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Growing Up Healthy: Tots to Teens Eating Right Exercise Preventative Care Manage Stress
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Growing Up Healthy: Tots to Teens Eating Right Exercise Preventative Care Manage Stress.

Jan 14, 2016

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Gilbert Evans
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Page 1: Growing Up Healthy: Tots to Teens Eating Right Exercise Preventative Care Manage Stress.

Growing Up Healthy: Tots to Teens

Eating RightExercise

Preventative CareManage Stress

Page 2: Growing Up Healthy: Tots to Teens Eating Right Exercise Preventative Care Manage Stress.

What Stresses Us Out?

Job pressures

Expectations unmet

Money demands

Health concerns

Responsibilities

Relationship issues

Page 3: Growing Up Healthy: Tots to Teens Eating Right Exercise Preventative Care Manage Stress.

What Really Stresses Us Out!

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Leading Causes of Death

Age GroupsRank <1yr 1-4yr 5-9yr 10-14yr 15-24yr1 Congenital

AnomaliesUnintentionalInjury

UnintentionalInjury

UnintentionalInjury

UnintentionalInjury

2 Short Gestation

Congenital Anomalies

Malignant Neoplasm

Malignant Neoplasm

Suicide

3 MaternalPregnancy Complications

Homicide Congenital Anomalies

Suicide Homicide

Leading Causes of Death by Age Group, United States—2013

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Leading Causes of Death

Age GroupsRank <1yr 1-4yr 5-9yr 10-14yr 15-24yr1 Unintentional

SuffocationUnintentionalDrowning

UnintentionalMV traffic

UnintentionalMV traffic

UnintentionalMV traffic

2 HomicideUnspecified

UnintentionalMV traffic

UnintentionalDrowning

Suicide/Suffocation

HomicideFirearm

3 UnintentionalMV traffic

HomicideUnspecified

UnintentionalFire/Burn

HomicideFirearm

UnintentionalPoisoning

Leading Causes of Injury Leading to Death by Age Group, United States—2013

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Some Simple Life Guidelines:

Relatively easy things you can do that make a

difference to kids (and adults) of all ages

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1. Sunscreen

Just use it!

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2. Brush Your Teeth 2x/day

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3. Use Your Car-Seat or Seatbelt…Correctly

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Wear Your Seat Belt…Correctly

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4. Helmets Protect Heads

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5. Wash Your Hands

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6. Accident Proof Your Home

• Toddlers–Kitchen, Laundry, Garage, Medicine, Guns

• Teens–Medicine, Alcohol, Guns

• If you have to ask: “Can they get this?”–Answer is: “Yes”

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7. Poison Control

1-800-222-1222

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8. Burns Prevention

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Drowning Prevention

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Younger Kid Enrichment

What can we do to help younger kids become more successful older kids?

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1. Helping with Chores

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2. Be Nice to Other Kids

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3. Talk to Trusted Adult When Unsure

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4. Read, Read, and Read Some More

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5. Limit Screen Time

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6. Demonstrate Healthy Eating Habits

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7. Get Their Well Child Checks

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8. Get Vaccinated

(They really do work)

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Brief Dialog Techniques For Youngsters

• Two choices—both desired outcomes– “It’s bedtime...jammies or teeth brush first?”

• Either you or I can. I’m going to count to 5– “It’s dinner time, time to get in your chair, either you

can get in it or I can put you there…”• Asking a question…instead of giving a command– “Now that we’re done with dinner, what do you do?”

• Follow through with your requests– “Turn the TV/game/computer off” …X3

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Older Kid EnrichmentHow can we guide older kids to

become better prepared teenagers?

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1. Value of Sports Participation

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2. Internet Safety• Common living area

• Don’t give out personal information

• Limit time online

• Maintain a presence

• Restricted rules to grow on

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3. Bullying/Cyberbullying Education

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Three Main Types of Bullying

• Physical: hitting, kicking, pushing, choking, punching• Verbal: threatening, taunting, teasing,

hate speech• Social: excluding victims from activities

or starting rumors about them frequently on social media.

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Bullying: Different from Fighting/Teasing

• A bully has power over another child• Bullies try to control other children by

scaring others• Being picked on over and over can make

your child a victim• Bullying usually happens when other

children are watching

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Talk With Your Child About Bullying

• How are things going at school?• What do you think of the other kids

in your class?• Does anyone get picked on or

bullied?• Does anyone you know get

picked on via social media?

