the abc's of kid-friendly doctor visits - palomar health
TRANSCRIPT
May – August 2008
A HEALTH NEWS AND EDUCATION RESOURCE GUIDE FOR NEW AND EXPECTING PARENTS
Tips to put you and your child at ease Pages 4 – 5
You Go Girl!Classes to Help You Stay Fit During Pregnancy and After Childbirth Page 7
Borrowing a Breastpump?Why It’s Not Worth the RiskPage 8
Language of LoveEvaluating Your Child’s Speech DevelopmentPage 11
Project 21SDTaking Action Against Childhood ObesityPage 12
The ABC’sof Kid-Friendly Doctor Visits
2 MAy – August 2008 www.pph.org
Numbers to KnowKeep these important numbers handy for use in the event of an emergency.
EmergencyCrisisHotlines–24-HourService
Fire, Police or Emergency 911
Poison Control 800.222.1222
California Missing Children Hotline 800.222.3463
California Youth Crisis Hotline 800.843.5200
Child Abuse Hotline 800.344.6000
Rape/Crisis Hotline 888.272.1767
Missing, Abused & Exploited Children 888.818.4673
National Runaway Switchboard 800.621.4000
Vanished Children’s Alliance (VCA) 800.826.4743
Suicide and Crisis Counseling 800.479.3339
San Diego Police Department 619.531.2000
PowayPomerado Hospital 15615 Pomerado Road Poway, CA 92064 858.613.4000
Pomerado Outpatient Pavilion Jean McLaughlin Women’s Center Education Classroom 15611 Pomerado Road Poway, CA 92064 858.613.6110
san Marcosthe Healthsource 125 Vallecitos De Oro, Suite A San Marcos, CA 92069 858.675.5376
EscondidoPalomar Medical Center 555 East Valley Parkway Escondido, CA 92025 760.739.3000
Off-site classes are also available for groups, businesses and other organizations that would like instruction on a particular health topic. Call 858.675.5372 for more information.
The HealthSource retains the right to cancel a community education class if minimum enrollment is not met. If you have a disability, please notify us 72 hours prior to the event so that we may provide reasonable accommodations.
Volume 4 – Issue 2 May – August 2008
Editor-in-ChiefJanet Gennoe Klitzner
Director of Marketing & The HealthSource [email protected]
Content EditorsMary Coalson
Health Education Specialist [email protected]
Tammy Chung Assistant to The HealthSource
ContributorsGustavo Friederichsen
Chief Marketing & Communications Officer [email protected]
Tami Weigold Marketing Manager
CeCe Wilkens Wilkens Communications
Jennifer Decker Arevalo PSY/MED Media
Design/ProductionChase Design
Trina Hinch Marketing Project Manager
Mark Seal Rush Press
PhotographyLinda O’Neill
Janet Gennoe Klitzner
Stock Images
Class Locations
stork Club tours Call for dates, times and locations.Tours of the Birth Centers at Palomar Medical Center and Pomerado Hospital are available by appointment only. If you are taking a childbirth class at the Jean McLaughlin Women’s Center or Palomar Medical Center, there is no need to take this tour as well. Tours of the Birth Center at Palomar Medical Center are available in Spanish on the 2nd and last Wednesdays of each month from 7 to 8:30 p.m.
FEE: Free
�For a physician referral, or to register for a class, call the Healthsource at 800.628.2880.
sPECiAl FEAturEs
sPECiAl FEAturEs 4 – 5 The ABC’s of Kid-Friendly Doctor Visits
Your child’s experience at the doctor’s office is dependent on their age as well as your own comfort with these exams. Discover tips to help make each visit a positive one for you and your growing child.
6 Meet the Instructor Palomar Pomerado Health is proud to introduce Karen Peterson as our newest certified childbirth educator.
7 Rising Stars Palomar Pomerado Health Foundation offers a unique opportunity for new parents to turn special gifts into brighter tomorrows.
8 Borrowing a Breastpump?Personal-use breastpumps are not meant to be shared and pose a risk for cross-contamination. Learn more about why you should stick to purchasing your own personal-use pump or renting an appropriate hospital-grade pump.
9 Everything Baby! The Women’s Health Connection Boutique and Resource Center provides the very best products, services and information to every woman embracing the joys of motherhood.
10 Watching Baby GrowLearn more about the developmental milestones to look for during months 19 – 21 of your baby’s life.
11 Language of LoveIf you are concerned about your child meeting basic speech developmental milestones, be proactive and seek assistance. Learn how PPH’s Pediatric Speech Pathology department can help.
12 Project 21SD
EduCAtiOn 6 Childbirth Preparation Classes
PPH offers a wide variety of classes and services to help you and your partner prepare for pregnancy and delivery.
7 Prenatal and Postnatal Exercise ClassesOur prenatal and postnatal yoga and exercise classes will help you to stay in shape, feel your best and maximize your total well-being during and after pregnancy.
8 Breastfeeding Classes and Lactation Services
12 Infant- & Toddler-Care ClassesTake advantage of our special presentation infant- and toddler-care classes including Baby-Care Basics, Infant Massage, Basic Training for Dads, and our newest offering, Soothing and Sleep Strategies.
13 Peaceful Parenting
14 Sibling Education, Young Adult, CPR and First-Aid Classes
Finding a Physician To select a Palomar Pomerado Health physician
for your pre-pregnancy and pregnancy care, or
to register for a PPH childbirth class, please call
TheHealthSourceat 800.628.2880.
