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Tips of the Week for December, 2017

Patient Satisfaction Survey
12-26-2017

Patient Satisfaction Survey:

Please let us know how we’re doing by taking a few minutes to complete the survey below.  The survey is from Community Care of North Carolina, an independent third party.  All answers are kept confidential by CCNC.  Also, those who complete the survey are entered into a drawing for a $50 Amazon gift card.  Please help us out.  Complete the survey and let us know your thoughts.  See below for more information:

Community Care of North Carolina is partnering with Goldsboro Pediatrics, PA to help improve the care you receive. We are interested in your recent experience with your doctor. The information you provide will be used by your practice staff to improve the way they provide care in the future.

Please take our brief, 3-minute online survey about your experience with our practice. From any computer, mobile smart phone, or tablet, visit the web site:

www.CCNCsurvey.org

Please enter the name of the doctor you visited or the name of our practice when asked, and answer the questions based on your most recent visit to our practice.  

Upon completing the survey, you will have the option of entering a drawing for a $50 Amazon gift card as a way of thanking you for your feedback!

Thank you for your time in completing this short survey and providing us with valuable feedback about your experience!

Sincerely,
Your Health Care Team 

The project described was supported by Funding Opportunity Number CMS-1L1-15-003 from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies."

 

Winter Car Seat Safety Tips from the AAP
12-18-2017

 
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​Winter is a tricky time for car seats. As a general rule, bulky clothing, including winter coats and snowsuits, should not be worn underneath the harness of a car seat. 

In a car crash, fluffy padding immediately flattens out from the force, leaving extra space under the harness. A child can then slip through the straps and be thrown from the seat.

These tips from the American Academy of Pediatrics (AAP) will help parents strike that perfect balance between keeping little ones warm as well as safely buckled in their car seats.

How to Keep Your Child Warm and Safe in the Car Seat:

Note: The tips below are appropriate for all ages. In fact, wearing a puffy coat yourself with the seat belt is not a best practice because it adds space between your body and the seat belt.

  • Store the carrier portion of infant seats inside the house when not in use. Keeping the seat at room temperature will reduce the loss of the child's body heat in the car.
  • Get an early start. If you're planning to head out the door with your baby in tow on winter mornings, you need an early start. You have a lot to assemble, and your baby may not be the most cooperative. Plus, driving in wintry conditions will require you to slow down and be extra cautious.
  • Dress your child in thin layers. Start with close-fitting layers on the bottom, like tights, leggings, and long-sleeved bodysuits. Then add pants and a warmer top, like a sweater or thermal-knit shirt. Your child can wear a thin fleece jacket over the top. In very cold weather, long underwear is also a warm and safe layering option. As a general rule of thumb, infants should wear one more layer than adults. If you have a hat and a coat on, your infant will probably need a hat, coat, and blanket.
  • Don't forget hats, mittens, and socks or booties. These help keep kids warm without interfering with car seat straps. If your child is a thumb sucker, consider half-gloves with open fingers or keep an extra pair or two of mittens handy — once they get wet they'll make your child colder rather than warmer.Pinch Test image
  • Tighten the straps of the car seat harness. Even if your child looks snuggly bundled up in the car seat, multiple layers may make it difficult to tighten the harness enough. If you can pinch the straps of the car seat harness, then it needs to be tightened to fit snugly against your child's chest. See image right. ​
  • Use a coat or blanket over the straps. You can add a blanket over the top of the harness straps or put your child's winter coat on backwards (over the buckled harness straps) after he or she is buckled up. Some parents prefer products such as poncho-style coats or jackets that zip down the sides so the back can flip forward over the harness. Keep in mind that the top layer should be removable so your baby doesn't get too hot after the car warms up.
  • Use a car seat cover ONLY if it does not have a layer under the baby. Nothing should ever go underneath your child's body or between her body and the harness straps. Be sure to leave baby's face uncovered to avoid trapped air and re-breathing. Many retailers carry car seat bundling products that are not safe to use in a car seat. Just because it's on the shelf at the store does not mean it is safe!
  • Remember, if the item did not come with the car seat, it has not been crash tested and may interfere with the protection provided in a crash. Never use sleeping bag inserts or other stroller accessories in the car seat.
  • Pack an emergency bag for your car. Keep extra blankets, dry clothing, hats and gloves, and non-perishable snacks in your car in case of an on-road emergency or your child gets wet on a winter outing.

