JAYSON, CRISTINA L.

BSN 4B

HEALTH TEACHING PLAN FOR INFANTS, TODDLERS, PRESCHOOLERS, SCHOOLERS, AND ADOLESCENTS BASED ON THE FOLLOWING:
GENERAL HEALTH TEACHING 1. INFANT a. NUTRITION SPECIFIC HEALTH TEACHINGS a. First 6 months Breast Feeding This is the !st desira"#e $! %#ete diet &!r &irst ha#& !& the 'ear( Re$! ended s)%%#e ent !& !ra# *ita in D +,-- I. %er da'/( F!r )#a Ir!n &!rti&ied $! er$ia# &!r )#a is a $! %#ete &!!d &!r the &irst ha#& !& the 'ear( Other hea#th tea$hings:

E0$#)si*e "reast &eeding is re$! ended &!r the &irst 1 !nths( A## the ne$essar' n)trients, *ita ins, inera#s, and 2ater are %r!*ided "' h) an i#3 &!r the &irst 1 !nths !& #i&e, 2ith e0$e%ti!n !& *ita in 4 + 5 g intra )s$)#ar#' is ad inistered at "irth/6 *ita in D + ,-- I. !& !ra# *ita in D dr!%s is ad inistered dai#' "e3ginning d)ring the &irst , !nths !& #i&e i& there is #i ited s)n#ight e0%!s)re/6 *ita in B5, i& the !ther is a stri$t *egetarian and ta3es n! B5, s)%%#e ent6 and &#)!ride, ")t !n#' i& this is n!t in$#)ded in the 2ater s)%%#' +Thi#! 7 R!sen"erg, ,--8/( With e0$#)si*e "reast&eeding, an in&ant is &ed !n#' "reast i#3( The in&ant is gi*en n! !ther &!!d !r #i9)id, n!t e*en 2ater +WHO, ,--8/( In&ants 2h! are e0$#)si*e#' "reast&ed a' sti## re$ei*e *ita in and inera# s)%%#e ents !r edi$ines, in the &!r !& dr!%s !r s'r)%s( The' a' "e gi*en !ra# reh'drati!n s!#)ti!n, i& needed +WHO ,--8/( E0$#)si*e "reast&eeding t! si0 !nths !& age is ass!$iated 2ith $!ntin)ed %r!te$ti!n &!r the in&ant against gastr!intestina# in&e$ti!ns and i##ness +4ra er et a#(, ,--:6 4ra er 7 4a3) a, ,--,/ as 2e## as res%irat!r' tra$t in&e$ti!ns +Chantr', H!2ard, 7 A)inger, ,--1/( The "reast&eeding !ther a#s! "ene&its &r! e0$#)si*e#' "reast&eeding her in&ant t! si0 !nths( Her 2eight #!ss is !re ra%id a&ter "irth and there a' "e a de#a'ed ret)rn !& enses +4ra er 7

4a3) a, ,--,/( H!2 #!ng t! $!ntin)e "reast&eed is an indi*id)a# $h!i$e, a#th!)gh it is re$! entire &irst 'ear

ended thr!)gh the

b. Second 6 months Intr!d)$e s!#id &!!ds 2hi#e sti## $!ntin)ing "reast&eeding The entire &irst 'ear !& #i&e is !ne !& e0tre e#' ra%id gr!2th, s! a high %r!tein, high $a#!rie inta3e is ne$essar'( Ear#' 2eaning &r! "reast &eeding $an #ead t! an in$reased in$iden$e !& !"esit'( F!r in&ants 2h!se !thers $h!!se n!t t! "reast&eed, a $! er$ia# ir!n &!rti&ied &!r )#a 2i## s)%%#' ade9)ate n)triti!n( S)%%#e entati!n is )nne$essar' 2ith ir!n &!rti&ied $! er$ia# &!r )#a )n#ess the 2ater s)%%#' d!es n!t $!ntain &#)!ride( c.

Selection and Preparation of Solid Foods/ !antities " T#pes of Food ; 1 !nths: Ir!n &!rti&ied in&ant $erea# i0ed 2ith "reast i#3, !range <)i$e, !r &!r )#a( Rati!na#e: Aids in %re*enting ir!n de&i$ien$' ane ia6 the #east a##ergeni$ t'%e !& &!!d6 an easi#' digested &!!d = !nths: >egeta"#es Rati!na#e: G!!d s!)r$e !& *ita in A6 adds ne2 te0t)re and &#a*!rs t! diet 8 !nths: Fr)it Rati!na#e: Best s!)r$e !& *ita in , g!!d s!)r$e !& *ita in 6 adds ne2 te0t)re and &#a*!rs t! diet ? !nths: @eat Rati!na#e: G!!d s!)r$e !& %r!tein, ir!n, and B *ita ins 5- !nths: Egg '!#3 Rati!na#e: G!!d s!)r$e !& ir!n

d. Introd!ction of Solid foods De#a'ing s!#id &!!d )nti# this A t! 1 !nths he#%s %re*ent !*er2he# ing an in&antBs 3idne's 2ith a hea*' s!#)te #!ad that $an !$$)r 2hen %r!tein is ingested( In&ants are %h'si!#!gi$a##' read' &!r s!#id &!!d 2hen the' are n)rsing *ig!r!)s#' e*er' : t! A h!)rs and d! n!t see satis&ied !r ta3ing !re than :, !C +?1- L/ !& &!r )#a a da' and d! n!t see satis&ied( Intr!d)$e !ne &!!d at a ti e, 2aiting ; t! = da's "et2een ne2 ite s( Intr!d)$e the &!!d "e&!re &!r )#a !r "reast&eeding 2hen an in&ant is h)ngr'(

Intr!d)$e s a## a !)nts !& ne2 &!!d +5 !r , ts%/ at a ti e( Res%e$t in&ant &!!d %re&eren$es6 a $hi#d $ann!t "e e0%e$ted t! #i3e a## ne2 tastes e9)a##' 2e##( .se !n#' ini a# t! n! sa#t and s)gar !n s!#id &!!ds t! ini iCe the n) "er !& additi*es( Re e "er that the e0tr)si!n re&#e0 is %resent &!r the &irst A t! 1 !nths !& #i&e, s! an' &!!d %#a$ed !n an in&antBs t!ng)e 2i## "e %)shed &!r2ard( T! %re*ent as%irati!n, d! n!t %#a$e &!!d in "!tt#es 2ith &!r )#a( Intr!d)$e &!!ds 2ith a %!siti*e, DE!)B## #i3e thisF attit)de(