� MAy – August 2008 www.pph.org
Chances are, you and your newborn will see more of your pediatrician – or family physician – during the first year than at any other time. The frequency of these early “well baby” visits helps assure that your infant is growing and developing properly.
During these appointments, your health provider – physician, a qualified nurse practitioner or physician assistant – will examine your child’s physical growth, check for signs of infection and abnormalities, test reflexes and note developmental milestones such as rolling over or taking those first steps.
Your child’s experience at the doctor’s office is dependent on your child’s age as well as your own comfort with these exams. These tips will help make each visit a positive experience for you and your growing child.
Be Prepared. “The first doctor visit is easy for the newborn, but can be very stressful for new, and often sleep deprived parents,” says Lynn Herring, M.D., a board-certified pediatrician with Children’s Primary
Care Medical Group. “It helps to plan extra time to get ready. Of course, the diaper bag should be packed
with necessities during the time you will be away from home.”
“You’ll have lots of questions, especially in those first few months,” says Kuangkai Tai, M.D., a board-certified pediatrician with Valley Verde Pediatrics. “A few days before your visit, write your questions down. I suggest using a notebook for recording answers and other important information, like recommended medication dosages and how much weight your child has gained.”
Don’t limit your questions to medical issues. Your provider is a valuable resource about general childcare issues and will have information sheets about common concerns such as sleeping through the night, introducing solid foods and teething.
Be Honest About Shots. Well child visits inevitably include periodic
immunizations. Both Dr. Herring and Dr. Tai agree that honesty is the best policy when it comes to telling your child what to expect during the appointment.
“Vaccines are very important because they protect your child, and the community, from illness,” Dr. Tai
says. “I like to tell patients that the shot is just a small ‘owie’ that helps protect them from a bigger, more serious illness.”
“If a child asks about shots, the parent should honestly respond that he may need vaccines and, if so, the shot will hurt for just a short time, like a hard pinch,” says Dr. Herring. “Even if vaccines are scheduled for a visit, doctors may not know if the child is well enough for them until after the exam is completed. Parents can help most by modeling calmness and confidence that the child will be fine in spite of the injections.”
Partner with Your Provider. Make the most of the professional expertise during each visit. Actively listen to the questions
your provider asks of you and the answers given in response to your questions. Turn off your
cell phone so that you can devote your full attention during the office visit.
Look toward developing a long-term relationship with your child’s doctor. Choose a provider you can communicate with openly and who relates comfortably with your child as he grows up.
To select a Palomar Pomerado Health physician for your pre-pregnancy and pregnancy care, or to find a pediatrician for your child, please call The HealthSource at 800.628.2880 or visit www.pph.org.
ABC’sDoctor Visits
of Kid-Friendly
The
�For a physician referral, or to register for a class, call the Healthsource at 800.628.2880.
Additionaltipsforsuccessfuldoctorvisitswithyourgrowingchildinclude:
1. Think Comfort. While all providers strive to stay on time, there may be unavoidable delays. Bring a favorite toy or book plus appropriate snacks such as juice, cheerios or fruit leather to keep your child occupied and nourished. Dress your child in comfy clothes rather than his newest outfit.
2. Avoid Stranger Anxiety. “Starting at about nine months of age,
‘stranger anxiety’ can begin and babies sometimes become more fearful during the exam,” Dr. Herring says. “This phase typically peaks at about 12 to 18 months old, but can last until a child is about three years old. It’s best to allay those fears by staying close to your child, letting her sit on your lap during the entire exam. Bringing the child’s favorite stuffed animal can be reassuring as well.”
3. Teach to the Moment. School-age children are curious learners and each office visit can be an opportunity to excite their interest in their growing bodies, human development and disease. A few days before an appointment, build positive anticipation by reading a book about visiting the doctor or watching a video.
You can involve older children by asking them to think of a question they would like to ask their provider. Consider reading age-appropriate books or researching online for information appropriate to your child’s interests. For young athletes, a Web site about injury prevention or first aid might apply, while a studious adolescent might prefer a text on how germs spread disease.
4. Empower Your Teen. As your child enters adolescence, encourage him to think of questions to discuss with the doctor. “With teens, part of the visit may involve meeting privately with the doctor, so it helps to let them know that you respect their growing independence and so does their provider,” Dr. Herring says. “If you are in the exam room, try to let your teen answer the doctor’s questions first. Parents can help their adolescent take responsibility for their health, but still provide guidance when needed.”
5. Relax. “Children have pretty sensitive radar, so if you’re afraid your child will pick that up,” says Dr. Tai. “Examine your own anxiety about doctors and try to keep that separate from your child.” He likes to spend a few minutes getting to know the parents before turning his full attention to their child. “This helps everyone relax and understand that we are all interested in the best care for this child.”
6. Reward Your Child. Give your child something to look forward to following the appointment. This could be a trip to the playground, a special treat or a new toy.
7. Keep it in Perspective. Remember that physician visits are focused on helping your child thrive and grow strong and healthy.
