Healthe Kids Screenings Nurse Resource Manual

Healthe Kids Screenings

2023-2024

Version [1.0]

Copyright © 2023, Oracle and/or its affiliates

Public

August 2023

Dear Health Room Personnel,

Thank you for participating in the Healthe Kids Screenings program! We have enjoyed working with you and look forward to continuing our partnership with you to ensure that the students at your school are healthy and reaching their maximum academic potential. We appreciate all you do to help make Healthe Kids a success.

Healthe Kids has assembled this resource manual to help assist you in meeting the needs of the families and children you serve each day. This manual is in no way a complete list of all the resources in the Kansas City area. If you have resources you would like to share with other schools, please let us know and we will be happy to include these additional resources in the manual.

Remember, Oracle Health Foundation is also available to assist individual children with health-related needs when insurance and other financial resources have been exhausted, regardless if the child was screened through the Healthe Kids program. If you would like additional information regarding the assistance process through the Oracle Health Foundation, please refer to page 4 in the manual.

Thank you again for all that you do for the children. Please do not hesitate to contact us any time as we value your feedback! If you have not completed a survey, please do so at https://www.oraclehealthfoundation.org/schoolhealth/#screening. We look forward to continuing our work with you!

Many thanks,

The Healthe Kids Team

Funding of Healthe Kids Screenings Referrals through Oracle Health Foundation

To apply for funding visit: http://www.oraclehealthfoundation.org/screeningsgrant

Who can apply?

Parents or any adult (including school nurses) can apply on behalf of a child.

How do I apply on behalf of a child?

Create an account at http://www.oraclehealthfoundation.org/screeningsgrant

How will I know the outcome?

Applications are reviewed on the first Wednesday of every month. Within 48 hours all emails listed on the application will receive an email notifying them of the outcome and funds awarded.

Tips and Tricks:

You will be able to submit multiple applications – however, you will have to close the browser and re-click the above link to enter a new application.

 DO NOT use the ‘copy application’ feature when you go to submit another application.

 Each child will be assigned an ‘Application ID’ at the time of submission – once my team receives the request, we will change the Applicant Name from yours to the childs for easier tracking on your end and ours!

 You will remain the primary submitter on the request so it will never leave your queue or history for quick reference.

 If you choose, you can add a parent or guardian to the application, as well. This is not required, but if you want to collaborate on documentation, etc., just know that it is an option.

Visit http://www.oraclehealthfoundation.org/request-funding to view funding criteria and expenses covered.

Questions can be directed to casegrants_ww@oracle.com

School Health Resources

Children’s Mercy Hospital has a place dedicated to school nurses and has resources available for you. You may find the information by following the steps below:

 Go to Children's Mercy Kansas City | Children's Mercy Kansas City (childrensmercy.org)

 Select: In the Community, then Supporting the Schools

 Supporting Our Schools | Children's Mercy Kansas City (childrensmercy.org)

 The Website also provides information regarding the annual School Health Conference that CMH hosts yearly.

Information on the School Health Portal

Web Link Connections:

 Medline Plus: A service of the US National Library of Medicine and National Institutes of Health. Offers a wide variety of health information covering general health issues as well as information for seniors/men/women and children. https://medlineplus.gov/

 Medications, Supplements and Herbal information

 Immunizations and Developmental Milestones

 Mental health issues in children and teens

 Foreign language and Multimedia Resources

 K-12 Health Education/Games

 Professional Associations/ListServes

 Legal Section for School Nurses

 Community Resources for Basic Needs

Children’s Mercy Hospital and Clinic Staff:

 Telehealth Connection – See additional page for more information.

 Connect with CHM&C to request a volunteer by submitting their online request form.

 Upcoming Events and Conferences – Highlights a wide variety of opportunities to attend classes, sessions and conferences for people in the health care field.

 PEARS classes/Health Education Online

 Grand Rounds Online (Offers Free CNE’s)

 Medical Mondays – Video clips are available to the general public on a variety of topics presented by experts.

 Health and Safety Resources

 Asthma Education and Action Plans

 Care Cards:

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 Condensed information about various health related topics to assist in caring for children in the community with a variety of needs (many are in Spanish)

 Additional Information:

 Resource Library

 Poverty and Child Health

 Community Resources

 Mental Health Issues in Children and Teens

Department of Health and Senior Services: Resources for School Nurses

 http://health.mo.gov/living/families/schoolhealth/

 DHSS Vision Screening Training

Resources

 Disease Control/Prevention

 Emergency Preparedness/Response

 Environmental Factors

 Health Promotion

 Injury/Violence Prevention

 Guidelines & Publications

 Related Links

 Trainings & Tutorials

Other Resources

 DHSS Guidelines for Vision

 Guidelines for Vision Screening

 Health Literacy Toolkit

 HIPAA- Compliant Authorization for Exchange of Health & Education Information

 Infection Medical Facilities in Missouri

 Prevention Tools Site

 Public Health Tools Site

 School Employee Wellness Guide

 School Health Index

 School Health Online Surveys

 Special Healthcare Needs Form

Nurse Resource Manual

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Asthma

When lungs are healthy, breathing is easy. With each breath, air goes down the windpipe into the lungs. There, it flows through airways (bronchial tubes). The airways make mucus to trap and help get rid of any particles that are breathed in. Muscles that wrap around the airways control how open or closed they are. Air is breathed in and out through the same airways.

How Asthma Affects the Lungs

 When airways are healthy and open, there is plenty of room for air to pass in and out of the lungs.

 When asthma is uncontrolled, airways are inflamed most of the time. The lining of the airway’s swells. Muscles around the airways may be tight. Air must go through a narrower tube. Inflammation makes airways oversensitive to things in the air that are breathed in.

 When sensitive airways become irritated, they become even more swollen. The bands of muscle around the airways tighten. More mucus forms. All of this narrows the airways even more. This causes breathing trouble an asthma flare-up.

© 2020 Krames StayWell, 800 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

Asthma Medications

Medications play a key role in controlling asthma. Some medications help reduce chronic inflammation. Other medications are used to treat symptoms when they occur. Always take medications as prescribed. Know the names of medications and how and when to use them.

Quick-Relief Medications

Quick-relief (also called “rescue”) medications work by relaxing the muscles that tighten around the airways. This helps ease symptoms such as coughing, wheezing, and shortness of breath. Keep a quick-relief inhaler at all times.

Quick-relief medications:

 Are inhaled when needed.

 Start to open the airways within a few minutes after used.

 Can help stop a flare-up once it has begun.

 Can help prevent flare-ups triggered by exercise.

Long-Term Control Medications

Long-term control (also called “maintenance” or controller) medications help reduce swelling and inflammation of the airways. This makes the airways less sensitive to triggers and less likely to flare up. Long-term control medications:

 Are taken on a schedule for most people, every day. They are taken even when you feel fine.

 Help keep asthma under control to minimize asthma symptoms.

 Will NOT stop a flare-up once it has begun.

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Using Inhaled Corticosteroids

Inhaled corticosteroids are safe for long-term use. They are not the “steroids” that you hear about athletes abusing. The usual prescribed doses of corticosteroids most often cause no side effects. That’s because they’re inhaled directly into the lungs, where they’re needed. So, they have little effect on the rest of the body. The chance of side effects can be lowered by:

 Always using a spacer when utilizing a metered dose inhaler.

 Rinse your mouth, gargle, and spit out the water after using the inhaler.

 Work with the healthcare provider to find the lowest dose that controls asthma.

© 2020 Krames StayWell, 800 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

Asthma Symptoms and Triggers

Trouble sleeping, feeling tired or weak are early warning signs. Daily controller medicine can help prevent flare-ups. Quick-relief (or rescue) medicine will help stop a flare-up that has started.

