The Mom Crowd

Earlier this week, Christy shared ideas for helping our little ones and their constipation.  I thought I’d follow that up with my child’s polar-opposite issue: plentiful poop and the yearning to play with it!

My son is two, and the discovery of his feces is nothing out of the ordinary for a child his age.  About 3 months ago, it happened for the first time: I’d go into his room to get him up from his afternoon nap only to find him sitting there, somewhat happily, in the middle of a poop-smeared crib.  Poop everywhere: on the sheets, the pillows, the stuffed animals, the railings, his hands, feet, legs, and fingernails.  Mm, mmm, and it smelled good, too.

My daughter had gone through this fecal-phase briefly as well; hers lasted for two or three days.  I expected my son’s fascination to pass just as quickly (no pun intended).  However, it soon became a routine for him.  There was one week wherein I had to disinfect every inch of his room three consecutive days.  Don’t forget the baths and scrubbing of the tub each time as well.

Our solution then was to put pajama pants on our boy every time he goes to bed, even when it’s hot.  (The a/c has to be turned down a little more every afternoon at naptime as a result.)  We still do this on a daily basis.  The pants deter him from digging.  Occasionally, I forget to put the pants on, or I think he might not need them anymore.   And those are the same occasions when I realize PANTS ARE NECESSARY.  FOR THE LOVE OF LYSOL, PUT THE BOY’S PANTS ON!!  Will I never learn? 

What To Expect the Toddler Years was my first stop for information.  Many of their suggestions were things we’d already instituted, including

• fastening diapers securely so access to the goods is limited or impossible
• recognizing patterns in bowel movements in order to predict and circumvent future occurrences
• providing the child with healthy and better-smelling tactile play activities (like dough, finger paint, sand, etc.)

Out of curiosity, I Googled this topic, and started with the words “kids who play…”  All kinds of responses were listed in the drop-down window, and I was amused to find that “kids who play with poop” is just sixth on the list.  The search led me to Babycenter.com’s Q & A on toddler poop-playing, and the solution with the highest success rate is to give the toddler a brief cold shower after the poop-cident.  Although it seems a bit extreme, I can see how a desperate parent would want to find an effective consequence for a child who is passionate about playing with his or her BM’s.

What do you think, Mom Crowd?  Have you faced this issue?  What worked for you and your child?  And do any of you have coupons for Febreeze?  I sure go through a lot of it!

photo courtesy mrsmecomber

Everyone has dealt with it and every one of us will deal with our children being constipated at some point in their young lives.  We all know how miserable it is to not be able to go and when our children are hurting, we can feel helpless.  As I type this, my 4 year old is miserably walking around squatting, grunting, and looking simply pathetic.  (We have struggled with potty training, especially with going poo-poo in the potty, but when he’s constipated, all bets are off and the potty isn’t an option.)

WebMD suggests that if your child has less than 3 bowel movements a week and they are hard and difficult to pass, your child may be suffering from constipation.  Some kids are more prone to dealing with bouts of constipation and those of us parents with these “lucky” kids have learned a few tricks of the trade that often help.  Here are some tips to helping keep your child from getting to the point they just can’t go. 

FIBER!  Try to incorporate lots of fresh fruits and veggies into their diet.  If they are picky eaters, try raisins  or fruit juice.  Also, try to decrease the amount of refined sugars they digest.  Refined sugars have a tendency to constipate.

WATER.  WATER.  WATER!   Keep them hydrated.  Fluids will help soften and keep things moving.  If you can, try warm liquids. 

BATH TIME!  A warm sitz bath can sometimes help relax the tummy and help things along. 

SYMPATHIZE!  Encouarge your child to keep trying to go to the potty and don’t make them embarassed if they have an accident.  Remember, they are still learning control of all of their bodily functions and sometimes pain overtakes reason! 

If your child is experiencing constipation often, it may be wise to consult your pediatrician.  Constipation can sometimes be a sign of other health conditions that need to be checked out… and sometimes it can be caused from just eating too much cheese!!!

Does your child deal with frequent constipation?  What tips do you have for parents experiencing this for the first time? 

Photo Courtesy of Cynergist

Health insurance is a hot topic in the US right now.  While congress debates the topic, I thought I’d share an option some families have that many are unaware of to insure their children.  Most people are aware of Medicaid, a government run health care option for low income families.  Many people do not qualify for Medicaid due to the income and financial guidelines.  However, every state in the US has ”Medicaid Waivers” that allows certain individuals who do not qualify based on financial criteria to participate in Medicaid through these waiver programs.  Typically, for a child to qualify for Medicaid, the government will evaluate the family’s income and assets to determine eligibility.  Medicaid waivers evaluate the individual’s income and assets to determine eligibility and does not consider the parents’ income and assets.  In other words, my daughter qualifies for Medicaid through a waiver based on HER income and assets and our total family income and assets are not factored into her eligibility determination.  The waiver is offered to different populations of people.  Some state Medicaid waivers are offered to individuals based on their intelligience quotient.  Some state Medicaid waivers are offered to individuals based on their medical issues and health.

Every state is very different in how they run their Medicaid waiver programs and every state offers different benefits outside of Medicaid to their waiver participants.  So, to keep my dear readers from becoming too confused, I am going to share with you how one Texas Medicaid waiver works.  Keep in mind, in the state of Texas, there are actually many different waiver programs that all are slightly different from one another, however a basic understanding of one of these waivers will give you a general idea of how Medicaid waivers work.