e. $eanin% T! 2ean &r! &!r )#a !r "reast i#3, $h!!se !ne &eeding a da' and then "egin !&&ering &#)id "' the ne2 eth!d at that &eeding Ch!!se a ti e !& da' that is n!t an in&antBs &)ss' %eri!d A&ter : da's t! 5 2ee3, 2hen an in&ant has "e$! e a$$#i ated t! the !ne $hange, $hange a se$!nd &eeding Sh!)#d an i##ness s)$h as an )%%er res%irat!r' in&e$ti!n !$$)r !r sh!)#d the $hi#d ha*e teething set"a$3s, s! n! set n) "er !& 2ee3s sh!)#d "e %res$ri"ed t! $! %#ete 2eaning In&ants )s)a##' need !re &#)id d)ring h!t 2eather than $!#d 2eather "e$a)se !& in$reased %ers%irati!n this a' a3e it !re di&&i$)#t t! "egin 2eaning d)ring s) er( Self&feedin% Can "e started at a%%r!0i ate#' 1 !nths !& age There is great dea# !& s%i##ing d)ring &eeding d)e t! )nderde*e#!%ed $!!rdinati!n S%read ne2s%a%ers, a %#asti$ ta"#e$#!th, !r a t!2e# !n the &#!!r ar!)nd a high $hair t! $at$h !st !& the dr!%%ed &!!d, and then #et the $hi#d %ra$ti$e( Let the $hi#d ta3e Din $hargeF !& the &eeding When in&ants n! #!nger atte %t t! &eed the se#*es at a ea# ")t ere#' "egin t! %#a' 2ith their &!!d "' s9)eeCing it thr!)gh their &ingers !r da""ing it in their hair, it is ti e t! end the ea#( This "eha*i!r indi$ates that the' ha*e had en!)gh( Sleep Problems Nightti e Feeding In$rease da'ti e &eeding inter*a#s t! A hr !r !re + a' need t! "e d!ne grad)a##'/( O&&er #ast &eeding as #ate as %!ssi"#e at night6 a' need t! grad)a##' red)$e a !)nt !& &!r )#a !r #ength !& "reast &eeding( O&&er n! "!tt#es in "ed( P)t t! "ed a2a3e(

f.

b. S'((P AN) A*TI+IT,

When $hi#d is $r'ing, $he$3 at %r!gressi*e#' #!nger inter*a#s ea$h night6 reass)re $hi#d ")t d! n!t h!#d, r!$3, ta3e t! %arentBs "ed, !r gi*e "!tt#e !r %a$i&ier(

De*e#!% enta# Night Cr'ing Reass)re %arents that this %hase is te %!rar'( Enter r!! i ediate#' t! $he$3 !n $hi#d ")t 3ee% reass)ran$es "rie&( A*!id &eeding, r!$3ing, ta3ing t! %arentBs "ed, !r an' !ther r!)tine that $r'ing(

a' initiate trained night

Re&)sa# T! G! T! S#ee% E*a#)ate i& h!)r !& s#ee% is t!! ear#' +$hi#d a' resist s#ee% !& n!t tired/( Assist %arents in esta"#ishing $!nsistent "e&!re "edti e r!)tine and en&!r$ing $!nsistent #i its regarding $hi#dBs "edti e "eha*i!r( I& $hi#d %ersists in #ea*ing "edr!! , $#!se d!!r &!r %r!gressi*e#' #!nger %eri!ds( .se re2ard s'ste 2ith $hi#d t! %r!*ide !ti*ati!n( Trained Night Cr'ing +Ina%%r!%riate S#ee% Ass!$iati!ns/ P)t $hi#d in !2n "ed a2a3e( I& %!ssi"#e, arrange s#ee%ing area se%arate &r! !ther &a i#' e "ers( When $hi#d is $r'ing, $he$3 at %r!gressi*e#' #!nger inter*a#s ea$h night6 reass)re $hi#d ")t d! n!t res) e )s)a# r!)tine( Nightti e Fears E*a#)ate i& h!)r !& s#ee% is t!! ear#' +$hi#d a' &antasiCe 2hen n!thing t! d! ")t thin3 in dar3 r!! /( Ca# #' reass)re &rightened $hi#d6 3ee%ing night #ight !n a' "e he#%&)#( .se re2ard s'ste 2ith $hi#d t! %r!*ide !ti*ati!n t! dea# 2ith &ears( A*!id %atterns that $an #ead t! additi!na# %r!"#e s +e(g(, s#ee%ing 2ith $hi#d !r ta3ing $hi#d t! %arentBs r!! /( I& $hi#dBs &ear is !*er2he# ing, $!nsider desensitiCati!n +e(g(, %r!gressi*e#' s%ending #!nger ti e a#!ne6 $!ns)#t %r!&essi!na# he#% &!r %r!tra$ted &ears/( Disting)ish "et2een night ares and s#ee% terr!rs +$!n&)sed %artia# ar!)sa#s/( c. )(NTA' -(A'Ta. Oral -#%iene On$e the %ri ar' teeth er)%t, $#eaning sh!)#d "egin( The teeth and g) s are initia##' $#eaned "'

d. IN.UR, PR(+(NTION

2i%ing 2ith a da % $#!th6 t!!th "r)shing is t!! harsh &!r the tender gingi*a( Ora# h'giene $an "e ade %#easant "' singing !r ta#3ing t! the in&ant( In&ants sh!)#d ha*e an !ra# hea#th e0a inati!n "' 1 !nths !& age &r! a 9)a#i&ied %ediatri$ hea#th %ra$titi!ner( In&ants at high ris3 &!r denta# $aries sh!)#d "e seen "' a dentist "et2een 1 !nths and 5 'ear !& age( .se s a##, s!&t "rist#ed t!!th "r)sh as !re teeth er)%t and the in&ant ad<)sts t! the r!)tine !& $#eaning( F#)!ride is needed "eginning at 1 !nths !& age i& the in&ant d!es n!t re$ei*e 2ater 2ith ade9)ate &#)!ride $!ntent( b. )iet A*!id %r!%%ing the i#3 "!tt#e !r gi*ing the i#3 "!tt#e in the "ed A*!id &r)it <)i$es in a "!tt#e, es%e$ia##' "e&!re 1 !nths !& age F!!ds 2ith $!n$entrated s)gar +s)$r!se/ are )sed s%aring#' +i& at a##/ in the in&antBs diet( The %ra$ti$e !& $!ating %a$i&iers 2ith h!ne' !r )sing $! er$ia##' a*ai#a"#e hard $and' %a$i&iers is dis$!)raged( Besides "eing $ari!geni$, h!ne' a#s! a' $a)se in&ant "!t)#is , and %arts !& the $and' %a$i&ier $an "e as%irated( a. Aspiration of Forei%n Ob/ects Birth t! A !nths Ne*er sha3e "a"' %!2der dire$t#' !n in&ant6 %#a$e %!2der in hand and then !n in&antBs s3in6 st!re $!ntainer $#!sed and !)t !& in&antBs rea$h( H!#d in&ant &!r &eeding6 d! n!t %r!% "!tt#e( 4n!2 e ergen$' %r!$ed)res &!r $h!3ing( .se %a$i&ier 2ith !ne %ie$e $!nstr)$ti!n and #!!% hand#e( A t! = !nths 4ee% ")tt!ns, "eads, s'ringe $a%s, and !ther s a## !"<e$ts !)t !& in&antBs rea$h( 4ee% &#!!r &ree !& an' s a## !"<e$ts( D! n!t &eed in&ant hard $and', n)ts, &!!d 2ith %its !r seeds, !r 2h!#e !r $ir$)#ar %ie$es !& h!t d!g( E0er$ise $a)ti!n 2hen gi*ing teething "is$)its, sin$e #arge $h)n3s a' "e "r!3en !&& and as%irated( D! n!t &eed in&ant 2hi#e he !r she is #'ing d!2n( Ins%e$t t!'s &!r re !*a"#e %arts( 4ee% "a"' %!2der, i& )sed, !)t !& rea$h( 8 t! 5, !nths

