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Seasonal Sickness – When to Call the Pediatrician

Seasonal Sickness – When to Call the Pediatrician

Children get sick. It happens. Try to keep calm, take note of your kid’s symptoms, and as my pediatrician always says, trust yourself. I often err on the side of wait-and-see rather than panic and drive a sick kid to the pediatrician when he or she needs to drink fluids and rest, which is what she ends up telling me at least half of the time I bring them to her. My kids’ schools have recently been selected to participate in the Kinsa FLUency Program (ask your principal or school nurse), which is helpful to keep informed about what might be going around at school. I am not a doctor. I am a mom, one who has been right on about her kids’ health so far because I trust my pediatrician and I trust my gut.

Although my kids are super healthy, I sometimes need to call the doctor. Sometimes I call (yes I do) because my husband insists, even though I think it’s fine. He hasn’t been a parent as long as me (he’s my second husband for those of you scratching your heads). Life and sickness come and go quickly! If he says call, I call, because even if I think things are fine, maybe his gut is working better than mine or maybe he just needs to be reassured by our trusted pediatrician.

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My kids always seem to come down with something at the beginning of each season. Thankfully, it’s usually in and out of the house right quick, but once in a while, I find myself picking up the phone. We have already survived our bout with the summer flu and the head cold from heck this fall (my youngest boy was seriously delusional with a fever of almost 103 on Thanksgiving). Since flu season is officially upon us and some states have already announced full-out infection, I thought others might need a word of advice from this veteran mom.

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Here are 5 signs your child is sick and needs to be seen by your pediatrician or your local urgent care center:

  1. Fever (over 100.4° F) for four days or longer, especially in concert with other symptoms. If your child is under age two, consider calling sooner, like on day two of a fever.
  2. Lack of urination/dehydration, or voiding less than two times in a day for older kids and lack of wet diaper for 6 to 8 hours in infants.
  3. Severe diarrhea (more than 8 stools per day) or mild diarrhea which lasts more than ten days.
  4. Vomiting that lasts longer than 24 hours, or in infants, more than 8 times in a day
  5. Coughing that is either painful to your child, lasts longer than 2 weeks, or causes vomiting or problems with breathing.

Communication is key

If you have an Au Pair, Nanny or regular babysitter, be sure to communicate with them about a sick child. Keep track (on a notebook) of medication amounts and time administered. This method is also very useful for pregnant or nursing moms who might not have the full concept of time in between their own lack of sleep. Try to keep a fever at bay by using ibuprofen and acetaminophen, and don’t worry about food, but keep the child hydrated. Try to get a feverish child to drink a teaspoon of liquid every 15 minutes, if they can keep it down. Your regular sitter or child care provider will be an important resource in determining how long your child’s symptoms have been present, especially if you have a way to keep the communication clear, even written down.

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Trust your gut

I must add that if I am worried about my child’s behavior, or whenever one of my kids seems particularly lethargic or just not themselves, or if ibuprofen doesn’t bring down a fever, I just call. Two decades of mothering has taught me if it doesn’t feel right, it isn’t. That is true for my own health too. When your gut tells you something is clearly not normal, even if the parenting book or Internet doctor or your neighbor Arlene says it is, trust your own self. The drive to the doctor’s office is worth it for my own peace of mind (and my husband’s), rather than the worry and wonder of “should I?” Trust your parenting gut and good luck surviving those surprise sick days!

Featured photo credit: Rachel Bostwick via pixabay.com

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Joan Lowell

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Published on February 11, 2021

3 Positive Discipline Strategies That Are Best For Your Child

3 Positive Discipline Strategies That Are Best For Your Child

I’m old enough to remember how the cane at school was used for punishment. My dad is old enough to think that banning corporal punishment in schools resulted in today’s poorly disciplined youth. With all of this as my early experiences, there was a time when I would have been better assigned to write about how to negatively discipline your child.

What changed? Thankfully, my wife showed me different approaches for discipline that were very positive. Plus, I was open to learning.

What has not changed is that kids are full of problems with impulses and emotions that flip from sad to happy, then angry in a moment. Though we’re not that different as adults with stress, anxiety, lack of sleep, and stimulants such as sugar and caffeine in our diets.

Punishment as Discipline?

What this means is that we usually take the easy path when a child misbehaves and punish them. Punishment may solve an isolated problem, but it’s not really teaching the kids anything useful in the long term.

Probably it’s time for me to be clear about what I mean by punishment and discipline as these terms are often used interchangeably, but they are quite different.

Discipline VS. Punishment

Punishment is where we inflict pain or suffering on our child as a penalty. Discipline means to teach. They’re quite the opposite, but you’ll notice that teachers, parents, and coaches often confuse the two words.

So, as parents, we have to have clear goals to teach our kids. It’s a long-term plan—using strategies that will have the longest-lasting impact on our kids are the best use of our time and energy.

If you’re clear about what you want to achieve, then it becomes easier to find the best strategy. The better we are at responding when our kids misbehave or do not follow our guidance, the better the results are going to be.

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3 Positive Discipline Strategies for Your Child

Stay with me as I appreciate that a lot of people who read these blogs do not always have children with impulse control. We’ve had a lot of kids in our martial arts classes that were the complete opposite. They had concentration issues, hyperactive, and disruptive to the other children.

