Healthe Kids Screenings Nurse Resource Manual 2022 2023
2 | Page August 2022 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, the Cerner Charitable Foundation is also available to assist individual children with health-related needs when insurance and other financial resources have been exhausted, whether the child was screened through the Healthe Kids program. If you would like additional information regarding the assistance process through the Cerner Charitable Foundation, please refer to the Cerner Charitable Foundation section included in this 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.cernercharitablefoundation.org/school
health/#screening We look forward to continuing our work with you! Many thanks, The Healthe Kids Team
3 | Page Table of Contents Referral Funding……………………………………………………………………………………….4 School Health Resources…………………………………………………………………………….5 Asthma and Allergy……………………………………………….………………………….……….7 Allergies & AdditionalMiscellaneousSpanClothingBirthHousing/HomelessTransportationPregnancyTeenDomesticNutritionSubstanceMentalVision………………..………………………………………………………………………………….25DentalHomeHealthImmunizationsSafetyMedicaidChildEmergencyPrescriptionAnaphylaxis…………………………………………………………………………….10AssistancePrograms………………………………….……………………….......11Assistance……………………………………………………………………………...12Abuse/Neglect…………………………………………………………………………………14…………………………………………………………………………………………….....15NetClinics……………….…………………………………….….………………….………15………………………………………………………………………………………...16Clinics………………………………………………………………………………………...17Health…………………………………………………………………………………………..21…………………………………………………………………………………………………..22Health………………………………………………………………………………………….26Abuse…………………………………………………………………………………….29………………………………………………………………………………………………..31Violence…………………………………………………………………………………...33Services…………………………………………………………………………………………34……………………………………………………………………………………………..35………………………………………………………………………………………..35…………………………………………………………………………………..36Certificates……………………………………………………………………………………..37Assistance…………………………………………………………………………………38ishResources…………………………………………………………………………………..39Resources…………………………………..………………………………………40Information-HeartMurmurs………...…………………………………………………………….………..41Diabetes……………………………………………………….………….……………………44Seizures………………………………………..……….………………..…………………….51Vaping/E-Cigarettes………………………………………………………………………….54
4 | Page Funding of Healthe Kids Screenings Referrals through Cerner Charitable Foundation Visit www.cernercharitablefoundation.org/requestfunding to view funding criteria, expenses covered, and to apply for funding. ThereOr is a hard copy of the application in your Healthe Kids folder. Have the family fill it out and email it to casegrants@cerner.com Questions can be directed to casegrants@cerner.com
5 | Page 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: ● 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: o Resource Library o Poverty and Child Health o Community Resources o Mental Health Issues in Children and Teens
6 | Page 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
● Are taken on a schedule for most people, every day. They are taken even when you feel fine.
● Will NOT stop a flare up once it has begun.
● When airways are healthy and open, there is plenty of room for air to pass in and out of the lungs.
Asthma
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.
Asthma Medications
● Can help prevent flare ups triggered by exercise.
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:
● Start to open the airways within a few minutes after used.
How Asthma Affects the Lungs
● 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.
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● 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.
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:
© 2020 Krames StayWell, 800 Township Line Road, Yardley, PA 19067. All right s reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
● Can help stop a flare-up once it has begun.
● Are inhaled when needed.
● Help keep asthma under control to minimize asthma symptoms.
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.
Quick-Relief Medications
Long-Term Control Medications
8 | Page 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.
