Winter 2007 by Levone


									Winter 2007

CenterLines: Front and Center with Useful News for Families
What’s in this issue:
Sports Injuries Obesity Therapy Services at CDD New Patient Representative

Sports Injuries
Some children play varsity sports, some participate in Special Olympics, some play on community teams, and others just play with their friends. No matter what level of sports they are in, they are all at risk for a sports injury. Fortunately most injuries are not serious, although they can be scary for parents. Start with getting a sports physical for your child. Be sure to let the examiner know if your child has ever been told not to participate in sports or if there is anyone in your family who has died young and unexpectedly, especially from a heart problem. If your child has Down syndrome you will need to prove that he or she has had a neck x-ray. Some children with Down syndrome are at higher risk for neck injuries.

Abrasions or scrapes happen to kids a lot. Gentle washing with soap and water and applying a
bandaid is usually a good enough treatment. If a cut is so deep you can see muscle under the fat, you need to take your child for stitches.

Sprains and strains are about the most common injuries. A sprain is an injury to a ligament, one of
the tough bands that hold two bones together. A strain is an injury to the muscle or tendon, which holds the muscle to the bone. Usually there is pain and swelling in the part that was hurt. There may be some bruising under the skin that often gets worse over the next couple days. If your child cannot walk, there could be a broken bone and they should be seen by your doctor.

RICE is the most common treatment for sprains and strains. It stands for Rest, Ice, Compression, and Elevation. Your child should try not to walk on the injured leg or use the injured arm. You may
need to rent some crutches. Ice packs, especially for the first day or two, can help with pain and

swelling. Ice can be put into a zip lock bag and wrapped in a washcloth. Some people like to use frozen peas or corn as an ice pack—just remember which ones you used for the ice pack and do not eat them. Do not leave the ice pack on more than 15-20 minutes at a time. An ACE bandage or air splint can help keep the swelling down and keep pain down by keeping your child from using their arm or leg too much. Your child should try to keep the sore leg up on a footstool or the arm on a pillow until the swelling is better.

Growth plate injuries are serious. Growth plates are at the top and bottom of the long bones. An
injury to the growth plate in a child who has not finished growing may change how the bone grows. Children who hurt their growth plate should be seen by an orthopedic doctor.

Repetitive motion injuries, like tendonitis or stress fractures, can be from overusing muscles or
tendons. Sometimes they are hard to find on x-ray. RICE can be helpful for them, too. Your child may have to just stop doing that particular activity until they feel completely better.

Heat exhaustion and heat stroke are both very dangerous. Children can die from heat stroke.
These usually happen from too much exercise and too little to drink on a hot day. At first your child may sweat a lot, look pale, and feel dizzy. When they stop sweating and get red, dry, hot and confused, it is a medical emergency. They need to be cooled off and taken to the emergency room immediately.

A concussion is a head injury. A child who is unconscious for any time after an injury should be
taken out of the game and seen by a health care provider. Watch for sleepiness or vomiting because that might mean there is bleeding into the brain. If the child has a very mild concussion, such as being temporarily confused, they should be taken out of the game for a minimum of 15 minutes and all symptoms like dizziness, confusion, fatigue and headache have all gone completely away. If they have symptoms lasting longer than 15 minutes, they should not play any more that week. If your child has problems lasting longer than one hour, he or she needs to be seen that day. Children can die from getting a second concussion before they have gotten over the first one.

Dental injuries often involve the front teeth. See your dentist right away if a tooth is knocked out or
injured, even if it is a baby tooth. Rinse the tooth with salt water or milk if you have it. If you can, put the tooth back into the socket until you get to the dentist. Otherwise, put the tooth in salt water or milk. You can use regular water if you don’t have any other choice.

What can you do? Make sure your child always wears the protective gear for their sport and that
they put them on the right way. This includes helmets, wrist guards, and knee pads for bike riding, skate boarding, and roller blading. Don’t forget mouth guards for contact sports like basketball and football. When they are playing outside, they should wear sunscreen and drink a lot of water. Usually sports drinks are not needed, water is good enough. Children need to take frequent water breaks while playing. Stretching, warming up and cooling down can help prevent injuries. Children should also learn how to play the sport the correct and safe way. A very good website for parents about sports injuries is from the National Institutes of Health
Joni Bosch, PhD, ARNP CDD Family Nurse Practitioner

Okay, everybody has heard on TV and read in magazines, Americans are overweight. Adults and kids have gained weight faster over the last 10 years than ever before. This weight gain has caused more chronic health problems: • diabetes • heart disease • stroke • high blood pressure • back problems • breathing problems The quality of life for children is going down. For the first time, our kids may have a shorter life span than we do. People are working to make a change for healthier living, with the help of organizations and local communities. For instance, you have probably seen changes in your child’s school. Last year Congress passed a law that every school in the nation needed to have a Wellness Committee. This committee should include staff, students and parents. These committees decide where to make changes to create a healthier environment for kids. One major change is that many schools are getting rid of pop in vending machines. Studies now show a direct link between drinking regular pop and being overweight. Kids who drink pop don’t drink enough milk. This causes poor bone growth and dental problems. Offering more fruits and vegetables for kids to eat in schools – both at lunch and for snacks – is another change. Many parents say their kids don’t like fruits and vegetables. However, schools in four states that participated in the Harkins’ Fruit and Vegetable Pilot Program, show that kids eat more of these foods when they get them at school. Schools are also looking at ways to help kids get more exercise and be more active during the day. One fun program is called Walking School Buses. Parents in town start walking with their child along a special route to school. They stop at other kid’s homes and pick up more walkers along the way. This not only helps families have exercise time, but lets you get to know your neighbors and build a safer community. Other ideas include schools moving to daily physical education classes and opening school gyms for use after school. All of this helps families achieve healthier lifestyles. And looking around within our communities, we see that times are finally changing. ―Health‖ is the word for food products. Important trends today are listed as: • convenience • portion control