The easy solution is to punish their parents by removing the kids from the class or punish the child with penalties such as time outs and burpees. Yes, it was tempting to do all of this, but one of our club values is that we pull you up rather than push you down.

This means it’s a long-term gain to build trust and confidence, which is destroyed by constant punishments.

Here are the discipline strategies we used to build trust and confidence with these hyperactive kids.

1. Patience

The first positive discipline strategy is to simply be patient. The more patient you are, the more likely you are to get results. Remember I said that we need to build trust and connection. You’ll get further with this goal using patience.

As a coach, sometimes I was not the best person for this role, but we had other coaches in the club that could step in here. As a parent, you may not have this luxury, so it’s really important to recognize any improvements that you see and celebrate them.

2. Redirection

The second strategy we use is redirection. It’s important with a redirection to take “no” out of the equation. Choices are a great alternative.

Imagine a scenario where you’re in a restaurant and your kid is wailing. The hard part here is getting your child to stop screaming long enough for you to build a connection. Most parents have calming strategies and if you practice them with your child, they are more likely to be effective.

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In the first moment of calm, you can say “Your choice to scream and cry in public is not a good one. It would be best to say, Dad. What can I do to get ice-cream?” You can replace this with an appropriate option.

The challenge with being calm and redirecting is that we need to be clear-minded, focused, and really engaged at the moment. If you’re on your phone, talking with friends or family, thinking about work or the bills, you’ll miss this opportunity to discipline in a way that has long-term benefits.

3. Repair and Ground Rules

The third positive discipline strategy is to repair and use ground rules. Once you’ve given the better option and it has been taken, you have a chance to repair this behavior to lessen its occurrence to better yet, prevent it from happening again. And by setting appropriate ground rules, you can make this a long-term win by helping your child improve their behavior.

It’s these ground rules that help you correct the poor choices of your child and direct the behavior that you want to see.

Consequences Versus Ultimatums

When I was a child and being punished. My parents worked in a busy business for long hours, so their default was to go to ultimatums. “Do that again and you’re grounded for a week,” or “If I catch you doing X, you’ll go to bed without dinner”.

Looking back, this worked to a point. But the flip side is that I remembered more of the ultimatums than the happier times. I’ve learned through trial and error with my own kids that consequences are more effective while not breaking down trust.

What to Do When Ground Rules Get Broken?

It’s on the consequences that you use when the ground rules are broken.

In the martial arts class, when the hyperactive student breaks the ground rules. They would miss a turn in a game or go to the back of the line in a queue. We do not want to shame the child by isolating them. But on the flip side, there should be clear ground rules and proportionate consequences.

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Yes, there are times when we would like to exclude the student from the class, the club, and even the universe. Again, it’s here that patience is so important and probably impulse control too. With an attainable consequence, you can maintain trust and you’re more likely to get the long-term behavior that you’re looking to achieve.

Interestingly, we would occasionally hear a strategy from parents that little Kevin has been misbehaving at home with his sister or something similar. He likes martial arts training, so the parent would react by removing Kevin from the martial arts class as a punishment.

We would suggest that this would remove Kevin from an environment where he is behaving positively. Removing him from this is likely to be detrimental to the change you would like to see. He may even feel shame when he returns to the class and loses all the progress he’s made.

Alternatives to Punishment

Another option is to tell Kevin to write a letter to his sister, apologizing for his behavior, and explaining how he is going to behave in the future.

If your child is too young to write, give the apology face to face. For the apology to feel sincere, there is some value to pre-framing or practicing this between yourself and your child before they give it to the intended person.

Don’t expect them to know the ground rules or what you’re thinking! It will be clearer to your child and better received with some practice. You can practice along the lines of: “X is the behavior I did, Y is what I should have done, and Z is my promise to you for how I’m going to act in the future.” You can replace XYZ with the appropriate actions.

It does not need to be a letter or in person, it can even be a video. But there has to be an intention to repair the broken ground rule. If you try these strategies, that is become fully engaged with them and you’re still getting nowhere.

But what to do if these strategies do not work? Then there is plenty to gain by seeking the help of an expert. Chances are that something is interfering or limiting their development.

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This does not mean that your child has a neurological deficiency, although this may be the root cause. But it means that you can get an objective view and help on how to create the changes that you would like to see. Remember that using positive discipline strategies is better than mere punishment.

There are groups that you can chat with for help. Family Lives UK has the aim of ensuring that all parents have somewhere to turn before they reached a crisis point. The NSPCC also provides a useful guide to positive parenting that you can download.[1]

Bottom Line

So, there your go, the three takeaways on strategies you can use for positively disciplining your child. The first one is about you! Be patient, be present, and think about what is best for the long term. AKA, avoid ultimatums and punishment. The second is to use a redirect, then repair and repeat (ground rules) as your 3-step method of discipline.

Using these positive discipline strategies require you to be fully engaged with your child. Again, being impulsive breaks trust and you lose some of the gains you’ve both worked hard to achieve.

Lastly, consequences are better than punishment. Plus, avoid shaming, especially in public at all costs.

I hope this blog has been useful, and remember that you should be more focused on repairing bad behavior because being proactive and encouraging good behavior with rewards, fun, and positive emotions takes less effort than repairing the bad.

More Tips on How To Discipline Your Child

Featured photo credit: Leo Rivas via unsplash.com

Reference

[1] NSPCC Learning: Positive parenting

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