●
Early Warning Signs ● Coughing, especially at night ● Breathing faster ● Feeling tight in your chest ● Feeling out of breath Possible Asthma Triggers Some things
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. make asthma flare up. They are called asthma triggers. Here are some common 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 triggers: ● Pets ● Cold air ● Mold ● Pollen ● Perfume ● Dust ● A cold/flu ● Smoke ● Air pollution ● Grass ● Strong smells ©
Asthma
● 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. Symptoms and Triggers
9 | Page Asthma and Allergy Resources ● Asthma and Allergy Foundation of Kansas City: 400https://www.aafa.org/E.RedBridgeRd Suite 214 Kansas City, MO 64131 816-333-6608 ● Greater Kansas City Asthma and COPD Coalition: Email: gkcacc@gmail.com http://asthmacommunitynetwork.org/node/1128 ● Asthma and Allergy Association of Kansas City: https://www.kcallergy.com/ ● Children’s Mercy Hospital Allergy/Asthma/Immunology Clinic: 3101Children’sFivehttps://www.childrensmercy.org/departments-and-clinics/allergy-and-immunology/daysperweekMercyClinicsonBroadwayBroadway,6 th 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. 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 https://www.lung.org/aboutCOPD us/contact us
10 | Page 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/resources/cdcshttps://www.foodallergy.org/-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
11 | Page 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 https://www.rxhope.com/PAP/info/PAPList.aspx?companyid=418&fieldType=companyidProgram: ● AstraZeneca AZ Patient Assistance https://www.azandmeapp.com/http://www.astrazenecaPrograms:us.com/medicines/affordability.htmlAZ&MePrescriptionSavingPrograms:Phone:1-800-AZandMe(292-6363) ● Pfizer http://www.pfizerrxpathways.com ● MERCK (provides assistance to those who cannot afford meds) http://www.merckhelps.comPhone:18007275400 ● GlaxoSmithKline Bridges to Access http://www.gskforyou.comProgram:Phone:18888255249
12 | Page Emergency Assistance ● CALL United Way: Callhttp://unitedwaygkc.org/211 ● Bishop Sullivan Center: 816Kansas6435http://www.bishopsullivan.org/TrumanCity,MO2310984 ● Catholic Charities: Mainhttp://www.catholiccharities-kcsj.org/office816-221-4377,Northwest Missouri office 816-232-2885, Warrensburg office 816 344 3699 ● Community Services League: http://www.cslcares.org/ ● Della Lamb Community Services: 816Kansas500http://dellalamb.org/WoodlandAveCity,MO641068428040 ● Don Bosco Center: 816Kansas580http://www.donbosco.org/CampbellSt.City,MO641066912900 ● Grace & Holy Trinity Outreach: 415http://www.kccathedral.org/outreach/W13 th 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
13 | Page ● Lee’s Summit Social Services: 108https://www.lssocialservices.com/contact/SE4 th Street Lee’s Summit, MO 64063 816-525-4357 ● Operation Breakthrough: 816Kansas3039http://www.operationbreakthrough.org/programsTroostCity,MO641097563511 ● Redemptorist Social Services: Kansas207https://www.redemptoristcenter.org/WestLinwoodCity,MO64111816-931-9942 ● Salvation Army: http://centralusa.salvationarmy.org/mokan/home/#whatwedohttp://centralusa.salvationarmy.org/mokan ● United Inner City Services: 2008https://earlystartkc.org/E.12 th 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): 615https://www.tanf.us/E13 th St, Kansas City, MO 64106, (855) 373-4636 ● Raytown Emergency Assistance Program (REAP): 9300www.Raytownreap.orgE.75 th Street Raytown, MO 64138 816 356 0054
14 | Page Child Abuse/Neglect ● Missouri Child Abuse and Neglect Hotline: https://dss.mo.gov/dssdiv.htm1http://www.dss.mo.gov/cd/can.htm8003923738tosearch 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: 1http://www.dcf.ks.gov/Pages/HotlineNumbers.aspx8009225330 ● Preventing Child Abuse and Neglect in Kansas City: https://dss.mo.gov/cd/keeping kids safe/can.htm Missouri 800 392 http://www.dcf.ks.gov/services/PPS/Pages/ReportChildAbuseandNeglect.aspx3738Kansas8009225330 ● Child Abuse Prevention Association: 503http://capacares.org/East23 rd 816Independence,StreetMO640552528388 ● Metropolitan Organization to Counter Sexual Assault: 3100http://www.mocsa.org/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: 24816http://www.synergyservices.org/5874100HourYouthCrisisHotline:816 741 8700 or 888 233 2639 Children’s Crisis Hotline 816-321-7060 Domestic Violence Hotline 816 321 7050 or 800 491 1114