6 MAy – August 2008 www.pph.org
Classesthe
Childbirth PreparationPreparation for Childbirth
Five-Week Series 6:30 – 9 p.m.Pomerado Outpatient Pavilion (Poway) Jean Mclaughlin Women’s Center, Education ClassroomChoose one of the following five-week series:Mondays, July 21 – August 18 Wednesdays, June 4 – July 2 Palomar Medical Center (Escondido)Choose one of the following five-week series:
Tuesdays, July 29 – August 26 Wednesdays, June 11 – July 9Prepare for a safe and satisfying birth experience with this five-week childbirth preparation series. Small classes ensure personalized instruction focusing on the signs and stages of labor, hospital procedures, medication options and Cesarean birth. A general overview of labor-coping techniques is provided, and newborn characteristics, infant feeding and postpartum adjustments are discussed. A tour of the birth center is included.
FEE: $70 /mom or couple (includes childbirth manual)
Preparation for Childbirth “in a Weekend” 9 a.m. – 3:30 p.m. (Saturdays) 10 a.m. – 3:30 p.m. (Sundays)
Pomerado Outpatient Pavilion (Poway) Jean Mclaughlin Women’s Center, Education ClassroomChoose one of the following weekend sessions:
May 3 – 4 or May 17 – 18 June 7 – 8 or June 21 – 22 July 19 – 20 August 2 – 3 or August 16 – 17
Palomar Medical Center (Escondido)Choose one of the following weekend sessions:
May 3 – 4 or May 24 – 25 June 7 – 8 or June 21 – 22 July 12 – 13 or July 26 – 27 August 9 – 10 or August 23 – 24 Our weekend class includes the same information covered in our five-week series, but takes only two days to complete. A tour of the birth center is included. Early registration is recommended.FEE: $70 / mom or couple (includes childbirth manual)
Cesarean Birth lectureCall for dates, times and locations.Expectant parents who anticipate a Cesarean birth and choose not to enroll in a childbirth class may attend a one-hour lecture about Cesarean birth that is part of our regular childbirth series. Information covered includes indications for a Cesarean birth, pre-operative procedures, medications, the birthing process, and post-operative and recovery procedures. FEE: $10 /mom or couple
As a mother of three grown boys, Karen Peterson looks back fondly on her own birth experiences and credits her positive memories to the preparation she received through childbirth classes.
“My husband and I took Lamaze classes many years ago and we found it to be extremely helpful as we prepared for such a major life event,” says Peterson, who is a certified childbirth educator and certified lactation educator. “I decided to apply my interest and
knowledge to teaching because I wanted to help others plan for the best possible birth experience as well.”
Peterson joins Palomar Pomerado Health (PPH) with six years experience teaching childbirth preparation classes. At PPH, she will be one of three instructors leading a five-week childbirth series, weekend childbirth class, Becoming a Big Brother/Big Sister class, and a Baby Care Basics class.
“I encourage each expectant mother to trust her body and its ability to give birth,” says Peterson. “If I can provide couples with enough knowledge to ease their fears and enable them to make informed choices about the numerous options available to them, then I feel I’ve succeeded. I really enjoy the opportunity to connect with the couples, and to watch them grow and form their own friendships with each other. It’s a very rewarding experience for everyone.”
When Karen isn’t teaching, she enjoys spending time at her San Marcos home with her husband, David. Together, they tend to their backyard aviary that is home to zebra finches and parakeets.
Meet the Instructor: KarenPetersonCertified Childbirth Educator
Have you been blessed with multiple bundles of joy? The Mothers of Twins and Triplets Club meets monthly and provides a forum for friendship and support for families, or expecting families, with twins or triplets. Speakers and special programs help parents deal with the pressure of raising multiple-birth children. For more information, call 760.798.9678.
Mothers of TWINS &
TRIPLETS Club
7For a physician referral, or to register for a class, call the Healthsource at 800.628.2880.
Special Gifts for a Brighter Tomorrow.Your Baby is a “Rising Star”You have been given a precious gift. Your child – a star in the eyes of anyone who looks upon this bundle of joy. If your baby was born at Pomerado Hospital or Palomar Medical Center, then you have experienced first-hand the expertise and compassion of our nurses and doctors who strive to make each little one’s entrance into this world the best it can be. What better way to commemorate the birth of your baby, and to honor our caring staff, than with a star on our Rising Stars baby wall?
How to Sign-UpThe Rising Stars program offers two ways to join:
A silver star represents a single donation of $100A gold star denotes a single donation of $500
Your donations are fully tax-deductible!
With the birth of a new baby, everyone wants to celebrate the happy event. Anyone can enroll a newborn in the Rising Stars program, including parents, grandparents, other family members and friends.
For more information, or to sign-up, please call the PPH Foundation at 760.739.2787 or visit www.pphfoundation.org.
Prenatal Yoga Infant Mommy & Me Yoga Mommies in Motion
Six-Week Series 6 – 7:15 p.m.
Pomerado Outpatient PavilionJean Mclaughlin Women’s Center Education ClassroomThursdays, May 22 – June 26
A regular practice of yoga postures during pregnancy helps to strengthen the belly and back, reduce back pain, increase well-being and improve physical comfort. Prenatal
yoga assists in preparing for birth by working with the body and breath to help facilitate the labor process. Join Certified Childbirth Educator and Yoga Instructor Liza Janda as she guides expectant moms to relax and empower themselves while creating a safe, soothing and comfortable environment for baby. This class is designed for women in their first through third trimesters. A signed physician consent is required, and participants should bring an exercise mat or large towel to each class.