These precautions can make sure your child is as safe as can be when traveling to their next well-child visit or over the river and through the woods to grandmother's house.

Additional Information:

​ 

Last Updated
12/14/2015
Source
American Academy of Pediatrics (Copyright © 2015)
The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

For additionional information including links, please go to www.HealthyChildren.org.

Winter Car Seat Safety Tips from the AAP
12-18-2017

Winter is a tricky time for car seats. As a general rule, bulky clothing, including winter coats and snowsuits, should not be worn underneath the harness of a car seat.

In a car crash, fluffy padding immediately flattens out from the force, leaving extra space under the harness. A child can then slip through the straps and be thrown from the seat.

These tips from the American Academy of Pediatrics (AAP) will help parents strike that perfect balance between keeping little ones warm as well as safely buckled in their car seats.
How to Keep Your Child Warm and Safe in the Car Seat:

Note: The tips below are appropriate for all ages. In fact, wearing a puffy coat yourself with the seat belt is not a best practice because it adds space between your body and the seat belt.

Store the carrier portion of infant seats inside the house when not in use. Keeping the seat at room temperature will reduce the loss of the child's body heat in the car.
Get an early start. If you're planning to head out the door with your baby in tow on winter mornings, you need an early start. You have a lot to assemble, and your baby may not be the most cooperative. Plus, driving in wintry conditions will require you to slow down and be extra cautious.
Dress your child in thin layers. Start with close-fitting layers on the bottom, like tights, leggings, and long-sleeved bodysuits. Then add pants and a warmer top, like a sweater or thermal-knit shirt. Your child can wear a thin fleece jacket over the top. In very cold weather, long underwear is also a warm and safe layering option. As a general rule of thumb, infants should wear one more layer than adults. If you have a hat and a coat on, your infant will probably need a hat, coat, and blanket.
Don't forget hats, mittens, and socks or booties. These help keep kids warm without interfering with car seat straps. If your child is a thumb sucker, consider half-gloves with open fingers or keep an extra pair or two of mittens handy — once they get wet they'll make your child colder rather than warmer.Pinch Test image
Tighten the straps of the car seat harness. Even if your child looks snuggly bundled up in the car seat, multiple layers may make it difficult to tighten the harness enough. If you can pinch the straps of the car seat harness, then it needs to be tightened to fit snugly against your child's chest. See image right. ​
Use a coat or blanket over the straps. You can add a blanket over the top of the harness straps or put your child's winter coat on backwards (over the buckled harness straps) after he or she is buckled up. Some parents prefer products such as poncho-style coats or jackets that zip down the sides so the back can flip forward over the harness. Keep in mind that the top layer should be removable so your baby doesn't get too hot after the car warms up.
Use a car seat cover ONLY if it does not have a layer under the baby. Nothing should ever go underneath your child's body or between her body and the harness straps. Be sure to leave baby's face uncovered to avoid trapped air and re-breathing. Many retailers carry car seat bundling products that are not safe to use in a car seat. Just because it's on the shelf at the store does not mean it is safe!
Remember, if the item did not come with the car seat, it has not been crash tested and may interfere with the protection provided in a crash. Never use sleeping bag inserts or other stroller accessories in the car seat.
Pack an emergency bag for your car. Keep extra blankets, dry clothing, hats and gloves, and non-perishable snacks in your car in case of an on-road emergency or your child gets wet on a winter outing.