15 | Page 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/ Safety Net Clinics ● Kansas City Health Resource Guide: http://www.kchealthresource.org/about.aspxhttp://www.kchealthresource.org/assets/healthresourceguide_eng.pdf ● Health Care Foundation of Greater Kansas City: http://healthforward.org ● Family Health Care: https://swbfhc.org/
16 | Page Immunizations Immunization Clinics: ● Cass County Health Department: https://casscounty.com/2407/Clinical Services 102 E Wall Harrisonville,StreetMO 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 4200 ● Jackson County Health Department: https://jacohd.org/clinical services/immunizations/ 313 South Independence,LibertyMO 64050 816 404 6416 ● Kansas City Health Department: 414https://www.kcmo.gov/city-hall/departments/health/vaccinations-for-childrenE12 th Street Kansas City, MO 64106 816 513 1313 ● Platte County Health Department: 816Platte212Platte816Parkville,1201Parkville:http://plattecountyhealthdept.com/pView.aspx?id=24972&catid=518EastStreetMO641525875998City:MarshallRdCity,MO640798582412
17 | Page Health Clinics ● Swope Parkway Health Center: 17844Swope816Riverside,2906Swope913Kansas4835Swope816Independence,11320Swope816Belton,206SwopeTransportation:Pharmacy:BehavioralMedicalKansas3801Swopehttps://swopehealth.http://www.swopehealth.org/org/locations/HealthCentral:Dr.MartinLutherKingJr.BoulevardCity,MO64130andDental:816-923-5800Health:8169221070816-922-31008165995575HealthBelton:E.NorthAvenueMO640125995170HealthIndependence:E.TrumanRoadMO640506272000HealthWest:StateAveCity,KS661023212200HealthNorthlandNWVivionRdMO64150-599-5050HealthEastE23 rd Independence,StMO 64057 Swope816-599-5015Health South 8825 Troost Ave Kansas City, MO 64131 816-922-1050
18 | Page Swope Health Services/Hickman Mills Loma Vista Office Building 8800 Blue Ridge Blvd., 2nd Floor Kansas City, MO 64138 816 312 3201 Swope Health Maple Woods Northland Human Services Building 3100 NE 83rd St, Suite 101 Kansas City, MO 64119 816 321 3230 Swope Health Wyandotte 21 N 12th Street Kansas City, KS 66102 Medical Clinic Phone 816 922 7600 Dental Clinic Phone 816 922 3111 ● Samuel U Rodgers 816Kansas825Downtown:https://samrodgers.org/EuclidAvenueCity,MO641244744920 ● Clay County Family Medicine and Dental Services 816Liberty,800https://www.clayhealth.com/161/DentalHainesDriveMO640685954200 ● 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 Kansas City, MO 64118 816 499 8100
19 | Page ● Clay County Health Department: Primaryhttp://kccareclinic.org/services816Liberty,800https://www.clayhealth.com/101/Our-ServicesHainesDriveMO640685954200CareServicesprovidedbySamuelRodgers 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 913 676 6061 ● Homeroom Health 1106https://kccare.org/https://www.homeroomhealth.org/E30 th Street, Ste B Kansas City, MO 64109 Kansas3515MidtownBroadwayCity,MO 64111 Research Medical Campus 2340 E. Meyer Blvd, Building 1, Ste 200 Kansas City, MO 64132 4601NortheastIndependence Ave Kansas City, MO 64124 ● Platte County Health Department: 816Parkville,1201Parkvillehttp://plattecountyhealthdept.com/pView.aspx?id=24967&catid=518EastStreetMO641525875998 ● Mercy and Truth Medical Missions, Inc: 721Kansashttps://www.mercyandtruth.com/City,KSClinicN31 st Street Kansas City, KS 66102 913-621-0074
20 | Page Shawnee Clinic 11644 W 75th St, Ste 103 Shawnee, KS 66214 913 248 9965 ● Truman Medical Center: Kansas2301Hospitalhttp://trumed.org/HillHolmesCity,MO 64108 816 404 7900Lakewood1000Lee’sSummit Road Kansas City, MO 64139 816 404 7000 ● Children’s Mercy Hospital TollPhone:http://www.childrensmercy.org/8162343000FreeNumber:1-866-512-2168 ● Vibrant Health-Kansas 21Central913https://vibrantwyandotte.org/-342-2552N12 th St Ste 300 Kansas City, KS 66102 Children’s Campus 444 Minnesota Ave Kansas City, KS 66101 1428ArgentineS32nd St #100 Kansas City, KS 66106 Cordell Meeks Jr Clinic 4313 State Avenue Kansas City, KS 66102
21 | Page Home Health ● Children’s Mercy Hospital Home Care: Overland5520(KS)Riverside,700(MO)http://www.childrensmercy.org/Clinics_and_Services/Home_Care/816-895-5000NWArgosyParkwayMO641509136965040CollegeBlvd,Ste102Park,KS66211 ● Kindred Healthcare (previously Gentiva): 72801carehttps://www.kindredhealthcare.com/our-services/transitional-care-hospitals/types-of--866-546-3733NW87 th 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