4ee% #int and s a## !"<e$ts !&& &#!!r, !&& &)rnit)re, and !)t !& rea$h !& $hi#dren( Ta3e $are in &eeding s!#id ta"#e &!!d t! gi*e *er' s a## %ie$es( D! n!t )se "ean"ag t!'s !r a##!2 $hi#d t! %#a' 2ith dried "eans( b. S!ffocation Birth t! A !nths 4ee% a## %#asti$ "ags st!red !)t !& in&antBs rea$h6 dis$ard #arge %#asti$ gar ent "ags a&ter t'ing in a 3n!t( D! n!t $!*er attress 2ith %#asti$ .se &ir attress and #!!se "#an3ets6 n! %i##!2s @a3e $ertain $ri" design &!##!2s &edera# reg)#ati!ns and attress &its sn)g#' $ri"s s#ats 1 $ +,(:=; in$hes/ a%art P!siti!n $ri" a2a' &r! !ther &)rnit)re and a2a' &r! radiat!rs( D! n!t tie %a$i&ier !n a string ar!)nd in&antBs ne$3( Re !*e "i"s at "edti e( A t! = !nths 4ee% a## #ate0 "a##!!ns !)t !& rea$h( Re !*e a## $ri" t!'s that are str)ng a$r!ss $ri" !r %#a'%en 2hen $hi#d "egins t! %)sh )% !n hands !r 3nees !r is ; !nths !#d( 8 t! 5, !nths 4ee% d!!rs !& !*ens, dish2ashers, re&rigerat!rs, $!!#ers, and &r!nt #!ading $#!thes 2ashers and dr'ers $#!sed at a## ti es( I& st!ring an )n)sed a%%#ian$e, s)$h as a re&rigerat!r, re !*e the d!!r( S)%er*ise $!nta$t 2ith in&#ated "a##!!ns, i ediate#' dis$ard %!%%ed "a##!!ns, and 3ee% )nin&#ated "a##!!ns !)t !& rea$h(

c. 0otor +ehicle in/!ries/*ar Safet# Trans%!rt in&ant in &edera##' a%%r!*ed, rear &a$ing $ar seat, %re&era"#' in "a$3 seat( D! n!t %#a$e in&ant !n seat !& $ar !r in #a%( D! n!t %#a$e $hi#d in a $arriage !r str!##er "ehind a %ar3ed $ar( D! n!t %#a$e in&ant !r $hi#d in &r!nt %assenger seat 2ith an air "ag )n#ess air "ag is dea$ti*ated( d. Falls Birth t! A !nths A#2a's raise $ri" rai#s( Ne*er #ea*e in&ant !n a raised, )ng)arded s)r&a$e( When in d!)"t as t! 2here t! %#a$e $hi#d, )se &#!!r( Restrain $hi#d in in&ant seat and ne*er #ea*e $hi#d )nattended 2hi#e the seat is resting !n a raised

s)r&a$e( A*!id )sing a high $hair )nti# $hi#d $an sit 2e## 2ith s)%%!rt( A t! = !nths Restrain in a high $hair( 4ee% $ri" rai#s raised t! &)## height( 8 t! 5, !nths A*!id 2a#3ers, es%e$ia##' near stairs( Ens)re that &)rnit)re is st)rd' en!)gh &!r $hi#d t! %)## se#& t! standing %!siti!n and $r)ise( Fen$e stair2a's at t!% and "!tt! i& $hi#d has a$$ess t! either end( Dress in&ant in sa&e sh!es and $#!thing +s!#es that d! n!t D$at$hF !n &#!!r, tied sh!e#a$es, %ant #egs that d! n!t t!)$h &#!!r/( e. Poisonin% Birth t! A !nths This is n!t as great danger t! this age gr!)%, ")t "egin %ra$ti$ing sa&eg)ards ear#' +see )nder A t! = !nths/( A t! = !nths @a3e s)re that %aint &!r &)rnit)re !r t!'s d!es n!t $!ntain #ead( P#a$e t!0i$ s)"stan$es !n a high she#& !r in #!$3ed $a"inet( 4ee% edi$ati!n *ia#s and "!tt#es #!$3ed in a se$)re %#a$e( Hang %#ants !r %#a$e !n high s)r&a$e rather than !n &#!!r( A*!id st!ring #arge 9)antities !& $#eaning &#)id, %aints, %esti$ides, and !ther t!0i$ s)"stan$es( Dis$ard )sed $!ntainers !& %!is!n!)s s)"stan$es( D! n!t st!re t!0i$ s)"stan$es in &!!d $!ntainers( 4ee% $!s eti$ and %ers!na# %r!d)$ts !)t !& $hi#dBs rea$h( Dis$ard )sed ")tt!n siCe "atteries6 st!re ne2 "atteries in sa&e area( 4n!2 te#e%h!ne n) "er !& #!$a# %!is!n $!ntr!# $enter +)s)a##' #isted in &r!nt !& te#e%h!ne dire$t!r'/( 8 t! 5, !nths Ad inister edi$ati!ns as a dr)g, n!t as a $and'( D! n!t ad inister edi$ati!ns )n#ess %res$ri"ed "' a %ra$titi!ner( Re%#a$e edi$ati!ns and %!is!ns i ediate#' a&ter )se6 re%#a$e $a%s %r!%er#' i& a $hi#d %r!te$t!r $a% is )sed( Ha*e s'r)% !& i%e$a$ in h! e6 )se !n#' i& ad*ised( 4ee% %h!ne n) "er &!r %!is!n $!ntr!# $enter readi#' a*ai#a"#e( f. 1!rns Birth t! A !nths

Insta## s !3e dete$t!rs in h! e( .se $a)ti!n 2hen 2ar ing &!r )#a in i$r!2a*e !*en6 a#2a's $he$3 te %erat)re !& #i9)id "e&!re &eeding( Che$3 "ath 2ater( D! n!t %!)r h!t #i9)ids 2hen in&ant is $#!se "', s)$h as sitting !n #a%( Be2are !& $igarette ashes that a' &a## !n in&ant( D! n!t #ea*e in&ant in s)n &!r !re than a &e2 in)tes6 3ee% e0%!sed areas $!*ered( Wash &#a e retardant $#!thes a$$!rding t! #a"e# dire$ti!ns( .se $!!# ist *a%!riCers( D! n!t #ea*e $hi#d in %ar3ed $ar( Che$3 s)r&a$e heat !& $ar restraint "e&!re %#a$ing $hi#d in seat( A t! = !nths 4ee% &a)$ets !)t !& rea$h( P#a$e h!t !"<e$ts +$igarettes, $and#es, in$ense/ !n high s)r&a$e( Li it e0%!s)re t! s)n6 a%%#' s)ns$reen( 8 t! 5, !nths P#a$e g)ards in &r!nt !& !r ar!)nd an' heating a%%#ian$e, &ire%#a$e, !r &)rna$e( 4ee% e#e$tri$a# 2ires hidden !r !)t !& rea$h( P#a$e %#asti$ g)ards !*er e#e$tri$a# !)t#ets6 %#a$e &)rnit)re in &r!nt !& !)t#ets( 4ee% hanging ta"#e$#!ths !)t !& rea$h +$hi#d a' %)## d!2n h!t #i9)ids !r hea*' !r shar% !"<e$ts/( %. )ro2nin%/1athin% and S2immin% Safet# Ne*er #ea*e in&ant a#!ne in "ath( Fen$e s2i ing %!!#s( A#2a's s)%er*ise 2hen near an' s!)r$e !& 2ater, s)$h as $#eaning ")$3ets, drainage areas, !r t!i#ets( 4ee% "athr!! d!!rs $#!sed( E#i inate )nne$essar' %!!#s !& 2ater( 4ee% !ne hand !n $hi#d at a## ti es 2hen in t)"( h. 1odil# )ama%e Birth t! A !nths 4ee% shar%, <agged !"<e$ts !)t !& $hi#dBs rea$h( 4ee% dia%er %ins $#!sed and a2a' &r! in&ant( A t! = !nths Gi*e t!'s that are s !!th and r!)nded, %re&era"#' ade !& 2!!d !r %#asti$( A*!id #!ng, %!inted !"<e$ts as t!'s(

