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Welcome to my blog about health, nursing, caring, kindness and positive change. Our world is full of such negative influences and bad choices, today is the day to make a positive change both physically and mentally in your life.
ERNursesCare is a blog incorporating my nearly 30 years of experience in the healthcare field with my passion for helping others, I want it to encourage others with injury prevention, healthy living, hard hitting choices, hot topics and various ramblings from my unique sense of humor. Come along and enjoy your journey......

Sunday, February 24, 2013

Fevers, what do I do? Myths vs Facts

 

Some great info about fevers in your kids, think twice before rushing them to the ER please, have some common sense mom & dad!

ER visits are for true emergencies, a simple fever is not a emergency. Treat those fevers with antipyretic's (Tylenol, Motrin ) first for comfort.Keep them hydrated and follow up with your Peds doctor.

From the great app Wesley Kids:

http://wesleykids.com/wesley-kids-symptom-checker/fever-myths-versus-facts/

Misconceptions about fever are commonplace. Many parents needlessly worry and lose sleep when their child has a fever. This is called fever phobia. Overall, fevers are harmless. Let the following facts help you put fever into perspective:

MYTH: My child feels warm, so she has a fever.

FACT: Children can feel warm for a many reasons such as playing hard, crying, getting out of a warm bed or being outside on a hot day. They are “giving off heat”. Their skin temperature should return to normal in 10 to 20 minutes. Once these causes are excluded, about 80% of children who feel warm and act sick actually have a fever. If you want to be sure, take their temperature. The following are the cutoffs for fever using different types of thermometers:

  • Rectal, ear or temporal artery thermometers: 100.4° F (38.0° C) or higher
  • Oral or pacifier thermometers: 100° F (37.8° C) or higher
  • Under the arm (Axillary or Armpit) temperatures: 99° F (37.2° C) or higher

MYTH: All fevers are bad for children.

FACT: Fevers turn on the body's immune system and help the body fight infection. Fevers are one of the body's protective mechanisms. Normal fevers between 100° and 104° F (37.8° - 40° C) are actually good for sick children.

MYTH: Fevers above 104° F (40° C) are dangerous and can cause brain damage.

FACT: Fevers with infections don't cause brain damage. Only body temperatures above 108° F (42° C) can cause brain damage. The body temperature climbs this high only with extreme environmental temperatures (for example, if a child is confined to a closed car in hot weather).

MYTH: Anyone can have a febrile seizure (seizure triggered by fever).

FACT: Only 4% of children can have a febrile seizure.

MYTH: Febrile seizures are harmful.

FACT: Febrile seizures are scary to watch, but they usually stop within 5 minutes. They cause no permanent harm. Children who have had febrile seizures do not have a greater risk for developmental delays, learning disabilities, or seizures without fever.

MYTH: All fevers need to be treated with fever medicine.

FACT: Fevers only need to be treated if they cause discomfort. Usually fevers don't cause any discomfort until they go above 102° or 103° F (39° or 39.5° C).

MYTH: Without treatment, fevers will keep going higher.

FACT: Wrong. Because the brain has a thermostat, fevers from infection usually don't go above 103° or 104° F (39.5°- 40° C). They rarely go to 105° or 106° F (40.6° or 41.1° C). While the latter are "high" fevers, they are harmless ones.

MYTH: With treatment, fevers should come down to normal.

FACT: With treatment, fevers usually come down 2° or 3° F (1° or 1.5° C).

MYTH: If the fever doesn't come down (if you can't "break the fever"), the cause is serious.

FACT: Fevers that don't respond to fever medicine can be caused by viruses or bacteria. It doesn't relate to the seriousness of the infection.

MYTH: Once the fever comes down with medicines, it should stay down.

FACT: The fever will normally last for 2 or 3 days with most viral infections. Therefore, when the fever medicine wears off, the fever will return and need to be treated again. The fever will go away and not return once your child’s body overpowers the virus (usually by the fourth day).

MYTH: If the fever is high, the cause is serious.