22 | Page Dental ● Seton Center: 2816http://setonkc.org/E.23 rd St. Kansas City, MO 64127 Phone: 816 231 3955 ● UMKC Dental School: 650https://dentistry.umkc.edu/patients/about-us/E.25 th St. Kansas City, MO 64108 General Clinic Appointments: 816 235 2100 Children’s Clinic Appointments: 816 235 2145 ● Cass County Dental Clinic : Belton,802http://casscountydentalclinic.org/E.WalnutMO(Cornerof3 rd and Walnut) Phone: 816 322 7600 Harrisonville,103HarrisonvilleOrioleSt MO 64701 816-380-4000 ● Big Smiles Dental: School Based Oral Health 1http://www.bigsmilesdental.org/Program-888-833-8441 ● Miles of Smiles: Mobile dental unit for students in the Northland 816Kansas5416https://levelupkidsinc.org/NEAntiochRoadCity,MO641194139009 ● Kansas City Care Clinic: https://kccare.org/services/dental care/ 2340 E Meyer Blvd Kansas City, MO 64132 816 753 5144
23 | Page ● Swope Health Center: Riverside,2906Swope816Independence,11320Swope816Kansas3801Swopehttps://swopehealth.org/locations/http://www.swopehealth.org/what-we-do/dental/HealthCentralDr.MartinLutherKingJr.BoulevardCity,MO641309235800HealthIndependence:ETrumanRdMO64050-599-5200HealthNorthlandNWVivionRdMO64150 816 599 5050 Swope Health Wyandotte 21 N 12th St Kansas City, KS 66102 Swope816-922-3111Health Belton 206 E North Ave Belton, MO 64012 Swope816-599-5170Health East 17844 E 23rd Independence,StMO 64057 816 599 5015 Swope Health Services/Hickman Mills Loma Vista Office Building 8800 Blue Ridge Blvd, 2nd FL Kansas City, MO 64138 Swope816-321-3201Health Maple Woods Northland Human Services Building 3100 NE 83rd St, Ste 101 Kansas City, MO 64119 816 321 3230
24 | Page 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: 816 413 0662 Cabot Westside: 816 471 0900 ● Family Health Care: Kansas2002TurnerKansas340Rosedale913http://swbfhc.org/7223100ClinicSouthwestBoulevardCity,KS66103ClinicS51stSt,City,KS66106 ● Little Big Smiles 9000 E State Route 350 Raytown, MO 64133 816 503 9011 ● Truman Medical Center- Lakewood: 816KCMO7900https://www.trumed.org/services/dental-care/Lee’SummitRoad641394046885 ● The Smile Spot: 844www.Thesmilespot.com6467768 ● ABC Dental (Indep): 816www.abcdentalmissouri.com3262025
25 | Page ● Vibrant Health: 913www.Vibrantwyandotte.org-342-2552 Vision Services ● Walmart: (call location to check plan) ● SVS Vision Optical Centers: https://www.svsvision.com/contact/ ● Vision Source Eyecare 660816816816816816660816816816816https://vseyecare.com/locations/:7957777Independence8845212Harrisonville-892-0046Raymore9872203PleasantHill-686-0263Fairfax4312202PlatteCity4764017KansasCity4741916Crossroads2525211NolandRd-279-2339StJoseph5824022Maryville ● 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
26 | Page 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 Blue Parkway Kansas City, MO 64130 816-923-5800 ● Catholic Charities: https://catholiccharities kcsj.org/ https://catholiccharities kcsj.org/contact us/ 4001Dr. Martin Luther King, Jr. Blvd., Suite 250, Kansas City, MO 64130 816 221 4377 800 875 4377 ● The Children’s Place: 816Kansas6401http://www.childrensplacekc.org/our-services/RockhillRoadCity,MO641323631898 ● MOSCA (Metropolitan Organization to Counter Sexual Assault): 816Kansas3100https://www.mocsa.org/srv.phpBroadwaySuite400City,MO641119314257 ● Research Psychiatric Center: 2323http://researchpsychiatriccenter.com/East63 rd 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
27 | Page ● Kansas City Care Clinic: 816Kansas2340https://kccare.org/locationshttp://kccareclinic.org/services/behavioral-healthhours/E.MeyerBlvdCity,MO641327535144 ● CAPA (Child Abuse Prevention Association): http://childabuseprevention.org/content/programs and services 503 East 23rd 816Independence,StreetMO64055-252-8388 ● Wyandot Center 1301http://www.wyandotcenter.org/N.47 th Street Kansas City, KS 66102 913 328 4600 ● Mental Health America of the Heartland 913Kansas739https://arc.mhanational.org/user/mhaheartlandMinnesotaAve.City,KS661012812221 ● Mattie Rhodes Center: Northeast:Westside:http://www.mattierhodes.org/81647125368162413780 ● 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: 816Lee’s901https://www.rediscovermh.org/NEIndependenceSummit,MO640869660900 ● Solace House Center for Grief and Healing: 816https://www.kchospice.org/solace-house/-383-2600