A*!id t!'s that are e0$essi*e#' #!)d( 4ee% shar% !"<e$ts !)t !& in&antBs rea$h(

3. TO))'(R a. NUTRITION a. N!tritional *o!nselin% @ea# ti es sh!)#d "e en<!'a"#e rather than ti es &!r dis$i%#ine !r &a i#' arg) ents( Ca## t!dd#ers 5; in)tes "e&!re ea#ti e t! a##!2 the a %#e !%%!rt)nit' t! get read' &!r eating 2hi#e sett#ing d!2n their a$ti*e inds and "!dies( O&&er #ess than t!dd#ers a' eat and #et the $hi#d as3 &!r !re( Pr!*ide &re9)ent, n)triti!)s, %#anned sna$3s .se %#asti$ dishes and $)%s Intr!d)$e at #east three ite s &r! the gr!)%s in the @'P'ra id g)ide at ea$h ea# t! he#% de*e#!% a *ariet' !& taste %re&eren$es and 2e## "a#an$ed ha"its( F!r sna$3s, se*era# s a## %ie$es !& &!!d +$arr!t sti$3s, $heese "#!$3s, raisins, $ra$3ers, s#i$ed $!#d eat, a%%#e s#i$es/ $an "e %#a$ed in an i$e $)"e tra' &!r a %i$3GandG$h!!se en)( Fr)it <)i$es sh!)#d n!t "e !&&ered as a re%#a$e ent &!r &r)it sna$3s !r &!r dai#' re9)ire ent !& &r)its( The A eri$an A$ade ' !& Pediatri$s re$! ends that &r)it <)i$e inta3e n!t e0$eed A t! 1 !CHda'( a. Sleep Problems Bedti e rit)a#s +sa e h!)r !& s#ee%, sna$3, 9)iet a$ti*it'/ are he#%&)#( Pr!*ide transiti!na# !"<e$ts s)$h as &a*!rite st)&&ed ani a# !r "#an3et a. Re%!lar )ental (4amination/Tooth *are The A eri$an A$ade ' !& Pediatri$s, Se$ti!n !n Pediatri$ Dentistr' +,--:a/, n!2 re$! ends that e*er' $hi#d ha*e an !ra# hea#th e0a inati!n "' a %ra$titi!ner "' 1 !nths !& age( I& the $hi#d is in a high ris3 $ateg!r' &!r $aries, an initia# *isit t! a dentist !r %ed!d!ntist +%ediatri$ dentist/ "' age 1 !nths !r 2ithin 1 !nths !& the er)%ti!n !& the &irst t!!th is re$! ended( b. Remo5al of Pla6!es The !st e&&e$ti*e eth!d &!r %#a9)e re !*a# are "r)shing and &#!ssing( One that is s)ita"#e &!r $#eaning the %ri ar' teeth is the s$r)" eth!d( The ti%s !& the "rist#es are %#a$ed &ir #' at a A; degree ang#e against the teeth and g) s and are !*ed "a$3 and &!rth in a *i"rat!r' !ti!n( The ends !& the "rist#es sh!)#d "e !*ing gent#' t! a*!id da aging the g) s and ena e#( The !st e&&e$ti*e $#eaning is d!ne "' %arents( Se*era# %!siti!ns &a$i#itate a$$ess t! the !)th and he#% sta"i#iCe the head &!r $! &!rt:

b. S'((P AN) A*TI+IT,

c. )(NTA' -(A'T-

 Stand 2ith $hi#dBs "a$3 t!2ard ad)#t( Sit !n a $!)$h !r "ed 2ith $hi#dBs head resting in ad)#tBs #a%( Sit !n the &#!!r !r a st!!# 2ith $hi#dBs head resting "et2een ad)#tBs thighs( With a## %!siti!ns, )se !ne hand t! $)% the $hin and the !ther t! "r)sh the teeth( F!r easier a$$ess t! "a$3 teeth, h!#d the !)th %artia##' !%en( F!r e&&e$ti*e $#eaning, a s a## t!!th"r)sh 2ith s!&t, r!)nded, )#tit)&ted n'#!n "rist#es that are sh!rt and )ni&!r in #ength is re$! ended( T!!th"r)shes sh!)#d "e re%#a$ed e*er' : !nths !r as s!!n as the "rist#es are &ra'ed !r "ent( When )sing t!!th%aste, $hi#dren sh!)#d se#e$t the &#a*!r the' #i3e t! en$!)rage "r)shing ha"it( c. Fl!oride Base re$! endati!n !n the &#)!ride $!n$entrati!n in $hi#dBs drin3ing 2ater, in$#)ding "!tt#ed 2ater, &i#tered and 2e## 2ater, and %r!$essed &!!d( I& 2ater is &#)!ridated, )se ta% 2ater &!r drin3ing and &!r %re%arati!n !& &!r )#a +e0$e%t s!' &!r )#a, 2hi$h has t2i$e the &#)!ride !& reg)#ar &!r )#a/, &r!Cen $!n$entrated <)i$es, %!2dered i0es, s!)%s, i$e, and ge#atin( I& the 2ater is n!n&#)!ridated !r $!ntains #ess than -(: %% +ages 1 !nths t! : 'ears/ !r #ess than -(1 %% +ages : t! 1 'ears/ &#)!ride, !r i& $hi#d re&)ses t! drin3 ta% 2ater !r re&)ses drin3s !r &!!ds ade 2ith ta% 2ater, $!nsider &#)!ride s)%%#e ents( I& the 2ater, s)$h as 2ater &r! s! e 2e##s !r s%rings, has a $!n$entrati!n !& &#)!ride a"!*e the re$! ended #e*e#, en$!)rage )se !& "!tt#ed n!n&#)!ridated 2ater &!r drin3ing( En$!)rage s)%er*isi!n !& t!dd#er 2hen "r)shing teeth !r )sing a &#)!ridated !)th rinse t! %re*ent !*eringesti!n !& &#)!ridated t!%i$a# s)%%#e ent( .se &#)!ridated t!!th%aste( C!nsider !ther s!)r$es !& &#)!ride &r! diet, s)$h as tea( d. )iet En$!)rage a #!2 $ari!geni$ diet s)$h as ra2, &resh &r)its and *egeta"#es Nat)ra# &!!ds, in$#)ding h!ne', !#asses, $!rn s'r)%, and dried &r)its s)$h as raisins, are high#' $ari!geni$( C! %#e0 $ar"!h'drates, s)$h as "reads, %!tat!es, and %asta, a#s! $!ntri")te t! $aries "e$a)se the' #!2er the %#a9)e %H( E#i inate "edti e "!tt#e $! %#ete#'( Feed the #ast "!tt#e "e&!re "edti e S)"stit)te a "!tt#e !& 2ater &!r s2eet #i9)ids D! n!t )se the "!tt#e as a %a$i&ier Ne*er $!at %a$i&iers in s2eet s)"stan$es

