Category Archives: Parenting

What my toddler taught me about injury prevention: When actions have no consequences

Young children begin to understand their world by cause-and-effect experimentation. (iStock Photo / Getty Images)

By Dex Tuttle

Recently, I watched my 18 month-old daughter, Quinnlyn, as she played with her favorite blocks. She picked one up, stacked it carefully on top of another, and repeated until she had a tower four or five blocks high. Without warning, she pummeled the tower while sounding her signature high-pitched battle cry, sending blocks flying in all directions. She immediately seemed to regret not having a tower and ran to pick up the blocks to start the process over.

Young children begin to understand their world by cause-and-effect experimentation. Psychologist Jean Piaget was one of the first to put this concept into organized thought.

This behavior is apparent with my daughter: “If I stick my hand in the dog’s water dish, my shirt gets wet. This pleases me and I must do this each morning, preferably after mommy helps me put on a clean shirt.”

Then, something occurred to me as I watched Quinnlyn build and destroy her tower; there is a trigger missing in her young mind that could change her behavior: She does not understand consequence, the indirect product of an effect.

I began to notice this in her other activities as well. At dinnertime, we give her a plastic fork and spoon so she can work on her motor skills. If she’s unhappy with how dinner is going, she throws her fork and spoon on the floor in a fit of toddler rage. She is then immediately puzzled by how she’ll continue her meal now that her utensils are so far away.

As frustrating as toddler tantrums can sometimes be for parents, I’d love to be in my daughter’s shoes. Who wouldn’t want the satisfaction of taking all those dirty dishes that have been in the sink for two days and chucking them against the wall? That decision, of course, would be dangerous and reckless and I have no desire to clean up such a mess. And, with no dishes in the house, I’d be forced to take a toddler to the store to shop for breakable things; not a winning combination.

There’s an important lesson here for safety-minded parents: Kids will explore their environment in whatever way they can. It’s like the feeling you get when you find a $20 bill in the pocket of a pair of pants you haven’t worn in months, or when you discover the newest tool, gadget or fashion. For toddlers (and us adults), it’s fun finding new things and learning new skills; it’s motivating and creates a feeling of accomplishment. However, the cognitive skills of a toddler haven’t developed beyond that cause-effect understanding.

This is why we need to consider the environment in which our young children play. I recommend giving them plenty of space and opportunity to experiment without worry of the consequence:

  • Make sure stairs are blocked off securely and unsafe climbing hazards are eliminated; encourage kids to explore the space you define.
  • Create a space to explore free of choking hazards, potential poisons and breakable or valuable items; leave plenty of new objects for children to discover, and change the objects out when the kids seem to grow tired of them.
  • Allow children to fail at certain tasks; be encouraging and positive without intervening as they try again.
  • If possible, discuss their actions and consequences with them to help them understand the reason for your rules.

Encouraging the learning and exploration process will increase your child’s confidence and creativity, and defining safe boundaries and rules will keep you both happy.

Dex Tuttle is the injury prevention program coordinator at Children’s Hospitals and Clinics of Minnesota and the father of a curious and mobile toddler. He has a Master of Education degree from Penn State University.

Tanning turmoil: Why getting ‘bronzed’ is hazardous to your teen’s health

For teens, one visit to a tanning bed increases the risk of squamous cell carcinoma by 67 percent. (iStock photo / Getty Images)

A guest post by Gigi Chawla, MD

Every spring, many of us weary from a long winter head south to warmer climes; teens across the country attend prom with their sweethearts. And what do kids tend to do before events like these?

Hit the tanning salon.

Looking “pasty white” in a swimsuit or a new dress just won’t do, right? Think again.

Here’s a brief warning to help dispel the myth of “getting a base tan” before these events. Or ever.

Currently, 35 percent of 17-year-old girls in the U.S. are using tanning beds and 55 percent of college-aged kids have used one at least once.

