calendar_2014smMonday, Oct. 20, 3:30 p.m. – 5:30 p.m. Blood Pressure Screening at Glenwood Branch. Free, walk-in blood pressure screening and monitoring offered by Howard County General Hospital: a Member of Johns Hopkins Medicine. No registration required.

Monday, Oct. 20, 3:30 p.m. Superfoods at Miller. Some foods promote health and longevity better than others. Licensed nutritionist Karen Basinger names these powerhouses and how to best use them. Register online or by calling 410.313.1950.

Tuesday, Oct. 21, 9 to 11:30 a.m. Diabetes Screening & BMI. Free. Held in Howard County General Hospital’s Wellness Center. Meet with an RN for a glucose blood test, BMI measurement and weight management information. Immediate resu­lts. Fasting eight hours prior recommended.

Tuesday, Oct. 21, 7 to 8:30 p.m. Choose Your Pediatrician and Promote Your Newborn’s Health. Free. Held in Howard County General Hospital’s Wellness Center. Learn factors to consider and questions to ask when choosing your pediatrician and ways you can promote your newborn’s health. Presented by Dana Wollney, M.D.

Thursday, Oct. 23, 7 to 9 p.m. Get Moving Again: Total Joint Replacement. Held in Howard County General Hospital’s Wellness Center. Free. Learn about total hip and knee surgery from health care professionals, past patients of our Joint Academy and Richard Kinnard, M.D.

Monday, Oct. 27, 5:30 p.m. to 9 p.m. Adult, Child and Infant CPR/AED in Howard County General Hospital’s Wellness Center. Cost is $55. This course will teach the skills needed to clear an airway obstruction, perform cardio-pulmonary resuscitation (CPR), and how to use an automated external defibrillator (AED).


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teach your children wellLast month, I discussed some vexing behavior exhibited by parents during children’s sporting events. Among my key points were my belief that competitive environments can be very good for children, that there are some people who need to learn to deal with disappointment and frustration in graceful ways, and, mainly, that some adults might need to consider teaching and modeling methods of civil communication/behavior to their children. I also looked at some causes for some parents’ own lack of self-control, namely “ego-involvement.”

I hit on a lot of what I wanted to in that post, but in light of Choose Civility Week, I felt like there might be even more to say on this topic (plus, some of what I discussed I felt bore repeating since soccer season is in full swing). Around the holidays last year, when I was battling (and blogging about) an attack of the “gimme’s” in my house, I mentioned the book Teach Your Children Well by Madeline Levine, Ph.D. I remembered liking the book very much, so I decided to revisit it to see what it said with regard to parents’ “exuberance” toward their kids’ activities.

Levine does not discuss athletics in her book so much, but she does address parents’ over-involvement in their children’s sports, as well as other activities, to illustrate some of her points:

“We must shift our focus from the excesses of hyperparenting, our preoccupation with a narrow and shortsighted vision of success that has debilitated many of our children, and an unhealthy reliance on them to provide status and meaning in our own lives, and return to the essentials of parenting in order for children to grow into their most healthy and genuine selves.”

Levine covers in greater depth the ways parents can model and teach a greater sense of fair play, civility, ethics, and even independence to their children (and avoid the pitfalls of their own ego-involvement). I can’t even begin to go into the detail that she does in her book, but she provides key steps and examples to help during different age ranges. For example, in the chapter focused on 5-11 year-olds, she covers friendship, learning, sense of self, empathy, and play. In the chapter on the middle school years, puberty and health, independence, and peer groups are discussed. And for high school ages, Levin focuses on adult thinking, sexuality, identity, and autonomy.

She devotes the last two chapters of the book to “Teaching Our Kids to Find Solutions” and “Teaching Our kids to Take Action.” And, in the “Taking Action” chapter, one of the key components she discusses is self-control. Levine discusses how many children’s emotional difficulties may have at least some footing in problems with self-regulation. She asserts, “The importance of the internal ability to say no, to control impulsivity, to delay gratification cannot be overestimated as a protective factor in child and adolescent development.” But she also warns that parents can overreact to lack of self-control and “catastrophize the situation” to the point that teaching opportunities are missed.