d. )R(SSIN7 AN) 1AT-IN7

e. IN.UR, PR(+(NTION/TO))'(R SAF(T,

a( G)ide#ines When t!dd#ers dress the se#*es, the' in*aria"#' %)t sh!es !n the 2r!ng &eet and shirt and %ants "a$32ard( Parents sh!)#d gi*e )% %er&e$ti!n &!r the "ene&it !& the $hi#dBs de*e#!%ing sense !& a)t!n! '( I& $hi#dren end )% 2ith )nder%ants !r shirt !n "a$32ard, in !st instan$es it d!es n!t a3e that )$h di&&eren$e, and t!dd#ers are n!t #i3e#' t! &ee# inde%endent and $!n&ident i& their atte %ts at dressing are $riti$iCed( I& %arents &ee# the' )st $hange the $hi#dBs $#!thes, the' sh!)#d "egin 2ith a %!siti*e state ent, s)$h as DE!) did a g!!d <!",F "e&!re a3ing the s2it$h( As s!!n as $hi#dren are )% !n their &eet and 2a#3ing, the' need sh!e s!#es that are &ir en!)gh t! %r!*ide %r!te$ti!n &r! r!)gh s)r&a$es( H!2e*er, t!dd#ers d! n!t need e0tre e#' &ir !r an3#e high sh!es( Be$a)se a t!dd#erBs ar$hes are sti## de*e#!%ing, it is "etter &!r their ar$hes t! %r!*ide &!!t s)%%!rt rather than ha*ing it %r!*ided "' sh!es( Snea3ers are an idea# t!dd#er sh!e "e$a)se the s!#es are hard en!)gh &!r r!)gh s)r&a$es and ar$h s)%%!rt is #i ited( The ti e &!r a t!dd#erBs "ath sh!)#d de%end !n the %arentsB and the $hi#dBs 2ishes and s$hed)#e( T!dd#ers )s)a##' en<!' "ath ti e, and %arents sh!)#d a3e an e&&!rt t! a3e it &)n "' %r!*iding a t!', s)$h as a r)""er d)$3, "!at, !r %#asti$ &ish( A#th!)gh t!dd#ers $an sit 2e## in "atht)", it is sti## n!t sa&e t! #ea*e the a#!ne )ns)%er*ised( The' ight s#i% and get their head )nder 2ater !r rea$h and t)rn !n the h!t 2ater &a)$et and s$a#d the se#*es( a. 0otor +ehicle in/!ries .se &edera##' a%%r!*ed $ar restraint6 i& restraint n!t a*ai#a"#e, )se #a% "e#t( S)%er*ise $hi#d 2hi#e %#a'ing !)tside( D! n!t a##!2 $hi#d t! %#a' !n $)r" !r "ehind a %ar3ed $ar( D! n!t %er it $hi#d t! %#a' in %i#e !& #ea*es, sn!2, !r #arge $ard"!ard $!ntainer in tra&&i$3ed area( S)%er*ise tri$'$#e riding6 ha*e $hi#d 2ear he# et( Li it %#a'ing in dri*e2a's 2ith %ar3ed $ars !r %r!*ide %h'si$a# "arriers #i iting a$$ess( L!$3 &en$es and d!!rs i& n!t dire$t#' s)%er*ising $hi#dren( Tea$h $hi#d t! !"e' %edestrian sa&et' r)#es: - O"e' tra&&i$ reg)#ati!ns6 $r!ss !n#' at $r!ss2a#3s and !n#' 2hen tra&&i$ signa# indi$ates it is sa&e( - Stand "a$3 a ste% &r! the $)r" )nti# it is ti e t! $r!ss( - L!!3 #e&t, right, and #e&t again and $he$3 &!r t)rning $ars "e&!re $r!ssing street( - .se side2a#3s6 2hen there is n! side2a#3, 2a#3 !n #e&t, &a$ing tra&&i$(

- Wear #ight $!#!rs at night and atta$h &#)!res$ent ateria# t! $#!thing( b. )ro2nin% S)%er*ise $#!se#' 2hen near an' s!)r$e !& 2ater, in$#)ding ")$3ets( Ne*er, )nder an' $ir$) stan$e, #ea*e )ns)%er*ised in "atht)" !r ar!)nd "atht)" &i##ed 2ith 2ater( 4ee% "athr!! d!!rs $#!sed and #id d!2n !n t!i#et( Ha*e &en$e ar!)nd s2i ing %!!# and #!$3 gate Tea$h s2i ing and 2ater sa&et'( c. 1!rns T)rn %!t hand#es t!2ard "a$3 !& st!*e( P#a$e e#e$tri$ a%%#ian$es, s)$h as $!&&ee a3er and %!%$!rn a$hine, t!2ard "a$3 !& $!)nter( 4ee% e#e$tri$ $)r#ing ir!ns !)t !& $hi#dBs rea$h( P#a$e g)ardrai#s in &r!nt !& radiat!rs, &ire%#a$es, !r !ther heating e#e ents( St!re at$hes and $igarette #ighters in #!$3ed !r ina$$essi"#e area6 dis$ard $are&)##'( P#a$e ")rning $and#es, in$ense, h!t &!!ds, and $igarettes !)t !& rea$h( D! n!t #et ta"#e$#!th hang 2ithin $hi#dBs rea$h( D! n!t #et e#e$tri$ $!rd &r! ir!n !r !ther a%%#ian$e hang 2ithin $hi#dBs rea$h( C!*er e#e$tri$a# !)t#ets 2ith %r!te$ti*e %#asti$ $a%s( 4ee% e#e$tri$a# 2ires hidden !r !)t !& rea$h( Insta## s !3e and $ar"!n !n!0ide a#ar s6 $hange "atteries e*er' A !( De*e#!% &ire es$a%e %#an &!r the entire &a i#' and ha*e dri##s( D! n!t a##!2 $hi#d t! %#a' 2ith e#e$tri$a# a%%#ian$e, 2ires, !r ")tane #ighters( Stress danger !& !%en &#a es6 tea$h 2hat Dh!tF eans( A#2a's $he$3 "ath2ater te %erat)re6 ad<)st 2ater heater te %erat)re t! A?C +5,-F/ !r #!2er6 d! n!t a##!2 $hi#dren t! %#a' 2ith &a)$ets( Ne*er #ea*e '!)ng $hi#dren )nattended in !r ar!)nd "atht)" the' $an $#i " in t)" as 2e##( A%%#' a s)ns$reen 2hen $hi#d is e0%!sed t! s)n#ight +a## 'ear r!)nd/( d. Poisonin%/'ead Screenin% P#a$e a## %!tentia##' t!0i$ agents !)t !& rea$h !r in a #!$3ed $a"inet, in$#)ding $!s eti$s, %ers!na# $are ite s, $#eaning %r!d)$ts, %esti$ides, edi$ati!ns( Ca)ti!n against eating n!nedi"#e ite s, s)$h as %#ants and %ers!na# $!s eti$ %r!d)$ts( I ediate#' %)t a2a' edi$ati!ns !r %!is!ns6 re%#a$e $hi#d g)ard $a%s %r!%er#'( Ad inister edi$ati!ns as a dr)g, n!t as a $and'( D! n!t st!re #arge s)r%#)s !& t!0i$ agents( Pr! %t#' dis$ard e %t' %!is!n $!ntainers6 ne*er re)se t! st!re &!!d ite !r !ther %!is!n( Ne*er re !*e #a"e#s &r! $!ntainers !& t!0i$ s)"stan$es(