FEE: $72 / participant for six-week series
Six-Week Series 10:30 – 11:30 a.m.Pomerado Outpatient PavilionJean Mclaughlin Women’s Center Education ClassroomMondays, July 14 – August 18
Finding time to exercise after having a baby can be a challenge. Mommy & Me Yoga is the perfect way to stay in shape and spend quality time with your
child. Registered yoga instructor Erin Noland teaches “baby-style centering,” songs for baby, and an active Hatha Yoga class incorporating poses using your baby. You’ll wind down with wonderful relaxation! Toys are provided – just bring a blanket. Mothers are asked to wait four to six weeks after delivery before practicing yoga. Check with your doctor before starting any new exercise program. Appropriate for new mothers with infants age four weeks to one year – not walking.
FEE: $60 / mom and baby
Four-Week Series 6 – 7 p.m.
Pomerado Outpatient PavilionJean Mclaughlin Women’s Center Education ClassroomThursdays, August 14 – September 4
Take steps now to stay in shape, feel your best and maximize your total well-being during pregnancy. This four-week prenatal series promotes physical fitness and good health through education and exercise. “Mommies in Motion” is suitable for women of any stage of pregnancy or fitness level. A signed physician consent form is required, and participants should bring an exercise mat or large towel to each class.
FEE: $�0 / participant for four-week series
8 MAy – August 2008 www.pph.org
Palomar Pomerado Health’s certified lactation consultants provide guidance to new mothers who choose to breastfeed their babies. Breast pumps are also available for sale or rental through the PPH Women’s Health Connection Boutique, along with a wide variety of breastfeeding supplies and literature. Following is a directory of lactation services:
Jean Mclaughlin Women’s Center 8�8.61�.6120 Pomerado Outpatient Pavilion 15611 Pomerado Road, Poway, CA 92064 Outpatient lactation services provided by board-certified lactation consultants; private appointments; fee for service basis
Women’s Health Connection Boutique 8�8.61�.6110 Pomerado Outpatient Pavilion 15611 Pomerado Road, Poway, CA 92064 Medela breast pumps for rental or purchase; pump kit accessories; nursing bras; breast-care products
Palomar Medical Center 760.7�9.2��� Pomerado Hospital 8�8.61�.�60� Breastfeeding classes; consults; telephone advice warmline
To register for a breastfeeding class, please call The HealthSource at 800.628.2880.
the Healthsource, san Marcos (Craven road location)Thursdays, 1 – 2:30 p.m.
Pomerado Outpatient Pavilion (Poway)Jean Mclaughlin Women’s Center, Education ClassroomTuesdays and Fridays, 1 – 2:30 p.m. 3rd Saturday of each month, 10:30 a.m. – Noon
Meet with a certified lactation consultant and other new moms to share information and learn new ideas during these weekly group sessions. This support group is not a substitute for the Successful Breastfeeding class. Call the Women’s Health Connection at 858.613.6110 for more information.
FEE: Free
Breastfeedingsuccessful Breastfeeding
6:30 – 9 p.m.
Pomerado Outpatient Pavilion (Poway)Jean Mclaughlin Women’s Center, Education ClassroomChoose one of the following four classes: Tuesdays May 6, June 3, July 1 or Aug. 5
Palomar Medical Center (Escondido)
Choose one of the following two classes: Mondays June 9 or August 11
Breastfeeding is “nature’s way” to feed a baby, but it doesn’t always come naturally. Enhance your opportunity for a positive breastfeeding experience with this informative class led by a certified lactation consultant. Topics include the benefits of breastfeeding, breast anatomy and physiology, getting off to a good start, common difficulties and solutions, and returning to work.
FEE: $2� / mom or couple
Lactation SERVICES
“She’s my sister. It’s okay to borrow her breast pump.” “I’m going to save money buying a used breast pump.”
If you are about to become a new mom and are considering buying or borrowing a
pre-owned personal use breast pump, STOP! Personal-use pumps have an internal diaphragm
that cannot be removed, replaced or fully sterilized. Research evidence suggests that certain viruses and bacteria are transmittable through breastmilk, so the risk of cross-contamination of sharing a previously used personal pump cannot be dismissed.
The U.S. Food and Drug Administration (FDA) has only approved hospital-grade breast pumps for use by more than one person. These pumps have a closed system with special barriers and filters to stop milk from entering the motor, which prevents cross-contamination of infectious diseases, like HIV or hepatitis.
“Personal-use pumps are like any other personal-care item,” says Christine Gleason, R.N., C.L.E, Women’s Health Specialist. “You wouldn’t share a toothbrush and shouldn’t share a breast pump.”
The Palomar Pomerado Health (PPH) Women’s Health Connection Boutique and Resource Center rents Medela® hospital-grade pumps. These pumps are FDA-approved for use by more than one person. When renting a breast pump, moms also purchase a new pump kit that includes their own breast shields, containers and tubing. Personal-use breast pumps are available for purchase from the Boutique at competitive prices.
“We give new moms all of the information they need to choose the right pump, whether it’s a rental or personal-use pump,” says Gleason.
“Our staff teaches them how to use and clean the pump and its parts, as well as how to store the breast milk.”
For more information, call the Boutique at 858.613.6110.
Sharing or Buying a Used Breast Pump: NoTWorTHTHEriSK
We’re giving away a free breast pump! Just visit the Women’s Health Connection Boutique and Resource Center between May 15 and July 15, 2008 to enter your name in the drawing. The winner will be notified by phone by July 20.
