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Of Good Fences and Good Nannies (by Ellyn Spragins - NewYork Times May 4th 2003)
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I ALWAYS envied women who handled their nannies with brisk, businesslike efficiency. Surely, I thought when I employed au pairs and nannies in the late 1980's and early 90's, that is how a working motherhood is supposed to be conducted. Off to work the moms trotted, confident they were doing the right thing, that the children were happy and that the baby sitter was loving and able.
The problem was not that I had bad nannies. They were mostly terrific. The problem was that I had trouble viewing the person who was doing the most important job in our household as an employee.
Money just seemed the wrong currency in a mom-nanny relationship. Love. Blood. Lifelong loyalty. These precious offerings seemed more appropriate for Ali Higginson, the beautiful Trinidadian who brought calm and order into our house in 1991 when my daughter, Keenan, was 3, and my son, Tucker, was 1.
Paying someone to care for your children is like paying someone to keep your heart beating. Is there enough money anywhere to adequately compensate for it? "Most days I'd be willing to give my baby sitter anything in the world because she allows me to have my `other' life," said Barb Burg, a senior vice president at Random House in New York who has a daughter, 7, and a son, 6. "If I had a million dollars, at least half would be hers!"
Nonetheless, it is cold cash, not theoretical sums of money or the promise of profound gratitude, that underlies a relationship between nanny and parent. Much as they may love children, typical full-time nannies usually want the $350 to $550 they earn each week to finance college educations, support parents and family back home or build their own lives. "As employers, we often treat them like our family, but you know what? They have their own family," said Gale Gregory, president of Mom's Helper, a domestic-worker placement agency in Jericho, N.Y.
Treating a baby sitter as a family member seems more than appropriate, given the intimacy of the job. Parents who hire nannies like to think of themselves as better, more benevolent than Mrs. X, the Park Avenue mom who assumes absolute authority over her nanny's life in "The Nanny Diaries," the novel by Emma McLaughlin and Nicola Kraus. Mrs. X is the self-absorbed, manipulative caricature of a mother who mostly populates horror stories, alongside the physically abusive, dishonest nightmare nanny, for whom nanny cams were invented.
Still, the member-of-the-family approach sometimes offers more comfort to the employer - particularly to moms, who usually manage the relationship - than to a nanny. It helps you, as the employer, walk the knife blade's edge between being grateful for the nanny and being jealous. You want your baby sitter to be a perfect blend of love, wisdom and good judgment, but not more perfect than you. You want the children to love the nanny, but not more than you.
You want to grant some authority to the person who knows your children so well, but you want your choices to shape their lives. Kathyrn Huang, 36, now a stay-at-home mother of children aged 6 months and 4 and 6 years in Maplewood, N.J., recalls with a laugh one of her attempts at remote mothering. "I remember telling my baby sitter which side of the street to walk on, because of the sun," she said.
Redefining your employee as a family member may help you get over those emotional quagmires, but it can be a disservice to both of you. An employee is unlikely to wander into work late or borrow thousands of dollars from her employer, but family members sometimes take such liberties as their due. "When they can't make their car payment, you're toast," said one working mother with two children who lives in a New York suburb and didn't want to be identified to save her baby sitter embarrassment. "You have to loan them the money because you need them to have their car."
Family membership is not the super-deal we sometimes suppose it is for nannies, either. When I called Ali last week to get her perspective for this column, I expected her to remember working for our family with pleasure and pride. She did. But she also gently reminded me that I had never paid her overtime. To my chagrin, I remembered that I had compensated her with time off, usually within a few days. I gave her what I would have chosen for myself, but I was presuming too much about what she wanted, just the way your sister or your mother might think she knows, without asking, where you want to vacation or the way you like your tuna fish sandwiches.
Sometimes nannies do treasure being part of the family more than they value their paycheck. Dawn Lemirand-Poepping, the first nanny I hired, 15 years ago, surprised and moved me when I called her recently at home in Beloit, Wis. Now married with two children, she said we had, unwittingly, provided her with a personal blueprint. "I had no clue what a functioning family was like," she said. "You really showed me what it was to be a family, and it was instrumental in my life."
BUT most of the time, the nanny-as-family notion is a form of self-flattery that only modestly improves the employees' lives. True family membership means sharing equally in the family's responsibilities and privileges. No one knows better than your nanny - who sees you come home with shopping bags, renovate the kitchen for $50,000 or rent a beach house for a couple of weeks - that she is not a full-fledged family member, just a close-enough facsimile to make her employers feel better about themselves.