In Minnesota, the Star Tribune reported earlier this year that, “a third of white 11th-grade Minnesota girls have tanned indoors in the past year, according to a state survey … and more than half of them used sun beds, sunlamps or tanning booths at least 10 times in a recent 12-month period.”

What isn’t immediately clear to our kids is that during a tanning-bed session they may receive up to 12 times the ultraviolet (UV) exposure as they receive being outside in the natural sunlight. This UV radiation exposure from tanning beds is dangerous and linked to three types of skin cancer: melanoma, basal cell carcinoma and squamous cell carcinoma.

Here’s the potential damage that one tanning-bed session alone can cause a teen:

  • The risk of developing melanoma increases by 20 percent
  • The risk of developing basal cell carcinoma increases by 29 percent
  • The risk of squamous cell carcinoma increases by 67 percent

For people using a tanning bed under the age of 35, the lifetime risk of developing skin cancer of any type increases by 74 percent.

Specifically, it increases the lifetime risk of:

  • melanoma by 75 percent
  • basal cell carcinoma by 150 percent, and
  • squamous cell carcinoma by a whopping 250 percent

Moreover, skin cancer now is the leading form of cancer in 25- to 29-year-olds.

Another startling fact: More skin cancer cases arise from tanning-bed use than lung cancer cases do from smoking; yet, in our culture, bronzed skin is seen as a form of beauty.

Some advice to parents: Remember to reinforce to your teens that they are beautiful or handsome no matter the shade of their skin. What’s important is what’s inside. I like to think that we live in an era in which we can look past skin color, where we are not judged by skin color and we should not see beauty based on skin color.

It’s time to remind your kids to “go with your own natural glow.”

Gigi Chawla, MD, is a pediatrician, hospitalist and the Senior Medical Director of Primary Care at Children’s Hospitals and Clinics of Minnesota. Her areas of interest are the care of complex special needs patients, premature infants, ventilator dependent children and care of hospitalized patients.

Sources: The Skin Cancer Foundation, U.S. Food and Drug Administration, Centers for Disease Control and Prevention

 

Five Question Friday: Dex Tuttle

We love kids here at Children’s, but we’d rather see them safe at home. Dex Tuttle, our injury prevention program coordinator, tells us more about his role and gives some tips on how to prevent common household injuries in this week’s Five Question Friday.

Dex Tuttle has been the injury prevention program coordinator at Children's since August 2013.

How long have you worked at Children’s?

I started in August of 2013.

Describe your role.

As injury prevention program coordinator, my job is to keep kids out of the emergency room. I plan events and prepare resources in partnership with hospital and community organizations to educate children and families about common types of injury and give them tips on what they can do to stay safe.

What do you love most about your job?

On any given day, I can be in a workshop creating a new display or activity, out in the metro area talking to community members, or at my desk planning, creating and organizing for the future. I love the flexibility and unpredictability of the job, but the most rewarding part of my work is when people who stop by and chat with me have that “a-ha” moment: when I know that the message sunk in and changed behavior. In addition, as a father of an 18-month-old, injury prevention is always on my mind in a very real way. It is great making connections with families where the conversation starts with the commonality of caring for a curious and mobile child and progresses to sharing some advice that can help them keep their own kids safe.

We’re anxiously waiting for warmer weather so we can get outside. What are some simple tips that you give parents to keep their kids safe around their neighborhoods?

A tricky part of parenting is encouraging your kids to learn through exploration and curiosity while maintaining safe behaviors. The tip sheet on this topic is about three miles long, but here is some general advice:

  • If they’re on wheels, make sure they wear a proper-fitting helmet and pads.
  • The same goes for any activity or sport; make sure their equipment is right for their size.
  • Role-play emergency scenarios as a family – severe weather, stranger danger, fire escape, etc.
  • When traveling by vehicle, ensure your child’s car seat or seat belt fits right and is installed/worn properly. ALWAYS wear a seat belt (role model good behavior) and keep kids in a proper car seat or booster until they’re 4-foot-9 or taller to ensure their seat belt fits right.
  • STAY HYDRATED. With the winter we’ve had, it’s hard to think about the weather being warm enough to be dangerous, but developing good habits around drinking plenty of water now will help create safe behavior in the future. Be sure kids understand the importance of sunscreen, too.