For more information, call the Boutique at 858.613.6110.
Women’sHealthConnectionBoutiqueandresourceCenter
15611Pomeradord.,1stFloorPoway,CA92064858.613.6110Hours:Monday–Friday10a.m.–6p.m.
Saturdays10a.m.–2p.m.
Win a FREE Medela® Pump In Style Advanced Breast Pump!
Breastfeeding support group
9For a physician referral, or to register for a class, call the Healthsource at 800.628.2880.
background to help them with information about their health concerns or those of a loved one,” Gleason says. “We either provide the information they need, connect them with the appropriate health experts, or refer them to support groups or other community resources. This is what makes our facility unique.”
To learn more, call the Boutique at 858.613.6110 or visit www.pph.org/women.
“With our new location in the beautiful Jean McLaughlin Women’s Center, the Women’s Health Connection Boutique and Resource Center is much larger and able to offer more products than ever before,” says Christine Gleason, R.N., C.L.E., Women’s Health Specialist.
The Boutique offers an extensive line of Medela® breast pumps (for sale or rental), pump kit accessories, lactation supplies, literature and other necessities for mom and baby.
Gleason and Kim Paden, an international board-certified lactation consultant, provide a wide range of services for new moms including nursing bra fittings, breastfeeding classes for at-home and working mothers, and support group meetings. Both are committed to providing the support and encouragement needed for a positive breastfeeding experience.
“Our location on the Pomerado Hospital campus is more convenient for new moms,” says Gleason. “After consulting with a lactation specialist, they can come directly to the Boutique to rent or buy their breast pump and breast-care products. No need to drive to a discount store, especially since we offer better service and pricing!”
The Women’s Health Connection Boutique and Resource Center also includes an extensive lending library with online, print, audio and visual learning materials covering a wide array of women’s health and wellness issues. The Center responds to approximately 160 calls each month and assists about 200 walk-in customers each month.
“Women like to come here because Kim and I have the knowledge and
Find Everything Baby at the WHC Boutique
NEW PRoDuCTS!
At the Women’s Health Connection Boutique, our goal is to provide the very best products, services and information to every woman embracing the joys of motherhood. Our friendly and knowledgeable Boutique staff specializes in pregnancy health and is committed to providing the support and encouragement needed for a positive breastfeeding experience. Choose from our extensive line of Medela® breast pumps for sale or rental, as well as breastfeeding accessories, nursing bras, and other necessities for mom and baby.
Visit us at our new location in the Jean McLaughlin Women’s Center located on the first floor of Pomerado Outpatient Pavilion. For more information, call 858.613.6110.
Pomerado Outpatient PavilionJean McLaughlin Women’s Center15611 Pomerado Road Poway, CA 92064858.613.6110www.pph.org/women
$15 OFF any purchase of $100 or more.
Visit the Women’s Health Connection Boutique and take $15 OFF any purchase of $100 or more. Choose from a variety of breast pumps, breastfeeding accessories and nursing bras, as well as wigs, hats, scarves and breast prostheses for women recovering from cancer.
Call 858.613.6110 for details.
Offer not valid for pump rentals, with any other discount, or for previous purchases. Limit one coupon per person. Coupon must be presented at time of purchase. Expires 12/31/08 BS108
Hours:Monday – Friday, 10 a.m. – 6 p.m.Saturdays,10 a.m. – 2 p.m.
We’ve just expanded our products for mom and baby. Visit us at the Boutique to discover our unique baby care and gift items, including:
• Susan Brown’s Baby: Pure and gentle luxury skin products for baby and mom
• Bravado Designs: Maternity and nursing lingerie
• Belabumbum: Maternity and nursing lingerie
• Elegantbaby: Baby needs, gifts and accessories
• Storksak and Timi and Leslie: Diaper bags for the chic mommy
• Trumpette: Baby socks with fashion and style
10 MAy – August 2008 www.pph.org
• Run
• Throw a ball underhand
• Dump objects (blocks out of a bucket)
• Take off their clothes
• Walk up stairs, maybe down
• Learn 10 or more words a day
• Recognize that something is wrong
• Name several body parts
Source:www.babycenter.com
Missed previous parts of our series on developmental milestones? Visit www.pph.org for an online version of earlier issues of The BabySource.
Now is when your toddler wants to imitate your every move. Your child shadows you – and mimics you – because he is curious and eager to learn. With as many as 200 words in his vocabulary, your child may attempt to converse in two word sentences. As fine motor skills develop further, your little artist may express himself through scribbles.
Since the “terrible twos” are just around the corner, it’s not uncommon to begin to see more aggressive behavior such as hitting,
biting and temper tantrums. Now might be the time to start reading books on effective discipline techniques. By setting a positive example through your behavior, words and actions, your child will follow and self-assurance will blossom. After all, imitation is the sincerest form of flattery!
Between 19 to 21 months, most toddlers will:
infant and toddler CareBaby-Care Basics
12:30 – 3 p.m.
Pomerado Outpatient PavilionJean Mclaughlin Women’s Center, Education ClassroomChoose one of the following three classes:
Saturdays, May 31, June 28 or July 26Since babies don’t come with instructions, this class will provide you with the guidance needed to experience a more confident beginning. Topics include basic physical care skills, growth and development, normal daily activities/habits, safe-proofing your home, nutritional needs and management of illnesses.