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Help Your Child Learn How to Respond

• Teach your child how to:–Look the bully in the eye–Stand tall and stay calm in a

difficult situation–Walk away

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Help Your Child Learn How to Respond

• Teach your child how to say in a firm voice:–“I don’t like what you are doing.”–“Please do NOT talk to me like that.”–“Why would you say that?”

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Don’t be a Bully Bystander

• Don’t encourage or laugh at bullying.• Keep a safe distance.• Don’t be an audience for the bully.• Help the victim if you can.• Support the victim in private.• Include the victim in other activities.• Tell an adult.• Let kids know they can be a hero, save a life—

speak up if they see someone else is being bullied.

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Bully Review• Teach your child how to act toward the bully.• Teach your child when/how to ask for help.• Encourage your child to make friends.• Bystanding plays a role in bullying.• Alert school officials to the problem and work

with them on a solution.• Talk to your child. Bullying is not okay.– cruelty to others is immoral/wrong/illegal

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BULLY QUIZ

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What Type of Bullying??

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What Type of Bullying??

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What Type of Bullying??

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Unfortunate Outcome of Bullying

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4. Volunteering Matters

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5. Family Times/Games/Meals/Etc

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Don’t accommodate every “need”• Avoid eliminating all risk – Sets stage for resiliency development

Page 46: Growing Up Healthy: Tots to Teens Eating Right Exercise Preventative Care Manage Stress.

Don’t accommodate every “need”• Avoid eliminating all risk

– Sets stage for resiliency development

• Teach them to problem solve– Figure out how to handle challenges

Page 47: Growing Up Healthy: Tots to Teens Eating Right Exercise Preventative Care Manage Stress.

Don’t accommodate every “need”• Avoid eliminating all risk

– Sets stage for resiliency development• Teach them to problem solve

– Figure out how to handle challenges

• Let your kids make mistakes– It’s how one learns to do better next time

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Don’t accommodate every “need”• Avoid eliminating all risk

– Sets stage for resiliency development• Teach them to problem solve

– Figure out how to handle challenges• Let your kids make mistakes

– It’s how one learns to do better next time

• Don’t provide all the answers– “I don’t know, how might you handle that?”

Page 49: Growing Up Healthy: Tots to Teens Eating Right Exercise Preventative Care Manage Stress.

Don’t accommodate every “need”

• Avoid eliminating all risk – Sets stage for resiliency development

• Teach them to problem solve– Figure out how to handle challenges

• Let your kids make mistakes– It’s how one learns to do better next time

• Don’t provide all the answers– “I don’t know, how might you handle that?”

• Model resiliency– Admit when you’ve made a mistake

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Teenager Enrichment

How can we guide them to be more successful adults?

Page 51: Growing Up Healthy: Tots to Teens Eating Right Exercise Preventative Care Manage Stress.

1. Healthy Eating Habits

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2. Physical Activity—Set an Example

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3. Audiovisual Awareness/Rules

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Phone Ideas to Consider• When first getting a phone—restricted rules and then

liberalize as they get more mature

• Have “phone free time”—dinner, car, homework time, family time, bedtime, etc.

• Discuss rules outwardly—being silent does not mean you both agree

• Consider: You could very well be “over cell phoned” too…What example are you setting?

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Effective Communication

• Listen, listen, listen (without judgment)– Parental judgment shuts them down

• Ask thoughtful/interested questions

• Listen, listen, listen some more

• Consider further information/task

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Having “The Talk”• Start Early—or they’re learning it from others– Ask questions to further understand their questions

• Anytime conversations as “open dialog”– Body changes, drugs, sex, alcohol, choices, etc

• Kids who really shy away from the conversation– “Some kids probably think…”– “When I was young I remember thinking…”– Talk in presence of “hesitant talkers”

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Choosing Your Battles

• Focus on what matters– Clothes on floor vs the way he treats his sibling

• Relationship capital– Negative interactions come at a cost

• Be grateful for all thing he does that you like– He’ll do those things even more

• Kids behave to please us– Constantly criticize and they’ll harden their hearts

Page 58: Growing Up Healthy: Tots to Teens Eating Right Exercise Preventative Care Manage Stress.