28 | Page ● Tri-County Mental Health Services: 816Kansashttps://www.tri-countymhs.org/3100NE83rdStreetSuite1001City,MO641194680400 ● Truman Medical Center Behavioral Health: Behavioral816Kansas2211http://behavioralhealthkc.org/CharlotteStreetCity,MO64108-404-5700HealthInformation: 816 404 5709 ● Family Conservancy Center: 913Kansas5424WyandotteKansas4240BlueCounselinghttp://www.thefamilyconservancy.org/services-for-kansas-city-families/ServicesRidgeTowerBuildingBlueRidgeBlvd,Ste434City,MO64133CountyFamilyCenterStateAveCity,KS66102-287-1300 ● Cornerstones of Care: http://cornerstonesofcare.org/Our https://cornerstonesofcare.org/aboutServicesus/our locations Cornerstones of Care Hyde Park (main mailing address) 300 E 36th St Kansas City, MO 64111 Kansas8150Gillis816-508-1700CampusWornallRdCity,MO 64114 816 508 3500 Ozanam Campus 421 E 137th St Kansas City, MO 64145 816 508 3600
29 | Page ● Comprehensive Mental Health 816https://thecmhs.com/2543652 Substance Abuse ● Kansas City Al-Anon: https://www.missouri al anon.org/meetings.html 816 373 8566 ● Kansas City Narcotics Anonymous: 1https://www.kansascityna.org/8005612250 ● National Council for Alcoholism & Drug Addiction: 601http://ncaddms.org/8995880 ● First Call Alcohol/Drug Prevention and Recovery: 913816Kansas9091http://www.firstcallkc.org/StateLineRoadCity,MO64114-361-5900Missouri2230747Kansas ● 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: 3950http://missouri.drugrehab101.com/clinicDetails_6434.htmlE.51 st St. Kansas City, MO 816 929 2600 ● Heartland Center for Behavioral Change: 816Kansas1730http://heartlandcbc.org/ProspectAveCity,MO641274216670
30 | Page ● Salvation Army: http://www.salvationarmyusa.org/ ● Truman Medical Center Substance Abuse Treatment: https://behavioralhealthkc.org/services/adult substance abuse Hospital Hill: 816 404 1000 Lakewood: 816-404-7000
31 | Page 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: 913Kansas722Wyandotte816Kansas1100Northland816Kansas3031https://www.mlmkc.org/food-program.htmlHolmesCity,MO9310027NortheastVivionRdCity,MO641184545295ReynoldsAveCity,KS661013428333 ● Lee’s Summit Social Services: 108https://www.lssocialservices.com/ourservices/W.4 th Street Lee’s Summit, MO 64063 816 525 4357 ● St. Anthony Church: 816Kansas309http://www.stanthonykc.org/BentonBlvdCity,MO641242315445
32 | Page ● Grandview Assistance Program (GAP): 816Grandview,1121https://gapcares.wildapricot.org/MainStreetMO640307611919 ● Community Assistance Council: 913Kansas100CAC816Kansas10901https://www.cackc.org/food-pantry-and-garden.htmlBlueRidgeBoulevardCity,MO64134-763-3277SatellitePantryWRedBridgeRoadCity,MO641143130250 ● 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
33 | Page 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: Bridge816resources/https://www.childrensmercy.org/your-visit/family-support/social-work/community-8616100ReferralLine:8165454700 ● Hope House: http://www.hopehouse.net/ Hotline/Crisis: 816-461-HOPE (4673) ● 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 Toll Free Hotline: 888 432 4300 ● Missouri Coalition Against Domestic and Sexual Violence: https://www.mocadsv.org/ ● Metropolitan Organization to Counter Sexual Assault (MOCSA): 3100www.mocsa.orgBroadway, 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
34 | Page 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: 14400https://mothersrefuge.org/E.42 nd St. South Suite 220 Independence, MO 64055 Independence,3721Shelter816-353-8070LocationDelridgeMO 64052 ● National Runaway Safeline: 1http://www.1800runaway.org/8007862929 ● Rachel House: 816http://www.rachelhouse.org/9215050 Shelters for Teens ● reStart: 2424http://www.restartinc.org/-HourAccessLine:816-472-5664HourYouthHotline:8163099048 ● Synergy Services: 888816-741-87002331639
35 | Page Pregnancy ● Mother’s Refuge: 816http://mothersrefuge.org/3538070 ● Rachel House: 816http://www.rachelhouse.org/9215050 ● The Light House: https://www.mbch.org/ministries by affiliate/the light house/5 800 264 6224 ● Birthright International of Kansas City: 1816https://birthright.org/kansascity/4447090-800-550-4900 Transportation ● Assisted Healthcare Transportation: 816573785913913913http://www.assistedtransportation.com/contact.php2625190KansasCity,KS-262-3100Olathe8140084OverlandPark2912910Topeka-818-4643Columbia8888006KansasCity,MO ● Safeway Medical Transportation: 1734 E 63rd St Ste 438 Kansas City, MO 64110 816-361-5992 ● Non-Emergency Medical Transportation: 1https://dss.mo.gov/mhd/participants/pages/medtrans.htm-866-269-5927 ● Metro Bus: 816http://www.kcata.org/2210660