For more tips, visit Children’s Making Safe Simple page, but the best advice I can give as a father and educator is to involve your kids in decisions and planning for safety. Encouraging them to provide their input and incorporating their suggestions into your plan and actions helps solidify safe behavior into the future.

What’s your favorite meal?

PIZZA. If my wife would let me, I could eat pizza for every meal, every day … with a few regular breaks for hot wings, anyway.

Not on Twitter? How to stay on top of your kids’ social media use

 

Use social media to help your kids develop self-control habits. (iStock photo / Getty Images)

Guest post by Maggie Sonnek

If Jennifer Soucheray had a Twitter handle, it probably would be something clever like @JentheMamaHen or @MrsSouchRocks. But this third-grade teacher and mom of three teens doesn’t have a Twitter account.

Or Instagram.

Or Snapchat.

But her three kids do. So, she and her husband, Paul, have had to find ways to monitor their social media use without being, “like, totes uncool.”

I asked Soucheray, along with a few others, to share a few of their tips and best practices when it comes to kids and social media. Here’s what they had to say:

1. Use social media to help your kids develop self-control habits

Whether it’s texting, tweeting or using Facebook these parents tout the benefits of putting limits in place early. According to the Soucheray household, texting and Twitter are where it’s at. Pew Research backs this up: teen Twitter use is at 24 percent – a significant jump from 16 percent in 2011.

“We know their phones are lifelines to their friends,” Soucheray said. “They need these tools otherwise they’ll be ostracized. But as parents you have to develop parameters for what’s acceptable use.”

One way these parents have put boundaries in place? All devices are turned in to Mom and Dad before bedtime.

2. Validate kids every day, offline

Soucheray, who taught middle school for 12 years, says it’s extremely important to validate your kids every day. She said that’s one reason why Facebook and other social media tools are so popular – because we’re all looking to be validated. (Author’s note: Not going to lie; there have been times that I’ve fallen into this trap and checked in on a status update or picture I posted to see how many “likes” it’s received. And when the number is higher or the comments are positive, for some reason, I feel a little better.)

“If a kid doesn’t hear she’s pretty or smart by someone who cares about her, she’s going to look for that somewhere else,” Soucheray said.

Dr. Robyn Silverman, a child-teen development specialist and body-image expert agrees.

“Teens are defining themselves during adolescence,” she writes on her blog. “They are figuring out where they fit into their social world and hoping that others look at them favorably.”

Soucheray and Silverman say it’s important to talk about your kids’ true gifts.

“Make sure your children understand that their strengths – such as their kind heart, conscious nature or musical ability – are recognized,” Silverman said, “and really make a difference.”

3. Use the tools for good

One thing that surprised me as I chatted with parents and teachers is that: Kids are using social media more than just a platform to post “selfies.” They’re also using it as a homework-helper.

Dan Willaert, a geometry and AP statistics teacher and Cretin-Derham Hall wrestling coach, tweets out reminders and practice problems to his followers on a regular basis.

“I’ll write out a problem, snap a picture and then tweet it,” Willaert said. He has a Twitter account for wrestling, too, and often sends updates about tournaments, schedule changes and snow days.

4. Be present

Soucheray admits she doesn’t have the right answer or the perfect balance for monitoring tweets and texts, but her one piece of advice is something all parents can take with them. And that’s simply to be present.

“Dig in and be there with them…be in the moment,” she said.

Maybe someday @JentheMamaHen will tweet out that advice to her followers. But for now, she has papers to grade and dinner to make. Her Twitter days will have to wait.

What solutions have you found to monitor your kids social media use? Share in the comments.

