conversations about death and end-of-life planning with yourself, or with someone else.
  • You’re unsure how to start planning your end-of-life care and want help navigating the process. 
  • You have a limited support system and want a companion through your final months, weeks, or days. 
  • You want more companionship, emotional support, comfort measures, or logistical support than hospice, caregivers, or the other members of your care team have the capacity to provide. 
  • You want someone to help plan and/or participate in your vigil. 
  • You have knowledge, stories, etc. you want to pass on and need help with legacy planning/projects, which have been shown to increase patient and caregiver wellbeing. 
  • You want help planning your deathbed ecosystem; where you pass away, who is present, what the room looks, sounds, and smells like. You have every right to cultivate a deathbed ecosystem that brings you comfort, peace, even joy.
  • You’re nowhere near death but you want to be on the safe side by planning proactively. 

How to choose a death doula

Currently, death doula work is not heavily regulated. Organizations like the National End-of-Life Doula Association and the Internation End-of-Life Doula Association offer certifications in order to lend a degree of consistency and accountability for doulas. But certification isn’t legally required for someone to advertise as one.

When contacting a death doula, you can ask if they’re certified, and by who, and what training they’ve undergone; in Oregon, the Peaceful Prescence Project is commonly used and well-regarded. You can also familiarize yourself with the death doula scope of practice; that way, you can identify if a death doula is offering services outside their capacity to provide. 

It can help to spend time thinking about what death doula services you want, as the exact services offered can vary between providers. Knowing what matters most to you in your end-of-life care makes it easier to find a death doula who’s a good fit. 

You can find more advice on selecting a death doula at NEDA. If you decide to work with a death doula, you can use the NEDA “Find a Doula” directory or this state-by-state directory to find one near you. 

Written by contributor Sam Wall, LMSW NEDA-Proficient, and trained in death doulaship through the Peaceful Presence Project. You can visit Sam’s website for more information here: https://morningstardeathdoula.com/about/

One Year Later: Progress Over Perfection

One Year Later: Progress Over Perfection

Progress over Perfection Update Written by Emery Edwards

Almost a year ago, I wrote and published an article about my journey of pursuing progress over perfection. I’m a year and a half into my journey, so I thought it’s time for an update.  

Having a progress over perfection mindset has changed my life for the better. Before last year, I believed that if I couldn’t do something perfectly the first time, I couldn’t, or wouldn’t, do it at all. This was a toxic mindset and not only limited my journey towards physical health, but also my creativity. I wish that someone had been realistic with me about what this actually looks like. Even now, it’s hard not to compare when I see people accomplishing their weight loss, fitness, or other health goals, in shorter periods of time. However, if you’re interested in pursuing your goals with the progress over perfection mindset, it’s important to recognize that comparison is the thief of joy. Your body, your goals, what you enjoy, and your circumstances, will never be the same as someone else’s. And for me, I’m still changing my habits and learning what works for me. In the process, however, I’ve found so much more joy and happiness than I have ever known possible, but that isn’t reflected on the scale at the doctor’s office. 

When I began this journey of progress over perfection, I felt so out of touch with my body and I was constantly inflamed, bloated, and in pain. I had lost a significant amount of muscle mass during a particularly bad bout of depression; and combined with the effects of staying indoors during COVID, I felt trapped inside myself. I couldn’t move the way I wanted; I didn’t feel the way I wanted and had no idea how to fix it. How can you change decades of poor eating habits, and a lifelong toxic relationship with food and exercise? Well, the answer for me was I had to start somewhere. Anywhere, really. And that’s the key with having a progress over perfection mindset- start anywhere and make small, incremental changes that you can sustain for the rest of your life. So, that’s what I did. I started by just trying to get more protein and fiber. Then I started walking along the bay. I discovered I enjoyed doing it, so I started walking more often. There were days when I wanted to go on a walk and yet I felt stagnant and trapped. I found on those days, saying ‘if I get out there and don’t want to anymore, I’ll go home’ helped, because I have never regretted going for a walk. Not even the time I got stuck in a sudden hailstorm.

