Currently browsing kids health posts

Helping Your Child Deal with the Loss of a Pet

Last updated on September 2nd, 2019 at 07:44 pm

vet kid and sick dogUnlike many years ago, when most pets lived outside, today many of our pets become members of the family. When most of us have ‘had enough’ with the world, it is our pets that give us solace. And for many kids, their pets are their best friends in the world….always there to ‘lick their wounds’… both emotionally and physically.  So how do you handle it when that ‘best friend’ passes away? There are many answers to this question…. And of course, how it gets explained varies greatly on many things…. From the family’s religious beliefs, to the age and maturity level of the child and how much they can comprehend. Let’s face it… no one really completely understands death, except that it happens to all of us.

I.  Age Appropriateness I want to emphasize caution here –  be careful how you phrase things to very young children. For example, many people do not realize when you tell a young child that ‘the dog got sick and then he died’ that many young children suddenly become very fearful every time they or someone they love gets sick… often they become afraid that they will die too… like the dog.

II.  Prepare them in advance Barring sudden unexpected deaths like from an accident, many times with illness or advanced age, you can tell when your beloved pet is nearing the end of their life.  This is probably the best time to sit down and talk with your children about it. Here are some key steps that may help:

  • To begin – Talk to each child individually. Many times, when you bring all the children together to talk about it, the younger ones look to the older ones to judge how they ‘should’ be feeling or reacting. By taking each one individually, you allow them to each have their own feelings.
  • Next you can discuss how dog years are different than human years…. That each human year is about 7 years to a dog. To make sure they understand this, you can say something like, “So if Max is 10 years old in human years…. How old is he in dog years?” Once they come up with the number 70, then you can say, “That’s pretty old right?” Now you can go into how he may not run around as much as he used to, he isn’t as active as he used to be, many dogs get very white in the face as they get older, etc. Now you can go on to talk about what a great life he has had with them, remember activities you all did together like a camping trip or a hike, or fun tricks they may have down, remembering when he was a puppy, how easy or difficult he was to train….. etc.
  • This is the point where you bring up that although they had a great life together, it is nearing the time where he may die.. You can ask your child what they understand about death, and really listen to what they say. You might be amazed at their answers.

I once saw a post where a family pet had passed away, and while the family sat around crying about why it is so unfair that pets should die so early, and questioning why this is, it was a young child who answered, “I know why….. it is because we are all put here to learn how to live a good life, and to be kind and loving…. Dogs already know that, so they don’t have to stay here as long.” 

  • It is important that you do not hide your feelings from your children. Let them know how you are honestly feeling… using specific feeling words like ‘sad’ or ‘angry’ is much more helpful to a child than generalized words like ‘upset’. This allows them to relate to your feelings, and also to help them identify their own.
  • It is also very important to remember that all children grieve differently. My friend’s dog had recently passed away, and when I was talking to my friend about it, and how her 7 year old was doing, she told me, “I’ll tell you… it was the weirdest thing! For three days after the dog died…. Nothing. Not a tear. We buried her in the yard, and did a little service, and both of her friends cried… but from her, NOTHING! I started to worry! Then all of a sudden, when my husband came to pick her up from school three days later, she saw him, and started crying hysterically!!”

III. If you are considering Euthanasia for a dog that is nearing the end, again, be careful of the words you use   You want to avoid telling younger children that ‘the vet will give him a shot to put him to sleep” or ‘He went to sleep.’ Kids take things very literally, and you don’t want them afraid when they have to get a shot at the doctor’s office, or create future fears of going to sleep and not waking up again. Instead, you can tell them the that doctor thinks their pet is in a lot of pain, and since they love him so much, they don’t want him to suffer anymore. So the vet is going to give him some medicine that will stop all of his pain, and let him slip into death peacefully. With older children, it is okay to let them decide if they want to be there to say goodbye while the injection is given… but I would not just depend on age, I would also assess maturity level and their basic understanding of the process before giving them that choice. I also want to stress here that if your child does want to be there, and you feel this is okay, make sure you and your child are fully prepared for what to expect. Talk to your vet about it, and explain that your child will be with you, and you want to walk them through each step of the process in advance.