4n!2 n) "er !& nearest %!is!n $!ntr!# $enter( P!st n) "er near %h!ne !r !n re&rigerat!r( e. Falls .se 2ind!2 g)ards d! n!t re#' !n s$reens t! st!% &a##s &r! 2ind!2s( P#a$e gates at t!% and "!tt! !& stairs( 4ee% d!!rs #!$3ed !r )se $hi#d%r!!& d!!r3n!" $!*ers at entr' t! stairs, high %!r$h, !r !ther e#e*ated area, in$#)ding #a)ndr' $h)te( Ens)re sa&e and e&&e$ti*e "arriers !n %!r$hes, "a#$!nies, "#ea$hers, de$3s( A%%#' n!ns3id de$a#s in "atht)" !r sh!2er( 4ee% $ri" rai#s &)##' raised and attress at #!2est #e*e#( P#a$e $ar%eting )nder $ri" and in "athr!! ( 4ee% #arge t!'s and ") %er %ads !)t !& $ri" !r %#a'%en +$hi#d $an )se these as DstairsF t! $#i " !)t/, then !*e t! '!)th "ed 2hen $hi#d is a"#e t! $#i " !)t !& $ri"( 4ee% $hi#d restrained in *ehi$#e6 ne*er #ea*e )nattended in *ehi$#e, sh!%%ing $art, !r high $hair( f. Aspiration and S!ffocation A*!id #arge, r!)nd $h)n3s !& eat, s)$h as 2h!#e h!t d!gs +s#i$e #ength2ise int! sh!rt %ie$es/( A*!id &r)it 2ith %its, &ish 2ith "!nes, dried "eans, hard $and', $he2ing g) , n)ts, %!%$!rn, gra%es, arsh a##!2s( Ch!!se #arge, st)rd' t!'s 2ith!)t shar% edges !r s a## re !*a"#e %arts( Dis$ard !#d re&rigerat!rs, !*ens, and s! !n6 i& st!ring an !#d a%%#ian$e, re !*e the d!!r( 4ee% a)t! ati$ garage d!!r trans itter in ina$$essi"#e %#a$e( Se#e$t sa&e t!' "!0es !r $hests 2ith!)t hea*', hinged #ids( 4ee% 2ind!2 $!*ering $!rds !)t !& $hi#dBs rea$h !r )se straight $!rds 2ith!)t #!!%s( %. 1odil# )ama%e A*!id gi*ing shar% !r %!inted !"<e$ts s)$h as 3ni*es, s$iss!rs, !r t!!th%i$3s, es%e$ia##' 2hen 2a#3ing !r r)nning( D! n!t a##!2 #!##i%!%s !r si i#ar !"<e$ts in !)th 2hen 2a#3ing !r r)nning( Tea$h sa&et' %re$a)ti!ns +e(g(, t! $arr' 3ni&e !r s$iss!rs 2ith %!inted end a2a' &r! &a$e/( St!re a## danger!)s t!!#s, garden e9)i% ent, and &irear s in #!$3ed $a"inet( Be a#ert t! danger !& s)%er*ised ani a#s and h!)seh!#d %ets( .se sa&et' g#ass !n #arge g#assed areas, s)$h as s#iding g#ass d!!rs(

8. PR(S*-OO'

a. NUTRITION

a. Promotin% N!tritional -ealth O&&er s a## ser*ings !& &!!d Ens)re that $hi#dren are n!t sna$3ing s! &re9)ent#' s! that the' 2i## n!t

iss !)t !n %#anned

b.

b. S'((P AN) A*TI+IT,

a.

b.

c. )(NTA' -(A'T-

a.

ea#s F!r sna$3s, !&&er &!!ds s)$h as &r)it, $heese, !r i#3 rather than $!!3ies and a s!&t drin3 @a3e ea#ti e a ha%%' and en<!'a"#e %art !& the da' &!r e*er'!ne( A##!2 a $hi#d t! %re%are si %#e &!!ds, s)$h as a3ing a sand2i$h !r s%reading <e##' !n t!ast( )iet F!!ds sh!)#d "e "ased !n &!!d %'ra id gr!)%s, a3ing s)re t! !&&er a *ariet'( Additi!na# *ita ins are %r!"a"#' )nne$essar' i& $hi#d is eating &!!ds &r! a## %'ra id &!!d gr!)%s and eets the $riteria &!r a hea#th' $hi#d s)$h as "eing a#ert and a$ti*e, 2ith height and 2eight 2ithin n!r a# a*erages( I& %arents d! gi*e *ita ins, a $hi#d 2i## )nd!)"ted#' *ie2 a *ita in as $and' rather than edi$ine "e$a)se !& the attra$ti*e sha%es and $!#!rs !& %res$h!!# *ita ins, s! the' )st "e st!red !)t !& rea$h( D! n!t gi*e !re *ita ins than the re$! ended dai#' a !)nt, "e$a)se %!is!ning &r! high d!ses !& &at s!#)"#e *ita ins !r ir!n $an res)#t( Sleep Problems Pres$h!!#ers a' need a night #ight d)ring s#ee% S$reen !)t &rightening st!ries !r te#e*isi!n 2at$hing <)st %ri!r t! "edti e C!ntin)e &a i#iar "edti e r!)tines (4ercise R!)gh h!)sing is a g!!d 2a' !& getting rid !& tensi!n and sh!)#d "e a##!2ed as #!ng as it d!es n!t "e$! e destr)$ti*e( Pr! !te #!*e ti e h!n!red ga es s)$h as ringGar!)ndGtheGr!s', L!nd!n Bridge, !r !ther !re str)$t)red ga es( Red)$e te#e*isi!n 2at$hing( *are of Teeth A $hi#d sh!)#d $!ntin)e t! drin3 &#)!ridated 2ater !r re$ei*e a %res$ri"ed !ra# &#)!ride s)%%#e ent i& &#)!ride is n!t %r!*ided in the 2ater s)%%#'( One g!!d t!!th"r)shing %eri!d a da' is !&ten !re e&&e$ti*e than !re &re9)ent ha#& hearted "r)shings( Che$3 that a## t!!th s)r&a$es are $#eaned( Ens)re that the $hi#d &#!ss the teeth 2e##( S)%er*ise $hi#dren 2hen )sing an e#e$tri$ t!!th"r)sh and tea$h n!t t! )se it !r an' !ther e#e$tri$a# a%%#ian$e near a "asin !& 2ater( En$!)rage $hi#dren t! eat a%%#es, $arr!ts, $e#er', $hi$3en, !r $heese &!r sna$3s rather than $and' !r s2eets t! %re*ent t!!th de$a'( Chi#dren sh!)#d ha*e ade a &irst *isit t! a dentist "' ,5H, 'ears !& age &!r e*a#)ati!n !& t!!th