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The Myth of the Super Nanny
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The Myth of the Super Nanny
By Thomas Haller and Chick Moorman
Reality TV is a national obsession. In any given week, you can watch police officers patrolling the streets of a major city, executives attempting to gain the favor of “The Donald”, boxers slugging it out in an effort to escape the slums, teams racing from destination to destination around the world, individuals pushing their fear to the limit with bugs, reptiles, or heights, and stranded islanders positioning themselves to be the last one standing. In the attempt to become a part of this TV craze, people are trading homes in decoration frenzy, switching spouses in a relationship challenge, and opening their homes to a nanny for a discipline makeover.
Of all the reality TV shows presently entering our homes, the ones that will have the most lasting effect on us as a nation are those that are seeking to reshape our role as parents. And therein lays an unknown and hidden danger. Parents watching shows like “Super Nanny” or “Nanny 911” don’t realize that the techniques being used are often counter-productive to their goal of raising responsible, caring, confident children. They fail to notice that these shows, which claim to model effective parenting, are actually filled with myths, misunderstandings, and misinterpretations of what it takes to parent in a respectful, nurturing manner. This often leaves parents confused or misinformed about discipline strategies and the "reality" of their effectiveness.
In this article, we attempt to help you create your own "reality" about discipline by revealing the most commonly held discipline myths and ways you can combat them to strengthen your own personal parenting style.
MYTH 1: Consequences need to be severe to be effective.
FACT: It is not the severity of a consequence that has impact. It is the certainty. The certainty that specific, logical consequences follow actions, allows children to trust the discipline process. Your consistency in implementing consequences is the glue that holds a discipline strategy together. If consequences are implemented consistently, children learn over time that if they choose to leave their bike in the middle of the driveway, the bike will be hung up in the garage for a few days. Teenagers come to know that if they choose to visit off limit sites on the computer, they have chosen to lose computer privileges for several days. When the consequence occurs consistently, children can count on it and plan accordingly.
MYTH 2: Children learn more quickly from punishment than they do from consequences.
FACT: While it is true that you sometimes get a more immediate result with punishment, it is the consistent implementation of consequences that produces long-term behavior change in children. With punishment, the child is more like to focus on you, your behavior, your anger, than on themselves and the results of the choices they made. Learning rarely results from punishment because children are too busy activating resentment, resistance, and reluctance. They are more likely to spend their time thinking of revenge fantasies, and how to not get caught next time than they are of the cause and effect relationship between their behavior and the consequences which follow.
MYTH 3: The discipline has to be immediate or the effect will be lost and the child will simply repeat the behavior.
FACT: Discipline can be effective whether it is immediate or delayed. How you discipline is more important that when you do it. You might want to take 15-20 minutes to think through how you want to respond to a particular behavior. It could be important to wait until later to discuss options with your partner. Helping children see the cause and effect relationship that exists between the choices they make and the consequences that are directly related to those choices is more important than whether the consequences occurs immediately or the next day.
MYTH 4: Consequences are a more effective form of discipline than punishment.
FACT: It doesn’t matter whether you call the discipline strategy you are using a punishment or a consequence. It is not the action you take that determines whether or not it’s punishment; it’s HOW you take the action. For example, a “time out” or a toy being put away for a few days could be a punishment if it is administered arbitrarily and capriciously. That same discipline strategy could be a consequence if it is a natural outcome that is more closely related to the behavior and is delivered consistently.
MYTH: 5 Parents need to be in control of their children and discipline strategies are the way to stay in control.
FACT: Effective discipline calls for the parents to arrange consequences so that the child is in control. They set it up so that the child is in control of his choices and thus controls the outcomes which result.
Consequences are not used to control, to manipulate, to demonstrate power, or to get even. Attempting to use consequences for control crosses the line and becomes punishment.
Punishment is force, unrelated to the behavior and comes across as retribution. Disciplining from the power stance places the child in a position of being “done to” by others in a position of authority. The child, feeling powerless, does not see himself as being in control of the outcomes. He sees himself as the victim.