FEE: $�0 / mom or couple
infant MassageTwo-Week Series
6:30 – 7:30 p.m.
Pomerado Outpatient PavilionJean Mclaughlin Women’s Center, Education Classroom
Tuesdays, July 22 and 29Designed for babies’ ages 1 to 6 months, infant massage incorporates touch, massage, and reflexology in a loving, fun, one-on-one interaction – providing nourishment for a newborn’s healthy development. Led by Certified Infant Massage Instructor Wendy Morris, this unique class explores the many advantages of infant massage and provides hands-on instruction using easy-to-learn techniques. Please bring your baby to both one-hour sessions.
FEE: $�0 / couple and baby
soothing and sleep strategies 6:30 – 8:30 p.m.
Pomerado Outpatient PavilionJean Mclaughlin Women’s Center, Education ClassroomTuesday, August 19
Listening to your baby cry and cry without knowing what to do can try the patience of any new parent. Based on the best selling book, “The Happiest Baby on the Block,” this class reveals how calming even the fussiest infants is easy once you can see the world from their point of view. You’ll learn how to survive the “Fourth Trimester” through effective soothing techniques. Expecting and new parents are welcome to attend.
FEE: $20 / mom or couple
Basic training for dads 9:30 a.m. – Noon
Pomerado Outpatient PavilionJean Mclaughlin Women’s Center, Education ClassroomSaturday, August 23
Are you a first-time “dad-to-be” in need of some basic training? Learn what to expect during the last trimester of pregnancy, birth and the first few weeks at home. Plus, discover practical tips on diapering, feeding and soothing the newborn. This class is intended for expectant fathers in the second or third trimester of their baby’s pregnancy. It is a “fathers only” class featuring special guests – Veteran Dads (BT graduates) and their newborn babies. Leave the class with a boost of confidence to be the best dad you can be!
FEE: $�� / dad
Watching Baby Grow: Months 19-21
11For a physician referral, or to register for a class, call the Healthsource at 800.628.2880.
Hearing your infant “coo” or say his first word is exciting! But should you be worried if your child has not said “dada” by his first birthday, or isn’t using short sentences by age three? If you are concerned about your child meeting basic speech developmental milestones, be proactive and seek help.
“Start by visiting your pediatrician who can provide you with a prescription to schedule as assessment with our speech pathology department,” says Maren Crickmore, M.A., CCC-SLP, Speech Pathologist for Palomar Pomerado Health (PPH). “About 90 percent of parents who contact us are concerned that their children are behind in their speech, don’t have a big enough vocabulary or don’t pronounce words correctly compared to their peers.”
Medical reasons for speech delay include middle ear infections, hearing loss, a family history of speech problems, alcohol or drug use during pregnancy, premature birth, and pervasive developmental disorders, such as autism. Since speech is produced by coordinated muscle actions of the tongue, lips, diaphragm and vocal cords, an array of medical or developmental conditions may cause speech problems.
Environmental, educational and social factors may impair speech development as well. Excessive sucking on a pacifier or thumb may prevent the tongue from positioning itself correctly for speaking. Poverty, malnutrition, neglect, and stress, along with attention deficits, learning disorders and multiple languages spoken in the home may slow the progress of speech.
“We have two certified bilingual speech therapists on our staff to assist children who speak Spanish,” says Crickmore. “We see our youngsters individually rather than in group sessions and they work with the same therapist throughout their speech rehabilitation. In contrast, speech therapy provided in the public schools is typically conducted in condensed, short group sessions.”
“Today’s parents are much more aware of potential speech problems and are not waiting to see if things get better on their own,” says Crickmore.
“It’s never too early and you can never be too careful. The earlier the intervention, the better the gains and the faster children catch up and avoid struggling with speech related problems, which also impact academic success.”
To learn more, call TheHealthSource at 800.628.2880 or visit www.pph.org.
Maren Crickmore, MA, CCC-SLP, works with three-year-old Victoria Husted using play-based language stimulation techniques.
Age 1 – 1½ years: YES or NO
1. Child looks at person saying child’s name. ______
2. Child follows simple directions. (“Give me the doll.”) ______
3. Child imitates heard sounds/words. ______
4. Child vocalizes or gestures (or does both) to get a desired object. ______
5. Child looks at, reaches for, or points to objects and pictures when asked. ______
Age 1½ – 2 years: YES or NO
1. Child identifies 4 – 6 body parts or clothing items on self or a doll. ______
2. Child completes 2 requests with 1 object (“Brush hair; brush teeth”). ______
3. Child uses consonants such as t, d, n, and h. ______
4. Child names 5 – 7 familiar objects upon request. ______
5. Child imitates 2- and 3-word phrases. ______
6. Child chooses 1 object from a group of 5 on verbal request. ______
Age 2 – 2½ years: YES or NO
1. Child pretends to “talk” on the telephone. ______
2. Child imitates 2 numbers or unrelated words upon request. ______
3. Child uses action words (during play with bubbles and/or cars). ______
4. Child identifies 4 objects by function. (What will baby eat, drink, etc.?) ______
5. Child points to and comments on actions and/or objects in books. ______
Age 2½ – 3 years: YES or NO
1. Child uses action words in 2- to 3-word phrases during play. ______
2. Child follows 2- to 3-step unrelated commands. ______
3. Child understands the concepts of one and all. ______
4. Child responds to “what/where” and “yes/no” questions. ______
5. Child uses verb forms and/or speaks in basic sentences. ______
**If “no” was answered to any of the above, a comprehensive Speech and Language Evaluation by Speech Pathology is recommended.