IV. I think it is also very important to ask if they have any questions When I mentioned earlier that religious beliefs may come into play; it is because children often ask what happens after they die. Be honest and open with your child, and share with them what YOU believe happens…. Whether it be that you believe they all go to Heaven with GOD, or if a relative passed not too long ago, you can say that they will be together, but make sure you are not making up answers to appease them. If you are not religious, and you personally are not sure what your beliefs are on the subject… it is OK to tell them that… that you just don’t know. They will appreciate and respect your honest answers.

V.  After the fact After your pet has died, or been put to sleep, let children be involved in the ‘saying good-bye’ process. If you are burying them, let them be part of the service. If you are planning on cremating your pet, let them be involved in choosing the urn, or the spot to place the ashes. And most importantly, don’t avoid the subject of their pet afterwards. You don’t want to make the pet’s name a taboo subject because you are afraid bringing it up may bring up unpleasant feelings for you or them. Let them know it is okay to talk about their feelings and memories by doing so yourself.

It is never an easy or a pleasant subject to discuss death, but how you handle this may determine how your children deal with loss in their future. Death is a part of life… so the more honest and open we discuss it with our children, the more prepared they will be when it actually happens.

The Rainbow Bridge

The Rainbow BridgeJust this side of heaven is a place called Rainbow Bridge. When an animal dies that has been especially close to someone here, that pet goes to Rainbow Bridge.

There are meadows and hills for all of our special friends so they can run and play together. There is plenty of food, water and sunshine, and our friends are warm and comfortable. All the animals who had been ill and old are restored to health and vigour; those who were hurt or maimed are made whole and strong again, just as we remember them in our dreams of days and times gone by. 

The animals are happy and content, except for one small thing; they each miss someone very special to them, who had to be left behind.

They all run and play together, but the day comes when one suddenly stops and looks into the distance. His bright eyes are intent; His eager body quivers. Suddenly he begins to run from the group, flying over the green grass, his legs
carrying him faster and faster. You have been spotted, and when you and your special friend finally meet, you cling together in joyous reunion, never to be parted again.

The happy kisses rain upon your face; your hands again caress the beloved head, and you look once more into the trusting eyes of your pet, so long gone from your life but never absent from your heart.

Then you cross Rainbow Bridge together

Author unknown

Be a Parent and Not a Referee: Simple Tips to End the Fighting

Last updated on September 2nd, 2019 at 07:44 pm

It’s the soundtrack to parenthood: the battles, the bickering, the rivalries. Mom- she’s touching me! He’s siblings...looking out my window! Tell her to get out of my room! Even on the best of days these sibling squabbles can make you want to pull your hair out. Add in busy schedules and mounting stress and coming home to conflict and contention can just be too much to handle. So what can you do when your living room more closely resembles a war zone rather than the relaxing retreat that it should be?

Though you can’t force your siblings to be best friends, you can get a handle on their squabbles and create a (relatively) harmonious home.

As you probably know already, just saying ‘You kids stop your fighting!’ isn’t going to cut it. Kids respond to firm boundaries and clear cut directives. So what you have to do is lay out some non-negotiable rules and enforce them…period.

There are four simple house rules that will result in a (temporary, at least) cease-fire on all the fighting. The key to successful implementation: consistency, consistency, consistency! (Did I say consistency?)

