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School Nurse

The Center's Infirmary is a welcoming place for any child who feels ill or needs medical attention during school hours or during before- or after-school care.  Our nurse is on duty during all hours when students are on campus and is our in-house educator in matters of health and nutrition.

 

Latest Note from the School Nurse...

Fall into Good Health | How to Communicate with the Doctor

 

Fall into Good Health

Fall is here, and as the winter months are approaching we need to take some precautions to stay as healthy as possible. As you all know, cold and flu viruses are at their peak during the Fall and Winter months. Keeping that in mind, there are some ways that you can lessen the likelihood of becoming ill.

Many of us have a hard time differentiating between cold and flu viruses. The following are a list of signs and symptoms to look for in both. Colds are minor infections of the nose and throat caused by several different viruses. Colds are highly contagious. They are most often spread when droplets of fluid that contain a cold virus are transferred by touch. These droplets may also be inhaled. A cold may last for about one week, but some colds last longer, especially in children, the elderly and those in poor health. 

Cold symptoms:

  • runny nose
  • congestion
  • sneezing
  • weakened senses of taste and smell
  • scratchy throat
  • cough

The Flu is an infection of the respiratory system caused by the influenza virus. There are three types of influenza virus: A, B, and C. Types A and B are the most severe. The viruses change constantly and the different strains circulate around the world every year. The body’s natural defenses cannot keep up with these changes; therefore a person should get a flu shot every year. Type C causes either a very mild illness, or has no symptoms at all. It does not cause epidemics and does not have the severe public health impact that influenza types A and B do. The flu may last for approximately one to two weeks in most people.

Flu symptoms:

  • temperature of 101°F or above
  • cough
  • muscle ache
  • headache
  • sore throat
  • chills
  • tiredness
  • feeling lousy all over

In preventing the spread of the cold and flu virus, the following are some helpful tips:

  • WASH YOUR HANDS!!!!!!!  Frequent hand washing is the first and most important line of defense. Be sure you wash your hands for at least 20 to 30 seconds (Sing the Happy birthday song twice)
  • Use anti-bacterial sanitizers if you do not have access to soap and water
  • Keep your hands away from your nose, mouth and eyes to avoid infecting yourself with cold/flu particles that you may have picked up
  • Cover your nose and mouth with a tissue when you sneeze to avoid spreading droplets to others
  • Avoid coughing or sneezing into your hands. If a tissue is unavailable use the arm/elbow technique
  • Eat a well-balanced diet including a daily intake of fruits and vegetables and drink six to eight glasses of water daily to help keep your immune system healthy
  • Take a multi-vitamin daily
  • Getting a yearly flu shot can help prevent contracting the influenza virus. Groups that should especially receive the vaccine are all children 6months to 5 years of age, the elderly and those with chronic medical conditions( asthma, lung disease, heart disease etc…) or weakened immune systems
  • Antiviral medications may be helpful in combating the influenza virus in its early stages. Notify your physician at the first sign of symptoms
  • If you have a severe cold or flu, please stay at home to avoid infecting others as well as to get plenty of rest to assist in a healthy recovery 

Staying healthy is important to us all. Let’s all work together to keep CEE and our community in tip-top shape. Here’s to good health and a happy school year!!!!!

 

How to Communicate With the Doctor

The key to building a better relationship with your child's doctor is open communication and reasonable expectations.

What can you expect from your doctor? He or she should:
  • help you monitor your child's health
  • explain your child's growth and development and what you can expect
  • diagnose and treat your child's minor or moderately serious illnesses
  • explain your child's illnesses and treatment
  • provide referrals and work with specialists in the case of illnesses requiring special expertise

Your pediatrician, family doctor, or nurse practitioner can also help you with other children's health issues, including exercise, nutrition, and weight issues; behavioral and emotional issues; how to cope with family issues, such as death, separation, and divorce; and how to understand and seek treatment for learning disabilities.

Good communication is a two-way street. You can aid communication by letting the doctor know that you trust him or her to care for your child. It's good to ask questions, but let the doctor know that you want decisions, diagnoses, and prescriptions to be based on the best decision for the health of your child, not what's easier for you or makes you feel better.

You should also be as prepared as possible with details during your doctor visits. When asked how your child is doing, be ready to share any concerns or ask any questions. It's best to be specific. Be sure to tell the doctor details about symptoms — for instance, if your child vomited three times last night, had a temperature of 102° Fahrenheit (39° Celsius), or is having diarrhea. This helps the doctor assess your child's condition more readily and accurately than if you just say that "my child is sick."

Consider jotting down your questions and concerns before the appointment so that you'll remember everything you want to bring up. And if you're worried about symptoms your child is having, mention them to the doctor even if he or she doesn't ask. Tell the doctor what you've tried to make the symptoms better and what worked and what didn't. The more information you provide, the better the doctor will be able to assess your child's health.

