Parenting

All Articles in the Category ‘Parenting’

3 Reasons And 5 Tips For Parenting A Child With ADHD

Turns out that in clinical practice I’ve learned that it’s okay to acknowledge that some children are simply harder to parent than others. From what I can tell it’s really true. Often those parents struggling with children with behavioral challenges blame themselves more than is necessary. Sometimes rationale for why it’s harder helps.

There are all sorts of reasons for increased challenge. Chronic or challenging underlying illness, mental health struggles, and/or behavior challenges are a few of the reasons that some parents have a much harder job. I talked with Erin Schoenfelder, Ph.D. a specialist in ADHD and Director of Behavioral Treatment at the PEARL Clinic (Program to Enhance Attention, Regulation & Learning) here at Seattle Children’s Hospital about how parents often NEED a different parenting strategy if their child has ADHD. She outlines it beautifully in the podcast. These 3 reasons and these 5 strategies Dr. Schoenfelder shares can help families support children with the unique challenges that come along with ADHD.

Why do children with ADHD need different parenting strategies?

Normal good parenting strategies (sticker charts, send to room, natural consequences) don’t seem to work for kids with ADHD. Parents need additional strategies. When children with ADHD fail to thrive in typical structures for reinforcement, it doesn’t mean parents are failing. Parenting a child with ADHD can at times be harder than parenting a child without attention challenges.

1. Children may lack internal “self regulation”

  • Kids not regulating their own engines to stay on track. So children with ADHD may be very susceptible to external environments, including distractions, inconsistencies.
  • Therefore, behavior is inconsistent. Kids aren’t able to do what they know how to do.

2. Limited window on time for discipline

  • “Now” versus “Not Now.” Make sure you provide immediate feedback for children with ADHD. If you wait, it may lose relevance or even be lost in the memory bank.
  • Children with ADHD may have a tendency to have their window get “flooded” easily, and they cannot shift forward to predict what will happen next, or backwards to recall what has/hasn’t worked in the past.
  • Children don’t connect behavior and consequence the same way as children without ADHD.

3. Children with ADHD may have different processing of rewards

  • Dopamine is processed differently in the brain of children with ADHD. Therefore when they get the chemical kick of reward, they may experience it differently.
  • Everyday things feel less rewarding and interesting than they are for other kids.
  • Other things (screens) may feel SUPER rewarding…

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How To Dose OTC Medicines In Babies

kyotcs_feverinfographic_weightageAbout 4 million sweet babies are born in the U.S. every year. And since September & October are two of the most popular months in the year for the birth of babies I’m taking a moment to share a couple of reminders for new families and those of you who support them.

1. Nursing Moms & Over The Counter (OTC) Medications: Every new parent feels a sense of overwhelm and exhaustion after welcoming a new baby. It can be especially exhausting when moms are breastfeeding and carry the new concerns about what they’re eating, how they’re both supporting themselves and their baby’s milk and when moms and dads have concerns about passing OTC medications (or Rx ones) through mom’s milk. Here are a few guidelines and reminders:

  • Don’t take aspirin if you’re breastfeeding.
  • It’s always best to avoid extra strength formulas of any medication, as they stay in the blood stream longer.
  • Always ask your doctor if you are worried or have questions about a medicine or supplement you’re taking if you’re breastfeeding. Always makes sense to ask.
  • Read the Drug Facts label as this will sometimes help you understand risks.
  • I like LactMed as a resource/search tool to help find information on medications. LactMed is updated monthly and is a database of over 1,000 drugs and other chemicals to which breastfeeding mothers may be exposed. It includes information on the levels of such substances in breast milk and infant blood, and the possible adverse effects on the nursing infant. All data are derived from the scientific literature and fully referenced.

2. When Your New Baby Gets A Cold Or Fever: Your baby’s first bout with a cold or fever can leave you feeling scared (and exhausted) as you watch your baby deal with the inconvenience of mucus and snot, coughs and/or sneezes. Infants are more susceptible to infections because they don’t have fully developed immune systems hence why we all work hard to avoid exposures for them early in life. But upper respiratory infections (“colds”) do happen even with the best of protections.

