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Rockport Public Schools Health Services



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General Health Topics Q & A

Sick/Absent FAQ: This page contains answers to common questions of students and parents.
  1. When should I keep my child home from school?
  2. What if my child has lice?
  3. Do you have any information on Backpacks?
  4. I am feeling really tired and sleep deprived. What can I do?
  5. How can I begin to exercise?
  6. Are you taking care of your teeth?
  7. Are you having headaches and feeling tired in the afternoon?
  8. Do you have any resources on Tobacco Use and Cessation?
  9. Do you have any tips for safe winter fun?
  10. Do you have any information on safety while skating/ice fishing?
  11. Do you have any information on safety around the holidays?
  12. What is bullying?



When should I keep my child home from school?

1-A child with vomiting or diarrrhea should be kept home for at least 24 
hours after the symptoms have resolved.
2-A child with a fever of 100 degrees F or above, or a fever that produces 
chills, muscle aches, sore throat, or sweating should remain at home until 
24 
hours after the fever has resolved.
3-Strep Throat, Conjunctivitis and Impetigo require 24 hours of medication 
before a student can return to school.
4-Head Lice requires treatment and removal of all nits before a child can 
return to school. The parent and child MUST CHECK IN WITH THE NURSING OFFICE 
before going to class. 
5-Chickenpox cases must stay home until all lesions are scabbed over-approx. 
7 days from the last eruption.
6-A child with a rash or skin condition that is undiagnoses by a physician 
should remain in school.
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What if my child has lice?

If signs of active lice/nits are detected on your child, we will send the 
child home.  We will need to see the PARENT AND CHILD in the school nursing 
office after treatment. The nurse will perform a quick (5 minute)head check 
prior to entry to the classroom.  Confidentiality of the infected person is 
maintained, but it's important to notify the teachers so we can properly 
clean the classrooms.
PLEASE SEE the nurses for a new, over the counter treatment (Cetaphil cleanser)
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Do you have any information on Backpacks?

*****Backpack Information*****
The issue:
The familiar sight of students carrying backpacks stuffed with textbooks, 
supplies, lunches, winter clothes and more is becoming a major health 
concern in schools.
The spine is made of 33 bones called Vertebrae. Between the vertebrae are 
disks that act as natural shock absorbers. When a backpack is too heavy, the 
child arches the back or leans the head and trunk forward to compensate for 
the weight of the bag. This stresses the muscles in the back and neck, and 
increases the risk of muscle fatigue and injury.
When you choose the right backpack, look for the following:
1-Wide, padded shoulder straps
2-Two Shoulder straps
3-Padded back
4-Waist Strap
5-Light backpack
6-Rolling backpack-particularly if the student is smaller, or for students 
who carry a heavy load.
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I am feeling really tired and sleep deprived. What can I do?

We see lots of tired students in the office. We really need to take care of 
ourselves. 
Here are some tips to help you (hopefully):
1-Try to get to bed at the same time each night.
2-Try to get out of bed at the same time each morning.
3-Try to exercise 20-30 minutes each day.
4-Avoid caffeine: soda, tea, coffee and chocolate. Diet pills also have 
caffeine.
5-Avoid nicotine. Smokers tend to sleep lightly and wake up due to nicotine 
withdrawal.
6-Avoid alcohol. Alcohol limits deep and REM sleep. Your brain needs this 
type of sleep to unwind.
7-Relax before going to bed. Take a good book with you.
8-Wake up with the sun; but at times, this is not possible. Use bright 
lights 
in the morning to reset your biological clock.
9-Don't lie in bed awake. try to listen to music, read or watch TV until you 
are tired.
10-Make sure the temperature in your bedroom is comfortable.

If you are constantly having problems sleeping, see your Doctor or Nurse 
Practitioner. It's so important to sleep well each night.
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How can I begin to exercise?