Build Self-Esteem

• He needs you to believe in him, as he learns to believe in himself

• Want respect from him…then give it to him too• Try and see things through his perspective• Celebrate lessons learned from his mistakes• Celebrate lessons learned from his successes• All part of the process• “I LOVE YOU”—let them hear and see it

Page 59: Growing Up Healthy: Tots to Teens Eating Right Exercise Preventative Care Manage Stress.

Model Behaviors

• “I’m sorry.” “Thank you.” “Please.” “Sure, I can help.”• Talking about others– (What do you say when you are driving?)

• Put down phone, give them your full attention– Powerful message when given to someone

• Listen, listen, listen, validate, respond• Don’t “just a sec” your time away• Treating others they way you want them to treat

others– (How do you treat your mother?)

Page 60: Growing Up Healthy: Tots to Teens Eating Right Exercise Preventative Care Manage Stress.

Educate Yourself and Encourage

Others To as well

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Adolescence: Establishing Identity

• Finding out who they are…

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Adolescence: Establishing Identity

• And sometimes more importantly, who they aren’t…

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Why Heed Any of This?

How do we know doing any of this

matters?

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Stu d i es C i ted

• References • Sleet, DA, RA Schieber, A Dellinger. Childhood injuries. The Enclyclopedia of Public Health, Vol I (Ed., L Breslow). New York: Macmillan Reference, USA 2002, pp 184-187. • Danesco ER, Miller TR, Spicer RS. Incidence and costs of 1987-1994 childhood injuries: demographic breakdowns. Pediatrics 2000;105(2):E27. • WHO. World report on child injury prevention WHO, Geneva 2008 • Centers for Disease Control and Prevention. Web-based Injury Statistics Query and Reporting System [online]. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.

www.cdc.gov/ncipc/wisqars. [Accessed Aug 2008]. • Child and adolescent injury prevention: a global call to action. Geneva, World Health Organization and UNICEF, 2005. http://whqlibdoc.who.int/publications/2005/9241593415_ eng.pdf. [Accessed: September 17, 2008]. • Bernard SJ, Paulozzi LJ, Wallace DL. Fatal injuries among children by race and ethnicity-- United States, 1999-2002. MMWR Surveill Summ 2007; 18;56(5):1-16. • Schnitzer PG. Prevention of unintentional childhood injuries. Am Fam Physician 2006; 74(11):1864-9. • Centers for Disease Control and Prevention. National Center for Health Statistics. VitalStats. http://www.cdc.gov/nchs/vitalstats.htm. [Accessed: Aug 10, 2008]. • US Consumer Product Safety Commission. The NEISS sample: design and implementation. In: Kessler E, Schroeder T, eds. Washington, DC: US Consumer Product Safety Commission, 2000. • World Health Organization. Manual of the international statistical classification of disease, injuries, and causes of death, 10th revision. Geneva, Switzerland: World Health Organization; 1999. • Fingerhut L. ICD Framework: External cause of injury mortality matrix [online]. Hyattsville, MD: National Center for Health Statistics. Available from: http://www.cdc.gov/ nchs/about/otheract/ice/matrix10.htm. • CDC. Recommended framework for presenting injury mortality data. In: Reports and Recommendations, August 29, 1997. MMWR 1997:46(No. RR-14):1-30. • 102 • Vyrostek SB, Annest JL, Ryan GW. Surveillance for Fatal and Nonfatal Injuries --- United States, 2001. In: Surveillance Summaries, September 3, 2004. MMWR 2004;53(No. SS- 7):1-57. • Arias E, Schauman WS, Eschbach K, Sorlie PD, Backlund E. The validity of race and Hispanic origin reporting on death certificates in the United States. National Center for Health Statistics. Vital Health Stat 2(148). 2008. • References• CDC. WONDER [Database]. Atlanta, GA: US Department of Health and Human Services, CDC; 2010. Available at http://wonder.cdc.gov. Accessed September 27, 2011.• Warner M, Chen L, Makuc D. Increase in fatal poisonings involving opioid analgesics in the United States, 1999--2006. NCHS Data Brief. Hyattsville, MD: National Center for Health Statistics; 2009. Available at

http://www.cdc.gov/nchs/data/databriefs/db22.htm. Accessed October 3, 2011.• Substance Abuse and Mental Health Services Administration. Highlights of the 2009 Drug Abuse Warning Network (DAWN) findings on drug-related emergency department visits. The DAWN Report. Rockville, MD: US