Oral cough and cold medicines (including cough suppressants, cough expectorants and multi-symptom cold medicines) are not safe for infants and young children under the age of 4 or 6 years of age.

However, if your baby has a fever and is OVER the age of 3 months, you can give them acetaminophen to help relieve symptoms. The label on OTC medicines for infants and children only includes dosing for children age 2 and older; so talk to your doctor for dosing for younger children.

Always dose medicine by your infant’s weight, not their age, so at every well child check-up as your baby grows, ask your pediatrician to provide the proper, current dose for OTC medicines.

You can also give your child ibuprofen for mild infections, fever, or teething. Dosing for children 6 months and older is on the label; talk to a doctor for dosing for younger children although it is not typically recommended. Here’s more on dosing acetaminophen and ibuprofen by weight in infants and toddlers.

There are also several non-medicine interventions for colds. If your infant or toddler is too young to be given OTC medications or you’d prefer not to use them, there are other options to help relieve symptoms and keep your baby sleeping and comfortable. Read full post »

Playing Multiple Sports Is Better For Most Children

New data out (that I happen to LOVE) seems to go against many parental instincts, including a few of my own. I think plenty of parents have been led to believe in the last few decades that specialization and mastery in a single sport early in life is GOOD for their children. Some of that instinct rises from our guts in the mis-appointed “10,000 hours rule.” The idea that once our children do something for 10,000 hours they will be an expert. The 10,000 hour rule (brought to masses in part via Malcolm Gladwell) suggests that with dedication and time (10,000 hours) a person will develop mastery over a sport or skill. A recent American Academy of Pediatrics clinical report states, “it has often been misquoted that to succeed, an athlete needs to have 10,000 hours of practice/competition over 10 years. The media have incorrectly extrapolated Ericsson and co-workers’ studies of chess players to a formula for sports success. Many examples exist of successful athletes who have <10,000 hours and others who have not succeeded despite having >10,000 hours of practice/competition.”

Children in sports have changed over the last 40 years.

There is increased pressure to participate at a high level, to specialize in 1 sport early, and to play year-round, often on multiple teams. This increased emphasis on sports specialization has led to an increase in overuse injuries, overtraining, and burnout. ~Dr. Joel S. Brenner

And it’s just not true that grunt hours in a single sport will make champions of all of our children. Worse — focusing early and often on one single sport may lead to overuse injuries, burnout, isolation, and a less likely shot at succeeding at and loving sports for a lifetime.

overuse-injuries-1

I think in the time of the tech boom we can also be led astray by the “Zuckerberg effect”  — the idea that we can only really change the world by focusing on a single thing and becoming a global master in doing so.

Reality is, those children who specialize in a single sport early are at higher risk for overuse injuries, burnout, quitting sports altogether and even isolation and loneliness. Successful, even elite athletes, are more likely to develop when our children don’t specialize in a single sport until late puberty, around age 15 or 16 years.  Read full post »

For The Sake Of Privacy: Just Some Of The 20 Questions

img_9254This year, for the first time, I did the annual 20 questions (see below) with the boys at the start of school and realized that I couldn’t share all of the responses here. Just too personal, just too vulnerable, just too real. Sharing all of the answers they entrusted with me would somehow expose them. At some point, every “mommy blogger” censors and protects her children and I, of course, have been doing that since day one. But with these, even somewhat impersonal questions, I felt the exposure and raw responses more than ever. No way that I want to exhume vulnerability that the boys don’t need the world to hold…

Some moms cross over into the abyss of online oversharing with their children’s lives (I hope I won’t but life is clearly a work in progress). This mom wrote recently about over-sharing as a blogger and how it was her own father who stepped in to “Lion Grandpa” (I’m using that as a verb) for his grandson saying “enough is enough” when the mom discussed signs of his first pubertal change online. She pivoted and retreated from her raw content online and has decided to stop writing about rearing her children. Each year I write less and less about the boys and as time has unfolded I’ve taken to asking them before sharing.