When children see themselves as in control of whether or not they experience consequences or outcomes, they are empowered. They learn to see themselves as the cause of what happens to them. They realize they personally create the results which show up in their lives by the choices they make. It is therefore, the children who need the power and the control for discipline to be effective
MYTH: 6 Discipline strategies are effective only if they get the child to comply.
FACT: Compliance or noncompliance by the child has nothing to do with the effectiveness of a discipline system. When discipline strategies demands compliance such as in the case where the parent keeps increasing the severity of the punishment until the child complies, children learn that adults have power and they don’t.
In the use of consequences, the effort does not concentrate on making the child comply. The goal is to present choices, allows the child to choose, and give them room to learn from the positive or negatives outcomes which occur. With the consequence system, children learn a lesson from either the positive or the negative outcome.
Punishing a child with increasing severity until they pick up their toys might get them to pick up their toys. It will not teach them to take responsibility for their toys or create internal motivation to produce the desired behavior.
With consequences, the choice is presented, “You can choose to pick up your toys or you can choose to leave them here. If you choose to pick them up you will have decided to use them for the next week. If you decide to leave them here, I will pick them up, and you will have decided not to have them available for a week. You decide.” With this style of discipline, the child may choose to pick up his toys and he may choose to leave them there. Either way it’s perfect. If he picks them up, it’s perfect. You don’t have to. If he leaves them there, it’s perfect. It’s the perfect time to help him learn what happens when he chooses not to pick up his toys.
MYTH 7: When you implement a discipline strategy, the child needs to know that you are angry.
FACT: Anger is not helpful in a discipline situation. When you discipline in anger the child’s attention focuses on your strong emotion. He looks outward to the person applying the punishment rather than inward to his own internal reaction to the results of the choice he made.
Sincere empathy is much more effective than anger in a discipline situation. “Bummer, what a shame. I bet that will be a challenge for you now,” is empathy that maintains a positive connection between you and the child, even as you hold them accountable for their actions. When the child hears empathy, instead of anger, he is more likely to look inside and to notice the connection between cause (his choice) and effect (the consequence
MYTH 8: Children have to know they were wrong for discipline to be effective.
FACT: Making children wrong for their behavior is counter-productive to raising responsible children. An effective discipline system does not make children right or wrong for their behavior. It simply holds them accountable for their behavior.
If your child fails to put his bike in the garage as agreed, don’t make him wrong. Don’t make him lazy. Don’t make him forgetful. Don’t make him irresponsible. Don't put him in the naughty room. Just make him someone who doesn’t get to ride his bike for three days as agreed to earlier.
Even if the problem occurs over time, refrain from making your child wrong. Blaming and faultfinding don’t help children learn how to make different choices and behave differently in the future. Fixing the problem is more important than fixing blame. Together, join in the search for solutions and model for your child that you value solving problems more than you do assigning blame and handing out punishments.
MYTH 9: Making children say they are sorry is a consequence that helps kids learn new behaviors.
FACT: Having kids say they are sorry does not teach new behaviors. It teaches children to numb out their real feelings, push them down, and lie to the other child.
Saying you are sorry is a form of cheap forgiveness. It gets you off the hook without having to learn anything. Instead of teaching children to say they are sorry, teach them to articulate what they learned and what they intend to do differently next time. In this way the emphasis will be on learning rather than on begging forgiveness.
Remember, your role as a parent and the "reality" you are attempting to create in your home is to empower your children to be responsible, caring and confident as they move through the development stages of childhood. Designing you own home-based reality show by avoiding these discipline myths will help you play out that role effectively.
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25 Insightful Morsels About Children
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25 Insightful Morsels About Children By Thomas B. Haller, M.Div., M.S.W., A.C.S.W., D.S.T. co-author of Couple Talk
1) Children need unconditional love. It is important for children to know that they are loved for who they are and not for their actions and behaviors. This is placed first because it is the basis of all that you do with your children. Show your child, more than just telling them, that you love them.
2) 75-85% of a young child’s actions are unconscious. As a child moves through a day, many of their behaviors are not consciously thought through beforehand. You may even ask them, “Why did you do that?” and they usually respond, “I don’t know”. This is because they truly do not know.
3) The unconscious mind processes the word “don’t” as a “do”. For example: When you say the phrase, “Don’t run!” the unconscious mind actually hears “**** run!” State what you want to have happen. “Don’t run!” can be stated as “Walk your feet.” This process is the same for adults as well as children.