Department of Health and Human Services, Substance Abuse and Mental Health Services Administration; 2010. Available at http://oas.samhsa.gov/2k10/dawn034/edhighlights.htm. Accessed October 3, 2011.• Substance Abuse and Mental Health Services Administration. Results from the 2009 National Survey on Drug Use and Health: volume 1: summary of national findings. Rockville, MD: US Department of Health and Human

Services, Substance Abuse and Mental Health Services Administration, Office of Applied Studies; 2010. Available at http://oas.samhsa.gov/nsduh/2k9nsduh/2k9resultsp.pdf . Accessed October 3, 2011.• Coalition Against Insurance Fraud. Prescription for peril: how insurance fraud finances theft and abuse of addictive prescription drugs. Washington, DC: Coalition Against Insurance Fraud; 2007. Available at

http://www.insurancefraud.org/downloads/drugDiversion.pdf . Accessed September 26, 2011.• CDC. Overdose deaths involving prescription opioids among Medicaid enrollees---Washington, 2004--2007. MMWR 2009;58:1171--5.• Paulozzi LJ, Ryan GW. Opioid analgesics and rates of fatal drug poisoning in the United States. Am J Prev Med 2006;31:506--11.• Hall AJ, Logan JE, Toblin RL, et al. Patterns of abuse among unintentional pharmaceutical overdose fatalities. JAMA 2008;300:2613--20.• Paulozzi LJ, Xi Y. Recent changes in drug poisoning mortality in the United States by urban--rural status and by drug type. Pharmacoepidemiol Drug Safety 2008;17:997--1005.• Xu J, Kochanek KD, Murphy S, Tejada-Vera B. Deaths: final data for 2007. Natl Vital Stat Rep 2010;58(19). Available at http://www.cdc.gov/nchs/data/nvsr/nvsr58/nvsr58_19.pdf . Accessed October 3, 2011.• Substance Abuse and Mental Health Services Administration. State estimates of substance use and mental disorders from the 2008--2009 National Surveys on Drug Use and Health. NSDUH Series H-40. Rockville, MD: US

Department of Health and Human Services, Substance Abuse and Mental Health Services Administration; 2011. Available at http://store.samhsa.gov/shin/content/SMA11-4641/SMA11-4641.pdf . Accessed October 3, 2011.• US Department of Justice. Automation of Reports and Consolidated Orders System (ARCOS). Springfield, VA: US Department of Justice, Drug Enforcement Administration; 2011. Available at

http://www.deadiversion.usdoj.gov/arcos/index.html. Accessed September 26, 2011.• Gammaitoni AR, Fine P, Alvarez N, McPherson M, Bergmark S. Clinical application of opioid equianalgesic data. Clin J Pain 2003;19:286--97.• Substance Abuse and Mental Health Services Administration. Quick statistics from the Drug and Alcohol Services Information System. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2011.

Available at http://www.oas.samhsa.gov/quick.cfm. Accessed September 29, 2011.• Kochanek KD, Xu JQ, Murphy SL, et al. Deaths: preliminary data for 2009. Natl Vital Stat Rep 2011;59(4). Available at http://www.cdc.gov/nchs/products/nvsr.htm#vol59. Accessed September 30, 2011.• Kuehn BM. Efforts aim to curb opioid deaths, injuries. JAMA 2009;301:1213--5.• CDC. Health, United States, 2006. Hyattsville, MD: US Department of Health and Human Services, CDC, National Center for Health Statistics; 2006. Available at

http://www.cdc.gov/nchs/data/hus/hus06.pdf . Accessed September 27, 2011.• Swedlow A, Ireland J, Johnson G. Prescribing patterns of schedule II opioids in California Workers' Compensation. Oakland, CA: California Workers' Compensation Institute; 2011. Available at

http://www.cwci.org/document.php?file=1438.pdf . Accessed October 3, 2011.• CDC. Drug overdose deaths---Florida, 2003--2009. MMWR 2011;60:869--72.• Forrester MB. Ingestions of hydrocodone, carisoprodol, and alprazolam in combination reported to Texas poison centers. J Addictive Dis 2011;30:110--5.• Chou R, Fanciullo GJ, Fine PG, Adler JA, Ballantyne JC, Davies P, et al. Clinical guidelines for the use of chronic opioid therapy in chronic noncancer pain. J Pain 2009;10:113--30.

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*Because I said so!

*mom card

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No one is perfect…

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Take home point to ponder:

Kids learn the most…when you’re not trying

to teach them anything.

What are you teaching them?