There are about 200 bajillion blog posts about the challenges of “sharenting” online and blogging about children and/or the industry of moms who leverage their parenting experience in their work. No question that when it comes to sharing publicly, everybody has their own unique fingerprint of what lines exist and what lines we won’t cross. The decade (+) of blogging has clearly connected us; stories that detail intimate narratives about life and love and passion and failure and intent really do sew us together while being alive. This may be especially true in the isolation and rigors, doubts and overwhelm, and abundant joy that comes while raising children.

So to these 20 questions — the blog post has historically, around here, been a hoot for the boys. They do LOVE to be interviewed. We’ve used the interview as a benchmark into the annual unfurling of time. We have enjoyed the pool of reflection it’s given as the boys navigate concrete responses and loyalties of colors and airplanes to the progression in dreaming about the future. No question it’s fun to think about the 2012 responses and how they compare to today’s — I mean, these little boys really are growing up. Here’s the 2013 (includes 2012 responses) & the 2015 posts.

These boys are still just as sweet and innocent when they respond to the questions (developed when they were in preschool) but their reflections seem to swell now past the margins of the question and into the souls of who they are working to become. Lucky, lucky, lucky, lucky me. May you, too, have a series of questions you ask each year that you write down. Next year I’m editing them and adjusting for age and we’ll see just what renders into shareable — who knows! Until then, enjoy the silliness…

Most Of The 20 Questions At The Start Of School

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Reducing Back To School Stress In 12 Minutes

I find the back-to-school time period to be a little bit stressful (hellowwww, understatement) and perhaps even anxiety inducing. Even good transitions rack up stress. As we brace for the holiday weekend and expect the onslaught of school in earnest while September unfolds, I suggest we can decrease the stress with a bit of info. Here’s my 12-minute podcast to support you as you send your kids back to school and set them up for an awesome start. We’re all hoping for a healthy, safe fall. Take a listen…it won’t take long and you may find yourself a little more relaxed and ready for the chaos. Immunizations, sleep, anxiety and tips for transitions!

Tips For Getting Sleep Schedules Ready For School:

  • Timing: Shift slowly and get started now. If bedtime has migrated to 10pm, for example, and you’re hoping to have your kids sleeping by 8pm for school, start now. Move bedtime forward about 30 minutes every 3 to 4 days.
  • Screens (this isn’t new, I know): Screens, using them and exposing ourselves to the light they emit, impairs our natural sleep hormone melatonin from rising and helping our brain drift off to sleep. Have all screens, tablets, phones, and laptops transition back to sleeping in the kitchen (not at the bedside). In minimum, turn off screens at least 1 hour before desired bedtime!
  • Sleep As Health: getting sufficient sleep contributes to improved attention, safer driving, less health risks, and a more steady mood. We’re nicer when we sleep! It also contributes to how we think on life and even how we remember events; when we don’t sleep we tend to remember things in more somber light. Getting enough sleep supports a healthier life and I would suggest an even happier one. Quick reminder: school-aged children need 9 to 11 hours of sleep and teens need 8 1/2 to 9 1/2 hours. Really!

 

6 Ways To Help An Anxious Child

No question it’s tough to keep our cool when our children are unraveling. It’s especially a challenge when our children are rattled and over-run with anxiety. I partner with parents on a weekly basis who feel their children are anxious. All of us want support in knowing just what TO DO in helping our children thrive while also not letting them suffer.