Perfection is the enemy of good. The enemy of feeling good. If I kept quitting after not reaching my unrealistic goals the first time, I wouldn’t be where I am today – a happier, healthier version of myself than I ever thought possible. I make delicious and nutritious meals, I forage, I take walks, I don’t get winded on the stairs, I dance for hours with my friends, hike for miles… the list goes on. It’s a far cry from when I started – unable to walk a half mile without fatigue. For me, taking a step to tap into what I enjoyed doing as a kid, like bike riding or gardening, helped me be more successful. Even collecting things can be physical activity! I spend hours walking miles along the beach looking for agates or in the forest foraging for mushrooms. Try different things and see what works for you and stick with it, not because you must, but because you want to. Getting physical activity in doesn’t have to mean spending hours in the gym unless you want it to. In my experience, walking and spending time in nature has become a favorite pastime. I do it for fun now and it’s helped me regain my creative spark. I have built muscle, I have regained my confidence, I sleep better, I create more often, I have the energy to show up for my community, and the scale still hasn’t changed. It’s changing your habits slowly and consistently that will get you to where you want to be. Not shame, blame, or perfectionism. Instead, it takes time, love, and care. 

Someone once told me that every meal is a chance to learn more about yourself. Every meal, whether you’re following your goals or eating a mound of french fries for dinner, has something you can learn from it. Paying attention to the feeling you get when you eat different things is important. Do you eat that mound of fries and then feel exhausted after? Do you have energy after eating that chicken caesar?  No amount of research will tell you the perfect plan for you and your lifestyle, but it can provide you with guidelines and ideas. Eating more protein and fiber, building muscle, being active, limiting your sugar intake… are all important features of a healthy lifestyle. But this world is full of challenges when it comes to eating healthfully, exercising, and maintaining the habits that help you feel your best. Advertising, social pressures, holidays, and a host of other circumstances put those of us who struggle to self-regulate our eating habits and physical activity in daily battles. Sometimes, especially during the holidays, it can feel like an all-out war. A physician can tell you to follow a certain diet, follow the weekly guidelines for physical activity, avoid certain foods, etc. Work with your healthcare provider to find a plan that works for your physical and dietary needs—getting a dietician was so helpful for me! 

At the end of the day, it’s always easier said than done, but this is where progress over perfection comes in. Rome wasn’t built in a day, and your ideal habits and lifestyle won’t be, either. It takes hard work, determination to feel better, and the willingness to try and fail over and over. It takes trial and error to figure out what works for you, and that’s what the perfection mindset robs you of.  So, this year, instead of trying to adhere to strict, unrealistic, New Years Resolutions, I have a new challenge for you. Try, fail, and try again. I think you’ll find some things that are worth sticking to for the long term. Who knows, you might enjoy it!

Marian Johnson’s Journey: Resilience, Community, and the Power of Support

Marian Johnson’s Journey: Resilience, Community, and the Power of Support

Written by Marian Johnson

 

In 2005, my husband, two children, and I moved to Hebo, Oregon, in search of a fresh start. We lived in the front room of single-wide trailer. The bathroom floor had collapsed, and holes in the walls made life challenging, but even then, we felt blessed. Compared to many of our neighbors, we were fortunate to have one of the few working bathrooms in the area.

 

At the time, my three-year-old son, Trevon, wasn’t speaking yet, which led us to enroll him in Head Start in Beaver, Oregon. He was also picked up by Northwest ESD Tillamook for additional services later in the day. Tre started attending Head Start to address his developmental needs, but what I gained from the experience was far more than I ever expected.

  

Every day, a small bus would pick up Trevon from our trailer. They kindly made room for me and my one-year-old daughter as well. Head Start didn’t just serve Tre—they fed all three of us and offered me invaluable guidance on how to move forward with my life. They counseled me on returning to school and taking steps to improve my family’s situation.

 

Even though Trevon went to Tillamook for part of the day, the bus would drop my daughter and me back home, where we waited for his return. It was during those quiet hours, sitting in the front room of that trailer, that I made the decision to enroll in nursing school. It wasn’t an ideal time—without stable housing and with two small children—but I knew it was a step I had to take.

 

The challenges didn’t end there. We eventually moved to Tillamook, but we lost our home again and were forced to live in a motel funded by the CARE office until they could help us find stable housing. When we finally moved into a house, it felt like a turning point. I still live in that home today, and I’ve even been able to purchase it—a symbol of everything we’ve fought for as a family.

 

Today, I sit here as the manager of a labor and delivery unit. This achievement wasn’t mine alone; it’s the result of the countless people and organizations that supported me during those difficult years. From Head Start and Northwest ESD to the Oregon Food Bank, CARE, and many others, these groups surrounded my family with warmth, meals, encouragement, and hope. They didn’t just help us survive—they empowered me to dream and take action for a better future.

 

Sixteen years later, I reflect on how blessed I am to have been part of such an incredible community. I’ll never forget how much these organizations helped me when I had nothing to give my children for Christmas or how they provided food and shelter when everything else seemed to fall apart.