36 | Page Housing/Homeless ● Community LINC: 816Kansas4012http://www.communitylinc.org/-14TroostCity,MO64110-531-3727 ● 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/ 816816-474-45994749380 ● Holy Family House: 912http://www.holyfamilycwhouse.org/p/about-holy-family-house.htmlE.31 st St. Kansas City, MO 64109 816 753 2677 ● Sheffield Place: 6604https://sheffieldplace.org/programsE.12 th St. Kansas City, MO 64126 816-483-9927 ● Homeless Hotline: 816http://www.cityunionmission.org/-474-4599 ● The Housing Authority of Kansas City: 816Kansas3822http://www.hakc.org/public_housing_program.aspxSummitSt.City,MO64111-968-4100 ● Hillcrest Ministries: http://hillcresttransitionalhousing.org/contact
37 | Page Birth Certificates ● Jackson County Health Department: https://jacohd.org/vital records/birth certificates/ 313 South Independence,LibertyMO 64050 816-404-6415 ● Platte County Health Department: 816Platte212http://plattecountyhealthdept.com/pview.aspx?id=25068&catID=521MarshallRdCity,MO640798582412 ● Clay County Health Department: 816Liberty,800https://clayhealth.com/178/Birth-Death-CertificatesHainesDriveMO640685954200 ● Kansas City Health Department: https://www.kcmo.gov/city hall/departments/health/how to request a birth or death 414certificateE12th St Kansas City, MO 64108 816 513 6309 ● Missouri Department of Health and Senior Services: 573http://health.mo.gov/data/vitalrecords/index.php7516387
38 | Page Clothing Assistance ● City Union Mission: 1100http://www.cityunionmission.org/services/E.11 th St. Kansas City, MO 64106 816 474 Homeless9380Hotline: 816 474 4599 ● Assistance League of Kansas City: 816Gladstone,6601http://alkc.org/programs.aspxN.OakTrafficwayMO641184554485 ● Debbie’s Place: 816Grandview,12613Grandviewhttps://gviewumc.wordpress.com/UnitedMethodistGrandviewRdMO640307617326 ● Salvation Army: https://centralusa.salvationarmy.org/mokan/help disaster survivors/ ● Seton Center: 2816http://setonkc.org/services/E.23 rd St. Kansas City, MO 64127 Phone: 816-231-3955 ● Holy Family House: 912http://www.holyfamilycwhouse.org/p/about-holy-family-house.htmlEast31 st St. Kansas City, MO 64109 816-753-2677
39 | Page Spanish Resources ● Cabot Westside Medical and Dental https://samrodgers.org/services/dental/Center: 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: 913Kansas650http://www.elcentroinc.com/MinnesotaAvenue,City,KS661016770100 ● Mattie Rhodes Center: 816Kansas148https://www.mattierhodes.org/family-services/N.ToppingCity,MO64123-471-2536 ● Guadalupe Center: 816https://guadalupecenters.org/-421-1015 ● Healthe Communities St. Sabina Wellness Center: (ForBelton,https://stsabinaparish.org/wellness/MissourimembersofSt.SabinaParish only) 816-331-4713
40 | Page Miscellaneous Resources ● Sleepyhead Beds: 816Kansas4741http://sleepyheadbeds.org/Central#244City,MO64112-547-9965 ● The Children’s Advocacy Project of Kansas City: http://cap4kids.org/kansascity/ ● Nurture KC: 1111https://nurturekc.org/W39 th St, Ste 100 Kansas City, MO 64111 816-283-6242 ● Mattie Rhodes Center: https://www.mattierhodes.org/family services/ 148 N. KansasToppingCity,MO 64124 816-471-2536 ● ParentLink: Spanish:English:http://education.missouri.edu/orgs/parentlink/1-800-552-732218884600008 ● Missouri Department of Social Services: Texthttp://www.dss.mo.gov/cd/https://mydss.mo.gov/Telephone:1800735 2966 Voice Telephone: 1-800-735-2466 ● Strive for Life Overland7221https://www.striveforlife.org/West79thSte100,Park,KS66212 ● My HeartCheck/ Athletic Testing Solutions (888)Overland13725https://myheartcheck.org/MetcalfAve,Ste331Park,KS662235372597
Heart Murmurs
● A narrowed or leaky heart valve
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:
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● A hole in the center wall of the heart that divides the chambers
The American Academy of Pediatrics defines a heart murmur as “simply a noise heard between the beats of the heart”. issues/conditions/heart/Pages/Heart(http://www.healthychildren.org/English/health-Murmur.aspx)
HEART MURMUR:
What Causes a Heart Murmur?