Early Warning Signs

 Coughing, especially at night

 Breathing faster

 Feeling tight in your chest

 Feeling out of breath

Possible Asthma Triggers

Some things make asthma flare up. They are called asthma triggers. Here are some common asthma triggers:

 Pets

 Cold air

 Mold

 Pollen

 Perfume

 Dust

 A cold/flu

 Smoke

 Air pollution

 Grass

 Strong smells

© 2015 Krames StayWell, 800 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

Asthma and Allergy Resources

 Asthma and Allergy Foundation of Kansas City: https://www.aafa.org/

400 E. Red Bridge Rd Suite 214 Kansas City, MO 64131

816-333-6608

 Greater Kansas City Asthma and COPD Coalition: Email: gkcacc@gmail.com

AsthmaCommunityNetwork.org

 Asthma and Allergy Association of Kansas City: https://www.kcallergy.com/

Phone: (913) 491-5501

 Children’s Mercy Hospital Allergy/Asthma/Immunology Clinic:

https://www.childrensmercy.org/departments-and-clinics/allergy-and-immunology/

Five days per week

Children’s Mercy Clinics on Broadway

3101 Broadway, 6th floor Kansas City, MO 64111

Phone: (816) 960-8900

 American Academy of Allergy Asthma and Immunology

AAAAI is a membership organization of allergists/immunologists around the world with advanced training and experience dedicated to allergy, asthma, and immune deficiencies and other immunologic diseases. This website also provides a good Physician Referral List.

http://www.aaaai.org/home.aspx

 Partnership for Prescription Assistance

The Partnership for Prescription Assistance helps qualifying patients without prescription drug coverage get the medicines they need through the program that is right for them.

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https://medicineassistancetool.org/

 Asthma and Allergy Friendly Certification Program

The Certificate Program was created with the mission to empower consumers to make an informed purchase decision when choosing allergen-avoidance products.

http://asthmaandallergyfriendly.com/

 American Lung Association, Plains-Gulf Region

Their focus is on healthy air, tobacco control and all lung disease, including asthma and COPD

https://www.lung.org/about-us/contact-us

Allergies and Anaphylaxis

 Kids with Food Allergies:

http://www.kidswithfoodallergies.org/page/choosing-safe-foods.aspx

 Asthma and Allergy Foundation: http://www.aafa.org/

 Mayo Clinic:

http://www.mayoclinic.org/diseases-conditions/anaphylaxis/basics/definition/CON-20014324

 Food Allergy Research and Education: https://www.foodallergy.org/

https://www.foodallergy.org/resources/cdcs-toolkit-managing-food-allergies-schools

 EpiPen 4 Schools Program:

https://www.foodallergy.org/school-access-epinephrine

 National Association of School Nurses Food Allergy and Anaphylaxis Tool Kit: http://www.nasn.org/nasn/nasn-resources/practice-topics/allergies-anaphylaxis

Prescription Assistance Programs

1. Partnership for Prescription Assistance: https://medicineassistancetool.org/ or 1-888-477-2669

2. Together Rx Access: www.togetherrxaccess.com or 1-800-444-4106

Pharmaceutical Company Programs

 Sunovion Pharmaceuticals Inc.

Rx Hope Program:

https://www.rxhope.com/PAP/info/PAPList.aspx?companyid=418&fieldType=companyid

 AstraZeneca

AZ Patient Assistance Programs:

http://www.astrazeneca-us.com/medicines/affordability.html

AZ&Me Prescription Saving Programs:

https://www.azandmeapp.com/

Phone: 1-800-AZand Me (292-6363)

 Pfizer

http://www.pfizerrxpathways.com

 MERCK (provides assistance to those who cannot afford meds)

http://www.merckhelps.com

Phone: 1-800-727-5400

 GlaxoSmithKline

Bridges to Access Program:

http://www.gskforyou.com

Phone: 1-888-825-5249

Emergency Assistance

 CALL United Way: http://unitedwaygkc.org/ Call 2-1-1

 Bishop Sullivan Center: http://www.bishopsullivan.org/

6435 Truman

Kansas City, MO 64126 816-231-0984

 Catholic Charities: http://www.catholiccharities-kcsj.org/

Main office 816-221-4377, Northwest Missouri office 816-232-2885, Warrensburg office 816-344-3699

 Community Services League: http://www.cslcares.org/

 Della Lamb Community Services: http://dellalamb.org/

500 Woodland Ave

Kansas City, MO 64106 816-842-8040

 Don Bosco Center: http://www.donbosco.org/

580 Campbell St. Kansas City, MO 64106 816-691-2900

 Grace & Holy Trinity Outreach: http://www.kccathedral.org/outreach/ 415 W 13th St. Kansas City, MO 64105

816-474-8260

 Grace United: http://graceunitedkc.org/emergency-assistance/food-pantry/ 801 Benton Blvd

Kansas City, MO 816-231-5745

 Metropolitan Lutheran Ministry: http://www.mlmkc.org/programs.html

816-931-0027

 Lee’s Summit Social Services: https://www.lssocialservices.com/contact/ 108 SE 4th Street

Lee’s Summit, MO 64063 816-525-4357

 Operation Breakthrough: http://www.operationbreakthrough.org/programs

3039 Troost

Kansas City, MO 64109

816-756-3511

 Redemptorist Social Services: https://www.redemptoristcenter.org/

207 West Linwood Kansas City, MO 64111

816-931-9942

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 Salvation Army: http://centralusa.salvationarmy.org/mokan

http://centralusa.salvationarmy.org/mokan/home/#whatwedo

 United Inner-City Services: https://earlystartkc.org/

2008 E. 12th St. Kansas City, MO 64127 (816) 994-5400

 Food Stamps and Temporary Assistance for Needy: https://mydss.mo.gov/temporary-assistance

 Low Income Home Energy Assistance Programs: https://mydss.mo.gov/utility-assistance/liheap

 Seton Center Food Pantry: http://setonkc.org/#/services

 TANF (Temporary Cash Assistance): https://www.tanf.us/

615 E 13th St

Kansas City, MO 64106 (855) 373-4636

 Raytown Emergency Assistance Program (REAP): www.Raytownreap.org

9300 E. 75th Street

Raytown, MO 64138

816-356-0054

Child Abuse/Neglect

 Missouri Child Abuse and Neglect Hotline: http://www.dss.mo.gov/cd/can.htm

1-800-392-3738

https://dss.mo.gov/dssdiv.htm to search for program divisions. Persons calling from outside Missouri: 1-573-751-3448 for hearing, https://dss.mo.gov/hearings.htm

 Kansas Child Abuse and Neglect Hotline: http://www.dcf.ks.gov/Pages/HotlineNumbers.aspx

1-800-922-5330

 Preventing Child Abuse and Neglect in Kansas City: https://dss.mo.gov/cd/keeping-kids-safe/can.htm

Missouri 800-392-3738

http://www.dcf.ks.gov/services/PPS/Pages/ReportChildAbuseandNeglect.aspx

Kansas 800-922-5330

 Child Abuse Prevention Association: http://capacares.org/

503 East 23rd Street

Independence, MO 64055

816-252-8388

 Metropolitan Organization to Counter Sexual Assault: http://www.mocsa.org/

3100 Broadway, Suite 400

Kansas City, MO 64111

816-931-4527

24 Hour Crisis Line: 816-531-0233

913-642-0233

Relay Services: 7-1-1

 Synergy Services: http://www.synergyservices.org/

816-587-4100

24 Hour Youth Crisis Hotline: 816-741-8700 or 888-233-2639

Children’s Crisis Hotline 816-321-7060

Domestic Violence Hotline 816-321-7050 or 800-491-1114

Missouri HealthNet (Medicaid)

 Missouri Health Net Division http://mydss.mo.gov/healthcare

 MO HealthNet Application Link: https://dmh.mo.gov/

 Missouri Health Insurance Marketplace: http://www.covermissouri.org/

 KC Care Health Center https://kccare.org/services/community-services/

Kansas KanCare (Medicaid)

 Medicaid for Kansas: http://www.kancare.ks.gov/

 KS KanCare Application Link: https://www.kancare.ks.gov/consumers/apply-for-kancare