FACT: If the fever is high, the cause may or may not be serious. If your child looks very sick, the cause is more likely to be serious.

MYTH: The exact number of the temperature is very important.

FACT: How your child looks is what's important, not the exact temperature.

MYTH: Oral temperatures between 98.7° and 100° F (37.1° to 37.8° C) are low-grade fevers.

FACT: These temperatures are normal variations. The body's temperature normally changes throughout the day. It peaks in the late afternoon and evening. An actual low-grade fever is 100° F to 102° F (37.8° - 39° C) .

SUMMARY: Remember that fever is fighting off your child's infection. Fever is one of the good guys.


Author and Senior Reviewer: Barton D. Schmitt, M.D.

Content Set: Pediatric HouseCalls Symptom Checker

Pediatric HouseCalls Symptom Checker

 

 

Tuesday, February 19, 2013

Green Tea~ 11 Reasons why you should drink more

 


A simple thing you can do to boost your health and wellness, try a cup in the morning instead of your coffee, start the day off to a great one!

 

 

Thursday, February 14, 2013

Strike~Dance~Rise! Today 2/14/13 #1billionrising


It is time to put an end to violence against women, rise up today and do something about it! No woman asks to be raped, beaten, cut, or sold for money to the highest bidder. No woman deserves to be beaten by the man who is supposed to be her partner til death do they part. No woman should live in fear daily that her daughter might be raped by her spouse. Woman are sacred and deserve to be treated as such! God created woman to be man's helper here on earth not his doormat!

One in three women on the planet is raped or beaten in her lifetime. That is ONE BILLION WOMEN violated. One billion daughters, mothers, grandmothers, sisters, lovers and friends. On 14th February 2013, V-Day's 15th Anniversary, we are inviting ONE BILLION women and those who love them to WALK OUT, DANCE, RISE UP, and DEMAND an end to this violence. ONE BILLION RISING will move the earth, activating women and men to dance across every country. V-Day wants the world to see our collective strength, our numbers and our solidarity across borders. Join V-Day and ONE BILLION RISING today and SAY NO to violence against women and girls. To sign up and learn more, visit www.onebillionrising.org

 

About V-Day V-Day is a global activist movement to end violence against women and girls that raises funds and awareness through benefit productions of Playwright/Founder Eve Ensler's award winning play The Vagina Monologues and other artistic works. In 2012, over 5,800 V-Day benefit events took place produced by volunteer activists in the U.S. and around the world, educating millions of people about the reality of violence against women and girls. To date, the V-Day movement has raised over $90 million and educated millions about the issue of violence against women and the efforts to end it, crafted international educational, media and PSA campaigns, reopened shelters, and funded over 14,000 community-based anti-violence programs and safe houses in Democratic Republic of Congo, Haiti, Kenya, South Dakota, Egypt and Iraq. Over 300 million people have seen a V-Day benefit event in their community. V-Day has received numerous acknowledgements including Worth Magazine's 100 Best Charities, Marie Claire Magazine's Top Ten Charities, one of the Top-Rated organizations on Philanthropedia/Guidestar and Great Nonprofits. V-Day's newest campaign is ONE BILLION RISING which will culminate on 021413 with a global action worldwide. www.vday.org

V-Day brings the issue of violence against women and girls front and center in the culture and the community. In order to understand the grave importance of this cause, one must know that violence is an issue that plagues all women and men in every part of the world. To better show the depth and scope of violence against women, V-Day has compiled a list of statistics and resources that evidence the impact that violence against women has on the individual, and the community. One of V-Day’s purposes is to amplify the work of existing groups, thus, since V-Day does not provide direct services, the resources listed here are from exceptional groups working to end violence against women locally, nationally and internationally. We hope that the knowledge that violence against women and girls is a common issue for all people will inspire you to join V-Day in our mission to end the violence and change the story of women.