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.
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● Trouble gaining weight
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).
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.
● Tiredness, difficulty exercising
● Chest pains
● 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)
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?
GET PROMPT MEDICAL ATTENTION if any of the following occur: In children and teenagers:
● 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)
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.
What Are the Symptoms of 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:
Home Care
● 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.
43 | Page ● 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: o issues/conditions/heart/Pages/Hearthttp://www.healthychildren.org/English/health-Murmur.aspx ● National Heart, Lung, and Blood Institute: o http://www.nhlbi.nih.gov/health/health topics/topics/heartmurmur/ ● Kids Health: o https://kidshealth.org/en/parents/murmurs.html ● Mayo Clinic: o http://www.mayoclinic.com/health/heart murmurs/DS00727
● Very strong thirst ● Increased urination ● Blurry vision ● Tiredness for no obvious reason ● Nausea ● Extreme hunger ● Headaches ● Flu like symptoms ● Bed wetting ● Unexplained weight loss
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.
What Are the Symptoms of Type 1 Diabetes?
How the Body Gets Energy
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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.
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
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:
What Are the Causes of Type 1 Diabetes?
Diabetes Understanding 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.
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.
How Is Type 1 Diabetes Treated?
How Is Type 1 Diabetes Diagnosed?
© 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.
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.
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.
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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.
What Are the Long-Term Concerns?
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.
● Increased urination
● The mother had gestational diabetes (diabetes during pregnancy).
● Blurry vision
● He or she is overweight for his or her age and height.
● Headaches ● Bedwetting Or, they may not feel symptoms at all. But high blood sugar can still be causing problems.
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.
● Very strong thirst
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:
What Are the Symptoms of Type 2 Diabetes?
● A parent or sibling has 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.
What Are the Causes of Type 2 Diabetes?
When a child has Type 2 Diabetes
● Nausea ● Extreme hunger
Understanding Type 2 Diabetes
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● Tiredness during the day
How Is Type 2 Diabetes Diagnosed?
When a child has type 2 diabetes, the body’s cells become starved for energy. The child may feel or have:
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.
● He or she spends more time sitting than being active.
● Being active
● A rebound in response to low blood sugar
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:
● Using insulin that’s not stored properly or that’s past the expiration date
© 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.
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:
● Eating healthy meals
● Hormonal changes during puberty How to Recognize High Blood Sugar
● Losing weight
Diabetes and High Blood Sugar
47 | Page How Is Type 2 Diabetes Treated?
● Being sick ● Being less active than usual
● Being under stress
● 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.
● Taking too little insulin or diabetes medication
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.
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.
● Eating too much food at once
● Check the blood sugar.
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.
Diabetes and Low Blood Sugar
● Follow the plan given by the healthcare provider, which may include giving extra insulin. If Ketones are present
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.
● Meals and snacks are spread throughout the day.
How to Treat High Blood Sugar
Sick Days
● If blood sugar stays over 240 and/ or ketones are present in the urine, call the doctor.
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How to Recognize a Low
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.
● Insulin is stored properly so that it doesn’t spoil.
● The sick day plan is followed during an illness.
● If blood sugar is over 240, check urine for ketones.
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.
● Insulin is administered on time and in the right amount.
Make sure that:
How to Prevent High Blood Sugar
● If blood sugar is over the target range, give water or sugar-free and caffeine-free drinks.
● Carry fast acting sugar
● Stay calm so you can better help the child
Tips ● Keep fast acting sugars handy.
● Follow the protocol outlined by the healthcare provider. Diet soda will not help. Chocolate, cookies, and other fatty sweets will not work as quickly.