My daughter is on the Medically-Dependent-Children’s-Program Medicaid Waiver (AKA: MDCP).  When she was a few months old, I put her on an interest list, which is basically a waiting list to be evaluated for eligibility for MDCP.  It was very easy to add her to the interest list and I called religiously every month to see where she was on the list.  A month before her third birthday, I received a phone call from MDCP stating my daughter had come up on the interest list.  We set up an evaluation in my home and she qualified for the MDCP Medicaid waiver due to her health issues and medications.  We chose to keep our primary health insurance for her and she started receiving Medicaid as a supplemental health insurance, so we no longer had to pay for her deductibles, co-pays, prescriptions, cost-shares, or any other health related expense.  Her MDCP Medicaid waiver also brought along several other benefits, including:

• MDCP pays a portion of our primary health insurance premium.  It is cheaper for Medicaid to be a supplemental health insurance, so as an incentive for us to keep her on our family’s primary health insurance, we are reimbursed a portion of our monthly premiums.
• MDCP provides respite.  Due to her health care needs, she needs to be left with caregivers who are aware of her health issues, medications, and special needs.  MDCP pays a person who we have hired to take care of my daughter in our home.  This has been a huge blessing for my family.  We were able to hire a person we trust to take care of her when we needed someone to watch her and are confident that if she needs any medical attention, that person will be able to take the proper steps necessary.
• Her waiver provides medical equipment and supplies that are not otherwise covered by health insurance.  My daughter is almost five and is still not potty trained.  Her waiver provides diapers and supplies for her.
• Her waiver provides transportation or mileage reimbursement for the many doctor and therapy appointments she has every week. 

A lot of states, but not all, have waiting lists for their Medicaid waiver programs.  To see what types of Medicaid waivers are offered in your state, click here: http://www.cms.hhs.gov/MedicaidStWaivProgDemoPGI/08_WavMap.asp  When you click on your state, a list of waivers will pop up.  The state of Texas has 25 waiver programs.  You may need to scroll to another page to see all the waiver programs in your state.  When you select a program, you will have the option to download the very long and confusing program description.  I suggest, instead, contacting or looking up your state’s Department of Aging and Disabilities website to find more information (in layman’s terms) about your state’s waiver programs and process of applying.  Medicaid waivers can be very difficult to navigate, but very beneficial to families who have children with a lot of medical issues or families who need respite care due to their child’s higher level of needs.

Last Friday, my 18 month old daughter had her cleft palate repaired and we stayed two nights in the hospital.  Due to various medical issues with my children, I’ve spent my share of nights sleeping on pull-out hospital beds and have learned that staying in the hospital is probably one of the most uncomfortable places to stay.  I have written an article to help parents prepare for their child’s surgery and now have decided that parents also need some encouragement on finding ways to be more comfortable during their hospital stay with their child.  Simple things, like knowing how to silence the iv machine alarm can really make a big difference during your child’s stay.  I’ve also stopped being afraid of bothering the nurses when my child or I need something.

Here are 10 ways to make your hospital stay a little more comfortable:

1. Go home to shower and get a couple hour nap or break if possible.  Allow a friend or family member to stay with your child while they are resting while you go home and recuperate a little.
2. Learn how to silence the alarms on those machines.  Once you’ve paged your nurse that their iv pole bag is empty, there is no need for you to endure the loud, annoying beeping that accompanies the empty iv pole bag.
3. Bring a portable DVD player with headphones and rent a good chick flick.
4. Don’t be afraid to ask your nurse for things you need (like a rocker, extra pillows, to start the coffee maker in the family kitchen, etc…) and more importantly, keep asking until you get it!
5. If you think your child needs pain medicine, then communicate that to your nurse.  I have felt at times like I sounded like I was overly drug-seeking for pain medicine for my child, but staying ahead of the pain after surgery can be the difference of being slightly uncomfortable and completely miserable during your hospital stay.  If the pain medicine is not working, ask your nurse to page your doctor to see if there is something else you can try.
6. Make friends with your child’s roommate.  Conversations with other parents can really help the time to go by quicker.
7. If you’re not happy with your nurse, ask to speak to the charge nurse to share your concerns.
8. On the flip side, make sure you let the charge nurse know when you have a fantastic nurse!  We had the best nurses we’ve ever had this past weekend and was sure to let the charge nurse know what fantastic nurses we had this weekend and named them to her.
9. Don’t feel the need to get up when the nurse comes in your room in the middle of the night to check vital signs or mess with the iv pole.  If your child does not need you to tend to her, keep getting as much sleep as you can!
10. Ask questions about the care your child is receiving.  Learn the dosages of your child’s medication and/or special precautions that should be taken with your child while recovering in the hospital. We have had a couple of incidences with improper dosages and medications with our children which were caught because I was aware of their medication.

What are some ways you have become more comfortable during your child’s hospital stay?

Should you keep your child in a rear facing car seat past the minimum requirement? The American Academy of Pediatrics currently recommends that “children should face the rear of the vehicle until they are at least 1 year of age and weigh at least 20 lb to decrease the risk of cervical spine injury in the event of a crash.”

Last month the British Medical Journal published an article stating that  “rear facing seats are safer than forward facing seats for children under 4 years old.” So parents should keep young children in rear facing seats as long as possible. The report goes on to say that “excessive stretching or even transection of the spinal cord can result if a child is involved in a head-on crash while in a forward facing car seat.”

Car-safety.org explains that “rear-facing car seats spread frontal crash forces over the whole area of a child’s back, head and neck; they also prevent the head from snapping relative to the body in a frontal crash.”

In an article for ABC News Sharon Munns, injury prevention coordinator at the Mayo Clinic Trauma Center in Rochester, Minn. explains the benefits in more detail,  “The rear harness works in a way that allows the head, neck, and spine to move all straight up and down, so the body moves with the restraint of the seat, preventing crash-related injuries,” she said. “In a front-facing seating, all of the body weight is going forward on the harness, which can cause injury to the head, neck and spine for children under 35 pounds. There are documents of spinal cord injuries because of children facing frontward at such an early age.”

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