&!r ati!n(

d. )R(SSIN7

b. -,7I(N(

c. IN.UR, PR(+(NTION/PR(S*-OO'(R SAF(T,

a. 7!idelines Pres$h!!#ers %re&er "right $!#!rs !r %rints and s! a' se#e$t ite s that d! n!t at$h( Chi#dren need the e0%erien$e !& $h!!sing their !2n $#!thes( One 2a' &!r %arents t! s!#*e the %r!"#e !& is at$hing is t! &!#d t!gether at$hing shirts and %ants s! a $hi#d sees the as a set rather than indi*id)a# %ie$es( I& $hi#dren insist !n 2earing is at$hed $#!thes, %arents sh!)#d a3e n! a%!#!gies &!r their a%%earan$e( A si %#e state ent s)$h as D@ar3 $h!se his !2n $#!thes t!da'F e0%#ains the sit)ati!n( a. 7!idelines Pres$h!!#ers $an 2ash and dr' their hands ade9)ate#' i& the &a)$et is reg)#ated &!r the s! the' d! n!t s$a#d the se#*es 2ith h!t 2ater( Parents sh!)#d t)rn d!2n the te %erat)re !& the 2ater heater in their h! e t! )nder 5,- F t! he#% %re*ent s$a#ds( Pres$h!!#ers d! n!t $#ean their &ingernai#s *er' 2e##, s! these !&ten need Dt!)$hing )%F "' a %arent !r !#der si"#ing( Hang a !"i#e !*er the t)" s! the' ha*e a reas!n t! #!!3 )% &!r rinsing and )se a n!nirritating sha %!! A#th!)gh %res$h!!#ers a' sit 2e## in "atht)"s, the' sh!)#d sti## n!t "e #e&t )ns)%er*ised at "ath ti e( D! n!t )se ")""#e "ath 2ith %res$h!!#ers as s! e gir#s de*e#!% *)#*ar irritati!n +and %erha%s "#adder in&e$ti!ns/ &r! e0%!s)re t! s)$h %r!d)$ts( a. 9eepin% *hildren Safe: Stron%: and Free Warn a $hi#d ne*er t! ta#3 2ith !r a$$e%t a ride &r! a stranger Tea$h a $hi#d h!2 t! $a## &!r he#% in an e ergen$' +'e##ing !r r)nning t! a designated neigh"!rIs h!)se i& !)tside, !r dia#ing ?55 i& near a te#e%h!ne/ Des$ri"e 2hat %!#i$e !&&i$ers #!!3 #i3e and e0%#ain that %!#i$e !&&i$ers $an he#% in an e ergen$' sit)ati!n E0%#ain that i& $hi#dren !r ad)#ts as3 the t! 3ee% se$rets a"!)t an'thing that has ade the )n$! &!rta"#e, the' sh!)#d te## their %arents !r an!ther tr)sted ad)#t, e*en i& the' ha*e %r! ised t! 3ee% the se$ret E0%#ain that ")##'ing "eha*i!r &r! !ther $hi#dren is n!t t! "e t!#erated and sh!)#d "e re%!rted s! the' $an re$ei*e he#% anaging it b. 0otor +ehicle and 1ic#cle Safet#

Sa&e#' ")$3#e %res$h!!#ers int! $ar seats in the "a$3 seat Stress the i %!rtant r!#e !& seat "e#ts in %re*enting in<)r' in a$$idents and sh!)#d a3e it a r)#e that the $ar d!es n!t !*e )nti# seat"e#ts are &astened( Che$3 the %!siti!n !& the sh!)#der harness s! it d!es n!t g! a$r!ss a $hi#dIs &a$e !r thr!at( Pr! !te "i$'$#e sa&et'6 %r!*ide a sa&et' he# et a%%r!*ed &!r $hi#dren their age and siCe( De !nstrate sa&e riding ha"its "' 2earing he# ets as 2e##(

;. S*-OO'(R

a. NUTRITION

a. (stablishin% -ealth# (atin% Patterns Ha*e '!)ng $hi#dren $!##e$t %i$t)res !& hea#th' &!!ds and a3e a %!ster &!r dis%#a' in the s$h!!# $a&eteria( @a3e hea#th' &!!ds +&r)its, *egeta"#es, 2h!#e grains, #!2 &at sna$3s/ a*ai#a"#e in s$h!!# *ending a$hines and at s$h!!# s%!rting e*ents( Dis$!)rage the )se !& high &at &!!ds +$and' "ars/ as %art !& s$h!!# &)nd raising %r!<e$ts( A*!id the )se !& &!!d as re2ards &!r "eha*i!r6 )se *er"a# %raise and t!3en gi&ts t! rein&!r$e hea#th' eating and %h'si$a# a$ti*it'( As3 ea$h $hi#d t! 3ee% a diar' !& &!!ds eaten in 5 da'6 )sing the F!!d G)ide P'ra id, e*a#)ate these &!!ds( b. )iet Ch!!se a diet 2ith %#ent' !& grain %r!d)$ts, *egeta"#es, and &r)its( Ch!!se a diet #!2 in &at, sat)rated &at, and $h!#ester!#( Eat a *ariet' !& &!!ds( Ch!!se a diet !derate in sa#t and s!di) ( Ch!!se a diet !derate in s)gars( a. 7!idelines S#ee% needs *ar' a !ng indi*id)a# $hi#dren( E!)nger s$h!!# age $hi#dren t'%i$a##' re9)ire 5- t! 5, h!)rs !& s#ee% ea$h night, and !#der !nes re9)ire a"!)t 8 t! 5- h!)rs( @!st 1 'ear !#ds are t!! !#d &!r na%s ")t d! re9)ire a 9)iet ti e a&ter s$h!!# t! get the thr!)gh the re ainder !& the da'( D)ring s$h!!# 'ears, an' $hi#dren en<!' a 9)iet ta#3 !r a reading ti e at "edti e( At a"!)t age ?, 2hen &riends "e$! e !re i %!rtant, $hi#dren genera##' are read' t! gi*e )% %re "edti e ta#3s 2ith %arents in %re&eren$e t! $a##ing !r te0t essaging a &riend(