Heart Smart Eating

Heart Smart Eating

Written by Eva Foley, Oregon Dairy Council Intern

Did you know that your heart is the most important muscle for your overall health and well-being? This special organ delivers oxygen to your entire body and deserves the best treatment from you, its owner, to keep it working for a long, healthy life. Giving your heart some tender loving care starts with something you do every day: eat! This means that with each meal and snack, you can strengthen your health by making heart-smart decisions about the foods you eat. February is National Heart Health Month, so let’s dive into some savvy food choices that will make your heart happy! 

  • Fruits and vegetables: Plan to eat 2-3 servings of each fruit and vegetables per day. A good way to think about it is adding one fruit and one vegetable to each meal or snack. Picking fruits and vegetables that are in season usually means better flavor and texture and paying less at the store. Frozen or canned fruits (without added sugar or heavy syrup) and vegetables (without added salt or sauces) are just as nutritious as the fresh kind and will last longer. 
  • Dairy: Studies have shown that 2 servings per day of fat-free or low-fat dairy have a protective effect on the heart. Dairy is also an affordable addition to most diets and can be included in many recipes, both sweet and savory. 

Lactose intolerant? Check this out: https:/www.niddk.nih.gov/health-information/digestive-diseases/lactose-intolerance/eating-diet-nutrition

  • Fiber: The goal for fiber in a heart-healthy diet is 25-30 grams per day from foods. Both soluble (think oats and beans) and insoluble (think whole grains, fruits, and vegetables) are important to include. Increase fiber intake slowly over time to allow your body to adjust to the right amounts. 
  • Healthy fats: Including the right kinds of fats in your diet helps you feel satisfied after a meal and nourishes a healthy heart. Foods like avocados, nuts, and seeds supply healthy unsaturated fats, while limiting saturated fats (such as butter, coconut, and palm oils) is just as important. 
  • Lean proteins: The right kind of protein supports heart health by building stronger muscles and helping to control hunger between meals. Boneless, skinless chicken breasts, fish and seafood, and tofu are all great options. Remember, many dairy foods, vegetables, legumes, and nuts contain protein, too! 
  • Limit salt and added sugar: Limit sodium intake to 2300 milligrams or less per day and aim for no more than 25 grams of added sugar per day for women (36 grams per day for men). You can find how much sodium and added sugar a packaged food has per serving on the nutrition label. It’s important to remember that the sugars to limit are those that are added to a food (such as table sugar or high fructose corn syrup); sugars that are naturally part of fruits and dairy products should not be counted towards daily added sugar intake. 

Helpful links:

Serving sizes/portions: https://www.myplate.gov/

Are you ready to get started with a heart healthy recipe? This comforting breakfast for all ages supplies fruit, dairy, and both soluble and insoluble fiber for a healthy start to your day. It’s easy to make ahead of time and portion out for a quick, on-the-go breakfast treat. Top with a serving of plain Greek-style yogurt to boost your dairy and protein intake.  

Apple Spice Baked Oatmeal

Prep time: 10 minutes; makes 9 servings

Ingredients:

  • 1 egg, beaten
  • ½ cup applesauce
  • 1 ½ cups nonfat or 1% milk
  • 1 teaspoon vanilla
  • 2 Tablespoons vegetable oil
  • 1 apple, cored and chopped (about 1 ½ cups)
  • 2 cups old fashioned rolled oats
  • 1 teaspoon baking powder
  • ¼ teaspoon salt
  • 1 teaspoon cinnamon
  • Topping:
  • 2 Tablespoons packed brown sugar
  • 2 Tablespoons chopped nuts (optional)

Directions:

  1. Wash hands with soap and water.
  2. Rinse or scrub fresh fruits under running water before preparing.
  3. Preheat oven to 375 degrees F. Lightly oil an 8×8-inch baking dish.
  4. Combine the egg, applesauce, milk, vanilla and oil in a bowl. Mix in the apple.
  5. In a separate bowl, mix the rolled oats, baking powder, salt and cinnamon. Add to the liquid ingredients and mix well.
  6. Pour mixture into baking dish and bake for 25 minutes.
  7. Remove from oven and sprinkle with brown sugar and (optional) nuts.
  8. Return to oven and broil for 3 to 4 minutes until top is browned and the sugar bubbles.
  9. Serve warm. Refrigerate leftovers within 2 hours.

Notes:

  • Substitute other fruit for the apple. Try bananas, pears, blueberries or a mixture.
  • Serve warm topped with vanilla yogurt.

Photo & Recipe Source: https://foodhero.org/recipes/apple-spice-baked-oatmeal