Violence Against Women Statitics
This comprehensive guide features a range of listings including emergency hotlines, national organizations against domestic violence, publications divided by topic, links to VAW websites and many other helpful resources

Make a difference, educate yourself to the violence that is in our world today, teach your daughters, help others to be aware. Is it OK if I rise alone on Feb 14th?  Yes, whether you are alone, with a friend or with hundreds of thousands more, you're making a difference. On our campaign website you will be able to find all One Billion Rising events in your area and join the ones that interest you.

Rise up to stop our friends and daughters from the horrible fates like the infographic below!!



                                   Source: alexaparicio.webfactional.com via Human Trafficking Abolitionist Group on Pinterest




Friday, January 18, 2013

TV Tip-Overs Kills a Child Every 3 Weeks!


What kind of TV do you have? Have you thought about childproofing the TV? I bet not! This will scare you and make you much more aware of the dangers in your home.
Dressers, mirrors and other heavy furniture  also need to be secure, children can climb or pull out drawers that can result in tragedy. Today lets focus on your TV's and what all parents need to know......



Credit to SafeKids USA for the information and video.

One Child Dies Every Three Weeks from a TV Tipping Over

New Report Reveals a 31% Increase in Injuries from Television Tip-Overs in the Last 10 Years

December 13, 2012
Washington, DC – A new report released today by Safe Kids Worldwide and SANUS revealed that every three weeks, a child dies from a television tipping over and nearly 13,000 more children are injured each year in the U.S. This represents a 31 percent increase in TV tip-over-related injuries over the last ten years.
The study, A Report to the Nation on Home Safety: The Dangers of TV Tip-Overs, includes data from the Consumer Product Safety Commission (CPSC) and new findings from Safe Kids Worldwide primary research. According to the CPSC, from 2000-2010, on average, a child dies every three weeks.
The report shows that young children are at greatest risk of TV tip-overs. According to the research, 7 out of 10 children injured by TV tip-overs are 5 years old or younger. This age group also accounts for 9 out of 10 serious injuries requiring hospitalization, including head injuries, which are among the most severe.
“Every 45 minutes, or less than the length of a Sesame Street episode, a child visits the ER because of a TV tipping over,” said Kate Carr, President and CEO of Safe Kids Worldwide. “Dramas and tragedies should be on TV, not caused by them.”
Many TV tip-overs are a result of unsteady TVs that are not secured to the wall. Flat screen TVs that are top-heavy with narrow bases can be easily pulled off an entertainment center or table. Large and heavy old-style cathode ray tube (CRT) TVs placed on dressers or high furniture can also tip over if children climb the drawers to reach a remote control, a piece of candy, a video game or anything else that attracts their attention.
The report also revealed that three out of four parents don’t secure their TV to the wall. Most families are unaware that securing a TV is an important safety measure. Others decide not to mount their TVs because of concerns about damaging the wall or installing the TV incorrectly.
“You wouldn’t think to bring a baby home from the hospital without a car seat or have your child ride a bike without a helmet,” said Carr. “Mounting your TV will protect your TV, and most important, your child.”
Safe Kids Worldwide is launching a national effort to prevent injuries from TV and furniture tip-overs and educate communities by calling on families to conduct a quick TV safety check, which includes the following steps:
  • Check Your TV. Assess the stability of the TVs in your home.  Remember, a curious, determined child can topple a TV. Children playing with friends or pets could knock a TV over, while other kids might be tempted to climb up to reach items placed on or near a TV, such as remote controls or candy.
  • Secure Your TV. Securing your TV to the wall is a safe solution. Much like child proofing with a toddler gate or electrical socket cover, TV mounts and furniture straps are necessary precautions for keeping your family safe.
Go to www.safekids.org to learn more.