     Although it's cold outside, it's time to get motivated to exercise!  If 
you haven't exercised, be sure to chat with your doctor or nurse 
practitioner before you begin. This is especially important if you have a 
medical condition.
     Start out with a brief exercise after school. Take a dog for a walk, 
walk around town, or workout on a bike or treadmill.  Don't buy all 
expensive clothing, just wear sweats and a sturdy pair of sneakers.
     Be sure to warm up before you exercise and cool down after.  If you 
don't, you can injure your muscles. Be sure to keep hydrated with water 
during your exercise.
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Are you taking care of your teeth?

     Is your breath in need of mints? Are your teeth yellow?  Do you smoke? 
Are you prone to cavities?  We really need to take care of our teeth. Our 
teeth need to last throughout our entire lives.

Rockport Public Schools understand the importance of dental hygiene.  
Students need to brush and floss teeth regularly.

HERE ARE SOME TIPS TO HELP YOU
1-All health classes will be receiving toothbrushes during the month of 
February.
2-Brush your teeth for 2-3 minutes. This will help kill the bacteria.  These 
bacteruim cause acid which destroy our teeth.
4-Brush your teeth after meals. Bacteria use sugar from foods. If you can't 
brush, try to wash down food with water. Sugarless gum can also help to 
stimulate saliva. This saliva helps to break down bacteria. This will also 
help to freshen your breath.
5-Don't brush your teeth with a lot of pressure. This increased pressure can 
cause receding gums and sensitive teeth.
6-Cut out the morning coffee. This coffee will stain your teeth. Coffee also 
provides a constant source of sugar. 
7-Stop smoking. Smoke will yellow those "pearly whites".
8-VIsit your Dentist every 6 months, or as often as your Dentist suggests. 
It 
is very important to have your teeth clean and your breath fresh.

We have seen some injuries to teeth in our office. In the US, more than 5 
milion teeth have been knocked out last year. Almost 60% of these injuries 
occur in UNORGANIZED sports. MOUTHGUARDS can also help guard the jaw and the 
brain against a concussion after the injury. Sports where a mouth injury can 
occur include: football, soccer, basketball, softball, volleyball and 
wrestling. A great website is: www.colgatebsbf.com/parents/ and 
www.aapd.org/pediatricinformation/brochurelist.asp
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Are you having headaches and feeling tired in the afternoon?

How many of you are drinking enough water each day? This lack of water can 
lead us to feel tired and have headaches. This is especially true during the 
early afternoon hours. This is why we encourage a few glasses of water when 
you visit the nursing office for a headache. We also encourage students to 
carry a CLEAR water bottle with you. Keep a water bottle in the locker, and 
refill 
as needed.
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Do you have any resources on Tobacco Use and Cessation?

Tobacco Use is the leading cause of preventable deaths in the United States, 
killing more than 400,000 people each year. This total is more than the 
number of deaths caused by AIDS, alchohol, drug abuse, car crashes, murders, 
suicides, and fires combined, according to the Centers for Disease COntrol. 
The good news is that people can successfully break the smoking habit. All 
it 
takes is a firm decision to quit, along with some hard work, persistence, 
and 
the right kind of support.

HEALTH RISKS OF USING TOBACCO
A number of health and safety risks are associated with smoking, including:
-Increased rish of fire, injury, and automobile crashes
-Upper respiratory diseases like colds, flu, sinus infections, bronchitis, 
and pneumonia
-Heart disease
-Lung cancer
-Lymphomas
-Emphysema
-Mouth and throat cancers
-Stroke

WHY QUIT?
-Your chances of a heart attack decreases
-Your ability to smell and taste is enhanced.
-Your lungs work better and breathing becomes easier
-Your blood circulation improves
-Your rish for lung cancer decreases
-New healthy cells replace pre-cancerous cells