These precautions can make sure your child is as safe as can be when traveling to their next well-child visit or over the river and through the woods to grandmother's house.
Additional Information:

Car Seats: Information for Families
Winter Safety Tips
Winter Storm Disasters: Facts for Families
Bad Weather: Dangerous for All Drivers


Last Updated
12/14/2015

Source
American Academy of Pediatrics (Copyright © 2015)

The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

All information provided by HealthyChildren.org. For additional information including links, please go to https://www.healthychildren.org/English/safety-prevention/on-the-go/Pages/Winter-Car-Seat-Safety-Tips.aspx

Holiday Mental Health Tips
12-12-2017

​The holidays can be a happy time of year for many people, as they gather with family and friends, exchange gifts and celebrate traditions. But the changes in family routines and extra demands on time can also cause some stress, especially for children.

The American Academy of Pediatrics offers some tips to help your family enjoy the best of the holiday season:

  • During the busy holiday time, try to keep household routines the same. Stick to your child's usual sleep and mealtime schedules when you can, which may reduce stress and help your family enjoy the holidays.

  • Take care of yourself, both mentally and physically. Children and adolescents are affected by the emotional well-being of their parents and caregivers. Coping with stress successfully can help children learn how to handle stress better, too.

  • Make a plan to focus on one thing at a time. Try a few ideas to balance the hustle and bustle of things like shopping, cooking, and family get-togethers during the holidays: Stop and pay attention to what is happening at the moment, focus your attention on one thing about it, and notice how you are feeling at the time. Withhold immediate judgment, and instead be curious about the experience.

  • Give to others by making it an annual holiday tradition to share your time and talents with people who have less than you do. For example, if your child is old enough, encourage him or her to join you in volunteering to serve a holiday meal at your local food bank or shelter, or sing at a local nursing home. Help your child write a letter to members of the armed forces stationed abroad who can't be home with their own family during the holidays.

  • Remember that many children and adults experience a sense of loss, sadness or isolation during the holidays. It is important to be sensitive to these feelings and ask for help for you, your children, family members or friends if needed.

  • Don't feel pressured to over-spend on gifts. Consider making one or two gifts. Help your child make a gift for a parent, grandparent, or other important adults and friends. Chances are, those gifts will be the most treasured ones and will teach your child many important lessons.  

  • Most important of all, enjoy the holidays for what they are -- time to enjoy with your family. So, be a family, do things together like sledding or playing board games, and spend time visiting with relatives, neighbors and friends.

 

https://www.healthychildren.org/SiteCollectionImagesArticleImages/Holiday%20Stress%20Tips%20Infographic%20lma%20ssm.jpg 

Addtitional Information:


 

Published
11/20/2017 12:00 AM

All information provided by HealthyChildren.org.  For additional information please go to the following link.  https://www.healthychildren.org/English/news/Pages/Holiday-Mental-Health-Tips.aspx

10 Things for Parents to Know About the 2017-2018 Flu Vaccine
12-04-2017

 

 

​​By: Kathleen Berchelmann MD, FAAP

It's time to get flu shots for your family before your house is full of fevers and dripping noses. 

Here are 10 things you need to know about the 2017-2018 influenza vaccine:

1.  The flu vaccine is essential for children.

The flu virus is common and unpredictable, and it can cause serious complications and death, even in healthy children. The influenza immunization each year is the best way to protect children. 

Each year, on average, 5% to 20% of the U.S. population gets the flu and more than 200,000 people are hospitalized from complications. At least 101 children died from the flu in the 2016-2017 season, If you choose not to vaccinate your child, you not only miss the opportunnity to protect your own child but also can put others at risk.

Although influenza can be treated with antiviral medications, these drugs are less effective if not started early, can be expensive, and may have bothersome side effects. 

The American Academy of Pediatrics (AAP) and the Center for Disease Control and Prevention (CDC)  recommends annual influenza immunization for all people ages 6 months and older, including children and adolescents. In addition, household contacts and out-of-home caregivers of children with high risk conditions and all children under the age of 5 especially should be vaccinated.