Speech and Language Screening Tool for Toddlers
Language of Love: Evaluating Your Child’s Speech Development
12 MAy – August 2008 www.pph.org
A Healthy Food Drive in March involved employees throughout PPH who donated healthy food for families at Interfaith Community Services. Employees filled bins at PPH facilities with non-perishable items such as low-sodium canned beans and soup, non-sugared whole grain cereals, and low-fat snacks such as pretzels, multigrain chips and raisins. PPH dietitians developed the list of healthy food items.
“Participation was tremendous because people felt they were giving something of substance and helping people with the greatest need,” says Sheila Brown, Chief Clinical Outreach Officer for PPH.
“Because suggested foods were healthy, employees also learned how to choose healthy foods for
themselves. We were able to make a difference in the community, thanks to the support of our employees.”
Another strategy partners PPH with area elementary schools to screen fifth grade students and identify those at risk for or with diabetes.
“It’s really exciting to work with the schools to address a serious concern in our communities such as childhood obesity,” says Tina Pope, Director of Community Outreach and Development. “For example, Project21SD has chosen Lincoln and Felicita elementary schools to be pilot sites for screening fifth grade students to identify those at risk for obesity or diabetes.”
Screening results are given to the students and their families. Those who are identified as overweight or at risk for diabetes also receive guidance and resources such as insurance assistance, nutrition classes and physician referrals.
The objectives of the childhood obesity project are to:
• Increase physical activity levels
• Reduce sedentary behaviors (watching TV, using the computer, playing video games)
• Increase amount of fruits, vegetables and whole grains in diet
• Decrease amount of energy-dense, high sugar, high fat foods in diet
For more information about Project21SD, visit www.pph.org.
Tackling Childhood Obesity
A team effort is underway throughout Inland North County to defeat childhood obesity, diabetes and cardiovascular disease. These three major health issues, identified in the 2005 Community Health Check conducted by Palomar Pomerado Health (PPH), are the focus of Project21SD.
The goal of Project21SD is to educate children, parents, teachers, PPH employees and the community about the risks associated with obesity, diabetes and cardiovascular disease and the benefits of adopting a healthy lifestyle. Project21SD is a visionary campaign that features a partnership between PPH and the San Diego Chargers’ all-time leading rusher, LaDainian Tomlinson (LT) who wears jersey #21 and is the spokesman for Project21SD.
“LT lives in the PPH district and has a personal interest in promoting health in our communities because his own family has been touched by obesity, diabetes and stroke,” says Sheila Brown, Chief Clinical Outreach Officer with responsibility for implementing the childhood obesity campaign. “His involvement as spokesman is valuable as we move forward with seven strategies to reduce the rate of childhood obesity in our communities.”
1. Campaign Awareness
2. 1 on 1 Coaching Program
3. PPH Employee Food Drive
4. School-Based Intervention
Program
5. Home- and Family-Based
Intervention Program
6. Health Education Program
7. Health Assessment Program
ProjECt 21SD KiCKS off with HEALTHY FooD DRIVE
Strategies for Success
1�For a physician referral, or to register for a class, call the Healthsource at 800.628.2880.
Finding aPhysician
To select a Palomar Pomerado Health physician for your pre-pregnancy and pregnancy care, or to find a pediatrician for your baby, please call TheHealthSource at 800.628.2880. One of our friendly representatives will help you to select the doctor who best fits your family’s needs.
At Palomar Pomerado Health,we're experts in the practiceof medicine...
but we specialize in you.
With a nationally acclaimed team of physicians, nurses and staff specially trained in cardiology,women's health, neurosurgery, orthopedics, trauma services and more, you can trust PalomarPomerado Health to provide you and your family with top-quality clinical care in a supportive,personalized environment. To choose a doctor that's right for you, call The HealthSource at800.628.2880 or visit us online at www.pph.org.
To heal, comfort and promote health — just three more ways that Palomar Pomerado Health isspecializing in you.
w w w . p p h . o r g8 0 0 . 6 2 8 . 2 8 8 0
ProjECt 21SD KiCKS off with HEALTHY FooD DRIVE
Peaceful ParentingSix-Week Series
6:30 – 8:30 p.m.
Pomerado Outpatient Pavilion (Poway)Jean Mclaughlin Women’s Center, Education ClassroomWednesdays, July 9 – August 13The arrival of a baby in a family is a major adjustment for all family members. Creating healthy family relationships from the beginning can pave the way for successful parenting. This class focuses on the positive impact that parents can have with children before the age of 6. Learn about developmental ages and stages, communication techniques and alternative discipline methods while participating in this six-week series led by Shelly Cowper-Smith, a trained parent educator. Classes are provided by Jewish Family Service of San Diego, funded by the FIRST 5 Commission of San Diego County. Appropriate for expectant and new parents as well as grandparents of children ages birth to 5 years. No childcare is provided.