Maggie Sonnek is a writer, blogger, lover-of-outdoors and momma to two young kiddos. When she’s not kissing boo-boos or cutting up someone’s food, she likes to beat her husband at Scrabble.

Video: Minnesota Senate debate over anti-bullying bill

Minnesota state capitol, Senate chamber

The Minnesota Senate will debate an anti-bullying bill Thursday, April 3, 2014.

Children’s at the Capitol: Minnesota Senate brings Safe Schools Act to a floor vote

Today the Minnesota State Senate will consider and vote on the Safe and Supportive Schools Act, a bill that would redefine Minnesota’s current 37-word law on bullying, one of the weakest in the country.

Last year, Children’s explored the many ways in which bullying affects kids. We found that:

  • Bullying is common in Minnesota: About one in seven Minnesota children are bullied regularly.
  • Bullying is bad for health: Children who are bullied are more likely than their peers to suffer from anxiety, depression, loneliness and post-traumatic stress.
  • Kids with special needs are bullied at high rates: In a recent study, 94 percent of students with disabilities reported experiencing some form of victimization.

That’s why Children’s supports passage of the Safe and Supportive Schools Act. We hope you’ll tune in to the live floor debate and watch as our state senators discuss, amend and vote on this bill. Don’t know who represents you? Find out now!

You also can learn more about our work on bullying and find helpful resources at childrensmn.org/bullying.

Watch live streaming video from uptakemnsenate at livestream.com

The importance of play – for kids and adults

Hands-on play, where a child uses his or her imagination and ideas to self-discover, creates the best learning environment. (iStock photo / Getty Images)

By Jeri Kayser

When people try and remember the name of my profession, child life specialist, they often shorten it to “play lady.” That used to bug me when I was a young professional and ready to solve all of the world’s problems, but now I recognize the compliment. We breathe, drink and eat to stay alive – we play to bring forth a reason for all of that effort. Play is how we learn about our world, practice that knowledge and foster our sense of well-being and personal joy; it’s an honor to promote play in the world of health care, but it’s not without its challenges.

One current challenge is tied to the hot topic in popular culture about the value of gaming devices. Is playing a game on a smartphone when you’re 2 years old considered quality play? Short answer: No. The Academy of Pediatrics recommends no screen time for kids 2 and younger and only one to two hours a day for older children. The core aspect of the definition of “play” is that it’s self-directive. You’re deciding what you’re going to do with whatever you’re interacting with. One of the problems with electronic games is that game designers have done most of that for you.

Your toddler recognizes the status that phone holds, and it works for a bit to keep a child distracted from the fact that he or she is in the hospital or in a long checkout line at the grocery store.

So what can we use to help guide our decisions to promote healthy play? A great way to look at this is similar to how we all work to promote healthy choices for our diet. Potato chips are fine for an occasional treat, but we wouldn’t want to eat them all the time. If we did, we’d feel awful. Video games kind of are the junk food of play. The more the play requires from the child, the better the value and healthier the choice.

I notice this in the hospital when I come into a room to meet with a family about what to expect with surgery. People often are busy with an electronic device, but as soon as we start to talk, the interest is there to engage and the devices get turned off. When I bring a toy or some arts and crafts activities, kids always gravitate towards that; they want what they need.

I used to work in a summer daycare program for school-aged kids. We would spend the morning on a field trip and the afternoon at a beach. The director wanted us to provide structured activities for the kids in the afternoon, but we quickly learned that the combination of water, sand and friends led to a more-creative, imaginative and enriched play than anything with which we could have come up. Hands-on play, where a child uses his or her imagination and ideas to self-discover, creates the best learning environment.

I heard an interesting story on public radio on my long commute home. At the electronic show in Austin, Texas, at the South by Southwest conference, the big news at the conference was the “Maker Movement,” stressing the importance of hands-on play to promote understanding of how our world works. They interviewed an inventor, Ayah Bdeir, who created a toy of electronic bits that fit together with magnets, creating circuits. With this process, you can make all kinds of fun things. He explained the value of this explorative play by stating, “We need to remember that we are all makers and touching things with our hands is powerful and inspiring.”