4) Children are concrete thought processors. If it is not in the hand it is not in the mind. They need to see as well as touch in order to learn. Their minds are not developed to the level of grasping the abstract. (Describe an elephant to a child who has never seen one.)
5) Children learns through play. Children learn by doing. They are motivated by their own desire to make sense of the world. When you see a child playing they are learning.
6) Children learn through mistakes. Children learn thought their smart mistakes. They learn to grow and feel encouraged from their new experiences. As a parent be willing to let your child make mistakes.
7) Children are observant, they notice everything. They observe actions-reactions-interaction, behaviors, and words, from siblings, friends, adults, and the media (T.V./Radio).
8) Children do what the adults around them do. If you want your child to learn something, get involved in doing it yourself. If you are doing something you don’t want your children to do, STOP.
9) Children act out the feelings of the adults around them. Children are unconsciously aware of the feelings of the adults around them. When an adult is not effectively handling their own feelings, a child will do it for them through their behavior.
10) Children know more than what the words convey and the faces say. Emotional tone and body language send a stronger message to children than the actual words.
11) Children need rules and guidelines. Children need to feel safe and the way they know they are safe is through the protection of the rules. Without rules, a child’s life becomes chaotic; they are not sure what to do or what not to do. This results in the child seeking out a place that is safe (has rules) or they do everything in hope that someone will stop them.
12) Children need stability and consistency. Routine, routine, routine. The more stable and consistent a child’s life is the more sure they are of their environment. They know what to expect.
13) Children need guidance and direction in making everyday decisions. Stay away from making the decisions for the children. Talk through possible outcomes of the decisions and various solutions. Let the child make the choice from that point.
14) Children can manipulate. Know that when children become angry, scared, or sad, they strive to express their feelings and have their needs met through behavioral outbursts, tantrums, crying, etc. Be encouraging.
15) Children ”play” one parent “off” against the other. It is important for parents to be unified in their approach to parenting. When they are not, children know this and will continually confront the parents with manipulation.
16) It is O.K. for a child to feel angry (sad, scared, happy). Children have feelings too and they need to be allowed to express their feelings. Feelings are neither good nor bad, they just are.
17) It is comforting for children to see their parents taking care of themselves. When a child sees their parents exercising, eating a balanced diet, getting rest, and participating in hobbies, they know that their needs will also be met in these areas and others.
18) Children enjoy the company of their parents. The parent is the most important person in the child’s life and they enjoy spending time with that person. What is important to a child is time spent not money spent.
19) Children need personal/private time. Children need the time to just BE. Being alone gives them the opportunity to think about their day and evaluate what they have learned and attach meaning to it for themselves.
20) Children are creative and whatever they create is good enough. Your way may not be their way. It is the process of the doing that is important to them, not the product.
21) Children can problem solve. Give the child the tools to problem solve. Discuss the problem, the possible consequences, and the various solutions. Together figure out what is needed to solve the problem and allow the child to make the final decision.
22) Children have short attentions spans-approximately 3-5 minutes. Keep it short and simple. As children age, their attentions span increases, slowly. As an adult your attention span is approximately 10-12 minutes.
23) Children enjoy music and singing. Children are exposed to a continuous beat all their lives, from the beat of their hearts, to the beat of waling, to the beat of language. Music and singing brings that beat to a more conscious level.
24) Children have headaches too. 75-80% of all children have had some kind of headache. 20% of all 7-year-old children have one or more headaches per month. 30% of all 14-year-old children have one or more headaches per month. 70-90% of all children with migraine has a family history of the disease.
25) Children are not adults. At times, children act in adult ways. They want to be like “grown-ups”. However, children perceive things differently and they process thoughts different than adults. Stay away from expecting children to be adults or do adult things.
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Children's Allergies
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An estimated 40 million to 45 million Americans (15 percent to 20 percent of the U.S. population) have some type of allergy and, in most people, these allergies first appear during infancy or childhood. It is not surprising then, that allergic disorders rank first among children's chronic diseases.
Any child may become allergic, but children from families with a history of allergy are more likely to be allergic. Children may inherit the tendency to become allergic from their parents, but only some of them will develop active allergic disease. Allergies can show up in different ways in children. Some children get skin rashes (atopic dermatitis) from allergy, some develop asthma, and some get hay fever.
