Is Your Child Ready for Summer Camp…and is Summer Camp Ready for Your Child?

Every spring, I find myself joining countless other Omaha parents in the search for some sort of organized summer activity(ies) for my children that will be fun, interesting, and hopefully even…dare I say it (lest my children actually read my blog)….educational. Of course in my case, this wasn’t such a problem in years past – if only because my husband and I chose to overcome the “what full-time opportunities are there for kids in the summertime” dilemma by simply building ourselves a childcare center and making sure it offered a high-quality full-time summer camp. While I am well aware that this isn’t the most common solution, what is exceedingly common is for kids – on the order of 11 million of them – to attend summer camps catering to a huge range of ages and activities, and a vast array of interests.

Given that summer is rapidly approaching, I’m willing to bet that a majority of you are currently in search of a summer camp and understandably focusing your search on such criteria as the fun factor, logistical considerations such as hours of operation and transportation requirements, and cost. Based on my review of the recently released policy statement from the American Academy of Pediatrics entitled Creating Health Camp Environments, however, I am reminded that we should all, as responsible parents, be looking past the fun and games and asking some additional, very important health- and safety-related considerations before sending our kids off to camp this summer. They include:

Don’t get overly ambitious. Be sure to take into account your child’s interests and skill level, not to mention his/her emotional readiness. This means making sure your child is not only enthused about the camp you’ve chosen, but will realistically be able to meet the associated physical and emotional expectations. 

Schedule an annual checkup. This is the perfect time to schedule a complete annual physical exam and overall health review. While you’re there, remember to discuss with your child’s doctor any specific physical requirements of the camp that may require medical consideration and/or clearance, as well as any plans for prescriptions and/or medication administration that will be needed while your child is at camp. 

Make sure your children’s immunizations are up-to-date. Not only do vaccines help limit the spread of vaccine-preventable infections in the camp environment (not to mention in general), but it’s also worth noting that children attending camps in other states (or even other countries) may have additional immunization requirements. 

Recognize that separation anxiety is not just for the very young. I’ve seen plenty of otherwise calm, cool and collected kids experience significant pangs of homesickness – especially if they’re heading off to camp for the first time. Minimize the likelihood by first making plans that aren’t overly ambitious (no sleepaway camp for kids who’ve never spent a night away from home before, for example), and also making sure to discuss with, prepare, and involve your child.

In addition to considering whether your child is ready for camp, you’ll also want to make sure the camp is ready for your child. Make sure the camp you are considering:

  • Is adequately staffed with appropriately trained staff. Training should not only be tailored for the types of activities offered (horse back riding or tennis, for example), but also in more general skills such as basic first aid and CPR.
  • Has “what if?” policies in place in the form of written health and safety policies and protocols. This helps insure that the camp is adequately prepared to handle and treat common illnesses and injuries
  • Insures good basic hygiene – both in the form of routine hand-washing (something that proved to be exceedingly important during the recent H1N1 flu season), but also in food preparation and service, etc.
  • Is ready, willing and adequately prepared to correctly and reliably document and administer any medications your child may need while at camp.

And finally – keep in mind that if you choose wisely, summer camp can provide your child with the perfect opportunity for building self-esteem and a sense of independence, making new friends, and spending lots of time being physically active and enjoying the great outdoors.

Originally posted on Omaha World Herald’s Live Well Nebraska

Preventing Carbon Monoxide Poisoning: What Every Parent Needs to Know

In an attempt to maintain my glass-half-full view of the world, I’m always relieved when I sit down to read the morning paper and come across a good tragedy-averted story interspersed amongst the doom and gloom. So believe me when I say I was particularly happy to read John Schreier’s article, Carbon monoxide sickens students. While it’s unfortunate that more than 40 UNL students recently wound up at the hospital after waking to symptoms consistent with carbon monoxide poisoning, the operative word in this description would have to be “waking.” Because the fact of the matter is that carbon monoxide is one of the leading causes of poisoning deaths in the United States. Often dubbed “the silent killer,” this toxic gas is colorless, tasteless and odorless, but has the deadly ability to disrupt the body’s use of oxygen. In other words, things could have been worse at the UNL fraternity house. Much worse.