  • No yelling. Instate a ‘vow of yellibacy’ in your house and enforce it. When tempers flare and feelings are hurt, the volume decimal tends to rise, causing arguments to quickly escalate and get out of hand. Just remember: the ‘no yelling’ rule isn’t only for the kids, it goes for you too. Parents have to set the example for staying calm and collected when they are upset or angry as well. This should be rule number one. All family members must use calm voices only—no yelling allowed. And if talks get heated, anyone can make a time-out hand sign hinting that he needs to cool down. When cooler heads prevail, arguments get resolved much more quickly and in a way that is less stressful for everyone.
  • No taking without asking. Property ownership can be a BIG deal to little ones, and the time honored “Mooom, she’s touching my stuff!” complaint can be frequent in multi-child households. This can be a particularly touchy issue for tweens and teens- especially if there is a younger sibling in the house. Older siblings can get pretty upset when their iPads and laptops are confiscated by tiny sticky (literally!) fingers. Insist that permission of the owner must be granted before borrowing, using, or taking any property. Not only will this cut down on the conflict, but it will also make it easier to resolve any arguments that may come up. If permission was not asked for and granted, then you know who broke the rule. Simple as that.
  • No hurtful behaviors. With bullies and mean girls running the schools, it’s important that you set the standard for you home to be a safe haven for your kids. It should be a place free from hurtful behaviors. Set a strict policy: name-calling and hitting will not be tolerated, under any circumstances and they will result in a consequence. Tolerating hurtful behavior inside your home only encourages your kids to display it when you aren’t around as well- and that’s not a character trait any parent wants to encourage. This rule should stand for each child in your home, no matter what age they are. The consequences may differ according to the age group: for a younger child, a display of hurtful behavior will result in a time-out. If your child is older, then it means the loss of a privilege. While hitting and hurtful words are sure to happen when it comes to siblings, it’s up to you to make them understand that you will not tolerate it under any circumstance.
  • No involvement without evidence. If you are the parent of siblings, you’ve probably also spent a good deal of time playing referee. Kids are quick to run to a parent’s aid to help settle their disagreements and if you weren’t a witness to the incident itself, then it can be hard to know exactly what to do.  You should get involved in the conflict only if you actually saw or heard it occur. This will help to keep you neutral and will encourage your kids to adopt strategies to help them work things out for themselves. If your kids seek your help, but you don’t have any evidence, then step away. Instead, suggest that they use Rock, Paper, Scissors to work out their problem. This prevents you from having to choose sides or take one kid’s word over another’s—and it will also teach them to work things out for themselves. After all, you won’t always be there to help them resolve their problems, so it’s better that they acquire the skills at home so they are ready when the time comes.

****************************************************************************************************************************Borba - book cover -parentingsolutions140x180

Dr Borba’s book The Big Book of Parenting Solutions: 101 Answers to Your Everyday Challenges and Wildest Worries, is one of the most comprehensive parenting book for kids 3 to 13. This down-to-earth guide offers advice for dealing with children’s difficult behavior and hot button issues including biting, tantrums, cheating, bad friends, inappropriate clothing, sex, drugs, peer pressure and much more. Each of the 101 challenging parenting issues includes specific step-by-step solutions and practical advice that is age appropriate based on the latest research. The Big Book of Parenting Solutions is available at amazon.com

Research Trials Make Treatments Affordable for Special Needs Kids

Last updated on September 2nd, 2019 at 07:45 pm

When you have a special needs child, or a child who is ill or any child with a medical need you want to do anything to get them what might help them. Many times treatments are very costly and insurance doesn’t cover all of it, or any of it. One way to give a treatment a try is by getting involved in a research trial.

Many universities and hospitals run these tests, where a new medication or treatment is used and progress carefully monitored.  Sometimes there are groups that get a substitute treatment or medication to compare against the group that got the real stuff. If you are uncomfortable subjecting your child to a new medication (and I don’t blame you there) you may not want to look into these tests, but think about how much progress has been made thanks to people who were willing to take a risk.

Sometimes the trials are for new treatments or techniques, and there are very little risks. I have been hoping to get my child involved in riding therapy, aka hippotherapy, for years, but insurance doesn’t pay for it and neither does our local regional center. They say there is no quantitative proof that it works, even though every involved parent I speak to raves about it. A physical therapist I know who is not easily impressed told me that she saw it work miracles. Plus, the kids have fun doing it, so how could it be bad? A parent whose child does it told me about a research study in the hopes of providing some proof. There were very specific qualifications, which my daughter meets, so with any luck she will get to be a test subject. Fingers crossed!

To find a research trial in your area check your local Craig’s List under ETC or call or write your local university or hospital.