Levine strongly suggests that some of the best ways to help a child develop better self-control include letting him/her experience and learn to manage moderate amounts of distress and challenges, positively acknowledging your child’s ability to “go against the crowd” and not succumb to peer pressure, and modeling good self-management strategies. Again, if you don’t want your kids to be bad sports, make sure that you are not exhibiting that behavior yourself.

Joanne Sobieck-Lingg is glad to blog about her many, disparate interests (though expert in none, except maybe parenthetical asides). In past lives, she was a writer, proofreader, editor, project manager, teacher, and even co-coordinator of a certain health blog. She has been happily ensconced among the fiction and teen books at the Central Branch of HCLS since 2003.

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forget me notI love picture books. I love to read them, share them with children, talk about them, and get lost in wonder at the ability of authors and illustrators to perfectly meld text and illustration. I especially treasure when I find books that capture the emotional truth of difficult subjects.

Forget Me Not by Nancy Van Laan is an Alzheimer’s story. Julia loves her grandmother and is afraid and worried when grandmother becomes forgetful, starts wandering, and finally becomes unable to care for herself. Van Laan deftly guides the reader through the stages of Alzheimers, always through the child’s perspective. When it becomes clear to Julia and her family that grandmother can no longer safely live alone they make together the decision to move her from her home to “a place that will give her the special care she needs.” Muted color washes of blue, green, and yellow contribute to the gentle, delicately perceptive tone of this book.

I lost my mother to dementia a year ago, I wish this book had been around then.

the very tiny babyThe Very Tiny Baby by Sylvie Kantorovitz is a rock star at addressing the serious issues surrounding a premature baby from a sibling’s point of view. Luckily, Jacob has his teddy bear to pour out all of his mixed-up feelings. Sibling rivalry, fear for his mommy, and resentment at the lack of attention are all poured into the understanding ears of Bear. The hand-lettered text and scrapbook style drawings engage the young reader and provide a safe outlet for children in Jacob’s situation.

A keen sense of a child’s perspective makes this a useful book to have in your Tender Topics arsenal.

my fathers arms are a boatMy Father’s Arms Are a Boat by Erik Lunde. This beautiful, quiet, sad book is respectful of the grief of both father and son. Unable to sleep, the boy seeks comfort in his father’s arms. Bundled up, the boy and his father go out into the cold, starry Norwegian night. The boy asks his father “Is Mommy asleep?… She’ll never wake up again?” The father’s soft refrain to his son, “Everything will be alright” as he calms his fears and answers his questions, resonates the truth of the present sadness and the hope for the future. The paper collage and ink illustrations monochromatic tones convey the sorrow, while the flashes of red (like the warmth of the fire) allow the reader, like the young boy, to find comfort in the love of those still with us. The final spread of this Norwegian import is lovely and life affirming.

Shirley ONeill works for Howard County Library System as the Children’s and Teen Materials Specialist. She cannot believe she actually gets paid to do this job.

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sick teddy bear

© Robeo | Dreamstime.com

The rare respiratory virus that has sickened hundreds of kids across the Midwest has made its way to the East Coast, its arrival in Maryland was confirmed this past Wednesday (Sept. 24). Reports of severe illness have fueled anxiety among parents and caregivers, but infectious disease specialists at the Johns Hopkins Children’s Center expect that most children who get the bug should recover swiftly without lingering after-effects.

What is Enterovirus D68?
Enterovirus D68 belongs to a family of nearly 100 viruses that cause a wide range of symptoms, infecting millions of people around the world each year. First identified in the 1960s, Enterovirus D68 is not a new virus. It affects predominantly children and teens and causes mild to moderate upper respiratory infections. Some people may also develop more serious infections of the lungs. The virus is contained in airway and mouth secretions, such as saliva, spit and nasal mucus, and is spread in much the same way as the common cold and the flu viruses — by touching contaminated surfaces, coughing and sneezing.

How dangerous is it?
In most healthy children, the virus will cause brief and self-limiting illness that resembles a bad case of the common cold, but it could lead to more severe disease and respiratory distress, particularly in those with underlying chronic conditions such as asthma, cystic fibrosis, sickle cell disease, heart disease or compromised immune function.