Recognizing this, my thoughts immediately turned to the fact that this near-tragedy (with its thankfully happy ending) might momentarily grab people’s attention long enough for me to convey some very important safety information.

I certainly don’t mean to imply that no one would pay attention to information about carbon monoxide precautions except in times of tragedy. But human nature has me convinced that it’s all too easy for the out-of-sight, out-of-mind principle to take over – especially when it comes to the many hidden and/or silent dangers around the house and a not-so-subtle reminder of these dangers can go a long way towards helping focus everyone’s attention on the following simple yet potentially life-saving home safety measures.

  • Recognize the potential signs of carbon monoxide (CO) poisoning. Symptoms can admittedly be non-specific, variable and wide-ranging, but most commonly include headache, nausea, dizziness, and a general feeling of malaise that can be confused for a viral infection. See a doctor right away if everyone in the household begins to experience flu-like symptoms at the same time, especially if the symptoms seem to get better upon leaving the house.
  • Have the number to Poison Control (1-800-222-1222) posted by the phone and don’t hesitate to call it should you suspect CO poisoning.
  • Make sure to put a CO detector on each level of your home.
  • Never leave a car running in the garage, even if the garage door is open. Dangerous fumes can not only fill the garage in minutes, but also easily seep their way into the house.
  • Get household appliances that have the potential to leak carbon monoxide such as furnaces, wood stoves, fireplaces, gas water heaters, ovens, stoves and clothes dryers serviced yearly to make sure they are in good working order.
  • Refrain from using charcoal grills indoors (or in closed-in spaces) and never use a gas oven to provide heat for your home, as both can be dangerous sources of carbon monoxide gas.

Originally posted on Omaha World Herald’s Live Well Nebraska

Helping Children Cope: What Parents Can Do In the Wake of Another School Shooting

My children and I took our first trip to India over the holidays, accompanying my U.S.-born husband who hadn’t been back to visit relatives in over 20 years. The trip was eye-opening. We traveled all over India – making our way through big cities and tiny villages as we visited relatives and introduced our children to a world very different from the one they know.

On the sixteen-and-a-half hour flight back from Delhi to Chicago, my husband and I discussed how we sincerely hoped that the 3-week experience would help shape how our children see the world. We wanted them to never take for granted what they’ve got in the relative safety and security of their lives in Omaha.

Arriving back in the U.S. early Thursday morning, I dutifully called my mother to let her know that we had made it back safe and sound. Even though I’m now in my 40’s with a family of my own, my mother all but sits by the phone waiting for me to call and let her know that I’m okay. It was she who first told me what had happened at Millard South High School. I quickly thought about whether I knew anyone involved. I then selfishly reflected on how fortunate I was that my own three children – all Millard students – were out of harms way and with me at the time of the school shooting. No – my oldest won’t start high school until next year and she won’t be at Millard South, but I was nevertheless grateful that she and her brothers didn’t even have to experience the ensuing lockdown that I’m told had Millard students under desks and in the dark until the threat had passed.

And then I couldn’t help but turn my thoughts to the actual events of the day and what it must have been like to have been there. To be the parent of a Millard South student on the first day of school after the holiday break. To be the principal or the assistant principal. And yes – even, what it must be like to be the parents of the student responsible for the devastation.

I’m sure many of you must have reacted the same way. The reason I’m so sure is that in a certain sense, I’ve dealt with this sort of tragedy before. Not at Columbine (although my family did move to that area only shortly after the country’s worst high school massacre), or at any of the handful of other school shootings that have taken place over the past several years. My experience in helping parents (including myself) cope with this sort of threat to our children’s (and our own) sense of safety dates back to 2001.