Tips for Building a Better Relationship

Make the most of your relationship with the doctor (and the doctor's office) by following these tips:

Be informed, but don't overwhelm. The Internet is a tremendous tool that can help you learn more about your child's health and development, but it's unrealistic to expect your child's doctor to evaluate every health resource or breakthrough you find on the Web or see on TV. If you have a particular article that you'd like the doctor to review or comment on, mail, email, fax, or drop off the article well in advance of the office visit, giving the doctor plenty of time to review and do any necessary research. Keep these requests to a minimum, though. If you're looking for information on a particular children's health topic, talk to the office staff or a nurse about whether they provide informational brochures. Ask the doctor to recommend some reliable resources where you can get health information.

Be focused during the visit. Avoid distractions so you can focus your full attention on answering the doctor's questions. Turn off your cell phone and leave other kids with a spouse, babysitter, or relative, if possible. Also try to stick to the reason for the visit — for example, don't use a sick visit to discuss behavior problems that may require an in-depth evaluation. Instead, schedule a separate visit and let the office staff know the nature of your child's problem so that a longer appointment time can be allotted.

Follow the rules. Respect the doctor's time by arriving for appointments on time or a few minutes early. If you're unavoidably late, let the office know, and give at least 24 hours' notice to cancel or reschedule. Many office schedules are packed weeks in advance, so schedule well-child or non-sick visits early. You should also familiarize yourself with the office's payment requirements and your insurance company's co-pays and referral policy to make appointments go more smoothly.

Follow up. Before you leave the doctor's office, make sure you understand what follow-up appointments, lab tests, or blood work your child needs. Take notes about any instructions so you don't forget them, and if you don't understand how to administer medication, ask the nurse or doctor before leaving the office. Communicate with the office, too, if the medication prescribed isn't working or your child develops worsening or additional symptoms.

Save time by making time. In most cases, it's best if you or your partner attend your child's doctor visits. This is especially true for complicated issues like behavior problems. Relying on a substitute like a nanny or grandparent may mean that information or instructions may be misunderstood or miscommunicated by the time they get to you or that in-depth questions the doctor asks can't be answered.

Use good judgment. Using the phone for questions about symptoms can save you and the doctor time and money, but don't abuse the privilege. Save non-urgent questions about your child's health and development for well-child visits. Many knowledgeable nurses or nurse practitioners answer phone questions for pediatric practices; use these medical professionals as a resource for non-urgent questions instead of demanding to speak with the doctor each time you call. Nighttime calls should be reserved for more urgent issues — remember, the doctor is at home when you're calling.

The stress of having a sick or hurt child can strain communication between doctors and parents, and the many issues covered in well-child visits may leave little room for your questions. But don't hesitate to ask your doctor questions, no matter how insignificant you may think they are. Many times, problems with your child can be resolved easily with the help of the doctor.

And don't be afraid to give the doctor feedback about your office visit experience, such as whether you felt rushed during the appointment or needed more information about a prescription or procedure. A good doctor will want to work with you to provide the best care possible for your child.

 

Previous Entries

New Child Seat Law

Effective 01/01/2012:

Children under the age of 8 must be secured in a car seat or booster seat in the back seat.

Children under the age of 8 who are 4' 9" or taller may be secured by a safety belt in the back seat.

Please visit http://www.chp.ca.gov/community/safeseat.html for more information.

Head Lice

Facts:

  • The problem of head lice is more common than you think.  About 10 million children get head lice each year.  They spread easily in schools because students are more likely to be in close contact with one other.  In an effort to control the transmission of this infestation and the re-infestation of students already treated, I wanted to point out head lice facts you should know. 
  •  Head lice are primarily transmitted by direct head-to-head contact with an infested person or through contact with that person’s belongings.  The highest rate of transmission usually occurs at sleepovers. 
  •  Head lice can infect anyone, regardless of personal hygiene or socio-economic status.  In fact, head lice like clean, healthy heads the best!  Anyone can get them. 
  •  Head lice needs human blood to survive and can live up to 48 hours without a human host. 
  •  Head lice cannot jump, fly or hop.  They crawl quickly, away from light, and take at least 30 seconds to move from head to head.
  • Usually, head lice eggs (nits) are seen attached to the base of the hair shaft or behind the ears.  Nits are usually white to light gray in color and do not come off easily. 
  • Once laid, it takes 7-10 days for a nit to hatch and another 7-10 days for the female to mature and begin laying her own eggs.
  • If nits are more than ¼ inch from the scalp they are most likely old and no longer active.

Treatment: 

  • Recommended for those diagnosed with an active infestation.  Household members and other close contacts should also be checked.
  • Experts believe that preventative treatment is prudent for persons who share the same bed with actively infested individuals.  All these individuals should be treated at the same time to break the life cycle of the nits.