 Health Insurance Marketplace: https://www.healthcare.gov/

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Safety Net Clinics

 Kansas City Health Resource

http://www.communitycarelink.com

 Health Care Foundation of Greater Kansas City: http://healthforward.org

 Family Health Care: https://swbfhc.org/

Immunizations

Immunization Clinics:

 Cass County Health Department:

https://casscounty.com/2407/Clinical-Services

102 E Wall Street

Harrisonville, MO 64701 816-380-8425

 Clay County Health Department:

https://www.clayhealth.com/166/Immunizations-at-the-Health-Center

800 Haines Drive

Liberty, MO 64068 816-595-4355

 Jackson County Health Department:

https://jacohd.org/clinical-services/immunizations/

313 South Liberty

Independence, MO 64050 816-404-6416

 Kansas City Health Department:

https://www.kcmo.gov/city-hall/departments/health/vaccinations-for-children

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2400 Troost Ave Suite 1300

Kansas City, MO 64108

816-513-6108

 Platte County Health Department: http://plattecountyhealthdept.com/pView.aspx?id=24972&catid=518

Parkville: 1201 East Street

Parkville, MO 64152

816-587-5998

 Platte City: 7925 NW 110th St

Platte City, MO 64153

816-858-2412

Health Clinics

 Swope Parkway Health Center: http://www.swopehealth.org/ https://swopehealth.org/locations/

Swope Health Central: 3801 Dr. Martin Luther King Jr. Boulevard

Kansas City, MO 64130

Medical and Dental: 816-923-5800

Behavioral Health: 816-922-1070

Pharmacy: 816-922-3100

Transportation: 816-599-5575

Swope Health Belton: 204 E. North Avenue

Belton, MO 64012

816-599-5170

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Swope Health Independence:

11320 E. Truman Road

Independence, MO 64050

816-599-5200

Swope Health West: 4835 State Ave

Kansas City, KS 66102

913-321-2200

Swope Health Northland

2906 NW Vivion Rd

Riverside, MO 64150

816-599-5050

Swope Health East

17844 E 23rd St

Independence, MO 64057

816-599-5015

Swope Health South

8825 Troost Ave

Kansas City, MO 64131

816-922-1050

Swope Health Services/Hickman Mills

Loma Vista Office Building

8800 Blue Ridge Blvd., 2nd Floor

Kansas City, MO 64138

816-312-3201

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Swope Health Maple Woods

Northland Human Services Building

3100 NE 83rd St, Suite 1001, #140

Kansas City, MO 64119

816-321-3230

Swope Health Wyandotte

21 N 12th Street, Suite 400

Kansas City, KS 66102

Medical Clinic Phone 816-599-5111

Dental Clinic Phone 816-922-3111

 Samuel U Rodgers

https://samrodgers.org/

Downtown:

825 Euclid Avenue

Kansas City, MO 64124

816-474-4920

 Clay County Family Medicine and Dental Services

https://www.clayhealth.com/161/Dental

800 Haines Drive

Liberty, MO 64068

816-595-4200

 Cabot Westside Medical Clinic:

https://samrodgers.org/contact-us/

2121 Summit St.

Kansas City, MO 64108 816-471-0900

 Northland Prenatal and Pediatric Clinic

5330 N Oak Trfwy, Ste 203

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Kansas City, MO 64118

816-499-8100

 Clay County Health Department:

https://www.clayhealth.com/101/Our-Services

800 Haines Drive

Liberty, MO 64068

816-595-4200

http://kccareclinic.org/services

Primary Care Services provided by Samuel Rodgers Health Clinic on Tuesday and Thursday

 Kansas City Care Clinic: For appointments call 816-753-5144

General Medicine Nurse (English): 816-777-2774

General Medicine Nurse (Spanish): 816-777-2749

Urgent After-Hours number 816-753-5144

 Homeroom Health

https://www.homeroomhealth.org/

https://kccare.org/

1106 E 30th Street, Ste B

Kansas City, MO 64109

Midtown

3515 Broadway

Kansas City, MO 64111

Research Medical Campus

2340 E. Meyer Blvd, Building 1, Ste 200

Kansas City, MO 64132

Northeast

4601 Independence Ave

Kansas City, MO 64124

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 Platte County Health Department: http://plattecountyhealthdept.com/pView.aspx?id=24967&catid=518

Parkville

1201 East Street

Parkville, MO 64152

816-587-5998

 Mercy and Truth Medical Missions, Inc: https://www.mercyandtruth.com/

Kansas City, KS Clinic

721 N 31st Street

Kansas City, KS 66102

913-621-0074

Shawnee Clinic

11644 W 75th St, Ste 103

Shawnee, KS 66214

913-248-9965

 Truman Medical Center: http://trumed.org/

Hospital Hill

2301 Holmes

Kansas City, MO 64108

816-404-1000

Lakewood

7900 Lee’s Summit Road

Kansas City, MO 64139

816-404-7000

 Children’s Mercy Hospital

http://www.childrensmercy.org/

Phone: 816-234-3000

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Toll Free Number: 1-866-512-2168

 Vibrant Health-Kansas

https://vibrantwyandotte.org/

913-342-2552

Central 21 N 12th St Ste 300

Kansas City, KS 66102

Children’s Campus

444 Minnesota Ave

Kansas City, KS 66101

Argentine

1428 S 32nd St #100

Kansas City, KS 66106

Cordell Meeks Jr Clinic

4313 State Avenue

Kansas City, KS 66102

Home Health

 Children’s Mercy Hospital Home Care:

http://www.childrensmercy.org/Clinics_and_Services/Home_Care/

700 NW Argosy Parkway

Riverside, MO 64150 (MO) 816-895-5000

5520 College Blvd, Ste 102

Overland Park, KS 66211 (KS) 913-696-5040

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 Kindred Healthcare (previously Gentiva): https://www.kindredhealthcare.com/our-services/transitional-care-hospitals/types-of-care

1-866-546-3733

7280 NW 87th Terr, Bldg C, Ste 206

Kansas City, MO 64153 816-587-0441

20101 E Jackson Dr, Ste D

Independence, MO 64057 816-524-5087

11880 College Blvd, Ste 4A

Overland Park, KS 66210

913-906-0522

Dental

 Seton Center: http://setonkc.org/

2816 E. 23rd St.

Kansas City, MO 64127 Phone: 816-231-3955

 UMKC Dental School:

https://dentistry.umkc.edu/patients/about-us/

650 E. 25th St.

Kansas City, MO 64108

General Clinic Appointments: 816-235-2100

Children’s Clinic Appointments: 816-235-2145

 Cass County Dental Clinic : http://casscountydentalclinic.org/

802 E. Walnut

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Belton, MO 64701 (Corner of 3rd and Walnut)

Phone: 816-322-7600

Harrisonville 103 Oriole St

Harrisonville, MO 64701

816-380-4000

 Big Smiles Dental: School Based Oral Health Program

http://www.bigsmilesdental.org/

1-888-833-8441

 Miles of Smiles: Mobile dental unit for students in the Northland

https://levelupkidsinc.org/

5416 NE Antioch Road

Kansas City, MO 64119

816-413-9009

 Kansas City Care Clinic:

https://kccare.org/services/dental-care/

2340 E Meyer Blvd

Kansas City, MO 64132

816-753-5144

 Swope Health Center:

http://www.swopehealth.org/what-we-do/dental/ https://swopehealth.org/locations/

Swope Health Central

3801 Dr. Martin Luther King Jr. Boulevard

Kansas City, MO 64130

816-923-5800

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Swope Health Independence:

11320 E Truman Rd

Independence, MO 64050

816-599-5200

Swope Health Northland

2906 NW Vivion Rd

Riverside, MO 64150

816-599-5050

Swope Health Wyandotte

21 N 12th St

Kansas City, KS 66102

816-599-5111

Swope Health Belton

204 E North Ave

Belton, MO 64012

816-599-5170

Swope Health East

17844 E 23rd St

Independence, MO 64057

816-599-5015

Swope Health Services/Hickman Mills

Loma Vista Office Building

8800 Blue Ridge Blvd, 2nd FL

Kansas City, MO 64138

816-321-3201

Swope Health Maple Woods

Northland Human Services Building

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3100 NE 83rd St, Ste 1001, #140