                                                                               Source: safekids.org via Safe on Pinterest



Tuesday, January 8, 2013

RSV : What is it? Is my child going to be ok?

credit to KidsHealth.org 

About RSV

Respiratory syncytial virus (RSV), which causes infection of the lungs and breathing passages, is a major cause of respiratory illness in young children.
In adults, it may only produce symptoms of a common cold, such as a stuffy or runny nose, sore throat, mild headache, cough, fever, and a general feeling of being ill. But in premature babies and kids with diseases that affect the lungs, heart, or immune system, RSV infections can lead to other more serious illnesses.
RSV is highly contagious and can be spread through droplets containing the virus when someone coughs or sneezes. It also can live on surfaces (such as countertops or doorknobs) and on hands and clothing, so it can be easily spread when a person touches something contaminated.
RSV can spread rapidly through schools and childcare centers. Babies often get it when older kids carry the virus home from school and pass it to them. Almost all kids are infected with RSV at least once by the time they're 2 years old.
RSV infections often occur in epidemics that last from late fall through early spring. Respiratory illness caused by RSV — such as bronchiolitis or pneumonia — usually lasts about a week, but some cases may last several weeks.
Doctors typically diagnose RSV by taking a medical history and doing a physical exam. Generally, in healthy kids it's not necessary to distinguish RSV from a common cold. But if a child has other health conditions, a doctor might want to make a specific diagnosis; in that case, RSV is identified in nasal secretions collected either with a cotton swab or by suction through a bulb syringe.

Preventing RSV

Because RSV can be easily spread by touching infected people or surfaces, frequent hand washing is key in preventing its transmission. Try to wash your hands after having any contact with someone who has cold symptoms. And keep your school-age child with a cold away from younger siblings — particularly infants — until the symptoms pass.
To prevent serious RSV-related respiratory disease, at-risk infants can be given a monthly injection of a medication consisting of RSV antibodies during peak RSV season (roughly November to April). Because its protection is short-lived, it has to be given in subsequent years until the child is no longer at high risk for severe RSV infection. Ask the doctor if your child is considered high risk.

Treating RSV

Fortunately, most cases of RSV are mild and require no specific treatment from doctors. Antibiotics aren't used because RSV is a virus and antibiotics are only effective against bacteria. Medication may sometimes be given to help open airways.
In an infant, however, an RSV infection can be more serious and may require hospitalization so that the baby can be watched closely. He or she may require fluids and possibly treatment for breathing problems.
At home, make a child with an RSV infection as comfortable as possible, allow time for recovery, and provide plenty of fluids. The last part can be tricky, however, because babies may not feel like drinking. In that case, offer fluids in small amounts at more frequent intervals than usual.
To help your child breathe easier, use a cool-mist vaporizer during the winter months to keep the air moist — winter air can dry out airways and make the mucus stickier. Avoid hot-water and steam humidifiers, which can be hazardous and can cause scalding. If you use a cool-mist humidifier, clean it daily with household bleach to discourage mold.
If your child is uncomfortable and too young to blow his or her own nose, use a nasal aspirator (or bulb syringe) to remove sticky nasal fluids.
Treat fever using a nonaspirin fever medicine like acetaminophen. Aspirin should not be used in children with viral illnesses, as such use has been associated with Reye syndrome, a life-threatening illness.

When to Call the Doctor

Call the doctor if your child has any of these symptoms:
  • high fever with ill appearance
  • thick nasal discharge
  • worsening cough or cough that produces yellow, green, or gray mucus
  • signs of dehydration
  • trouble breathing
In infants, besides the symptoms already mentioned, call the doctor if your baby is unusually irritable or inactive, or refuses to breastfeed or bottle-feed.
Seek immediate medical help if you feel your child is having difficulty breathing or is breathing very rapidly, is lethargic, or if his or her lips or fingernails appear blue.
Reviewed by: Catherine L. Lamprecht, MD
Date reviewed: September 2012
Yes most often with early recognition of symptoms and visit to your doctor, your child will probably be just fine. Keeping them comfortable and hydrated will be your challenge. Try your best to keep them at home so not to spread the virus to others or have them pick up other infections while they are already sick and their little immune systems and down. 
The ER is not the place for them unless you have a true emergency, trouble breathing, fever that will not come down with Tylenol/Motrin, lethargic or listless, not peeing or wetting diapers for 8 hrs or more, blue lips or nailbeds. Attempt to call or consult your peds doctor via the phone first before you come to the ER, they might have suggestions for you instead.



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