I partnered with Dr. Kathy Melman on the podcast to review tips and strategies for parenting when children are anxious or when our children suffer from anxiety. Dr. Melman is wonderfully steady and clear in knowing what we can do when we find ourselves amid a sea of anxiety. Dr. Melman explains how to improve the environment for our children, what we can do for ourselves as parents to protect our children, and how to help our children not only cope but thrive in the face of anxiety, disruption, fear, and challenge. Listen in and read her 6 tips below. Number four is a BIGGIE…

6 ways to Help Your Anxious Child:

  1. Modeling Matters: If a parent struggles with anxiety—get evidence based cognitive behavioral therapy (CBT) treatment with an adult anxiety specialist. Caring for your own anxiety will limit how your child models undesired behaviors.
  2. Intervene early and effectively! If your child shows signs of anxiety that is causing distress and/or interfering with functioning, seek CBT treatment with a child anxiety specialist. Don’t wait years for help because untreated anxiety can lead to problems including possible school refusal, lack of friends and opportunities to develop social skills, limited development of independence, healthy sleep patterns, lack of involvement in activities outside of the home, substance use and depression as one’s life shrinks with loneliness, low self esteem (“I can’t handle this”) and lack of building mastery. Anxious children often don’t get the help they need and when they do, they have often already suffered for years, other problems have developed, and they often don’t get the most effective, evidence based behavioral treatment.
  3. Acceptance and Empathy: Accept if your child is “wired together” to have more anxiety and be empathic, rather than invalidating, of their experience. Taking the moment to accept their feelings (even when they seem outlandish!) will allow you to both acknowledge and then support your child more effectively.
  4. Don’t Permit Avoidance: It is really hard to see your child suffer and parents often, meaning well, allow their child to escape and avoid anxiety provoking situations. As a parent, it is important to learn to tolerate this distress, remain calm and know that permitting escape and avoidance and providing excessive reassurance only strengthens anxiety, reinforces your child’s thoughts that the world is a scary place and the belief that they aren’t capable of coping effectively. This is an important dance parents often do with their anxious children and it is critical to change this pattern.
  5. Reward Brave Behavior: Instead of paying attention to anxious behavior, reward use of anxiety management skills (recognizing when anxious, which situations trigger anxiety, what happens in your body, what are your thoughts, calming your body, challenging unrealistic, catastrophic thinking with checking the facts to develop more realistic thinking along with coping and calming thoughts, and approach feared situations in a gradual, manageable, step by step fashion). We are asking our children to do what terrifies them so provide them with empathy, support, skills and coaching so they overcome anxiety by facing their fears and learning that they can, in fact, do this, nothing terrible will happen, and they can live a full life that is not limited by anxiety. Rewarding use of skills and facing fears (known as exposure) helps your child do what is challenging. Exposure is the most important ingredient in effective treatment of anxiety.
  6. Be Involved in your Child’s CBT Anxiety Treatment: Parental involvement is critical for many reasons including learning about anxiety disorders and their treatment, learning which parenting strategies increase and which decrease child anxiety, learning to coach your child in use of anxiety management skills in challenging moments, not permitting the dance of avoidance, modeling use of skills and brave behavior, learning to tolerate when your child is experiencing distress and responding with empathy and approach, providing many opportunities for exposures and rewarding brave behavior. Parents can also use their understanding of anxiety disorders and their effective treatment to communicate important information with schools, coaches, grandparents and other involved caregivers and settings.

Do You Have An Anxious Child?

No question, hands down, I get more requests from friends, family, and acquaintances for help finding support and and advice parenting anxious children than any other pediatric issue in the school years. So it’s my sincere DELIGHT to introduce and partner with Dr. Kathy Melman on my podcast. Dr Melman runs the outpatient psychiatry and behavioral health clinic and has decades of experience advising families and supporting anxious children. She helps translate the facts around what causes anxiety, how to discern anxious behavior from clinical anxiety, and helps parents understand just what we know and what we don’t. Her tips and advice below!

Where Does Anxiety Come From?

1. Anxiety is a normal emotion and a natural part of life. Fear exists in all of us and there are typical fears that are seen at different developmental stages such as Stranger Anxiety (clinging and crying) at 7-9 months of age. This happens as the child goes through developmental changes such as the stronger ability to differentiate familiar faces from those that are unfamiliar. Anxiety is a normal and important emotion that is adaptive and protective. For example, anxiety helps us stay away from dangerous situations such as leaving or not entering a building when we see smoke or fire or smell something burning. Imagine living at a time or in a place without grocery stores or restaurants for securing food, without homes with locking windows and doors. Imagine that we instead have to venture out to hunt and gather food with concern about dangerous animals or people lurking behind a bush. In this situation, concern about safety is warranted and being vigilant, scanning the environment to pick up on danger cues would help someone survive. The rush of adrenaline that occurs when highly anxious is called the “fight or flight” response and it helps someone escape or avoid dangerous situations.