Hay fever, also known as allergic rhinitis, is the most common of all allergy problems. It is characterized by a runny, itchy nose; sneezing; postnasal drip; and nasal congestion. The child with allergies may also have itchy, watery red eyes and chronic ear problems. Despite its common name, "hay fever," these allergy problems can occur at any time of the year ... seasonally or year-round.
The following are just a few points on potential problems for children with allergic rhinitis. Early identification of allergic problems in your child will improve their quality of life, decrease missed school days, and keep you at work.
Nasal Congestion
Allergies are the most common cause of chronic nasal congestion in children. Sometimes a child's nose is congested (obstructed) to the point that he or she breathes through the mouth, especially while sleeping.
If the congestion is left untreated, this mouth breathing forces air currents through the mouth. The force of the air then changes the way the soft bones of the face grow. The face may actually become abnormally elongated in a pattern called "adenoidal face." This causes the teeth to come in at an improper angle, as well as creating an overbite. Braces or other dental treatments may be necessary to correct these problems. Early treatment of the allergies causing the nasal congestion may prevent these problems.
Allergy and Ear Infections
Allergies lead to inflammation in the ear and may cause fluid accumulation that can promote ear infections and decreased hearing. If this happens when the child is learning to talk, poor speech development may result. Clinically, allergies can cause earaches, as well as ear itching, popping and fullness ("stopped up ears"). Anyone with these symptoms should be considered for testing and treatment.
Allergies at School
Fall means going back to school. For allergic children, that may mean absences due to problems related to hay fever. The following are some of the problems to look for so that allergy can be properly diagnosed and treated, as well as several suggestions for helping the allergic child.
- Dust irritation. Reducing dust in the home will be helpful to most allergic family members. At school, children with allergic problems should sit away from the blackboards to avoid irritation from chalk dust.
- School pets. Furry animals in school may cause problems for allergic children. If your child has more problems while at school, it could be the class pet.
- Asthma and physical education. Physical education and sports are a big part of the school day for many children. Having asthma does not mean eliminating these activities. Often medication administered by using an inhaler is prescribed before exercise to control their symptoms. Children with asthma and other allergic diseases should be able to participate in any sport the child chooses - provided the doctor's advice is followed.
- Dry air. With the onset of cold weather, using a humidifier to accompany forced air heating systems may be helpful in some regions of the country. Adding a small amount of moisture to dry air makes breathing easier for most people. However, care should be taken not to allow the humidity above 40 percent, which promotes the growth of dust mites and mold.
- Change in behavior. Since children cannot always express their annoying or painful symptoms, they may exhibit behavior problems in school and at home. Be on the alert for possible allergies if your child has bouts of irritability, temper tantrums or decreased ability to concentrate in school. These are all signs of "allergic irritability syndrome" often caused by nose, ear and sinus symptoms in allergic children. Sometimes allergic children manifest overactive behavior, and usually, their schoolwork suffers. This should NOT imply that attention deficit disorder is caused by allergies! When a child's allergies are properly treated, his or her symptoms, behavior and school performance can improve.
Food Allergic Infants
The best food for a newborn is mother's milk. However, some especially sensitive babies can have allergic reactions to foods their mothers eat. Babies can be tested for allergies. Eliminating these foods from the mother's diet may provide relief for the child, but some babies will be allergic regardless of what their mothers do. When this occurs, your physician may recommend a hypoallergenic infant formula.
As infants grow, their nutritional needs continue to change, and your physician will advise when it is time for solid foods. It is best to start with foods that generally do not cause allergic reactions in adults - carrots, pears, potatoes and rice, for example. Foods that should be avoided early on include wheat, eggs, corn products, citrus fruits and nut butters.
Solid foods should be introduced one at a time in small quantities - a teaspoonful, for example. After three to four days, if the child is adjusting well to the new food item, another may be introduced. As the child becomes accustomed to a variety of foods that do not traditionally cause allergic reactions, foods from the second list above may be introduced in small quantities as well, one at a time. This progressive introduction of food items allows parents to better monitor potential allergic reactions to specific kinds of foods.
Cow's milk is another food that frequently causes allergies in children, but it is a nutritionally important part of a child's diet. Milk should be eliminated from a child's diet only if you are sure the child is allergic to it. Parents may suspect allergy if the child exhibits respiratory problems or rash. If you suspect your child may be allergic to dairy products, consult your physician. Your physician may conduct appropriate tests to verify that allergies exist, determine the allergens responsible, and prescribe the proper course of treatment once the diagnosis is confirmed.