**************************************************************************************************************************

Editor’s Note:  You can now also try searching for trials by checking the following:  

  • Center Watch – where you can search clinical trials by medical condition and location
  • Clinicaltrials.gov – sponsored by the US National Library of Medicine – where you can search by condition or disease, other terms like the drug name and the country

Urinary Tract Infections in Young Children – Part I: Diagnosis

Last updated on September 2nd, 2019 at 07:45 pm

Urinary tract infection  (bladder, Kidneys)  is a very common issue in children and sometimes not the easiest to diagnose.  The symptoms depend on the age and sex of the child, and the location of the infection and these symptoms can vary across the board.  Urinary tract infections (UTI) are more common in females as a rule but during the first year of life, when it is most difficult to diagnose, the incidence is just about the same in males and females.

Sometimes there is an anatomical problem with abnormalities in the kidney or bladder or both that children can be born with, but most of the time these infections occur de novo.  An infection is defined as bacterial growth in the urine in the presence of appropriate symptoms.  If there are no symptoms, the presence of bacteria might only mean colonization, eg: there are bacteria in the urine but have not caused a body reaction yet.  Under certain circumstances even colonization needs to be treated.

During the first year of  life, one might only see a very irritable, cranky baby with or without fever and the source of those symptoms is “hidden” sometimes even to the best and most experienced physician.   Therefore, during the first year of life the suspicion for a UTI is very high and the urine might be checked more often than it would in an older child with the same symptoms.  As you can imagine, obtaining a “clean” urine specimen is very difficult so a variety of methods have been devised.  If one merely “catches” the urine as it is produced externally this stands a significant chance of being contaminated by bacteria living on the skin.  The best ways of obtaining a reliable urine specimen is somewhat invasive but at least your doctor can rely on the results of the evaluation.  These consist of either a bladder catheterization, where a small tube is passed up into the bladder and a urine specimen is obtained or a supra pubic needle aspiration where a needle on a syringe is passed through the lower abdominal wall and a  urine sample is obtained.  The urine sample is obtained by a reliable lab or sometimes in the Doctor’s office by means of a urinalysis and a culture of the urine to be sure there are bacteria in it and what kind it may be so as to choose the correct treatment.  This culture can take 2- 3 days to complete.

This is a very large and important subject so I will stop here and take on the topic of  treatment of UTIs and possible further diagnostic procedures in my next entry.

Senseez Pillows: Vibrational Therapy to Soothe Anxious Kids

Last updated on July 22nd, 2021 at 04:09 pm

senseez logo -smallMy name is Stephanie Mitelman. I am a Mom and I created the Senseez Pillows. The name Senseez means to ease the senses… Let me tell you the story of how Senseez was born…

When my son was 2, he was diagnosed with a special need. One of his difficulties was sitting in one place long enough to eat his meal, read a story, or sit for circle time.

I spoke to an occupational therapist who recommended a vibrating mat to help with this.I bought one for my son, and he instantly loved the sensations!

But one day, I wanted to take him to our local library for story telling, and though the mat would help… it was large, black, heavy, and had to be plugged in. I was also concerned about my son looking different or standing out with this large mat.

So I went on a search to find a small, lightweight, portable pillow that would offer the same sensations that he could take with him. I couldn’t find one!

So Senseez was born!

Senseez are colorful, lightweight, fun shaped vinyl pillows that offer a gentle vibration when they are squeezed or sat on. They operate on batteries and have a small pouch inside that can vibrate to offer sensations to relax, calm or soothe the body. They’re small enough to take anywhere and are made just for little bums!

Painting on a Senseez pillow

Kids that have trouble sitting for meals, stories, car rides, shopping trips, school work, movies, or anything else will be comforted by the vibrations of Senseez. Kids that have trouble falling asleep will enjoy the relaxing sensations.

The original prototypes were sewn in the basement of our home! We made about 25 pillows by hand, and distributed them throughout schools and therapy centers in our area. Since Senseez was created to be taken everywhere and to be used by multiple children, we used a vinyl material, since it is considered to be the most hygienic and easiest to keep clean. The vinyl is also water resistant. We also created a Senseez furry option for children who would like more tactile input.