● Check blood sugar often, especially after exercise and at bedtime.
● Blood vessel (vascular) disease leading to circulation problems, heart attack, or stroke
● Be sure the child eats meals and snacks on time and eats before exercising.
● 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
How to Prevent Lows
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.
● Check blood sugar often, especially after activity and before bed.
● 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)
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 Possible Complications
complications
● 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
● If possible, recheck blood sugar in 15 minutes. If it is still low, continue to follow the protocol outlined by the healthcare provider
Complications of diabetes include:
● Nerve problems (neuropathy), causing pain or loss of feeling in your feet and other parts of your body
● Tooth and gum problems (periodontal disease), causing loss of teeth and bone
© 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.
● Check blood sugar to make sure that it is low. If you are not able to check, treat for low blood sugar anyway.
● Don’t inject insulin near a muscle that’s going to be exercised.
What to Do
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● Kidney disease (nephropathy)
50 | Page Online Resources ● World Health Organization: o https://www.who.int/health topics/diabetes#tab=tab_1 ● American Diabetes Association: o www.diabetes.org o 1 800 DIABETES or 1 800 342 2383 o Email: AskADA@diabetes.org o Kansas City Area American Diabetes Association: ▪ 913-383-8210 ● Juvenile Diabetes Research Foundation: o www.jdrf.org o 1 800 533 CURE or 1 800 533 2873 o Email: info@jdrf.org o Fax: 1 212 785 9595 o 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: o issues/conditions/chronic/Pages/Diabetes.aspxhttp://www.healthychildren.org/English/healtho issues/conditions/chronic/Pages/Diabeteshttp://www.healthychildren.org/English/health--Treatment.aspx o issues/conditions/chronic/Pages/Typehttp://www.healthychildren.org/English/health--2-Diabetes-A-Manageable-Epidemic.aspx ● National Diabetes Education Program: o https://www.niddk.nih.gov/health information/communication programs/ndep o http://niddk.nih.gov/ ● National Diabetes Information Clearinghouse (NDIC): o https://www.niddk.nih.gov/health information/communication programs/information clearinghouses o 1 800 860 8747 o TTY: 1-866-569-1162 o healthinfo@niddk.nih.gov
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
● 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.
● 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.
● 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:
The Brain Working Normally
Seizures
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How Seizures Affect the Body
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
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”. emergencies/Pages/Seizures.aspx(http://www.healthychildren.org/English/health-issues/injuries-)
● Absence Seizures (petit mal seizures): These seizures involve a brief lapse of awareness. Signs can include staring, eye blinking, and lip smacking.
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.
© 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.
© 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
All seizures should be treated with care, but tonic-clonic seizures (seizures during which you lose consciousness) require more attention.
● Atonic seizures (drop attacks): During these seizures, the person loses all muscle control and may fall or slump over.
● Move hard or sharp objects out of the way.
● Lay the person on a flat surface and turn them on their side.
● 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.
● Place a flat, soft object under their head.
● Don’t try to restrain the person.
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:
Safety during a Seizure
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● Don’t put anything in the person’s mouth. They cannot swallow their tongue, and you risk breaking their teeth or being bitten.
● Myoclonic seizures: These seizures involve brief jerking movements. They usually affect both sides of the body.
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.
53 | Page Online Resources: ● Epilepsy Foundation: o https://www.epilepsy.com/ o 1 800 332 1000 o Email: ContactUs@efa.org o Epilepsy Foundation of Missouri and Kansas: ▪ www.efmk.org ▪ 2340 E Meyer Blvd, Bldg 1, Ste 300B ▪ 816 444 2800 ▪ 844-415-7152 ▪ epilepsy@efmk.org ● American Academy of Pediatrics: o http://www.healthychildren.org/English/health issues/injuries emergencies/Pages/Seizures.aspx ● Kids Health: o http://kidshealth.org/parent/medical/brain/epilepsy.html ● CDC Training for School Nurses: o https://www.epilepsy.com/living epilepsy/our training and education/managing students seizures school nurse training program
https://www.aap.org/en us/about
https://childmind.org/article/teen
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).
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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.
https://www.cdc.gov/tobacco/basic_information/e
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 long-term health”. the aap/aap press room/aap press room media American Lung Association: o cigarettes vaping/e cigarette resources Centers for Disease Control and Prevention: o cigarettes/index.htm
Vaping or E-Cigarettes
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center/Pages/Tobacco-and-E-Cigarettes.aspx Online Resources: ●
https://www.lung.org/quit smoking/e