2. Environmental Stress: Anxiety increases in more stressful situations. This can includes fear of safety, homelessness, instability with frequent moves or other important life changes, loss or death of caregivers or other important people, war, hearing or seeing disturbing news, economic difficulties, abuse, sexual assault, bullying at school, high pressure, expectations and demands in school, home and/or activities. Even in healthy, safe environments, all children experience some anxiety. For example, occasional or short lived worries occur when a child is faced with an especially stressful or new, unfamiliar situation. These are real issues with all that is going on in the world right now.

3. Environmental Learning: Dr. Melman reminds, “Children Learn What Children Live.” Modeling matters. Listen to what Dr. Melman shares in the podcast about overprotection and the risks of being over-involved.

4. Avoidance. Anxiety is maintained and strengthened by avoidance. Through avoidance, you don’t get to see that your worst fears will not happen and that you can, in fact, do it! Let’s look at an example of a child invited for a sleepover at a friend’s house. Perhaps this child is not experienced with sleeping away from home and struggles with sleeping in his own room and bed at home. The idea of a sleepover sounds fun and then reality hits as the time to go to sleep approaches. The child becomes panicked, maybe with physical symptoms such as heart racing and pounding and stomach aches. He has thoughts that he won’t be able to fall asleep or that something bad will happen like a robber breaking in, and calls his parents to pick him up which they do. The child starts to feel relieved and no longer anxious as soon as they learn that they can escape this feared situation by going home. The child’s fear and desire to escape and avoid is strengthened because of the strong relief is experienced when rescued and by the fact that parents agreed that there was a need to come home rather than an ability to cope, ride out this wave of distress, stay the night and see that nothing bad happened and that he could, in fact, be courageous!

5. Expecting Bad Things to Happen: Anxious thinking also plays a role in where anxiety comes from.

6. Genes: Anxiety Disorders runs in families. What can we do if our child has a genetic loading for anxiety disorders? While we can’t change genes, we can aim to reduce stress in our lives and change our own modeling and reactions. We can learn to understand and accept our child’s temperament/wiring and empathize with our child’s feelings while also teaching our children how to think more realistically about the world, to expect less danger in situations, and encourage our child to approach in a gradual and consistent manner the situations that he or she fears. We can give our children skills to cope more effectively with challenging situations.

Doing Something New

FullSizeRender (7)Over the weekend I took a trapeze lesson. Like a real one — one where in a matter of minutes an instructor quickly details how to get the safety harness on, how to jump up to the bar, throw your legs over, arch your back and fly through the air. The goal is to learn (rapidly) how to accustom yourself not only to the environment and to the sport but to let go of the bar, fly through the air, and catch a partner’s arms who is simultaneously swinging on another trapeze. All this WAY up in the air.

Within a few moments of some ground instruction we were escalating into the air up a ladder some I don’t know, 20 to 30 to 40 feet in the air. You lose perspective of distance the faster your heart beats. The instructions came quickly, the rapid-fired commands kept thinking to a minimum while also maintaining transitions with necessary momentum. For the first time in a long time I was really doing something I’d never done before. I’d never met these instructors, I’d never been to this place, and I’d not swung upside down by my knees since middle school. At the same time that I was asking my mind to override a great fear of heights I was demanding that my body acquire a new set of muscle memories and choreography. It was oddly taxing. Because of that, I suppose, it was also wildly rewarding when I was successful. There truly was a moment when I thought I may not climb the ladder.