Kansas City, MO 64119 816-321-3230

Swope Health West 4835 State Ave Kansas City, KS 66102 913-321-2200

 Samuel Rodgers: http://rodgershealth.org/health-service/dental

Downtown Campus: 816-474-4920

Clay County Family Medicine & Dental Services: 816-499-8100

Cabot Westside: 816-471-0900

 Family Health Care: http://swbfhc.org/ 913-722-3100

Rosedale Clinic 340 Southwest Boulevard

Kansas City, KS 66103

Turner Clinic 2002 S 51st St, Kansas City, KS 66106

 Little Big Smiles

9000 E State Route 350

Raytown, MO 64133

816-503-9011

 Truman Medical Center- Lakewood: https://www.trumed.org/services/dental-care/

7900 Lee’ Summit Road

KCMO 64139

816-404-6885

 The Smile Spot: www.Thesmilespot.com

844-646-7768

 ABC Dental (Indep): www.abcdentalmissouri.com

816-326-2025

 Vibrant Health: www.Vibrantwyandotte.org

913-342-2552

Vision Services

 Walmart: (call location to check plan)

 SVS Vision Optical Centers: https://www.svsvision.com/contact/

 Vision Source Eyecare: https://vseyecare.com/locations/

816-795-7777 Independence

816-884-5212 Harrisonville

816-892-0046 Raymore

816-987-2203 Pleasant Hill

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660-686-0263 Fairfax

816-431-2202 Platte City

816-476-4017 Kansas City

816-474-1916 Crossroads

816-252-5211 Noland Rd

816-279-2339 St Joseph

660-582-4022 Maryville

816-551-9100 Tauber

 America’s Best Contacts and Eyeglasses:

https://www.americasbest.com/

 Children’s Mercy Ophthalmology:

https://www.childrensmercy.org/departments-and-clinics/ophthalmology/ 816-960-8000

Mental Health Services

 Mental Health 24-Hour Crisis Hotline:

https://www.psychguides.com/guides/mental-health-hotline/ 1 800-950-6264

 Swope Health Services:

http://www.swopehealth.org/index.php/services/behavioral-health

3801 Dr Martin Luther King Jr. Blvd

Kansas City, MO 64130

816-923-5800

 Catholic Charities:

https://catholiccharities-kcsj.org/

https://catholiccharities-kcsj.org/contact-us/

4001 Dr. Martin Luther King, Jr. Blvd., Suite 250, Kansas City, MO 64130 816-221-4377

800-875-4377

 The Children’s Place: http://www.childrensplacekc.org/our-services/ 6401 Rockhill Road

Kansas City, MO 64132

816-363-1898

 MOSCA (Metropolitan Organization to Counter Sexual Assault): https://www.mocsa.org/srv.php

3100 Broadway Suite 400

Kansas City, MO 64111

816-931-4257

 Research Psychiatric Center: http://researchpsychiatriccenter.com/

2323 East 63rd Street

Kansas City, MO 64130

816-444-8161

 Center for Behavioral Medicine: https://dmh.mo.gov/contact-us

1706 East Elm St Jefferson City, MO 65101

573-751-4122

800-364-9687

 Kansas City Care Clinic: http://kccareclinic.org/services/behavioral-health

https://kccare.org/locations-hours/

2340 E. Meyer Blvd

Kansas City, MO 64132

816-753-5144

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 CAPA (Child Abuse Prevention Association):

http://childabuseprevention.org/content/programs-and-services

503 East 23rd Street

Independence, MO 64055

816-252-8388

4240 Blue Ridge Blvd. Ste 515

Kansas City, MO 64133

816-601-0550

 Wyandot Center

http://www.wyandotcenter.org/

1301 N. 47th Street, Bldg A

Kansas City, KS 66102

913-328-4600

 Mental Health America of the Heartland

https://arc.mhanational.org/user/mhaheartland

739 Minnesota Ave.

Kansas City, KS 66101

913-281-2221

 Mattie Rhodes Center:

http://www.mattierhodes.org/

Northeast: 816-241-3780

 Crittenton Children’s Center:

https://www.saintlukeskc.org/locations/crittenton-childrens-center#

10918 Elm Avenue

Kansas City, MO 64134

816-765-6600

 Rediscover Mental Health: https://www.rediscovermh.org/

901 NE Independence

Lee’s Summit, MO 64086

816-966-0900

 Solace House Center for Grief and Healing: https://www.kchospice.org/solace-house/

816-383-2600

913-341-0318

 Tri-County Mental Health Services: https://www.tri-countymhs.org/

3100 NE 83rd Street Suite 1001

Kansas City, MO 64119

816-468-0400

 Truman Medical Center Behavioral Health: http://behavioralhealthkc.org/

300 West 19th Terrace

Kansas City, MO 64108

816-404-5755

Behavioral Health Information: 816-404-5709

 Family Conservancy Center: http://www.thefamilyconservancy.org/services-for-kansas-city-families/ Counseling Services

Blue Ridge Tower Building 4240 Blue Ridge Blvd, Ste 434 Kansas City, MO 64133 913-342-1110

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Wyandotte County Family Center 5424 State Ave

Kansas City, KS 66102

913-287-1300

 Cornerstones of Care: http://cornerstonesofcare.org/Our-Services

https://cornerstonesofcare.org/about-us/our-locations

Cornerstones of Care – Hyde Park (main mailing address)

300 E 36th St

Kansas City, MO 64111

816-508-1700

Gillis Campus

8150 Wornall Rd

Kansas City, MO 64114

816-508-3500

Ozanam Campus

421 E 137th St

Kansas City, MO 64145

816-508-3600

 Comprehensive Mental Health

https://thecmhs.com/

816-254-3652

Substance Abuse

 Kansas City Al-Anon: https://www.missouri-al-anon.org/meetings.html

816-373-8566

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 Kansas City Narcotics Anonymous: https://www.kansascityna.org/ 1-800-561-2250

 National Council for Alcoholism & Drug Addiction: http://ncaddms.org/ 601-899-5880

 First Call Alcohol/Drug Prevention and Recovery: http://www.firstcallkc.org/ 9091 State Line Road

Kansas City, MO 64114

816-361-5900 Missouri

913-223-0747 Kansas

 Crittenton Children’s Center: https://www.saintlukeskc.org/locations/crittenton-childrens-center

10918 Elm Avenue

Kansas City, MO 64134

816-765-6600

 Swope Health Services Imani House: http://missouri.drugrehab101.com/clinicDetails_6434.html

3950 E. 51st St. Kansas City, MO 816-929-2600

 Heartland Center for Behavioral Change: http://heartlandcbc.org/

1730 Prospect Ave

Kansas City, MO 64127

816-421-6670

 Salvation Army: http://www.salvationarmyusa.org/

 Truman Medical Center Substance Abuse Treatment: https://behavioralhealthkc.org/services/adult-substance-abuse

1000 East 25th St

Kansas City, MO 64108

816-404-5850

Nutrition Resources

 CALL United Way: http://www.unitedway.org/our-impact/featured-programs/2-1-1 2-1-1

 Harvesters Food Network: https://www.harvesters.org/get-help

 Salvation Army: https://centralusa.salvationarmy.org/mokan/help-disaster-survivors/

 City Union Mission: http://www.cityunionmission.org/

 Metropolitan Lutheran Ministries: https://www.mlmkc.org/food-program.html

3031 Holmes Kansas City, MO 816-931-0027

Northland

1100 Northeast Vivion Rd Kansas City, MO 64118

816-454-5295

2023-2024

Wyandotte 722 Reynolds Ave Kansas City, KS 66101 913-342-8333

 Lee’s Summit Social Services: https://www.lssocialservices.com/ourservices/ 108 W. 4th Street