In another century, another scientist noted the same thing. Albert Einstein declared, “Play is the highest form of research.”

Self-directed play offers the healthiest value for our play “diet,” and this extends throughout our lives. We all need to play. As I wrote this, I overheard a conversation between two anesthesiologists talking about how they used play to help them cope with life stressors. One likes his guitar, while the other enjoys making remote-control helicopters.

This important fact, one of the highest forms of self-care, needs to be part of the planning of how we provide health care. Play is important for all age groups, not just those adorable preschoolers. We need to incorporate this in everything we do, for teens, parents and staff.

Late Irish playwright George Bernard Shaw said it best: “We don’t stop playing because we grow old; we grow old because we stop playing.”

Jeri Kayser is a child life specialist at Children’s Hospitals and Clinics of Minnesota.

Sleep health in children

Teaching kids to fall asleep on their own at the beginning of the night without your presence is an important skill for them to learn. (iStock photo / Getty Images)

By Karen Johnson, RN, CNP

Getting enough sleep is essential for your child’s growth and health. Studies show that many children don’t get enough sleep each night. This can result in behavioral problems, mood swings and poor school performance. A lack of sleep also can cause problems with memory, concentration and problem solving.

Occasional bouts of sleeplessness or restless nights are normal for kids as their bodies and brains develop, and the tips below can help you ensure your kids are getting enough rest.

But sometimes your child may not be getting enough sleep due to a sleep disorder. One of the most common sleep disorders in children is Obstructive Sleep Apnea (OSA). Signs of OSA in children are loud snoring, restless sleep, gasping and hyperactivity when awake. Risk factors for having OSA in children are having enlarged tonsils or adenoids, being overweight or certain other genetic or health disorders. Speak with your child’s health care provider if you think that your child might have OSA.

Here are some tips for helping your kids get a good night’s sleep:

Create a soothing and regular routine for sleep: A routine can help your child get ready for bed much easier. Studies show that children who have a bedtime routine wake up fewer times during the night. The bedtime routine should be the same every night, such as reading one book and singing one song, not lasting more than 15 to 20 minutes.

Maintain a consistent bedtime and wake time: Keeping the wake time and bedtime the same, even on weekends and vacations, is important to help maintain circadian rhythm.

Be conscious of light and darkness: Both are very influential in sleep-wake cycles. Bright light in the morning is influential in setting the circadian rhythm and helping children wake easier. Opening the curtains in the morning to let in the sunlight is the most powerful source of light; artificial light can be helpful as well. Dim the lights in the evening prior to the bedtime routine to cue your child’s internal clock that it’s time for sleep.

Keep electronics out of the bedroom: The light from televisions, computer screens, video games and mobile devices like cellphones can prevent your child from sleeping. It’s best to turn off all electronics at least one hour before bedtime, and in their place, do a calming activity such as reading or coloring.

Naps are important: Younger children need regular and predictable naps during the day. When your child is napping only once a day, don’t let him or her nap late into the afternoon, as this will interfere with the child’s ability to fall asleep at the regular bedtime.

Teach your child how to self-soothe: At an early age, put your child into his or her crib or bed when he or she is drowsy but still awake. Teaching kids to fall asleep on their own at the beginning of the night without your presence is an important skill for them to learn. Children naturally wake two to six times a night, and if they do not know how to self-soothe, they will cry to alert you that they are awake. Not only does that disrupt their sleep, but yours as well.

No caffeine allowed: Caffeine is not recommended for kids, but if you allow your child any, make sure it is before 3 p.m., as it can delay the onset of sleep at bedtime.

Consistency is key to success: Be patient and persistent, as the investment is well worth it when your child is sleeping better.

Make sleep a priority for your child and family: Teach your child about the importance of sleep by being a good role model in your own sleep habits.