You see, at the time of the reported terrorist attacks that destroyed the World Trade Center towers, a section of the Pentagon, and thousands of lives, I was the pediatrician responsible for content creation at a prominent national parenting media company. With a sincere desire to do anything I could to help parents in the wake of the attack, I sat down and wrote an article on the morning of September 11th entitled Helping Your Children Cope with the News of Reported Terrorist Attacks.

As I sat down this morning to figure out what I should write about the Millard South shooting that would be of any help or comfort, my September 11th article kept coming to mind. While the advice I offered back then was in response to a tragic event of unprecedented and enormous proportions, the sad fact is that in the minds of children, violence is violence regardless of the scope.

At it’s core, the following advice adapted from what I first wrote in 2001 applies every bit as well to violence in 2011, and will hopefully provide parents with several things they can do to comfort their children and help them make some sense out of senseless tragedy.

Personal safety. Any time senseless tragedy occurs, it’s important to offer immediate reassurance in any way possible – starting with the reassurance that your own family and friends are okay.

Routine. I have always believed that a predictable routine and consistency are important in helping children feel safe in their world. Never is this truer than in the context of tragedy. When our core sense of security is shaken, maintaining regular routines such as going to school and work may seem disrespectful, insignificant or difficult, but they give children (and adults) back some sense of structure and security.

Details and distance. One of the most striking aspects of the aftermath of September 11th was the intense media coverage. Without officially counting, I must have literally seen the planes crash into the twin towers a thousand times. The fact of the matter is that its human nature to watch. While I was on the other side of the world the day of the Millard South shooting, I’m sure that the coverage was (understandably) intense. As a parent, it’s especially important to also understand, however, that young children who repeatedly witness the news coverage of a shocking event are likely to be left feeling frightened and confused and may even feel like they’re re-living the experience. In this day and age of 24 hour media coverage, this is as good a time as any to turn off the television, at least when young children are around.

Someone is in charge. One of the fundamental aspects of raising children who feel safe and secure in their world is providing them with a sense that there are people in authority making sure that everyone is going to be safe. While a school shooting inevitably threatens our own parental sense of security, it’s helpful to focus your child’s attention (and your own) on what is being done to keep your child safe. Despite last Wednesday’s shooting, school remains one of the safest places your child can be.

Perspective. Despite the fact that I provide parenting advice for a living, I have yet to figure out how to explain the need to maintain perspective without seeming to minimize the tragedy for those involved. While its important for all of us who weren’t directly related to or involved in the school shooting at Millard South to remind ourselves that the overwhelming majority of schools across the country are safe (just as we had to remind ourselves on September 11th, 2001 that almost all planes and buildings were still completely safe), I can’t bring myself to say it without acknowledging that this provides no solace to students, friends, colleagues and family of Assistant Principal Vicki Kaspar. I only wish there was something more I could say that would help.

Originally posted on Omaha World Herald’s Live Well Nebraska

I have to say, it’s a good thing I have the opportunity to talk to lots of parents on a regular basis, if for no other reason than because I’m able to reassure myself that I’m not the only parent having conversations like this one:

Me:     “You can’t wear shorts today.”

Child who shall go nameless: “Why not?”

Me:     “It’s winter, and it’s too cold outside for shorts.”

Child (still wearing shorts):    “So?! I’m not cold.”

Me:     “It’s not just a little cold. It’s frigid outside. As in snow temperature. As in it’s sub-zero wind chill and like the arctic tundra outside. Now go change!”

Child (still not changing):        “But mom, WHY?!”

Me:     “Because I give people parenting advice for a living, and if you don’t, you’ll make me look bad, so end of discussion – go change!”

I have to admit that there’s some irony to me telling my children to change into long pants or go put on a winter coat. After all, I grew up in the Midwest and I was actually known all throughout college for not wearing a coat – even when walking outdoors between classes during winters spent at the University of Michigan. In fact, last winter I passed a college friend on the streets of NYC who I hadn’t seen in almost a decade. He later told me that the only reason he hadn’t stopped me to say hello was because I was wearing a coat, so he figured it couldn’t possibly be me!