Lee’s Summit, MO 64063 816-525-4357

 St. Anthony Church: http://www.stanthonykc.org/

309 Benton Blvd

Kansas City, MO 64124 816-231-5445

 Grandview Assistance Program (GAP): https://gapcares.wildapricot.org/

1121 Main Street Grandview, MO 64030 816-761-1919

 Community Assistance Council: https://www.cackc.org/food-pantry-and-garden.html

10901 Blue Ridge Boulevard

Kansas City, MO 64134

816-763-3277

CAC Satellite Pantry

100 W Red Bridge Road

Kansas City, MO 64114

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913-313-0250

 Westport United Methodist: https://westportumc.org/mission-outreach/ 500 West 40th St. Kansas City, MO 64111 816-931-1858

 Holy Family House: http://www.holyfamilycwhouse.org/p/about-holy-family-house.html

912 East 31st St. Kansas City, MO 64109 816-753-2677

 Food Stamps: https://mydss.mo.gov/food-assistance

 Missouri WIC: http://health.mo.gov/living/families/wic/index.php

Domestic Violence

 Metro Hotline: for all battered women’s shelters, 816-HOTLINE (468-5463)

https://www.kcpd.org/crime/victim-resources/domestic-violence/

 The Bridge Program: https://www.childrensmercy.org/your-visit/family-support/social-work/community-resources/ 816-404-3659

 Hope House: http://www.hopehouse.net/

Hotline/Crisis: 816-461-HOPE (4673)

Nurse

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 New House: http://www.newhouseshelter.org/

Hotline-816-471-5800

 Rose Brooks Center: www.rosebrooks.org

Hotline/Crisis Line – 816-861-6100

 Safehome: http://www.safehome-ks.org/

Hotline: 913-262-2868

 Missouri Coalition Against Domestic and Sexual Violence: https://www.mocadsv.org/

 Metropolitan Organization to Counter Sexual Assault (MOCSA): www.mocsa.org

3100 Broadway, Suite 400 Kansas City, MO 64111-2591 816-931-4527

 National Domestic Violence Hotline: http://www.thehotline.org/

 National Sexual Assault Hotline: 217 Oscar Dr, Ste A Jefferson City, MO 65101 573-634-4161

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Teen Services

 Children’s Mercy Hospital Adolescent Clinic: https://www.childrensmercy.org/departments-and-clinics/adolescent-medicine/ 816-960-4152

 The Light House: https://www.mbch.org/ministries-by-affiliate/the-light-house/5

800-264-6224

 Mother’s Refuge: https://mothersrefuge.org/ 14400 E. 42nd St. South Suite 220 Independence, MO 64055

816-353-8070

Shelter Location

3721 Delridge Independence, MO 64052

 National Runaway Safeline: http://www.1800runaway.org/ 1-800-786-2929

 Rachel House: http://www.helpinyourarea.com/missouri/ 816-921-5050

Shelters for Teens

 reStart: http://www.restartinc.org/

24-Hour Access Line: 816-472-5664

24-Hour Youth Hotline: 816-309-9048

 Synergy Services: http://www.synergyservices.org

816-741-8700

888-233-1639

Pregnancy

 Mother’s Refuge: http://mothersrefuge.org/

816-353-8070

 Rachel House: http://www.helpinyourarea.com/missouri/

816-921-5050

 The Light House: https://www.mbch.org/ministries-by-affiliate/the-light-house/5

800-264-6224

 Birthright International of Kansas City: https://birthright.org/kansascity/

816-444-7090

1-800-550-4900

Transportation

 Assisted Healthcare Transportation: http://www.assistedtransportation.com/contact.php

913-262-5190 Kansas City, KS

913-262-3100 Olathe

913-814-0084 Overland Park

785-291-2910 Topeka

573-818-4643 Columbia

816-888-8006 Kansas City, MO

 Safeway Medical Transportation: 1734 E 63rd St Ste 438 Kansas City, MO 64110

816-361-5992

 Non-Emergency Medical Transportation: https://dss.mo.gov/mhd/participants/pages/medtrans.htm

1-866-269-5927

 Metro Bus: http://www.kcata.org/ 816-221-0660

Housing/Homeless

 Community LINC: http://www.communitylinc.org/

4012-14 Troost Kansas City, MO 64110

816-531-3727

 Salvation Army: https://centralusa.salvationarmy.org/mokan/help-disaster-survivors/

 City Union Mission Family Shelter: http://www.cityunionmission.org/services/women-family/women-family-center/ 816-474-4599

816-474-9380

 Holy Family House: http://www.holyfamilycwhouse.org/p/about-holy-family-house.html

912 E. 31st St. Kansas City, MO 64109

816-753-2677

 Sheffield Place: https://sheffieldplace.org/programs

6604 E. 12th St. Kansas City, MO 64126 816-483-9927

 Homeless Hotline: http://www.cityunionmission.org/ 816-474-4599

 The Housing Authority of Kansas City: http://www.hakc.org/public_housing_program.aspx

3822 Summit St. Kansas City, MO 64111 816-968-4100

 Hillcrest Ministries: http://hillcrestkc.org/

Birth Certificates

 Jackson County Health Department: https://jacohd.org/vital-records/birth-certificates/ 313 South Liberty

Independence, MO 64050 816-404-6415

 Platte County Health Department: http://plattecountyhealthdept.com/pview.aspx?id=25068&catID=521 7925 NW 110th St

Kansas City, MO 64153 816-858-2412

 Clay County Health Department: https://clayhealth.com/178/Birth-Death-Certificates

800 Haines Drive Liberty, MO 64068

816-595-4200

 Kansas City Health Department:

https://www.kcmo.gov/city-hall/departments/health/how-to-request-a-birth-or-death-certificate

2400 Troost Ave Ste 1000 Kansas City, MO 64108 816-513-6309

 Missouri Department of Health and Senior Services: http://health.mo.gov/data/vitalrecords/index.php

573-751-6387

Clothing Assistance

 City Union Mission: http://www.cityunionmission.org/services/

1100 E. 11th St. Kansas City, MO 64106 816-474-9380

Homeless Hotline: 816-474-4599

 Assistance League of Kansas City: http://alkc.org/programs.aspx

6601 N. Oak Trafficway Gladstone, MO 64118

816-455-4485

 Debbie’s Place: https://gviewumc.wordpress.com/

Grandview United Methodist

12613 Grandview Rd

Grandview, MO 64030 816-761-7326

 Salvation Army: https://centralusa.salvationarmy.org/mokan/help-disaster-survivors/

 Seton Center: http://setonkc.org/services/

2816 E. 23rd St. Kansas City, MO 64127

Phone: 816-231-3955

 Holy Family House: http://www.holyfamilycwhouse.org/p/about-holy-family-house.html

912 East 31st St. Kansas City, MO 64109 816-753-2677

Spanish Resources

 Cabot Westside Medical and Dental Center: https://samrodgers.org/services/dental/ 816-471-0900

 Don Bosco ESL Center: https://www.donbosco.org/the-don-bosco-esl-school 1301 Vine Street Kansas City, MO 64106 816-231-2700

 El Centro: http://www.elcentroinc.com/ 650 Minnesota Avenue, Kansas City, KS 66101

913-677-0100

 Mattie Rhodes Center: https://www.mattierhodes.org/family-services/ 148 N. Topping Kansas City, MO 64123 816-241-3780

 Guadalupe Center: https://guadalupecenters.org/ 816-421-1015

 Healthe Communities St. Sabina Wellness Center: https://stsabinaparish.org/wellness/

700 Trevis Ave

Belton, Missouri 64012

(For members of St. Sabina Parish only)

816-331-4713

Miscellaneous Resources

 Sleepyhead Beds: http://sleepyheadbeds.org/

4741 Central #244 Kansas City, MO 64112 816-547-9965

 The Children’s Advocacy Project of Kansas City: http://cap4kids.org/kansascity/

 Nurture KC: https://nurturekc.org/

1111 W 39th St, Ste 100 Kansas City, MO 64111

816-283-6242

 Mattie Rhodes Center: https://www.mattierhodes.org/family-services/ 148 N. Topping Kansas City, MO 64124