Karen Johnson, RN, PNP, is a nurse in the Children’s Sleep Center at Children’s Hospitals and Clinics of Minnesota. Her interest in pediatric sleep medicine stems from her passion to assist children in improving their sleep. She views sleep as a necessary function so that children can be alert, focus in school, reach their learning potential and have energy to play and be kids.

The Children’s Sleep Center is one of the only pediatric-centered programs in the region and one of only a handful that is nationally accredited by the American Academy of Sleep Medicine.

Preparing yourself for your child’s surgery

Visiting the hospital ahead of time gives everyone a chance to learn more about what to expect and what’s helpful to do ahead of time or bring with you when you come to the hospital. (2013 file / Children's Hospitals and Clinics of Minnesota)

By Jeri Kayser
Child Life Specialist

When a child needs surgery, the focus of preparation usually is with the child.

That makes sense.

We want our kids to understand what’s about to happen so they aren’t overwhelmed or traumatized by the event. They’re kids, after all, and we adults have to deal with it, right? Or, perhaps, wrong.

After 30 years as a Child Life specialist, 20 of those in surgery, I have observed that the first person to be well-prepared should be the parent. Children respond most directly to how their parents are reacting emotionally to the event to gauge their own response.

Imagine you are 3 years old and about to get your tonsils out. This is scary because it’s hard to understand what’s about to happen and frustrating you can’t control it. Age-appropriate information and a supportive staff are helpful, but if you notice your mom or dad is anxious, nothing else matters. You got the message: You should be anxious, too, especially if your parents are trying to suppress their emotions – that is even scarier to a child. You can tell that they are upset, but you don’t know why, so you imagine the worst. If you’re a teenager, you might pick up on the message that we don’t talk about this and it will upset your mom if you bring it up to her. It’s hard to deal with the unspoken stress of your family as well as your own fears and concerns.

When I’ve observed kids coping successfully with the challenges of a health care experience, I have noticed that their families have prepared themselves with some or all of the following techniques:

Seek information

Find out what is happening and why. What are the expected outcomes?  What types of things can you as a family plan on doing to foster your child’s healing?

Attend a pre-admission tour

On our hospital’s website there is helpful information about surgery and how to sign up for a tour. Visiting the hospital ahead of time gives everyone a chance to learn more about what to expect and what’s helpful to do ahead of time or bring with you when you come to the hospital.

Make a list

Write down a list of questions to bring to meetings with health care providers. I remember one family kept an ongoing list in their kitchen for anyone to write down questions, and they all contributed, even the siblings. Everyone had a say, and the questions helped everyone feel a part of the event. Knowledge helps you be in control and having specific tasks you can do to support your child in his or her recovery provides focus and direction.

Be honest with your emotions

As a parent, our job is to love and protect our kids and guide them towards being an independent adult. It can be overwhelming to have to make decisions for your child that includes any potential discomfort since we so desperately want to keep him or her safe from life’s struggles, but learning to deal with life’s struggles is what helps kids learn to be independent. We also carry with us our own memories and experiences with health care that may help or cloud our emotional response to our child’s experience. It helps to pay attention to where your emotions about surgery differ from your child’s. You each get to own your own perspective.

Kids do best when we are honest with them. When you label your emotions and show your child what you’re doing to help yourself, your child gets to experience some phenomenal role modeling on how to cope with challenging situations.

“I am sad that your tonsils need to come out, but I am glad that the doctors can fix this and soon you will be able to breathe better at night when you’re sleeping,” a parent can say. “Let’s think of some fun things to do while you are healing!”

Take care of yourself

You know yourself best. Helping your child through the experience of surgery can be exhausting. Think about what will help you be in your best place. Whom can you call on for support? Even small favors like having someone else pick up your other kids from school can be a great stress reducer.