Just Remember
- Allergies are common in children.
- Many childhood problems are made worse by allergies.
- While most allergic problems are not life-threatening, treatment of your child's allergies will make them happier and healthier.
© Copyright American College of Allergy, Asthma and Immunology
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Toddler's Diet
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Understanding your toddler's diet
You'll probably notice a sharp drop in your toddler's appetite after his first birthday. Suddenly he's picky about what he eats, turns his head away after just a few bites, or resists coming to the table at mealtimes. It may seem as if he should be eating more now that he's so active, but there's a good reason for the change. His growth rate has slowed, and he really doesn't require as much food now.
Your toddler needs about 1,000 calories a day to meet his needs for growth, energy, and good nutrition. If you've ever been on a 1,000-calorie diet, you know it's not a lot of food. But your child will do just fine with it, divided among three small meals and two snacks a day. Don't count on his always eating it that way; however, because the eating habits of toddlers are erratic and unpredictable from one day to the next. He may eat everything in sight at breakfast but almost nothing else for the rest of the day. Or he may eat only his favorite food for three days in a row, then reject it entirely.
Your toddler needs foods from the same four basic nutrition groups that you do:
- Meat, fish, poultry, eggs
- Dairy products
- Fruits and vegetables
- Cereal grains, potatoes, rice, breads, pasta
When planning your child's menu, remember that cholesterol and other fats are very important for his normal growth and development, so they should not be restricted during this period.
By his first birthday, your child should be able to handle most of the foods you serve the rest of the family but with a few precautions. Be sure the food is cool enough so that it won't burn his mouth. Test the temperature yourself, because he'll dig in without considering the heat. Try to avoid foods that are heavily spiced, salted, buttered, or sweetened. These additions prevent your child from experiencing the natural taste of foods, and they may be harmful to his long-term good health. Young children seem to be more sensitive than adults to these flavorings, and may reject heavily spiced foods.
Your little one can still choke on chunks of food that are hard and large enough to plug his airway, so make sure anything you given him is mashed or cut into small, easily chewable pieces. Never offer him peanuts, grapes, carrots, whole or large sections of hot dogs, meat sticks, or hard candies. Hot dogs and carrots in particular should be quartered lengthwise and then sliced into small pieces. Also, make sure your toddler eats only while seated and supervised by an adult. "Eating on the run" increases his risk of choking. By his first birthday or soon thereafter, your toddler should drink his liquids from a cup. He'll need less milk now, because he'll get most of his calories from solid foods.
To get a better understanding of what an average day's meals should look like, take a look at the sample menu below:
Sample One Day Menu
This menu is planned for a one-year-old child who weighs approximately 21 pounds.
1 tablespoon = 1/2 ounce (15 cc) 1 teaspoon = 1/3 tablespoon (5 cc) 1 cup = 8 ounces (240 cc)
BREAKFAST 1/2 cup iron-fortified breakfast cereal or 1 cooked egg (not more than 3 eggs per week) 1/4 cup whole milk (with cereal) 1/2 cup juice Add to cereal one of the following: 1/2 banana, sliced 2-3 large sliced strawberries
SNACK 1 slice toast or whole wheat muffin 1-2 tablespoons cream cheese or peanut butter (spread) 1 cup whole milk
LUNCH 1/2 sandwich-tuna, egg salad, peanut butter, or cold cuts 1/2 cup cooked green vegetables 1/2 cup juice
SNACK 1-2 ounces cubed cheese, or 2-3 tablespoons pitted and diced dates 1 cup whole milk
DINNER 2-3 ounces cooked meat, ground or diced 1/2 cup cooked yellow or orange vegetables 1/2 cup pasta, rice, or potato 1/2 cup whole milk
© Copyright 2000 American Academy of Pediatrics Excerpted from "Caring for Your Baby and Young Child: Birth to Age 5" Bantam 1998
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ADHD - Common Behaviors and Symptoms
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ADHD — Common Behaviors and Symptoms
At one time or another, almost all children seem to show symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD). It is normal for all children to show some of these symptoms from time to time. Your child may be reacting to stress at school or home. She may be bored or going through a difficult stage of life. It does not mean she has ADHD.