We ask our children to do this constantly. I mean…..constantly. We drag them to new places, we meet new people, we ask them to rapidly acquire new coordinations, new social situations, new goals. And all the while we expect them to do so without much anxiety, without much complaining, without much of a margin for TERROR. This is childhood, this constantly newness, and I would like to say today I think we’re out of touch.

Exhibit A: Over the very same weekend where I trapeze-d through the air I piled my boys into the car Saturday morning after I mentioned we’d drive to a new place, meet with a new man who would instruct them in a music lesson both on a known instrument and a on a new one. I didn’t think it would be such a challenge. But when I heard the instructor quickly explaining what it meant to transpose from the key of C to G and my the neurons in my own mind went into a pretzel I wondered just why the little dudes weren’t curling up on the floor saying, “there’s no way I can learn this so fast.”

Sunday we did things we’d done before.

But then WHAMMMO, on Monday morning, less than 48 hours after Exhibit A, we drove to another place my boys had never been, we walked into a room full of complete strangers (we truly didn’t know a soul), and I left my two boys to this group within about 10 minutes. This was just a summer camp they’d never tried before: Exhibit B. But if we zoom out to a fair perspective it was also a foreign country of experience a vast ocean away (new camp, new people, new place, new skill requirement).

I walked to the car, tears welling up in my eyes, after seeing the look on my 7 year-old’s face as I left the room. It perhaps perfectly captured his reality. It was something like this:

I’m terrified, Mom, to stay here and do this but I believe you that it will be fun and I believe I am capable and I believe over-riding the terror I feel will lend itself to something good. I know I will reap the colorful reward of accomplishment, connection, new friends, and fun. But I’m scared and I am asking a lot of myself every single time I do this

And the trapeze reminded me. We ask our sweet babies to learn and reach and stretch and grow and start things new constantly. Think of a new school year. This post just a reminder, after a quick lesson at 30 feet, we have to remember the herculean tasks we expect and the patience we can have for nurturing tremendous grit but also the compassion we must also embody as we acknowledge the enormity of the challenge in doing something new.

Falling In Love With Reading In The Morning

IMG_8510A couple of weeks ago I read a piece entitled, “The Right Way to Bribe Your Kids to Read.” I was raised by two parents that scoffed at the idea of paying for grades and certainly never used money as incentive for habits and behaviors that were “good” for me. So I suppose like all of us, I am a product of parental molding, and therefore lean into that belief. So when I opened up the article in my hands it was with skepticism. Sure, it turns out, lots of you believe in using allowance or money, even in tiny allotments, as reward for the lovely habit of learning to love to read. That extrinsic motivation isn’t wrong — and there’s a bit to it, incentive-wise. The article reviews how it can work and how it certainly does for some families with somewhat hesitant, young readers. And although it didn’t convert me into pushing quarters around the house to urge the boys, the article really has changed the last week and a half around here.

Not all babies come out great sleepers and not all babies come out eager readers. That being said, even those of us who don’t come out that way sometimes learn to love it (I’m exhibit A). We really should read to our babies the day they are born.

I’ve got one boy in my house who can’t get out of the books. Wormy and delicious, he’s constantly distracted by the stories of the pages. Two days ago he’d announced he was saving the new Harry Potter book for a ferry ride we have coming up and then last night, sitting on our front steps, he whispered to me, almost as an admission, that he’d finished it. Just couldn’t not open it up…

The other little boy around here is a lot more like I was. He’s drawn to the vivid emotion of human interactions; he’s buoyant and wild. In his loudness with life he gets jet fuel energy from playing with people and their ideas, humor, and emotion. He feeds off reciprocity. The characters and stories and prose of books haven’t yet snagged him in a way that he reaches for those characters like he reaches for his brother or for me in the morning. He loves to see how his emotions change ours. And the characters and ideas in his books haven’t yet started talking to him.

So the article about bribing and reading together got me thinking I could help. And a little voice rumbled around in me after reading it urging, “Wendy Sue, no matter how ‘busy,’ it can’t just be books at bedtime, you have to sit together and read at all times of the day.”