Plan on something nice you can do for yourself while waiting for your child’s surgery to be done or when you get home. This also can help you and your child focus forward and be reminded of the time-limiting nature of the experience. It won’t last forever, and soon you’ll be looking back on this adventure.

Cut yourself some slack. There is no perfect person, so there can be no perfect parent. Your effort is what your child will notice and appreciate.

We grow as individuals and we grow as a family when we figure out what works best for us to deal with life’s challenges. This knowledge is precious and affirming and gives us all the more strength to deal with the next adventure.

Jeri Kayser is a Child Life Specialist at Children’s Hospitals and Clinics of Minnesota.

Ensuring kids get enough exercise in every season

By Samara Postuma

We all know that kids need exercise, but how much exercise should kids be getting and how do we ensure they are getting enough when those too cold (or too hot) to play outside days come around? Dr. Julie Boman, a pediatrician here at Children’s, has some tips and ideas to share on making sure kids are getting the full 60 minutes a day of the exercise they need.

It’s important to note that while all kids need 60 minutes of exercise, the way that looks for your preschooler and the way that looks for your middle-schooler might be different.

“Younger kids need frequent bursts of activity versus an hour of activity straight, where an older child can get their exercise by being active for an hour,” said Dr. Boman.

So what about those days – those miserably, cold days – where it’s deemed unsafe for kids to play outside? Or, as we dream of warmer days, those hot, summer days where the heat index is so high, it’s dangerously hot for kids to be outside?

Well, according to Dr. Boman, it’s time to get creative.

Some of the more obvious options to get your kids active would be indoor parks, community centers, YMCAs, parks and recreation centers. Most of which will offer special extended hours on the days that outside play might be limited.

“Younger kids just need a space to run,” Dr. Boman mentioned, noting that this is when an unfinished basement can come in handy.

You don’t have to get too crazy to get kids active though – games like hide and seek, building forts and even cleaning the house can get kids active and exercising.

The only time you’ll hear Dr. Boman suggest video games is when it comes to moving your body versus your thumbs and there are plenty of games out there that do just that.

“Dancing games on the Wii are a good workout even for adults,” she said.

Another more creative way to get kids active is by looking for active apps or videos such as the IronKids App which was developed by the American Academy of Pediatrics and is available for iPhone or iPad for $3.99. The app has several different workouts for both cardio and core and kids can follow the app for five minute bursts of circuit training and weight lifting using household items.

Don’t have a smart phone or tablet? No problem. A simple YouTube search will bring you thousands of work out videos for both kids and adults.

“It’s all about exploring ways to keep kids interested,” Dr. Boman said.

What are your tried and true ways to keep your kids active and exercising all year round?

Bonus: This morning, the TODAY Show ran a story about the America’s Healthiest Cities. The Zumba class shown in the segment was part of Vida Sana, a partnership between Children’s and HealthPartners working to address obesity among Latino children and families in Minneapolis. Vida Sana is the brainchild of Dr. Boman and her colleagues here at Children’s.

The Star Tribune profiled Vida Sana last August.

For more information about Vida Sana, you can contact Dr. Julie Boman at julie.boman@childrensmn.org. For more information about Children’s childhood obesity efforts, contact Anna Youngerman at anna.youngerman@childrensmn.org.

Samara Postuma is a freelance writer. Her five kids range in age from 7 months to almost 15. When she is not busy driving kids to school and activities, taking care of baby or teaching her second grader, she writes and works in social media. She blogs at http://simplicityinthesuburbs.com. She can also be found on Twitter.

Influenza is now widespread in Minnesota. Here’s what you need to know.

By Patsy Stinchfield, MS, CPNP

Patsy is a pediatric nurse practitioner in infectious disease and the director of infection prevention and The Children’s Immunization Project at Children’s Hospitals and Clinics of Minnesota.

Update

Influenza is now “widespread” in 35 states, including Minnesota.

There is still time to get vaccinated if you and your family have not yet done so.

To learn more about how Children’s is helping prevent the spread of influenza in the community, click on over to www.childrensMN.org/flu.