816-471-2536

 ParentLink: http://education.missouri.edu/orgs/parentlink/ 573-882-7322

English: 1-800-552-7322

Spanish: 1-888-460-0008

 Missouri Department of Social Services: https://mydss.mo.gov/

http://www.dss.mo.gov/cd/

Text Telephone: 1-800-735-2966

Voice Telephone: 1-800-735-2466

 Strive for Life

https://www.striveforlife.org/

7221 West 79th Ste 100, Overland Park, KS 66212

 My HeartCheck/ Athletic Testing Solutions

https://myheartcheck.org/

13725 Metcalf Ave, Ste 331

Overland Park, KS 66223

(888) 537-2597

Heart Murmurs

The American Academy of Pediatrics defines a heart murmur as “simply a noise heard between the beats of the heart”. (http://www.healthychildren.org/English/health-issues/conditions/heart/Pages/Heart-Murmur.aspx)

HEART MURMUR:

A heart murmur is a swishing sound that blood makes as it moves through the heart. Most children have a heart murmur at some time in their life. These murmurs come and go during childhood and do not affect the child’s health. As the child gets older, they go away on their own. These are called "innocent" or "functional" murmurs.

Sometimes a heart murmur is a sign of a problem in the heart. If the child's doctor suspects this, the child will be referred to a heart specialist (cardiologist). Special tests will be ordered. These include an EKG (tracing of the electric pattern of the heart), a chest x-ray and an echocardiogram (“echo”). (An echo is like an ultrasound of the heart.)

Heart murmurs can also be caused by a Congenital Heart Defect (CHD). Babies born with CHD may have symptoms at birth. Others may develop symptoms later in childhood or teen years. Others may never develop any symptoms at all.

There are two common types of Congenital Heart Defects:

 A hole in the center wall of the heart that divides the chambers

 A narrowed or leaky heart valve

A hole in the center wall of the heart may close on its own as the child grows older, or it may be so small that it does not cause any problem. Sometimes surgery is needed to repair a larger hole. A defect in the heart valve may require medication, treatment with a special catheter (no surgery) or an operation.

Home Care

Innocent heart murmurs require no special care or treatment. If medicine was prescribed, take exactly as directed.

A teen with a congenital heart defect should avoid body piercings. Piercings increase the risk of bacteria getting into the body and infecting the heart.

GET PROMPT MEDICAL ATTENTION if any of the following occur:

In children and teenagers:

 Tiredness, difficulty exercising

 Trouble gaining weight

 Chest pains

When a child has a Heart Murmur the heart makes sounds as it beats. These sounds occur as the heart valves open and close to allow blood to flow through the heart. A heart murmur is an extra noise. The noise is caused by the blood not flowing smoothly through the heart. This is called turbulence. Heart murmurs can be innocent (harmless) or pathologic (caused by a heart problem).

What Causes a Heart Murmur?

An innocent heart murmur is caused by mild turbulence in blood flow within the heart. A pathologic heart murmur is often caused by a structural heart defect. This can include:

 Septal defects (holes in the dividing walls of the heart that allow blood to pass through)

 Heart valve problems (valve has trouble opening or closing)

 Artery-vein fistulas (abnormal connections between a blood vessel on the left side of the heart and a blood vessel on the right side of the heart)

What Are the Symptoms of a Heart Murmur?

Innocent heart murmurs cause no symptoms. Symptoms related to a pathologic heart murmur depend on the underlying cause of the murmur.

How Is a Heart Murmur Diagnosed?

The doctor or healthcare provider may detect a heart murmur during a physical exam. Heart noises are heard with a stethoscope. A heart murmur is classified by how loud it is, its location, when it occurs during the heart’s pumping cycle, and its sound qualities. If the doctor suspects the murmur is pathologic, your child may be referred to a pediatric cardiologist. This is a doctor who diagnoses and treats heart problems in children. The following tests may be done:

 Chest x-ray: This test takes a picture of the heart and lungs. The picture can show the child’s heart size and shape. It can show whether there are problems in the heart or lungs.

 Electrocardiography (ECG or EKG): During this test, the electrical activity of the heart is recorded to check for arrhythmias (abnormal heart rhythms) or problems with heart structure.

 Echocardiography (echo): During this test, sound waves are used to create a picture of the heart. This test can show problems with heart structure or heart function. This includes showing how well the heart pumps, if the heart is enlarged, or if there are any valve problems.

How Is a Heart Murmur Treated?

An innocent heart murmur requires no treatment because it’s not caused by a heart problem. Treatment for a pathologic murmur depends on the underlying cause. The cardiologist will evaluate the child’s condition and discuss treatment options if needed.

What Are the Long-term Concerns?

Most innocent murmurs go away by the time children become adolescents or young adults. If pathologic heart murmurs aren’t diagnosed or treated, severe symptoms may result and cause serious health problems. These can include heart failure, arrhythmias, or respiratory problems.

© 2018-2020- Krames StayWell, 800 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

Online Resources:

 American Academy of Pediatrics: http://www.healthychildren.org/English/health-issues/conditions/heart/Pages/Heart-Murmur.aspx

 National Heart, Lung, and Blood Institute: http://www.nhlbi.nih.gov/health/health-topics/topics/heartmurmur/

 Kids Health: https://kidshealth.org/en/parents/murmurs.html

 Mayo Clinic: http://www.mayoclinic.com/health/heart-murmurs/DS00727

Diabetes

Understanding Type 1 Diabetes

This means the body has trouble using a sugar called glucose for energy. Diabetes is a lifelong condition. Left untreated, it can lead to serious health problems. Diabetes can be managed in order to live a full and healthy life.

How the Body Gets Energy

When food is eaten, the digestive system breaks down the food. Some of this food is turned into glucose in the intestine. Glucose (also called blood sugar) gives energy to the body’s cells. It travels through the blood to reach the cells. But glucose needs the help of a hormone called insulin to enter cells. Insulin is made by an organ called the pancreas. Insulin is released into the blood, and travels to the cells just like glucose. When insulin reaches a cell, it acts like a key. It opens a “door” into the cell so glucose can enter.

When a child has Type 1 Diabetes

In children with type 1 diabetes, the pancreas stops making insulin. Food is still broken down into glucose. And glucose still travels to the cells. But without insulin, glucose can’t enter the cells. Instead, it builds up in the blood. Too much glucose in the blood is called hyperglycemia (high blood sugar). Without glucose, the child’s cells don’t get the energy they need. And over time, high blood sugar can cause other health problems.

What Are the Causes of Type 1 Diabetes?

The exact cause of type 1 diabetes is not known. We do know that it’s NOT caused by eating too much sugar. Type 1 diabetes can run in families. Or a child may be the only person in the family to develop type 1 diabetes.

What Are the Symptoms of Type 1 Diabetes?

When the pancreas stops making insulin, the body’s cells become starved for energy. This can cause the child to feel tired and rundown. They may feel or have:

 Very strong thirst

 Increased urination

 Blurry vision

 Tiredness for no obvious reason

 Nausea

 Extreme hunger

 Headaches

 Flu-like symptoms

 Bed wetting

 Unexplained weight loss

How Is Type 1 Diabetes Diagnosed?

Simple blood tests can help the healthcare provider determine if a child has type 1 diabetes. These tests check for a high level of glucose in the blood. Glucose tests may need to be repeated in order to confirm the diagnosis.

How Is Type 1 Diabetes Treated?

There is no cure for type 1 diabetes. But the good news is that the condition can be managed. If the pancreas is not making insulin, insulin must be put into the child’s body. But insulin can’t be taken as a pill. Instead, it is most commonly taken by injection (shot). The idea of giving shots might seem scary at first. But most parents and children find that it’s easier than they thought. The child’s healthcare provider will provide education on how to check the level of the child’s blood sugar. This tells you how much insulin to give the child to keep blood sugar in a healthy range.