HOW TO QUIT
-Prepare for success. A positive mindset can help you follow through on your 
plans
-Decide on a timeframe in which you will quit
-Substitute one or two new healthier habits to replace smoking. Nibble on 
fresh fruit or veggies when the urge to smoke comes on. Go for a walk or a 
job when the urge gets too great.
-Try nicotine replacement therapy
-Find a support group to help you through the hard times.
TIP: BE SURE TO EXERCISE AND EAT A HEALTHY DIET SO YOU DON'T GAIN WEIGHT 
DURING THE QUITTING PROCESS

QUITTING SMOKING: HOW TO CHANGE
Smoking is a behavior that is learned over a period of time. After a while,
it can become linked with other activities such as drinking coffee, talking 
on the phone, driving in the car, or eating a meal. These other activities 
become triggers, events that have tight connections to the urge to smoke. 
Changing these triggers can help you to manage to quit smoking. Three ways 
to 
manage smoking triggers include:
AVOID THE SITUATION:
If you smoke with your coffee, then don't drink coffee. Have your juice or 
something different
CHANGE THE SITUATION:
Sit in the nonsmoking section at the restaurant/cafe.
SUBSTITUTE FOR THE CIGARETTE:
Keep something in your free hand when you are on the phone: a pen, a small 
toy, a photo.
EXAMPLES OF OTHER TRIGGER BREAKERS INCLUDE:
-Distract yourself from urges to smoke. Talk to someone, go for a walk, or 
get busy with a task
-Change your routine. Use a different route to work. Drink tea instead of 
coffee. Eat breakfast in a different place.
-Do something to reduce your stress. Take a hot bath, exercise, or read a 
book
-Plan somehting enjoyalbe to do every day
-Drink a lot of water and other fluids
TOBACCO: ENVIRONMENTAL TOBACCO SMOKE :(ETS)
You don't have to smoke to be at risk for the hazards caused by tobacco use. 
Environmental tobacco smoke (ETS) or secondhand smoke contains hundreds of 
dangerous substances that kill 60,000 Americans each year and cause cancer 
and other health problems.
WHAT CAN YOU DO ABOUT ETS:
-Do not smoke in your home or permit others to do so
-Ask anyone who smokes to go outside
-If someone smokes in the house, open the windows or use an exhaust fan to 
increase ventilation
-Keep children away from anyone who smokes
-Support smoking bans in your community
-If smoking is allowed at restaurants in your area, frequent those that do 
NOT allow it on their premises or at least ask to be seated in the non-
smoking sections.

SOME RESOURCES:
MASSACHUSETTS SMOKER'S QUITLINE  1-800-879-8678  www.trytostop.org
MASSACHUSEETTS TOBACCO CONTROL PROGRAM 1-800-624-5900 
www.state.ma.us/dph/mtcp
CDC OFFICE ON SMOKING,TOBACCO,and HEALTH 1-800-232-1311 www.cdc.gov/tobacco
NATIONAL CANCER INSTITUTE 1-800-4-CANCER  www.nci.nih.gov
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Do you have any tips for safe winter fun?

Avoid Frostbite: Dress warmly and set reasonable time limits on outdoor play.
Pedestrian Safety: Keep slippery driveways and sidewalks well shoveled. 
Apply material for traction such as rock salt to avoid slips and falls.
Dress children in bright colors (not white) clothing in snowy weather.
Snow skiing: Enroll in at least one lesson, and never ski alone. Use caution 
around lifts, control your speed and be aware of other skiers. Wear eye and 
sun protection. Ski helmets are also recommended.
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Do you have any information on safety while skating/ice fishing?

Each winter, many residents are injured from exposure in cold water 
incidents. Skaters and ice fishermen fall through the ice: boaters and 
canoeists overturn their crafts.
HOW THICK IN SAFE ICE?
Ice on moving water in rivers, streams and brooks is NEVER safe. THe 
thickness of ice on ponds and lakes depends upon water currents or springs, 
depth and natural objects such as tree stumps or rocks. Daily changes in 
temperature cause the ice to expand and contract, which affects it's 
strength.
Because of these factors, no one can declare the ice to be absolutely "SAFE".