After we got some feedback, we hired an engineer to perfect the vibrating mechanism we needed. Once that was complete, we had the pillows tested by Canadian standards for lead, small parts and flammability.

We then connected with an importer who handled the production. Our first order was for 600 pillows. Once the word started getting out, we sold out within 9 months!

In April 2013, we were also invited to do a taping on the Dragon’s Den television show. Today, we have 14 different distributors across Canada and the US, and the pillows are now being used across schools, therapy centers and many homes! The feedback we get is so positive, and the ways in which the pillows are being used is so inspiring. Here is an example:

I wanted to share a positive story regarding your Senseez Pillows. I gave one of the pillows to my client who is part of our deaf blind program. Although she is very fluent in hand over hand sign language as well as Braille, she struggles a lot with expressive communication. We have been working closely with her to initiate requests, preferences, feelings…..communication in general. The pillow was introduced during a session as a sensory aid with vibration. She immediately started hugging the pillow and placing it behind her back ……all while signing the word “happy”.

While her expressive communication still remains a struggle, she is now on a regular basis asking for the “vibrating pillow”. She has created a sign that meshes together the words vibrate and pillow, which she independently will communicate to others!

It’s a huge break through!!!!!! It is the first time that she has communicated a want.

Needless to say, we will be needing some more pillows 🙂

Research shows that vibrational therapy has been used for many years in many different forms. Some children require the vibrations to help calm their bodies, while other children just enjoy the way it feels!

We are thrilled that our pillow is helping children, parents, teachers and therapists!

HEALTHFUL HINTS

Tips for working with children who have difficulty sitting in one place for any length of time:

  1. Some children do best with time limits. Let the child know how long they will have to sit for. A start and finish time can help. i.e: sit for 3 minutes to finish snack.
  2. Sometimes using a visual timer can help. Visual timers are available at most special needs stores.
  3. When training a child to sit for a period of time, start small and the build it up. One minute, goes to two, then five etc…
  4. It is okay to use outside reinforcers during this process. Children respond well to rewards, like their favorite treats. You want to build in a reward at the beginning and it won’t be long before long they won’t need it anymore.
  5. It is also okay to use other distractors like TV or iPad in the beginning. We want to calm the child during this hard task. For some children, TV and iPad can help reduce the anxiety of staying one place may cause. After a while, the distraction won’t be needed either.
  6. And you will need to verbally prompt at the beginning. Prompting is giving a gentle reminder about what the child is supposed to be doing, and reinforcing it when they do.
  7. It is always important to reinforce the good behavior (when they do sit in one place), and not only discuss when they don’t.
  8. And lastly, some children enjoy different sensations to help soothe their senses. Vibrations are helpful. Other sensations could be a weighted vest or blanket, or something that offers compression.

Note: Each child is different and you will have to experiment with what works with your child!

Hearing Loss In One Ear Can Cause Speech Delays

Last updated on September 2nd, 2019 at 07:46 pm

Children with hearing loss in one ear may seem to be hearing normally but may fall behind in speechMost babies are given a basic hearing test when they are born.  Usually kids don’t get another hearing test until they enter kindergarten.  A 2018 article by the Cleveland Clinic shows that hearing loss in one ear can go undetected and often goes untreated. The problem is that “these children are exhibiting speech and language delays and are at risk for education problems, including an increased rate of failing a grade, the need for educational assistance in the classroom, and perceived behavioral issues”.

If your preschooler is behind in speech or diction or seems to only pay attention occasionally you might want to ask for a hearing screening.  Being deaf or hard of hearing qualifies a child for special education.  Although that disability may not mean there are any cognitive impairments the condition may prevent the child from taking in or accessing the information being taught. Children with hearing impairments also benefit from speech therapy and other strategies.

More details on how to recognize unilateral hearing loss (UHL) in children can be found at the American Speech Language Hearing Association (ASHA), where you can also find information on testing as well as tips for helping your child hear and learn better at home and at school.

***************************************************************************************************************************

Editor’s Note:  Links have been checked for accuracy and updated as needed

« Previous Page — Next Page »