c. S'((P AN) R(ST

d. (<(R*IS( AN) A*TI+IT,

a. Sports C! !n a$ti*ities &!r s$h!!# G age $hi#dren in$#)de "ase"a##, s!$$er, g' nasti$s, and s2i ing( E9)i% ent )st "e aintained in sa&e $!nditi!n, and %r!te$ti*e a%%arat)s sh!)#d "e 2!rn t! %re*ent seri!)s in<)r' D)ring %)"ert' stage, it is )s)a##' re$! ended that gir#s $! %ete !n#' against !ther gir#s "e$a)se at this stage "!'s "e$! e #arger and ha*e !re )s$#e ass A$ti*ities sh!)#d in$#)de "!th %ra$ti$e sessi!ns and )nstr)$t)red %#a'6 the a$t)a# ga e !r e*ent sh!)#d "e anaged in a anner that stresses aster' !& the s%!rt and enhan$e ent !& se#& G i age rather than 2inning !r %#easing !thers( A## $hi#dren sh!)#d ha*e an !%%!rt)nit' t! %arti$i%ate, and s%e$ia# $ere !nies sh!)#d re$!gniCe a## %arti$i%ants, n!t <)st indi*id)a#s 2h! e0$e# in s%!rts !r ath#eti$s( b. Ac6!isition of S=ills With the t!!#s !& #ang)age and reading, $hi#dren $reate %!e s, st!ries, and %#a's( With !re ad*an$ed &ine !t!r s3i##s, the' are a"#e t! aster an )n#i ited *ariet' !& handi$ra&ts, s)$h as $era i$s, need#e2!r3, 2!!d2!r3ing, and "ead2!r3( S$h!!# G age $hi#dren are $a%a"#e !& ass) ing res%!nsi"i#it' &!r their !2n needs, a#th!)gh their distaste &!r s!a% and 2ater and JdressJ $#!thes is #egendar'( S$h!!# G age $hi#dren $an and 2ant t! ass) e their share !& h!)seh!#d tas3s, 2hi$h )s)a##' are re#ated t! the a#e and &e a#e r!#es that ha*e "een de&ined "' their $)#t)re( @an' $hi#dren a#s! ass) e res%!nsi"i#it' &!r tas3s !)tside the h! e, s)$h as "a"'sitting, !2ing #a2ns, !r %a%er r!)tes( c. (4ercise E0er$ise $an $! e &r! neigh"!rh!!d ga es, 2a#3ing 2ith %arents !r a d!g, !r "i$'$#e riding( As $hi#dren enter %read!#es$en$e, th!se 2ith %!!r $!!rdinati!n a' "e$! e re#)$tant t! e0er$ise( .rge the t! %arti$i%ate in s! e dai#' e0er$ise, !r e#se !"esit', !r !ste!%!r!sis #ater in #i&e, $an res)#t( One h!)r !r !re !& !derate and *ig!r!)s %h'si$a# a$ti*it' !n !st !r a## da's( Parti$i%ate in se*era# "!)ts !& %h'si$a# a$ti*it' !& 5; in)tes !r !re ea$h da'( A*!id %eri!ds !& ina$ti*it' !& , h!)rs !r !re( a( Denta# Pr!"#e s Denta# Caries Denta# $aries are #arge#' %re*enta"#e 2ith %r!%er "r)shing and )se !& &#)!ridated 2ater !r &#)!ride a%%#i$ati!n( When $arries d! !$$)r, it is i %!rtant the' "e treated 9)i$3#' and the $hi#dBs denta# h'giene %ra$ti$es t! "e e*a#)ated and i %r!*ed i& ne$essar'(

e. )(NTA' -(A'T-

@!st i %!rtant, $hi#dren )st "e#ie*e the' ha*e a sta3e in the hea#th !r disease !& their teeth s! the' 2i##ing#' )nderta3e the se#& $are eas)res ne$essar' t! ens)re hea#th' teeth, 2ith %arenta# s)%%!rt rather than %arenta# $! and( @a#!$$#)si!n Chi#dren 2ith a#!$$#)si!n sh!)#d "e e*a#)ated "' an !rth!d!ntist t! see i& !rth!d!nti$ "ra$es !r !ther thera%' is ne$essar'( The ti e t! "egin $!rre$ti!n *aries 2ith the e0tent !& the a#!$$#)si!n and the <a2 siCe( Bra$es are e0%ensi*e and %ain&)# 2hen the' are &irst a%%#ied and at %eri!di$ *isits 2hen the' are tightened t! aintain %ress)re &!r &)rther straightening( S! e $hi#dren de*e#!% i#d, sha##!2 )#$erati!ns +$an3er s!res/ !n the ")$$a# e "rane &r! &ri$ti!n !& eta# 2ires( R)""ing the !&&ending 2ire 2ith denta# 2a0 d)##s the s)r&a$e and gi*es re#ie&( Ora# a$eta in!%hen !r an agent s)$h as OraGKe# +an !*erGtheG$!)nter dr)g/ r)""ed !n the )#$erati!n a#s! gi*es re#ie&( Chi#dren 2h! 2ear "ra$es need t! ha*e their teeth assessed &re9)ent#' t! see the' are "r)shing %r!%er#' ar!)nd the "ra$es and that the' are )sing denta# &#!ss t! re !*e %#a9)e ar!)nd 2ires( A&ter re !*a# !& "ra$es, an' $hi#dren )st 2ear retainers t! aintain the $!rre$ti!n the "ra$es a$hie*ed( Sh!2 a%%r!%riate s' %ath' and he#% $hi#dren %r!"#e s!#*e i& the' are "!thered "' the a%%earan$e !& "ra$es !r 2earing a retainer( "( Care !& Teeth S$h!!# age $hi#dren sh!)#d *isit a dentist at #east t2i$e 'ear#' &!r a $he$3)%, $#eaning, and %!ssi"#' a &#)!ride treat ent t! strengthen and harden the t!!th ena e#(

Chi#dren 2h! tend t! de*e#!% $aries +$a*ities/ a*ai#a"#e and a&&!rda"#e(

ight "e en$!)raged t! *isit a %ed!d!ntist i& !ne is

S$h!!# age $hi#dren ha*e t! "e re inded t! "r)sh their teeth dai#'( F!r e&&e$ti*e "r)shing, a $hi#d sh!)#d )se a s!&t t!!th"r)sh, &#)!ride "ased t!!th%aste, and denta# &#!ss t! $#ean "et2een teeth t! he#% re !*e %#a9)e( Sna$3s are "est #i ited t! high %r!tein &!!ds s)$h as $hi$3en and $heese rather than $and'( Fr)its, *egeta"#es, and $erea#s &!rti&ied 2ith inera#s and *ita ins $an a## "e &)n a&ters$h!!#

sna$3s &!r s$h!!# age $hi#dren(

I& the $hi#d d!es eat $and', a t'%e that is eaten 9)i$3#' and diss!#*es 9)i$3#' is "etter than s#!2#' diss!#*ing !r sti$3' $and', 2hi$h sta's in $!nta$t 2ith the teeth #!nger(

f.

)R(SS

g. IN.UR, PR(+(NTION

a( H'giene Chi#dren !& 1 !r = 'ears !& age sti## need he#% in reg)#ating "ath 2ater te %erat)re and in $#eaning their ears and &ingernai#s( B' age 8, $hi#dren are genera##' $a%a"#e !& "athing the se#*es ")t a' n!t d! it 2e## "e$a)se the' are t!! ")s' t! ta3e the ti e !r "e$a)se the' d! n!t &ind "athing as i %!rtant as d! their %arents( B!th "!'s and gir#s "e$! e interested a( Pr! !ting S$h!!#Gage Sa&et'

>. A)O'(S*(NT

a. NUTRITION

a( Eating ha"its and "eha*i!r "( Diet a( G)ide#ines

b. S'((P AN) R(ST

c. (<(R*IS( AN) A*TI+IT,

a(G)ide#ines

b. )(NTA' -(A'T-

a( Care !& Teeth

b. P(RSONA' *AR(

a( Dress and H'giene

b. STR(SS R()U*TION

a( G)ide#ines

c. S(<UA'IT, ()U*ATION AN) 7UI)AN*(

a( G)ide#ines

d. IN.UR, PR(+(NTION

a( Ad!#es$ent Sa&et'

:(

CREATE A HEALTH TEACHING PLAN FOR AN ELPECTANT @OTHER( @.ST BE @ORE THAN ; SPECIFIC HEALTH TEACHING GENERAL HEALTH TEACHING 1. (<(R*IS( 3. NUTRITION 8. S'((P AN) R(ST ;. -,7I(N( >. TRA+(' SPECIFIC HEALTH TEACHING