WHAT DO YOU DO IF SOMEONE FALLS THROUGH THE ICE?
1-Act quickly and call 911 for help immediately
2-DO NOT go out onto the ice.
3-Reach, Throw or Row: Extend a branch, pole or ladder to the victim. Throw 
them a bouyant object such as a life ring or float tied to a rope. If a boat 
is nearby, row out to the victim or push it out towards them.
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Do you have any information on safety around the holidays?

Tree Safety
-Never use candles as decorations
-Keep tree away from heat
-Never leave a lit tree unattended
-Dispose of your tree properly, soon after the holiday before the needles 
dry 
out
-Artificial trees should have a fire retardant label
-Use a "non-tip" type of stand

Keep the season bright-Watch the lights!
-Unplug all lighting before retiring for the evening or leaving the house
-Blow out all the candles before leaving the room.  Don't leave candles 
burning unattended.
-Purchase lights and electric decorations which are approved by a testing 
agency (such as UL)
-Check all lighting for frayed wires, broken plugs, sockets, etc
-Never overload outlets. Use no more than 3 strands of lights on a single 
extension cord
-Never hang lights on a metallic tree
-Always use appropriate weather proof lights outdoors.
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What is bullying?

Bullying among children is aggressive behavior that is intentional and 
involves an imbalance of power or strength. A child who is being bullied has 
a hard time defending himself or herself. Bullying can take many forms such 
as: hitting and/or punching (physical bullying); teasing or name-calling 
(verbal bullying) intimidation through gestures or social exclusion 
(nonverbal bullying or emotional bullying) and sending insulting messages by 
phone or computer email (cyber bullying).  Ususally, bullying is repeated 
over time. Many children, particularly boys, and older children and youth, 
don't tell their parents or adults at school about being bullied.  It is 
important that adults are vigilant to possible signs of bullying.

WARNING SIGNS:
Possible warning signs that a child is being bullied:
-Comes home with torn, damaged, or missing pieces of clothing, books or 
other 
belongings
-Has unexplained cuts, bruises, and scratches
-Has few, if any friends, with whom he or she spends time
-Takes a long, "illogical" route when walking to or from school
-Has lost interest in school work or suddendly begins to do poorly in school
-Complains frequently of headaches, stomachaches, or other physical ailments
-Appears sad, moody, teary or depressed when he or she comes home from school
-Has trouble sleeping or has frequent bad dreams
-Experiences a loss of appetite\
-Appears anxious and/or suffers from low self esteem

EFFECTS OF BULLYING:
Bullying can have serious consequences. Children and youth who are bullied 
are more likely than other children to:
-Be depressed, lonely, anxious
-Have low self esteem
-Be absent from school
-Feel sick
-Think about Suicide

REPORT BULLYING TO PARENTS
Children frequently do NOT tell their parents that they are being bullied 
because they are embarassed, ashamed, frightened of children who are 
bullying 
them, or are afraid of being seen as a "tattler". If your chld tells you 
about being bullied, it has taken a lot of courage to do so. Your child 
needs 
your help to stop the bullying.

WHAT TO DO IF YOU SUSPECT YOUR CHILD IS BEING BULLIED?
If your child shows any of the above signs, this does not necessarily mean 
that he or she is being bullied.This may mean it's a possibility worth 
exploring. What should you do? Talk with your child and talk with staff at 
school to learn more.
1-Talk with your child. Tell your child you are concerned about him or her 
and that you would like to help. Here are some questions that can get the 
discussion going:
     "I am worried about you. Are there any kids at school who may be 
picking 
on you or bullying you?"
     "Are there any kids at school who tease you in a mean way?"
     "Are there any kids at school who leave you out of things on purpose?"
     "DO you have any special friends at school this year? Who are they? Who 
do you hang out with?"
     "Who do you sit with at lunch and on the bus?"
     "Are there any kids at school who you really don't like>? Why don't you 
like them? Do they ever pick on you?