What Are the Long-Term Concerns?

People with a blood sugar level that is too high over many years can develop health problems. These problems can affect the heart, eyes, kidneys, and nerves.

The “Honeymoon” Phase

After diagnosis, the child’s pancreas may still be making a little insulin on its own. This is called the “honeymoon” phase. At this time, the child’s blood sugar may be managed with very little insulin. The honeymoon phase may last months, or even years. As time goes on, the child’s pancreas will stop being able to make any insulin at all. Talk to the healthcare provider about managing blood sugar during the honeymoon phase.

NOTE: This sheet does not give all the information you need to care for a child with diabetes. Work with the healthcare provider for more information.

© 2000-2012 Krames StayWell, 800 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

Understanding Type 2 Diabetes

This means the body has trouble using a sugar called glucose for energy. Diabetes is a lifelong condition. Left untreated, it can lead to serious health problems. Diabetes can be managed in order to live a full, healthy life. Type 2 diabetes has not been common in children. But in recent years, more and more children are developing Type 2 Diabetes.

When a child has Type 2 Diabetes

With type 2 diabetes, food is still broken down into glucose and glucose still travels to the cells. But the pancreas may not make enough insulin for the amount of glucose in the blood. The liver may release too much glucose at once. And

the body’s cells may not respond the right way to insulin. This is called insulin resistance. Because of this, the cells receive less glucose than they need. At first, the pancreas makes more insulin to try to keep up. But as time passes, the pancreas can’t make enough insulin to overcome resistance. When this happens, glucose builds up in the bloodstream. Too much glucose in the blood is called hyperglycemia (high blood sugar). Without glucose, cells don’t get the energy they need. And over time, high blood sugar can cause other health problems.

What Are the Causes of Type 2 Diabetes?

Type 2 diabetes often runs in families. African American, Latino, Native American, Asian American, and Pacific Islander families are often affected. A child may be more likely to develop diabetes if:

 He or she spends more time sitting than being active.

 He or she is overweight for his or her age and height.

 A parent or sibling has diabetes.

 The mother had gestational diabetes (diabetes during pregnancy).

What Are the Symptoms of Type 2 Diabetes?

When a child has type 2 diabetes, the body’s cells become starved for energy. The child may feel or have:

 Very strong thirst

 Increased urination

 Blurry vision

 Tiredness during the day

 Nausea

 Extreme hunger

 Headaches

 Bedwetting

Or, they may not feel symptoms at all. But high blood sugar can still be causing problems.

How Is Type 2 Diabetes Diagnosed?

Simple blood tests can help the healthcare provider determine if a child has Type 2 Diabetes. These tests check for a high level of glucose in the blood. Glucose tests may need to be repeated in order to confirm the diagnosis.

How Is Type 2 Diabetes Treated?

There is no cure for Type 2 Diabetes. But the good news is that the condition can be managed. The healthcare provider will create a treatment plan. Following the plan will help keep the blood sugar in a healthy range. Type 2 Diabetes is most commonly treated by:

 Eating healthy meals

 Being active

 Losing weight

 Taking medication (if needed)

What Are the Long-Term Concerns?

People with a blood sugar level that is too high over many years can develop health problems. These problems can affect the heart, eyes, kidneys, and nerves.

NOTE: This sheet does not give all the information you need to care for a child with diabetes. Work with the healthcare provider for more information.

Diabetes and High Blood Sugar

High blood sugar (hyperglycemia) occurs when there is too much glucose (sugar) in the bloodstream. Blood sugar that is often high causes long-term complications, so try to prevent it. And treat it quickly when it happens.

High blood sugar can result from the following:

 Taking too little insulin or diabetes medication

 Using insulin that’s not stored properly or that’s past the expiration date

 Eating too much food at once

 Being sick

 Being less active than usual

 Being under stress

 A rebound in response to low blood sugar

 Hormonal changes during puberty

How to Recognize High Blood Sugar

Excessive thirst and the need to urinate often are additional symptoms. Severe high blood sugar may cause nausea, blurry vision, weakness, or dizziness. Encourage the child to learn to recognize the symptoms of high blood sugar and tell an adult about them right away. But keep in mind that sometimes there are no symptoms.

How to Treat High Blood Sugar

 Check the blood sugar.

 If blood sugar is over the target range, give water or sugar-free and caffeine-free drinks.

 If blood sugar is over 240, check urine for ketones.

© 2000-2012 Krames StayWell, 800 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

 If blood sugar stays over 240 and/ or ketones are present in the urine, call the doctor.

 Follow the plan given by the healthcare provider, which may include giving extra insulin.

If Ketones are present

A moderate to high level of ketones in the blood or urine is a sign of diabetic ketoacidosis (DKA). Follow the healthcare team’s guidelines for giving additional insulin and notifying the office. Check blood sugar often and don’t let the child exercise until ketones are back to normal. Left untreated, DKA may require hospitalization.

Sick Days

When a child is ill, their blood sugar may be higher than usual. This may be true even if they are not eating as much as usual. To handle this, follow the sick-day plan outlined by the healthcare provider. This plan may involve additional monitoring and extra insulin.

How to Prevent High Blood Sugar

Make sure that:

 Insulin is administered on time and in the right amount.

 Meals and snacks are spread throughout the day.

 The sick-day plan is followed during an illness.

 Insulin is stored properly so that it doesn’t spoil.

Diabetes and Low Blood Sugar

Low blood sugar (hypoglycemia) occurs when there is too little glucose (sugar) in the blood. It can be caused by skipping meals or snacks, eating too little food, or taking too much insulin or diabetes medication. A lot of physical activity can also cause low blood sugar, even hours later. In severe cases, low blood sugar can lead to seizures or passing out.

How to Recognize a Low

Everyone’s symptoms are different. The child may feel dizzy, weak, hungry, headachy, or shaky. They may seem cranky or confused. If lows happen very often, over time, the child may no longer be able to sense them. Encourage the child to recognize their symptoms and tell an adult about them right away.

What to Do

 Stay calm so you can better help the child

 Check blood sugar to make sure that it is low. If you are not able to check, treat for low blood sugar anyway.

 Follow the protocol outlined by the healthcare provider. Diet soda will not help. Chocolate, cookies, and other fatty sweets will not work as quickly.

 If possible, recheck blood sugar in 15 minutes. If it is still low, continue to follow the protocol outlined by the healthcare provider

 Once blood sugar is normal, give a snack or meal to eat.

 If the blood sugar does not go back up, call the doctor or 911 as indicated

How to Prevent Lows

 Be sure the child eats meals and snacks on time and eats before exercising.

 Carry fast-acting sugar

 Don’t inject insulin near a muscle that’s going to be exercised.

 Check blood sugar often, especially after exercise and at bedtime.

Tips

 Keep fast-acting sugars handy.

 Check blood sugar often, especially after activity and before bed.

Long-Term Complications of Diabetes

Diabetes can cause health problems over time. These are called complications. They are more likely to occur if blood sugar is often too high. Over time, high blood sugar can damage blood vessels. It is important to keep blood sugar in target range. This can help prevent or delay complications.

Possible Complications

Complications of diabetes include:

 Eye problems, including damage to the blood vessels in the eyes (retinopathy), pressure in the eye (glaucoma), and clouding of the eye’s lens (a cataract)

 Tooth and gum problems (periodontal disease), causing loss of teeth and bone

 Blood vessel (vascular) disease leading to circulation problems, heart attack, or stroke

 Kidney disease (nephropathy)

 Nerve problems (neuropathy), causing pain or loss of feeling in your feet and other parts of your body

 High blood pressure (hypertension), putting strain on your heart and blood vessels

 Serious infections, possibly leading to loss of toes, feet, or limbs

How to Avoid Complications

Complications can be avoided by managing Diabetes appropriately. This is accomplished by adequately tracking blood sugar, taking insulin as prescribed, participating in healthy lifestyle activities such as regular exercise and following a low-fat diet.