This post originally appeared on the Mighty Blog on Jan. 2.

As of Jan. 2, 2014, the Minnesota Department of Health has declared influenza “widespread” across the state, the highest designation level. Over the past two weeks, influenza cases at Children’s have more than doubled, however they still remain below where they were at this time last year. Now that influenza has arrived, it’s likely that it will remain in full swing in Minnesota for the next two months.

So what can you do? The No. 1 way to prevent the flu is to get vaccinated. And it’s not too late. Anyone 6 months of age and older who has not received their flu vaccine should do so now. Most clinics and pharmacies are still vaccinating and have a good supply of vaccine. The most common influenza strain we’re seeing is the H1N1 strain which is contained in this year’s vaccine. In addition to getting the vaccine, we also recommend frequent hand washing and avoiding touching your eyes, nose or mouth prior to washing your hands to help prevent the spread of illness.

If the flu has already reached your house, here are few helpful tips for caring for your child while they’re ill.

What’s the difference between the cold and the flu and how can I tell?

Sometimes it’s hard to know whether a child has a cold or the flu because she may cough, have a runny nose, sore throat and fatigue with both. However with the flu, a child tends to have a high fever which comes on more suddenly and may include severe fatigue and body aches. Colds tend to come on more gradually, and many kids may feel well enough to keep playing and going to school with a cold. Clinics may use a rapid nose swab test to determine if someone has influenza.

What should I do if I suspect influenza?

Most cases of influenza are mild and can be managed at home with rest, plenty of fluids, and fever-reducing medicines. Tender-loving care is good medicine, too. Most over-the-counter “cough and cold” medicines do not help a sick child get better faster and won’t have much effect on influenza. Sometimes, the flu can make a child very ill and a visit to the clinic or emergency room is necessary.

When should I take my child to the emergency department?

Take your child to be checked if they have difficulty breathing (fast, grunt-sounding, noisy breathing or small breaths), if their color looks bad (pale or bluish), if they aren’t drinking fluids often or urinating at least once every eight hours, or if they just aren’t themselves and you’re worried. Signs of dehydration are dry lips, sunken eyes, sleepiness or crankiness. Children who seem like they’re getting better and then suddenly get worse should be taken to the Emergency Department immediately. This could mean they have another infection such as pneumonia in addition to the flu.

What are the best ways to get my child’s fever down when she has the flu?

Fever is one of the tools our immune system uses to kill germs. However, children with high fever can feel quite miserable, get crabby, have trouble waking up and may drink less fluids causing dehydration. If you can’t keep the fever down with a fever-reducing medicine such as Tylenol or ibuprofen, then the child should be taken to the clinic or emergency department.

Is there anything else I can do to help make my child more comfortable?

You can keep your child home from day care, school, sports or other activities and have them rest early in their illness until they show signs of getting back to “their normal.” If your child doesn’t want to eat regular meals, don’t insist, but do make sure they drink small amounts of fluids every hour to prevent dehydration.

Is there anything I can do to help my child recover more quickly?

There is an anti-viral medicine called Tamiflu that can be given to children as young as 2 weeks of age. This is used if the child is hospitalized with moderate or severe influenza or if the child is outpatient but at higher risk for complications from influenza. These would be children with immune system problems or neurological, pulmonary, or metabolic underlying conditions. Tamiflu works best if given in the first two days of illness which can cut the severity and number of days of illness in half.

How long will my child be contagious?

Influenza is most contagious the day before symptoms present through about day four of illness. Your child should stay home from school during this time. After viral illnesses, kids can have lingering muscle or body aches and really do need time to rest and recover before rushing back to school. They can often pick up other viruses easily and may have a lingering cough as their airway heals. Depending on the severity of the flu, this may be a few days to a few weeks. Most kids recover within a week. Remember that many schools require that your child be fever-free (without the help of medicines) for one to two days before returning to school or day care.