Okay, so now I’ve owned up to my own history of dressing inappropriately for the cold weather. But that doesn’t change anything when it comes to the parenting advice I’m about to share with you. The fact of the matter is that cold weather (like what we get here in Nebraska) can be dangerous, young children are especially susceptible to the cold, and it’s our duty as parents to insure our children’s health and safety in warm and cold weather alike. While it’s not actually true (except in more extreme instances) that being cold makes you “catch a cold,” there are definitely instances such as hypothermia and frostbite that most certainly can result from being inappropriately dressed for the weather.

With this in mind, the following information, excerpted from the American Academy of Pediatrics’ Winter Safety Tips, will hopefully help you better determine which cold-weather clothing battles are worth fighting. Don’t let it deter you if your children try to give you the cold shoulder after you lay down the law. Instead of resorting to “because I said so,” you too can feel free to justify your “request” that your child go put his shorts away until at least March (if not May) by simply saying, “Because Dr. Laura and the American Academy of Pediatrics say so!”

  • Dress infants and children warmly for outdoor activities. Several thin layers will keep them dry and warm. Don’t forget warm boots, gloves or mittens, and a hat
  • The rule of thumb for older babies and young children is to dress them in one more layer of clothing than an adult would wear in the same conditions
  • Hypothermia develops when a child’s temperature falls below normal due to colder temperatures. It often happens when a youngster is playing outdoors in extremely cold weather without wearing proper clothing or when clothes get wet. It can occur more quickly in children than in adults
  • Frostbite happens when the skin and outer tissues become frozen. This condition tends to happen on extremities like the fingers, toes, ears and nose. They may become pale, gray and blistered. At the same time, the child may complain that his/her skin burns or has become numb.

Originally posted on Omaha World Herald’s Live Well Nebraska

A Parent’s Guide to Safe Holiday Travel with Kids

The season for holiday travel is almost upon us, so I thought it best to get down to basics and share some safe and practical travel tips for everyone facing the prospect of packing up the family car or heading off to the airport this holiday season. While I’m all about practicality, I also want to make sure that safety doesn’t inadvertently get left behind (or just plain forgotten) as you set out to share the holidays with family and friends.

Avoid flying objects. While car travel certainly eliminates some of the stress of figuring out how to fit everything you and your children will need for your holiday vacation into a single suitcase (or two), don’t lose sight of the fact that anything in the car that isn’t safely secured can, in the blink of an eye, become a dangerous projectile in the event of a crash. This not only includes unrestrained passengers, but any suitcases and other holiday “essentials” you bring along. To keep all passengers safe, keep all loose objects out of the passenger area of the car – tucked in the trunk or otherwise secured.

Use appropriate restraint. All too often, parents are tempted to compromise on car seats in the name of streamlined travel and efficiency. But the fact of the matter is child passenger safety never takes a holiday. That means that for anyone traveling by car, each and every passenger needs to be appropriately restrained.

  • For infants and children, this includes age-appropriate, correctly installed car seats.
  • Lap-shoulder belts need to be available for all adult passengers, as well as any children riding in booster seats. Simply using a lap belt alone doesn’t suffice when it comes to safety.
  • For those traveling by air, not only should you plan carefully so that your child can be safely restrained on the airplane (which means an FAA approved car safety seat or restraint for all children under 40 pounds), but also at your destination.
  • While most car rental agencies can arrange in advance to have car seats available, it always safest to plan on bringing your own. It may mean more to carry, but car seats are a must-have for holiday travel.

Dress for the occasion. It’s obviously important to make sure that you pack plenty of clothing to suit the climate of wherever you’re headed – especially given that young children are known to be more susceptible to both hot and cold temperatures.

