Only close friends and relatives should visit you during your first month at home. They should not visit if they are sick ||Reflux is common in newborns. Most babies outgrow reflux between the time they are 1 and 2 years old ||Don't allow your pet on the couch while you are holding baby. This makes dogs bigger and taller in relation to your infant and may encourage aggression. ||Reading aloud will help your baby be a better reader when she's older. ||If your child's scalp is very crusty, put some baby oil or olive oil on the scalp 1 hour before washing to soften the crust ||Use a firm mattress and avoid placing your baby on thick, fluffy padding that may interfere with breathing if your baby's face presses against it ||During the day, don't try to catch up on chores while the baby sleeps. Lie down and rest ||Excessive warmth and overdressing are as harmful as cold weather. Temperature inside your home should not exceed 23 degrees ||Use each feeding as an opportunity to build your newborn's sense of security, trust and comfort. ||Alternate the first breast you offer at each feed ||
Children and illness


Deciding when to exclude sick children from school and when to return them back can be difficult for many parents

 

These are the most important causes of sick child missing school

 

1 - Cold or Cough

  • Runny Nose
  • Scratchy / irritated throat
  • Coughing
  • Sneezing
  • Watery eyes
When to exclude?

If child has a fever with behavior change, looks or acts very ill, severe or uncontrolled cough, rapid or difficulty breathing, wheezing

When to return?

Once exclusion criteria have been resolved

 
2 - Diarrhea
  • Frequent loose or watery stools compared to child’s normal pattern
  • Abdominal cramps

When to exclude ?

If child has 2 or more episodes of diarrhea in a 24 hour period, blood or mucus is in the stool, abnormal color of the stool for child, no urine output in 8 hours, skin or eyes are yellow (Jaundice), fever with behavior change, looks or acts very ill

When to return?

Once child has been diarrhea free for 24 hours, or cleared by a health professional for bloody diarrhea.

 

3 - Eye Irritation Mucus in the eye

  • Pink color instead of white of eye
When to exclude?

If child has bacterial infection (as determined by his/her physician)

When to return?

Once on medication at least24 hours.

 

4 - Fever

When to exclude?

  • Temperature above 38 and the child feels ill and acts ill
When to return?

Once fever free for 24 hours and able to participate.

 
5 - Itching
When to exclude?
  • If child has chickenpox, scabies, impetigo, ringworm or headlice they should be excluded.
  • If they have pinworm, allergic or irritant reactions and eczema they do not need to be excluded unless it appears infected or the itching interferes with learning.
When to return?
  • Once seen and cleared by a health professional, on medication at least 24 hours if indicated.
  • Headlice: Follow policy of school or daycare center.
  • Chicken pox: Pox needs to be dried and scabbed over
 
6 - Pain
  • Earache
  • Headache
  • Mouth Pain
  • Sore Throat
  • Stomach Ache
When to exclude?
  • Earache & Headache: If unable to participate or care would decrease staff’s ability to teach and care for other children.
  • Mouth Pain or Tooth Ache: If child has mouth sores, tooth pain, drooling or difficulty swallowing.
  • Sore Throat: If child is unable to swallow, has excessive drooling, fever with behavioral changes.
  • Stomachache: If child is uncomfortable, pain lasts more than two hours, has been injured, bloody or black stool, no urine output for 8 hours, diarrhea, vomiting, fever with behavioral changes, looks or acts very ill.
When to return?
  • Once pain has resolved, child able to participate.
  • With strep throat your child may return to school after 24 hours on antibiotics.
 
7 - Vomiting
When to exclude?

Vomiting two or more times in the last 24 hours, recent history of head injury, looks or acts very ill, vomit that appears bloody or green.

When to return?

Until vomiting resolves for at least 24 hours or a healthcare provider decides it is not contagious

 

This article is based on (Managing infectious disease in children and school American Academy of pediatrics , 2005)

 

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