© 2000-2012 Krames StayWell, 800 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

Online Resources

 World Health Organization:

 https://www.who.int/health-topics/diabetes#tab=tab_1

 American Diabetes Association:

 www.diabetes.org



1-800-DIABETES or 1-800-342-2383

 Email: AskADA@diabetes.org

 Kansas City Area American Diabetes Association:

 913-383-8210

 Juvenile Diabetes Research Foundation:

 www.jdrf.org



1-800-533-CURE or 1-800-533-2873

 Email: info@jdrf.org

 Fax: 1-212-785-9595

 JDRF Kansas City Chapter:

 215 W Pershing Rd, Ste 300 KC, MO 64108

 816-472-7997

 Fax:472-7617

 Email: kansascity@jdrf.org

 http://kansascity.jdrf.org/

 American Academy of Pediatrics:

 http://www.healthychildren.org/English/health-issues/conditions/chronic/Pages/Diabetes.aspx

 http://www.healthychildren.org/English/health-issues/conditions/chronic/Pages/DiabetesTreatment.aspx

 http://www.healthychildren.org/English/health-issues/conditions/chronic/Pages/Type-2-Diabetes-AManageable-Epidemic.aspx

 National Diabetes Education Program:

 https://www.niddk.nih.gov/health-information/communication-programs/ndep

 http://niddk.nih.gov/

 National Diabetes Information Clearinghouse (NDIC):

 https://www.niddk.nih.gov/health-information/communication-programs/information-clearinghouses

 1-800-860-8747

 TTY: 1-866-569-1162

 healthinfo@niddk.nih.gov

2023-2024 / Version [1.0]

Copyright © 2023, Oracle and/or its affiliates / Public

Seizures

The American Academy of Pediatrics describes a seizure as a “sudden temporary changes in physical movement, sensation, or behavior caused by abnormal electrical impulses in the brain”. (http://www.healthychildren.org/English/health-issues/injuries-emergencies/Pages/Seizures.aspx)

How Seizures Affect the Body

The brain is the “control center” of the body. It manages everything from movement and balance to emotions and memory. When a seizure occurs, some or all brain functions are affected.

The Brain Working Normally

The brain uses electrical signals to send messages throughout the body. Signals sent from different parts of the brain control different body functions. For instance, one part of the brain controls balance. Another part controls speech. A doctor can record brain signals using a test called an EEG (electroencephalogram).

The Brain During a Seizure

During a seizure, excessive electrical signals in the brain disrupt its normal activity. How this affects body functions depends on two main factors. First is the location of the seizure. For instance, a seizure in a part of the brain that controls movement might cause an arm or leg to jerk. Second is the type of seizure. For instance, a seizure that affects more of the brain may affect more of the body.

Types of Seizures

 Partial Seizures: Also called focal seizures, these seizures start in one part of the brain and may spread. There are two types:

 Simple Partial Seizures: These may start with an aura, or warning. Auras are seizures that can involve strange tastes or smells, stomach upset, or a feeling of fear or déjà vu. Simple partial seizures may also involve jerking movements or hallucinations. The person is awake and aware that they are having a seizure.

 Complex Partial Seizures: These may also start with an aura. The person may become motionless and have a vacant stare. Or he or she may perform “automatisms.” These are repeated movements, such as smacking lips or gesturing. The person may be awake but unaware of the seizure or may lose consciousness.

 Generalized Seizures:

These seizures affect the entire brain at once. The most common types of generalized seizures are:

 Absence Seizures (petit mal seizures): These seizures involve a brief lapse of awareness. Signs can include staring, eye blinking, and lip smacking.

 Tonic-Clonic Seizures (grand mal seizures): These may be the best-known type of seizure. The person loses consciousness and may fall to the ground. The body stiffens and then convulses, with the arms and legs jerking rhythmically.

 Myoclonic seizures: These seizures involve brief jerking movements. They usually affect both sides of the body.

 Atonic seizures (drop attacks): During these seizures, the person loses all muscle control and may fall or slump over.

© 2000-2012 Krames StayWell, 800 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instruction

Safety during a Seizure

All seizures should be treated with care, but tonic-clonic seizures (seizures during which you lose consciousness) require more attention.

What to Know

Seizures typically last less than 3 minutes. People recover safely from most seizures. During a tonic-clonic seizure, the person may appear to stop breathing or turn slightly blue. Afterward, the person may be tired, confused, and achy. He or she may need to sleep for several hours to fully recover.

What to Do

During any seizure, stay with the person until it is over. Note the time when the seizure starts and ends. And don’t try to stop the seizure:

 Move hard or sharp objects out of the way.

 Lay the person on a flat surface and turn them on their side.

 Place a flat, soft object under their head.

 Don’t try to restrain the person.

 Don’t put anything in the person’s mouth. They cannot swallow their tongue, and you risk breaking their teeth or being bitten.

 Don’t give the person medications during a seizure unless you’ve been trained by a doctor.

Call 911 if the seizure lasts longer than 5 minutes, there is no conscious interval between 2 seizures, or several seizures occur in a row. These events could represent status epilepticus, a medical emergency. Also call 911 if the seizure is very different from past seizures, or if the person is pregnant.

© 2000-2012 Krames StayWell, 800 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

2023-2024 / Version [1.0]

Online Resources:

 Epilepsy Foundation:

 https://www.epilepsy.com/

 1-800-332-1000

 Email: ContactUs@efa.org

 Epilepsy Foundation of Missouri and Kansas:

 www.efmk.org

 2340 E Meyer Blvd, Bldg 1, Ste 300B Kansas City, Mo 64132

 816-444-2800

 844-415-7152

 epilepsy@efmk.org

 American Academy of Pediatrics:

 http://www.healthychildren.org/English/health-issues/injuries-emergencies/Pages/Seizures.aspx

 Kids Health:

 http://kidshealth.org/parent/medical/brain/epilepsy.html

 CDC Training for School Nurses:

 https://www.epilepsy.com/living-epilepsy/our-training-and-education/managing-students-seizuresschool-nurse-training-program

Vaping or E-Cigarettes

According to the CDC, studies show that of the e-cigarettes sold in the United States, 99% of them contain nicotine and other harmful substances. Nicotine is an addictive drug. A brain continues to develop until the age of about 25. During this time nicotine can be harmful to the parts of the brain that control attention, learning, impulse control and mood. Adolescences who use nicotine may increase their risk of future additions to other drugs.

E-cigarettes come in many shapes and sizes. They may look like regular cigarettes, cigars or pipes. While others may look like pens or USB flash drives. The use of e-cigarettes may be called “vaping” or “JUULing”. E-cigarettes are an electric device that heats a liquid either by battery or heating element to produce an aerosol. This aerosol is harmful to the lungs.

Vaping is the act of inhaling and exhaling the vapor produced by the heated nicotine liquid (often called “juice”) of an electronic cigarette (e-cigarette or e-cig), vape pen, or personal vaporizer. It’s also commonly called JUULing (pronounced jewel-ing). https://childmind.org/article/teen-vaping-what-you-need-to-know/)

“Tobacco use continues to be a major health threat to children, adolescents and adults,” said Karen M. Wilson, MD, MPH, FAAP, chair of the AAP Section on Tobacco Control and section head of Pediatric Hospital Medicine at Children’s Hospital Colorado. “The developing brains of children and teens are particularly vulnerable to nicotine, which is why the growing popularity of e-cigarettes among adolescents is so alarming and dangerous to their longterm health”.

https://www.aap.org/en-us/about-the-aap/aap-press-room/aap-press-room-media-center/Pages/Tobacco-andE-Cigarettes.aspx

Online Resources:

 American Lung Association:



https://www.lung.org/quit-smoking/e-cigarettes-vaping/e-cigarette-resources

 Centers for Disease Control and Prevention:



https://www.cdc.gov/tobacco/basic_information/e-cigarettes/index.htm