How is it treated?
There is no specific treatment for this virus. Children should drink plenty of fluids to avoid dehydration and rest until fully recovered. Antibiotics used to treat bacterial infections will NOT work against this or any other virus. Over-the-counter anti-inflammatory medications, such as ibuprofen, can help reduce fever, pains and aches. Aspirin should not be given to children.

What can I do to reduce the risk of infection?
Follow common sense hygiene etiquette. The single most effective way to reduce the risk of infection is to wash hands frequently and avoid touching your face. Sneeze and cough into your sleeve rather than in the palm of your hand. Keep home children with cough and fever to avoid spreading the virus to others. Make sure that infected family members use separate hand and facial towels and do not share cups, glasses or utensils.

When should I take my child to the ER?
Most children who get the virus will do fine and do not require emergency care or hospitalization. A small number of children may go on to develop more serious disease and require urgent medical attention or emergency treatment.

One or more of the following warrants a trip to your pediatrician’s office or to the ER:
• Struggling to breathe, apparent respiratory distress
• Severe, prolonged vomiting
• Fever over 103 degrees that does not break in 48 hours
• Lethargy

Dr. Julia McMillan is a pediatric infectious disease specialist at The Johns Hopkins Children’s Center. The center offers one of the most comprehensive pediatric medical programs in the country, with more than 92,000 patient visits and nearly 9,000 admissions each year. Johns Hopkins Children Center is consistently ranked among the top children’s hospitals in the nation by U.S. News & World Report.

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Properly dispose of unwanted or unneeded medications at Drug Take Back Day on Sept. 27 in Howard County

Have you ever opened your medicine cabinet and wondered, “What are all of these medications?” Some you may not have used for years and can’t remember why you had them in the first place, but you keep them because you just don’t know what to do with them.

What is the best way to handle unneeded and expired drugs? Your Howard County General Hospital pharmacists recommend participating in the Drug Take Back Day on Sept. 27, 2014 in nine locations throughout Howard County.

Our pharmacists give tips on why it is vital to safely dispose of unneeded medications and other ways you can delete them from your cabinet in the below slideshow.

 

  • girl with pills
    Leaving unneeded drugs around the house can pose a grave danger to children, teens and even family. Did you know that two-thirds of teens who abuse prescription drugs are getting them from their own homes, friends or a family member?
  • Having too many drugs in your home increases the risk of accidentally taking the wrong medication or a medicine that is too old to be effective.
  • pills in trash can
    Improper disposal of drugs is not only bad for us, it is bad for the earth and our sources of drinking water. In homes with septic tanks, prescription and over-the-counter drugs flushed down the toilet can leach out and seep into ground water.
  • drainage water
    Even in places where residences are connected to wastewater treatment plants, some drugs can pass through the system and end up in our rivers and lakes and eventually flow into our sources of drinking water. Many treatment plants are not equipped to remove medicines.
  • pills underwater
    From the Office of National Drug Control Policy for household drug disposal: take Rx drugs out of original containers and mix with cat litter, used coffee grounds or other undesirable substance. Put into a disposable container with a lid (ex., empty margarine tub) or a sealable bag and throw away. (Conceal or remove personal information, including Rx number on empty containers before tossing.)
  • pills in the mail
    Mail-in programs, offered by some local pharmacies, sell prepaid envelopes that can be filled with unwanted medications and mailed to a disposal facility. Click the image for prescription donation sites.
  • howard county map
    The best disposal choice is your local Drug Take Back Day. So use this opportunity to clean out your medicine cabinet and bring your over-the-counter or prescription meds to one of nine convenient locations in Howard County by clicking the map.

 

Drug Take Back Day is sponsored by the Howard County Police and HC Drug-Free. The program offers a way for everyone to properly dispose of expired or unwanted medications.
 
Masoomeh Khamesian, Pharm. D., is the director of pharmacy for Howard County General Hospital.
Susan Shermock is the medication safety manager of the Pharmacy at Howard County General Hospital.
  