FEE: Free – registration required
1� MAy – August 2008 www.pph.org
CPr & First-Aid Classes American Heart Association life support and Heartsaver First-Aid Courses
Call 800.628.2880 for dates, times, locations and registration information on the following classes.The American Heart Association strongly promotes knowledge and proficiency in BLS, ACLS, and PALS and
has developed instructional materials for this purpose. Use of these materials in an educational course does not
represent course sponsorship by the American Heart Association, and any fees charged for such a course do not represent income to the Association.
CPr for Family and FriendsThis course teaches basic life saving techniques including how to relieve an obstructed airway. It is suggested for the lay rescuer such as new parents, grandparents, babysitters, caregivers or anyone who is preparing to help others in distress but does not need certification.
FEE: $2� / participant
Heartsaver First AidThis four-hour class includes instruction on the general principles of first aid, as well as medical, injury and environmental emergencies. Topics covered include choking, chest pain, fainting, seizures, low blood sugar, bleeding, burns, shock, bites, stings, poisoning and more. This course complies with OSHA regulations and is open to anyone.
FEE: $�0 / participant
Heartsaver Pediatric First Aid This new four-hour class includes instruction on first aid basics, medical and injury emergencies, environmental emergencies and optional topics. It meets state-specific requirements and is designed for child-care professionals, education and recreation staff, new parents, guardians and other caregivers who are responsible for children’s health.
FEE: $�0 / participant
For information on additional CPR and First-Aid Classes offered at Palomar Pomerado Health, please see page 14 of this issue of The HealthSource.
sibling EducationBecoming a Big Brother/Big sister
10 – 11:30 a.m.
Pomerado Outpatient Pavilion (Poway)Jean Mclaughlin Women’s Center Education ClassroomSaturday, June 28
Palomar Medical CenterSaturday, August 16
This 90-minute class offered at the Jean McLaughlin Women’s Center in Poway and Palomar Medical Center in Escondido will help big brothers and sisters prepare for the new baby’s arrival. Activities include safe ways to interact with the new baby, special art projects and diapering and feeding their “own” baby (please bring a doll or stuffed animal). This class is designed for children ages 3 to 5.
FEE: $1� / family
young Adult ClassesBabysitting Basics*
Pomerado Outpatient Pavilion (Poway) Jean Mclaughlin Women’s Center Education Classroom 6 – 9 p.m.Choose one of the following four classes:
Fridays, May 16, June 27, July 25 or August 15
the Healthsource, san Marcos1 – 4 p.m.
Saturday, June 7This three-hour babysitting course is designed for boys and girls ages 10 to 14. Topics covered include babysitter responsibilities, caring for children, overview of first-aid, safety and accident prevention, handling emergencies, playing with children, behavior management, and tips for a professional babysitter. Those completing the course receive a certificate of completion to present to prospective employers.
FEE: $20 / boy or girl (includes course materials)
Becoming a young Woman* 7 – 8:30 p.m.
Pomerado Outpatient Pavilion (Poway)Jean Mclaughlin Women’s Center, Education ClassroomFriday, July 18
the Healthsource, san MarcosFriday, August 22
This informative class helps young women 10 to 12 years old explore the emotional and physical changes of puberty. Emphasis is placed on how each girl experiences changes in her own special way. Additional topics include challenges with competition and development, communicating with parents, menstruation, purchasing personal female items, cramps and other common menstrual discomforts, and emotional changes and hormones. Mothers are encouraged to attend and share this unique time with their daughters. Please note there is no discussion on sex.
FEE: $10 / daughter and mother
*The “Babysitting Basics” and “Becoming A Young Woman” classes are available for off-site instruction upon request. Please call 858.675.5376 for more information.
1�For a physician referral, or to register for a class, call the Healthsource at 800.628.2880.
Agency: JohnsonGray
Client: Palomar Pomerado Hospital
Job:6654 PPH BabySource-Duck Ad
Description: 6654 PPH BabySource-Duck Ad
Color: 4/c 5c x 11
Publications: Health Source
Live: 8.0x10.5 Full Page
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Date:Date:8/16/05 Time:11:20AM Lori Note: CMYK Logo Included
You do allyou can toprotect yourloved ones.
You do allyou can toprotect yourloved ones.
But accidentscan still happen.
But accidentscan still happen.
It seems like children always find a way to hurt themselves. Which is why we makesure we’re always ready. Our Emergency Department has a superior team of physicians and nurses, very short wait times and advanced technologies that rival some of the best in the county. Also, with a patient satisfaction scorein the top quartile among hospitals surveyed nationwide, you can feel com-forted knowing we’ll treat your family like they’re our own. We know you can handle the bumps and bruises that occur in everyday life. However, if somethingever comes up, our Emergency Department is just around the corner and ready to help.
I t seems l ike chi ldren always f ind a way to hurt t hemselves. Which iswhy we make sure we’re always ready. Our Emergency Department hasa s uperior team of physicians and nurses, v e r y short w ai t t ime s andadvanced technologies t hat r ival some of the best in t he county. Also,with a pat ient sa t is fact ion score in t he 99 th pe rcent i le among hospitalssurveyed nationwide, you can feel comfort ed knowing we’l l t reat yourfamily l ike they ’re our own. We know you can handle the bumps andbruises that occur in everyday l i fe. However, i f something more seriousever comes up, our Emergency Department is just around t h e cornerand ready to he lp.
www.pph.org • 15615 Pomerado Road • 858.613.4000
But accidents can still happen.
You do allyou can to
protect yourloved ones.
But accidents can still happen.
You do allyou can to
protect yourloved ones.
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