  • For car travel, remember to consider what you’d want to have on hand should your car break down or get stuck along the way. While it’s not recommended that children wear bulky winter coats under their car seat harness straps (since this just adds slack into the harness system), you absolutely want to have coats on hand for any planned (or unplanned) stops along the way.
  • And as someone very accustomed to airplane travel, I can assure you that the most predictable thing about the temperature in the airplane cabin is its unpredictability. Not only is it wise to dress your child (and yourself) in layers, but bring a few extra items in your carry on.

Keep close tabs. Holiday travel inevitably throws off parenting routines. This means that you’ll want to pay extra attention to keeping a close eye on your child.

  • When traveling by car, never leave your child alone or unattended – even for a minute, no matter how much extra time or effort it may take to have the whole family pile out of the car for what you were hoping would be a very quick pit stop.
  • Whether on the road or in the air, also make sure your children have some form of identification with them, that preschoolers (and older) ideally know their own names (first and last) and a phone number, and that you have discussed with your children what to do in the event that you become separated.
  • If your children have already entered the digital age and have cell phones, this is a great time to have them on hand as well.

Originally posted on Omaha World Herald’s Live Well Nebraska

Life-Saving Safe Sleep Tips for All Parents & Caregivers

Of all the topics I routinely discuss with parents, sleep has to rank right at the top of the list. This shouldn’t come as a big surprise, given that a good night’s sleep (or the lack thereof) can have a significant effect on just about everything else we do. When it comes to children’s overall health and well-being, it’s hard to sleep through all of the studies that reinforce that teenagers need more sleep (9 hours a night as compared to 8 for adults) in order to perform well at school, and that plenty of nighttime sleep (on the order of at least 10 hours a night) appears to be as important for keeping obesity at bay in young children as diet and exercise.

What I want to discuss today, however, isn’t just children’s need for an adequate amount of sleep, but the importance of safe sleep. While there are certainly aspects of safe sleep that apply to older children (bunk beds spring to mind), safe sleep has held a particularly prominent place in the national parenting consciousness every since the 1990s when the identified link between belly sleeping and Sudden Infant Death Syndrome (SIDS) led the American Academy of Pediatrics to recommend back sleeping in 1992. This was followed in 1995 with the official launch of the Back To Sleep Campaign.

While over a decade of subsequent parent education efforts have resulted in a dramatic increase in the number of back-sleeping babies (from 25% in 1992 to 85% in 2008), recent years have brought no additional increase in back sleeping. In fact, we may have started to backslide when it comes to insuring babies’ safety while sleeping. In the course of little over a single devastating month back in Feb/March of 2008, six babies died in Douglas County alone – all classified as SIDS attributed to bed sharing and suffocation.

While any increase in infant deaths is concerning, to say the least, the good news is that we know a great deal about what we need to do to keep babies safe while sleeping and reduce their risk of SIDS. The much larger task at hand is simply to make sure that all new and expectant parents and infant caregivers know the most effective ways to create safe sleep environments for babies.

This is the challenge being addressed in a new National Safe Sleep Education Campaign by the US Consumer Product Safety Commission, the American Academy of Pediatrics and Keeping Babies Safe. Their latest recommendations for providing a safe sleep for all babies include:

  • Place infants to sleep on their backs
  • Use a firm, tight-fitting mattress
  • Never use extra padding, blankets or pillows under baby
  • Remove pillows or thick comforters
  • Do not use positioning devices – they are not necessary and can be deadly
  • Regularly check cribs for loose, missing or broken parts or slats
  • Do not try to fix a broken crib
  • Place cribs or playpens away from windows and window covering cords to avoid fall and strangulation hazards
  • Place baby monitor cords away from cribs or playpens to avoid strangulation

These life-saving safe sleep tips can also be found in the campaign’s newly released 7 minute video, narrated by renowned journalist Joan Lunden and available for viewing or download on the AAP’s HealthyChildren.org and on the Keeping Babies Safe website. Additional information about safe sleep can also be found on in the newly revised 2nd Edition of my book, Heading Home With Your Newborn (AAP, Sept 2010), and on the Nebraska Department of Health & Human Services Website.

Originally posted on Omaha World Herald’s Live Well Nebraska