So for the last week and a half we’ve been reading together at unusual times. Snuggling up on my bed after getting home from work, on the couch with the coffee, in the corner of the room reading together or outside as the sun creeps up. Ten minutes here, 20 minutes there. Sometimes my little extrovert reader reads out loud to me or sometimes we each read our own. And this bounty with him came from realizing, of course, that I could show him that someone just as desperate for the people I love to share my moments and experiences, my laughter and hopes for the world can also find a bit of salvation in story and poetry. That over time I could live out the truths in front of him that there is safety and solace, intrigue and escape, hope and helium-heart courage, and essential camaraderie in these books. We can stumble upon an even bigger sense of self from words in a book. And sometimes it can take our breath away.

Like today. This morning as we sat together as the morning unfolded and the minutes poured out, I fell in love with a poem I’d never read before. Fell in love with the words so much that I ran my fingers over them after I found them. And I especially danced around in a few lines of it.

Even this middle-aged extrovert is finding newness in words in the morning. Thanks to my little 7 year-old reading partner.

It’s a hot and dusty world. Glimmering , and dangerous. ~Mary Oliver in Prose Poem: Are You Okay?

Yes, it certainly is. Thank goodness we have each other and thank goodness we have the prose of these books and these writers. Thankful for this new habit of togetherness with words with my little reader. Hopeful and knowing you’re also finding similar pockets of stillness this generous summer, too.

Super Basic Reminders For Summer

Summer is upon us and we all want to do our best to keep our families safe and healthy. Some of the summer reminders can seem obvious. You’ve likely even heard the reports out last week warning against using a blanket to shade a baby in a stroller (those enclosed spaces can heat up like greenhouses). Heat waves, sun, vacation, time away from routine, summer is a time of typical increasing adventure and exploration. The product of exploration are bumps and bruises and scrapes and sometimes, even burns. Quick reminders here for why to use effective prevention medicines and how. Pretty obvious advice, but here’s 3 items you should have readily available all the time: sunscreen, insect repellent and maybe even antibiotic ointment — although bandages are a start. You can reach for the ointment once you get home!

1. Protecting Children From The Sun

  1. Use broad spectrum sunscreen that covers UVA and UVB rays with an SPF over 30. As a reminder UVA are rays that cause aging to the skin and UVB rays cause burns. Both are bad news, especially during childhood.
  2. Sunscreen isn’t the BEST protector for our skin– shade is. But being outdoors in the sunshine is the essesnce of childhood. Consider sun protective clothing like rash guards, hats and sunglasses – always better to use things that can’t be absorbed in the skin! And plan activities in direct sun to avoid the most intense sunshine of the day (between 10am and 4pm) when you can.
  3. Choose an SPF over 30 (SPF refers to the amount of protection the sunscreen provides against UVB rays), anything over that doesn’t make much difference. More than what kind of sunscreen is how you use it. Apply 20 minutes prior to sun and every 1-2 hours while in the water or high activity.
  4. Look for sunscreens that include zinc or titanium and avobenzone — these are physical barriers rather than chemical ones — that are less likely to be absorbed in the skin.

2. Preventing Insect Bites

  1. Summer brings out bugs including mosquitoes, wasps and flies. No question we’ve all been thinking more about mosquitoes than ever before with Zika in the news. Here’s a clear and easy-to-read resource on what repellents to use if you live in an area with Zika transmission.
  2. Children should wear long-sleeved shirts and long pants if in areas with lots of insects as that will help protect from bites more than anything else. On areas exposed outside the clothes, you can use repellent.
  3. Use Environmental Protection Agency repellents. All EPA-registered insect repellents are evaluated for safety and effectiveness.Reapply insect repellent every few hours as directed on the bottle
  4. Do not spray repellent on the skin under clothing and don’t use products that are a sunscreen and insect repellent mixed together — dosing intervals are different and areas they are needed often are, too. If you need both products, apply sunscreen first and then insect repellent over it.
  5. It is safe to use EPA–registered insect repellents if pregnant and/or nursing!

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