―wellness‖ (health benefits beyond nutrition)

Examples: ―wellness‖ food is bottled water with antioxidants and/or protein added, and protein/energy meal and snack bars. Packaging snack foods for reduced calorie portion sizes is another winning change for consumers. You’ve probably seen the 100 calorie snack packs. Dole makes mini-packs of baby carrots and individual sized fruit bowls with peel-off lids. This makes it easier to have fruits and vegetables as snacks. New ―streamfresh‖ frozen vegetables from Birdseye Foods makes it easier to add perfectly cooked vegetables to any meal. Some snack foods targeted at kids are high in fat and calories (check the labels!) and these include some pre-packaged microwave meals. This disrupts a kid’s appetite for routine meals. With intense marketing of ―junk‖ food to kids the food industry has been called out! The government is working to develop more guidelines that limit the types of food marketed, to protect impressionable minds of kids. This will help parents remain in control of the kinds of foods they buy.
Anne Tabor, MPH, RD/LD CDD Nutritionist

Resources & Suggestions
for wellness, eating and exercise
Read more about:
 Walking school buses:  Healthy Schools:

 Food marketing to kids:

What can you do as a parent? Some suggestions:
 Join with school staff and other parents to support healthy changes at your child’s school  Plan sit down meals as a family every day. Make meal time a pleasant, family time - don’t nag
your child to eat, but talk about the day’s events in a positive way

 Be a healthy role model for your children – eat well and be physically active  Don’t force your child to eat a certain food – offer a ―new‖ food over and over to let the child get
used to it and they will decide it is okay to try

 Remember adults are responsible to decide what food is offered to kids and when, and the kids
decide how much to eat

 Plan meals that include a food from each of the food groups – protein, grain, fruit, vegetable and

 Read food labels comparing total calories – use nutrition information to learn the approximate
number of calories you and your child need each day ( )

 Decrease how much snack food you eat and how much you have in the house  Have more fruits and vegetables in the house and on the table for every meal  Limit the amount of pop and other sweetened beverages you and your children drink  Limit eating out at restaurants – especially fast food restaurants – often a child is getting as many
calories as they need for the entire day from one meal there

 Plan physical active play time with your child – if not every day 3-4 times a week

Therapy Treatment Services at CDD
Our therapists are available to provide therapy services for children of all ages and a variety of diagnoses. Treatment services are provided in our facility to fit around your family’s busy schedule. We work together with parents, other local service providers (including AEA therapists and other school personnel), and medical staff to meet your child’s needs and to help your child be as independent as possible. Treatment areas that may be addressed include the following:

Occupational therapy
     

Coordination (developmental motor) skills Feeding skills Activities of daily living, including self-care skills Sensory processing (sensory motor) skills Fine-motor skills and handwriting Gross motor skills

CONTACT: Jan Jasper, OTR/L • (319) 353-6429

Physical therapy
  

Assistive technology training and use Gait training Partial weight bearing therapy (promotes normal walking patterns by controlling weight bearing,

balance and posture during walking therapy)

Equipment and bracing management

CONTACT: Kris Baldwin, PT • (319) 356-7409

Speech-Language therapy
  

Speech and language deficits Aphasia therapy (post-stroke therapy) Alternative and augmentative communication

CONTACT: Pena Lubrica, CCC-SLP • (319) 384-6124 For general information regarding treatment services or scheduling, please call one of the therapists listed as the contact, above.

New Patient/Family Representative
We’d like to introduce you to our new Patient/Family Representative here at CDD: her name is Kelly Von Lehmden. She has three daughters, and one of them, Sydney, has Down syndrome. As a parent, she knows what doctor visits are like. She also understands some of the questions and concerns you may have. To contact Kelly: • Call her directly: 319-353-7387 • Page her: dial 319-356-7000 and enter number 1318 • Email her: Her office is in Room 212 To get a copy of her flier, go to: Click on Patient/Family Information, then scroll down to the ―While you are here‖ section and find a link to her flier. It is available in English and Spanish.

The role of the information in this newsletter is not to provide diagnosis or treatment of any illness or condition. We strongly encourage you to discuss the information you find here with your health care and other service providers. CenterLines for families, the newsletter of the Center for Disabilities and Development at the Children’s Hospital of Iowa, is published three times a year. It provides families with current information on child and adult development, issues affecting people with disabilities, and CDD resources available to them and their families. The newsletter is available in print, in Spanish, and also online at Click on Centerlines for Families. For correspondence relating to the newsletter, or to request permission to reproduce information from it, please contact: Barb Nidey Center for Disabilities and Development Children’s Hospital of Iowa 100 Hawkins Drive Iowa City, IA 52242-1011

Newsletter staff Editors Amy Mikelson Elayne Sexsmith Graphics editor Lori Popp Editorial board Joni Bosch Barb Nidey Center for Disabilities and Development 877-686-0031 (toll-free) 319-353-6900 (local)

To top