Young children, people with asthma, heart disease, diabetes, weakened immune systems, and pregnant women are at high risk for complications of influenza, such as pneumonia

About half of all Americans get vaccinated against the flu each year, including 50% of pregnant women. This number needs to get better. Ask your child's school, child care center, or sports coach, "How are we promoting the flu vaccine for these children?"

2.  Now is the time to get vaccinated.

Influenza vaccine shipments have already begun, and will continue through the fall and winter. Call your pediatrician to ask when the vaccine will be available. 

Infants and children up to 8 years of age receiving the flu shot for the first time may need two doses of the vaccine, administered four weeks apart. It is important that these children get their first dose as soon as possible to be sure they can complete both doses before the flu season begins. 

3.  This year's flu vaccine is only available as a shot. 

The inactivated influenza vaccine (IIV) is given by intramuscular injection and is approved for children 6 months of age and older. Depending on the number of flu strains it contains, it is available in both trivalent (IIV3 – two A and one B virus) and quadrivalent (IIV4 – two A and two B viruses) forms. The intranasal influenza vaccine is not recommended in any setting in the US.

4.  It doesn't matter which form of the vaccine you get.

The quadrivalent influenza vaccines for the 2017-2018 season contain the same three strains as the trivalent vaccine, plus an additional B strain. Although this may offer improved protection, the AAP does not give preference for one type of flu vaccine over another. 

Please don't delay vaccination in order to wait for a specific vaccine. Influenza virus is unpredictable. What's most important is that people receive the vaccine as soon as possible. 

5.  You can't get the flu from the flu vaccine.

Flu vaccines are made from killed viruses. Mild symptoms, such as nausea, fatigue, headache, muscle aches, and chills, can occur.

The side effects of the flu vaccine are mild (and nothing compared to having the flu). The most common side effects are pain and tenderness at the site of injection. Fever is also seen within 24 hours after immunization in approximately 10% to 35% of children younger than 2 years of age but rarely in older children and adults. These symptoms are usually mild and resolve on their own in a couple of days.

6.  If you catch the flu and are vaccinated, you will get a milder form of the disease.

We know that flu vaccines are about 60% effective--yes, we all wish that number were higher. The good news is that vaccinated people who get the flu usually get a mild form of the disease, according to a study. People who are not vaccinated will likely be in bed with fever and miserable and even could develop a complication. 

7.  There should be plenty of vaccine for everyone this year.

For the 2017-2018 season, manufacturers have projected that they will produce between up to 166 million doses of flu vaccine. 

8.  The influenza vaccine doesn't cause autism.

A robust body of research continues to show that the influenza vaccine is safe and is not associated with autism.

9.  The flu vaccine can be given at the same time as other vaccines.

The flu vaccine may be given at the same time as other vaccines, but at a different place on the body. It is also important to note that children 6 months through 8 years of age may need two doses spaced one month apart to be fully protected. These children should receive their first dose as soon as the vaccine is available in their community. Live vaccines (like the MMR and chickenpox vaccines) may be given together or at least 4 weeks apart.

10.  Children with egg allergy can get the flu vaccine.

Children with an egg allergy can safely get the flu shot from their pediatrician without going to an allergy specialist. Even those with a history of severe egg allergy don't have to treat getting the flu vaccine differently than getting any other vaccine, because these people are not likely to have a reaction to the flu vaccine. 

​Additional Information & Resources:

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​About Dr. Berchelmann:

Kathleen Berchelmann, MD, FAAP, is a pediatrician at Mercy Children's Hospital, Clinical Assistant Professor of Pediatrics at The University of Missouri School of Medicine, and an official spokesperson for the American Academy of Pediatrics. Kathleen and her husband are raising six children.​

All information provided by HealthyChildren.org.  For additional information, please go to their website and www.HealthyChildren.org.

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