 

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sports psychologyBoth my kids played indoor soccer this past year, and what an eye-opener it was for me. Now, in the spirit of full disclosure, let me start by saying that I have one kid who will quite visibly cringe when the ball approaches and another who will very enthusiastically run up and kick the ball in absolutely the wrong direction. Needless to say, they get their great athleticism from me. But I do want them to be active and have the opportunity to learn about team work and good sportsmanship. And these were not teams or leagues being scouted by major-league recruiters or anything. So imagine my surprise when I encountered what I thought was only a thing of the past (and/or bad movie stereotypes)…poor-sport parents.

Let me clarify, no one was booing or name calling (mostly) or throwing things at the opposing team; it would seem that most sports associations have nipped that behavior in the bud, thank goodness. And my kids’ coaches were fair, encouraging, and focused on learning and fun. But parents who were attempting to “enhearten” members of their child’s team, or even their own child, were sometimes a bit aggressive in their “cheering.” There was a lot of “coaching” from the sidelines, a lot of outwardly expressed “frustration” when the “fan’s” team did not do as hoped, and even some not so subtle “rejoicing” when the other team missed. (That may be the greatest number sarcastic quotation marks I’ve ever used in a single sentence.)

Also, to clarify, I am very much opposed to giving out trophies for just showing up. I think competitive environments can be very good for children. All people need to learn to deal with disappointment and frustration in graceful ways (just as they should learn to deal with advantage and success in gracious ways). I am not at all questioning the kids, the parents, or the coaches in their competitive feelings, which I think are quite natural and can even be healthy. What I am questioning is the way that some people (adults in particular) express those feelings. Are we teaching our kids civil ways to communicate and providing the best examples of self control? And what is behind some parents’ lack of control?

stressed parents kidsIn the book Pressure Parents, Stressed-Out Kids, Wendy S. Grolnick, Ph.D. and Kathy Seal discuss the psychological phenomenon known as “ego-involvement.” “Ego-involvement is a tendency to wrap our self esteem or ‘ego’ around successes or failures… [and] we occasionally wrap our egos around our children’s achievements.” This sometimes occurs “when our protective and loving hard-wiring collides with the competition in our children’s lives, prompting us to wrap our own self-esteem around our children’s performance…[giving] us our own stake in how well our child performs.” Gronlick and Seal go on to explain how this ego-involvement adds another layer of pressure on parents, making them subject to more ups and downs in their own self-esteem and weakening parenting skills because the parents are too distracted from their child’s needs.

The idea of ego-involvement is reinforced in Sport Psychology for Youth Coaches by Ronald E. Smith and Frank L. Smoll. The authors talk about the positive or “Mastery” approach to coaching that encourages athletes to continue desirable behaviors by reinforcing or rewarding them. But Smith and Smoll eschew the negative approach that attempts to eliminate mistakes through punishment and criticism. They state that the negative approach is “often present in an ego-based climate.” They also acknowledge that it is not just coaches who can create ego-based environments. Smith and Smoll suggest ways for coaches help curb parents’ ego-involvement and best deliver the message to parents who pressure their child too much that this can “decrease the potential that sports can have for enjoyment and personal growth.” They even quote Wayne “The Great One” Gretzky who said, “Parents should be observers and supporters of their athletically inclined children, never pushers.”

So, I don’t have any great solutions to poor-sport parents. Many sports organizations have come a long way at informing parents what is acceptable and unacceptable behavior. Sadly, however, this doesn’t always eliminate the behavior (and, rightfully, most coaches are paying more attention to the players rather than policing the parents). And there is no sure-fire method to eliminate any negative comments that may take place off the field. Maybe the best place to start is to look at oneself and ask, “Am I guilty of ego-involvement? Am I putting my kid’s needs first? Am I a ‘pusher’ or a model of civility and good sportsmanship?”

Joanne Sobieck-Lingg is glad to blog about her many, disparate interests (though expert in none, except maybe parenthetical asides). In past lives, she was a writer, proofreader, editor, project manager, teacher, and even co-coordinator of a certain health blog. She has been happily ensconced among the fiction and teen books at the Central Branch of HCLS since 2003.

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