True ADHD symptoms appear on a regular basis and can interfere with learning. That is why a teacher sometimes is the first to notice inattention, hyperactivity and/or impulsivity and bring these symptoms to the parents?attention. Or perhaps questions from your pediatrician raised the issue. At routine visits, pediatricians often ask questions such as the following:
- How is your child doing in school?
- Are there any problems with learning that you or your child’s teachers have seen?
- Is your child happy in school?
- Is your child having problems completing class work or homework?
- Are you concerned with any behavior problems in school, at homeor when your child is playing with friends?
Your answers to these questions may lead to further evaluation for ADHD.
Part of any evaluation is identifying behavior symptoms. ADHD includes three behavior symptoms: inattention, hyperactivity and impulsivity. Table 1 explains these symptoms.
Table 1. Symptoms of ADHD
| Symptom |
How a child with this symptom may behave |
| Inattention |
Has a hard time paying attention, daydreams |
| |
Does not seem to listen |
| |
Is easily distracted from work or play |
| |
Does not seem to care about details, makes careless mistakes |
| |
Does not follow through on instructions or finish tasks |
| |
Is disorganized |
| |
Loses a lot of important things |
| |
Forgets things |
| |
Does not want to do things that require ongoing mental effort |
| Hyperactivity |
Is in constant motion, as if “driven by a motor? |
| |
Cannot stay seated |
| |
Squirms and fidgets |
| |
Talks too much |
| |
Runs, jumps and climbs when this is not permitted |
| |
Cannot play quietly |
| Impulsivity |
Acts and speaks without thinking |
| |
May run into the street without looking for traffic first |
| |
Has trouble taking turns |
| |
Cannot wait for things |
| |
Calls out answers before the question is complete |
| |
Interrupts others |
Children with ADHD may have one or more of the symptom groups listed in Table 1. The symptoms usually are classified as the following types of ADHD:
- Inattentive Only (formerly known as attention deficit disorder [ADD]) — Children with this form of ADHD are not overly active. Because they do not disrupt the classroom or other activities, their symptoms may not be noticed. Among girls with ADHD, this form is most common.
- Hyperactive/Impulsive — Children with this type of ADHD show both hyperactive and impulsive behavior, but can pay attention.
- Combined Inattentive/Hyperactive/Impulsive — Children with this type of ADHD show all three symptoms. This is the most common type of ADHD.
If your child is 6 years of age or older and has shown symptoms of ADHD on a regular basis for more than 6 months, it is important to discuss this with your pediatrician. It is also very important that you pay close attention to safety. A child with ADHD may not always be aware of dangers and can get hurt easily. Be especially careful around the following:
- Traffic
- Firearms
- Swimming pools
- Tools such as lawn mowers
- Poisonous chemicals, cleaning supplies or medicines
©2001 American Academy of Pediatrics
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One Nanny's Health Care Costs
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One of my friends told me last night: I have a story for your health care blog. He went on to explain that this is why it's obvious the health care system is going to collapse under its own weight.
See, he and his wife have a nanny, and they actually pay the right taxes on her and provide her with health care. She's a single woman in her 40s and they got her coverage through Blue Shield, an individual plan. They also got a low deductible plan, because they wanted her to not feel constrained from going and getting the right kind of preventative and maintenance care done.
Her monthly premium has gone up as follows:
2004-$250 2005-$280 2006-$340
Without her having any major medical problems.
Those are just massive increases. What other industry raises prices like that? Except, perhaps the oil industry ;)
Now I told my buddy to check out other plans, because my own premiums are not as high as that, and I too have a low deductible individual plan. My rates rose from $255 to $281 a month this year, with a $250 deductible and dental coverage.
He may well do that, but his larger point is well taken.
There are some, including readers and commenters on this site, who think health care should just be everyone's individual responsibility. Pay as you go. etc. etc. But with prices like this, and unchecked price raises, that kind of individual health care pretty much qualifies as a luxury item. And that's not good for our society. Hey, and I'm not just talking as a bleeding heart liberal who simply cares about the health and welfare of the less well-off and their children. I'm talking as someone who doesn't want to witness some public health disaster spurred by a populace that can't afford to prevent it!
My buddy believes that the system won't change until it starts falling apart even for the wealthy. And he thinks we're heading in that direction swiftly!
Article taken from HeathyConcerns.com
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