Treatment options: 

  • Permethrin1% (Nix): Leaves a residue on the hair which continues to kill lice as they hatch.  Retreatment is recommended 7 days after first use.  Some resistance to this product has been reported.  Available over-the counter.
  • Pyrethrins plus Piperonly Butoxide (Rid): Only kill the lice, not the egg.  Must re-treat in 9 days.  Available over-the counter.
  • Ovide lotion: Has great capability to kill the eggs but should be re-applied in 7-9 days if lice are seen.  This product is 78% isopropyl alcohol and is flammable; therefore blow dryers should not be used while hair is wet.  Available by prescription only.
  • Natural Products (Anise, coconut oils, tea tree oil, Quantum health): The use of these products seems to be fairly effective in killing lice and their eggs.  The FDA does not regulate these products. 
  •  Occlusive Agents (Mayonnaise, margarine, olive oil, petroleum): It is thought that viscous substances block the respiratory airways of the adult louse.  Though these products may make it easier to remove the nits as they are oily, treatment is most effective if repeated weekly for 4 weeks.
  • Manual removal (Nit picking): There are several companies that specialize in the manual removal of live louses and their eggs.  This method seems to be very effective in the treatment of lice removal.

Environmental Procedures:

  • Personal items, such as clothing, sheets, towels etc., should be machine washed in hot water and dried in a dryer set on hot/high for at least 20 minutes.  Combs and brushes should be soaked in hot water for at least 15 minutes.  Hats, helmets, stuffed animals, etc. that cannot be washed should be sealed in plastic bags for at least 48hours. 
  •  All rooms should be vacuumed; vacuuming will be as effective as and safer than using pediculicide sprays. 
  •  Pediculicide spray is not necessary and should not be used.  It can be toxic to animals in the household.

Prevent re-infestation: Please check your children at least once a week for signs of infestation.  Teach your child to avoid activities that may spread lice, such as sharing brushes, hair decorations, clothing, and hats. 

 PLEASE INFORM THE SCHOOL AND PARENTS OF YOUR CHILD’S PLAYMATES IF YOU DISCOVER YOUR CHILD HAS HEAD LICE.

Let’s all work together to help keep CEE as healthy and infestation-free as possible.

Allergies

In the spring and summer, trees and grasses can be a common allergen, or trigger of your child's allergies.

Allergic rhinitis, or hay fever, is a common problem in infants and children. The most common symptoms include a stuffy or runny nose with clear drainage or congestion, repeated sneezing, itchy eyes and nose, sore throat, throat clearing and a cough that may be worse at night and in the morning. Children with allergies may also breath through their mouth a lot and have dark circles under their eyes (allergic shiners).

These symptoms usually occur during certain times of the year for people with seasonal allergies, corresponding to being exposed to outdoor allergens, such as tree pollens, grasses and weeds.

Other children may have perennial allergies, with symptoms occurring year round from exposure to indoor allergens, such as dust mites, pets, second hand smoke and molds.

Although it can be helpful to avoid the things that you are allergic to, such as dust mites or cats, it is harder when you have seasonal allergies. Although it isn't practical to not go outside during your allergy season, there are some steps you can take to minimize your child's exposure to allergens (things that cause allergies), such as:

  • keeping windows closed in the car and home to avoid exposure to pollens, especially on days when the pollen forecasts predict medium or high pollen levels
  • limiting outdoor activities when pollen counts are highest (early morning for spring time tree pollens, afternoon and early evening for summer grasses, and in the middle of the day for ragweed in the fall.)
  • not hanging clothing outside to dry, instead, use a dryer or hang the clothes inside
  • taking a daily bath at bedtime, which may help to wash off allergens and prevent nighttime allergy problems
  • take any preventative allergy medications, such as an antihistamine and/or nasal steroid spray before your child's allergy season begins and continuing them on a daily basis throughout your child's allergy season.

If your child's allergy symptoms aren't getting under control with your current medications, a recheck with your Pediatrician might be a good idea.

The Cold vs. The Flu: Know Your Symptoms

Cold Symptoms
vs.
Flu Symptoms
Runny Nose, sneezing, watery eyes   Headache
Sore or scratchy throat   Runny or Nasal Congestion
Mild cough   Cough (can become severe)
Fatigue   Extreme Fatigue
Low grade fever 100-101F   Fever above 102F
    Body Aches
    Chills

IMPORTANT:

  • Wash your Hands!
  • Keep your hands away from your nose, mouth and eyes.
  • Get plenty of rest.
  • Take a multi-vitamin each day.
  • Most importantly stay at home if you have a severe cold or any flu-like symptoms to avoid infecting others

Click here to learn more about how to fight colds and flu.

Dana Haskins

Dana Haskins, School Nurse
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The Center For Early Education • 563 North Alfred Street • West Hollywood, CA 90048-2512 • (323) 651-0707 • info@cee-school.org   
© 2009 The Center for Early Education, Inc., All rights reserved.
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