2-Talk with your child's teacher. He or she may be the best person to 
understand your child and peers' relationships. Share your concerns with the 
teacher. Ask questions such as: 
     "HOw does my child get along with other students in his/her class?"
     "With whom does he/she spend free time?"
    "Have you noticed or have you ever suspected that my child is being 
bullied by other students?"
     
     Give examples of someways that children are being bullied. Ask your 
teacher to chat with some other adults in school who interact with your 
child 
to see if they have noticed any bullying. IF you obtain info. that leads you 
to believe your child is being bullied, take action. Bullying can have 
serious effects on children. If you don't suspect your child is being 
bullied, stay vigilant to other possible problems that yoiur child may be 
having. A number of the warning signs: depression, social isolation, loss of 
interest in school may be signs of other serious problems. Share your 
concerns with a counselor at your child's school

WHAT TO DO IF YOU ARE CERTAIN YOUR CHILD IS BEING BULLIED
1-Focus on your child. Never tell your child to ignore the bully. What the 
child may hear is that you are going to ignore it. If the child were able to 
tell you about it, he doesn't want the problem ignored. Often, trying to 
ignore the bullying allows it to become more serious. 
2-Don't blame the child who is being bullied. Do't assume that your chld did 
somethng to provoke the bullying.  
3-Listen carefuly to what your child tells you about the bullying. Ask 
him/her to describe who was involved and how each bullying episode payed 
out. 
4-Learn as much as you can about the bullying tactics used, when, and the 
bullying happened. Can you child name other children or adults who may have 
witnessed the bullying?
5- Sympathize with your child. Tell him/her that bullying is wrong and that 
you are glad he/she had the courage to tell you about it. Ask what he/she 
thinks can be done to help. Assure him/her that you will think about what 
needs to be done, and will let him/her know what will be done.
6-If you disagree with how your child handled the situation, don't criticize 
him/her.
7-Don't encourage physical retaliation. Hitting another student is not 
likely 
to resolve the problem. Your child could get suspended/expelled.
8-Check your emotions. A parents' protective instincts stir up strong 
emotions. ALthough it is difficult, it's wise for a parent to step back and 
consider the next steps carefully.
9-Parents are often reluctant to report bullying to school officials, but 
bullying probably won't stop until you do. 
10-Keep your emotions in check. Give factual information about your child's 
bullying situation: when, where, who, what and how.
11-Emphasize the fact that you want to work with the school staff to find a 
solution to stop the bullying, and for the sake of your child and others.
12-Don't contact the parents of teh student who is the bully. This is 
usually 
a parent's first response.
13-Expect the bullying to stop. Talk regularly with your child and the 
school 
staff to see if the bullying has stopped. If not, repeat your contacts at 
school.
14-Help to develop your child's talents and positive attributes. This may 
help your chid be more confident among his/her peers.
15-Encourage your child to make contact with friendly students in class. 
Your 
child's teacher may be able to suggest students with whom your child can 
make 
friends, spend time, and collaborate on work.
16-Teach your child safety strategies. Teach him/her to seek help from an 
adult when he/she feels threatened. Talk about whom he/she should to go for 
help and rehearse what to say. Assure your child that reporting bullying is 
not tattling. 
17-Help your child meet new friends outside of the school environment. A new 
environment can provide a fresh start.
18-Ask yourself if your child is being bullied because of a learning 
difficulty or a lack of social skills? If your child is hyperactive, 
impulsive, or overly talkative, the child who bullies may be reacting out of 
annoyance. This doesn't make bullying right, but may help to explain why the 
child is being bullied.
If your child easily irritates people, seek help from a counselor so your 
child can better learn the informal social rules of his/her peer group. 
-Finally, keep the home environment safe and loving. Keep the communication 
lines open.
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Last Modified: Monday, May 11, 2009
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