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May 23, 2013 PDF Edition - The Sentinel

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PAGE 36<br />

THE SENTINEL • THURSDAY, MAY <strong>23</strong>, <strong>2013</strong><br />

PAID ADVERTORIAL<br />

Health Beat<br />

Conversations with our Children<br />

Driving and<br />

Texting<br />

Dr. Richard Gerstein<br />

Chair-Emergency Medicine<br />

Sending or<br />

reading a Text<br />

message takes<br />

your eyes off<br />

the road for 4.6<br />

seconds. At 55<br />

mph, that's like<br />

driving the<br />

length of an<br />

entire football<br />

field, blindfolded. Texting is the<br />

most alarming distraction because<br />

it involves manual, visual, and cognitive<br />

distraction simultaneously.<br />

According to the US Department of<br />

Transportation, 40% of all<br />

American teens say they have<br />

been in a car when the driver used<br />

a cell phone in a way that put people<br />

in danger. Talk to you teens<br />

about Texting and Driving, and be<br />

sure to set a good example yourself!<br />

Peer Pressure<br />

Dr. Scott Seige<br />

Medical Director<br />

BMP-Quabbin Pediatrics<br />

Make up a<br />

code word your<br />

teen can use<br />

when they<br />

need help.<br />

Everybody, no<br />

matter what<br />

age, is faced<br />

with pressure<br />

to 'fit in'. In our<br />

teenage years this pressure can be<br />

even stronger because no one<br />

wants to feel like an outsider. Teens<br />

usually spend more time with their<br />

peers than they do with their parents.<br />

So, it is quite possible that<br />

their peers will have an effect on<br />

them. Peer pressure manifests<br />

itself in numerous ways, from simple<br />

things like the clothes we wear<br />

to more serious things such as<br />

smoking or using drugs. Though not<br />

all peer pressure is bad, some of it<br />

can have a negative effect on your<br />

teenager's choices.<br />

Keep the lines of communication<br />

open. Talk with your children<br />

about peer pressure. Point out the<br />

challenges that they might face in<br />

school or in activities outside of<br />

school. Let your teens know that<br />

they can come to you about any<br />

problems that they face. Actively listen<br />

to them. If your teens feels comfortable<br />

discussing peer pressure<br />

issues with you, then you'll be able<br />

to help them cope more efficiently<br />

and make better decisions.<br />

One simple safety-net you can<br />

create is a code-word. Agree on a<br />

word with your teens that they can<br />

use to signal a problem. For example,<br />

if you child is being pressured<br />

to get into a car with someone who<br />

has been drinking he can call or text<br />

S<br />

“I can’t believe we are planning your Graduation…time has just flown by”.<br />

<strong>The</strong>se are words that resonate with me as a parent as we prepare for our daughter’s<br />

graduation from high school this June. It starts with senior skip day, senior trip,<br />

senior outing, then prom and ends with the commencements. So many fun filled<br />

activities and young adulthood begins. <strong>The</strong> glory of being “done” with school and<br />

the excitement of a new beginning. For some college, for other a first job commitment<br />

or travel.<br />

Lynn Garreffi, MS, RN, CNL, PCCN<br />

Nurse Manager, Emergency Department<br />

ummer is the highlight of the year for<br />

children of all ages; a time of fewer<br />

responsibilities, time to sleep late, and<br />

often a time of new found independence.<br />

After nine months of homework, social<br />

pressures, and ongoing obligations, all of<br />

the structure and scheduling that has gone<br />

on during the school year changes to a time<br />

of freedom in the summer.<br />

<strong>The</strong> worry parents share is that sometimes<br />

teens will look for adventure, risk,<br />

and excitement, especially in the summer.<br />

Many parents work full-time throughout<br />

the summer; some go on vacation and leave<br />

teenagers with relatives or friends; and<br />

some are left alone when parents are away.<br />

Most seniors are at an age of independence<br />

and social responsibility. Driving, working<br />

and beginning a college journey but our<br />

younger teens are still in need of our guidance<br />

and personal touch.<br />

<strong>The</strong> adolescent brain is changing and<br />

beginning to think abstractly for the first<br />

time. Abstract thinking is a requirement for<br />

home with this word in the message.<br />

This signals the need for help,<br />

even just to be picked-up from a<br />

party. Remember, using the codeword<br />

must ensure no disciplinary<br />

action from parents. Just be glad<br />

your teen called you and is safe.<br />

Talk to your<br />

teens about<br />

sexuality<br />

Lisa Beaudry, CNM, MPH,<br />

Certified Nurse Midwife,<br />

BMP- Mary Lane OB GYN<br />

<strong>The</strong> change<br />

from child to<br />

young adult is<br />

an especially<br />

dangerous time<br />

for adolescents<br />

in our society<br />

as television<br />

shows, movies<br />

and magazines suggest that "sex<br />

appeal" is a personal quality that<br />

needs to develop to the fullest. Few<br />

parents want to face the idea that<br />

their teens are having sex but<br />

research shows that many teens<br />

are sexually active by high school,<br />

potentially putting themselves at<br />

risk of pregnancy and sexually<br />

transmitted diseases including such<br />

as herpes, chlamydia, genital warts,<br />

gonorrhea, syphilis and HIV. Girls<br />

who start having sex before age 18<br />

tend to have more health problems,<br />

including a higher risk of cervical<br />

cancer. Parents should be open to<br />

problem solving, and teens need to master<br />

this skill to make it in the adult world. This<br />

evolution to abstract thinking helps explain<br />

why teens begin to challenge their parents'<br />

opinions, limits and rules, and why they<br />

turn more to their peers for advice. This can<br />

be very frustrating and painful for parents,<br />

but it is critical that parents continue to<br />

show interest and start conversations on a<br />

positive note.<br />

Remember, it’s the little things that go<br />

along way! Leave your children a note,<br />

send an email, keep their favorite snacks on<br />

hand, and always say good morning and<br />

good night to them. Here are some suggestions:<br />

• When your teen wants to talk, stop<br />

whatever you're doing and give them your<br />

undivided attention. 2<br />

• Take every opportunity to be a part of<br />

their world, share their favorite music or<br />

TV show.<br />

• Think of ways to connect with your<br />

teen at their level<br />

talking to their children about sexuality,<br />

this is especially true if you<br />

want your kids to understand sexuality<br />

within the context of your family's<br />

values. <strong>The</strong> topic certainly can<br />

be confusing and children, especially<br />

if they are learning about sexual<br />

issues in school or outside of<br />

school.<br />

<strong>The</strong> American College of<br />

Obstetricians and Gynecologists<br />

recommends that girls first see a<br />

gynecologist when they're between<br />

the ages of 13 and 15. This is a<br />

great way for your daughter to<br />

develop a relationship with her<br />

gynecologist, so that she is comfortable<br />

sharing personal information in<br />

the future. A visit to a gynecologist<br />

will also provide your teen with a<br />

place where she can get accurate<br />

information and confidential<br />

answers to any questions she may<br />

have about her changing body,<br />

menstruation, pap smear testing,<br />

and sexuality. She will also have a<br />

place where she will learn about<br />

healthy lifestyles, healthy relationships,<br />

sexually transmitted diseases,<br />

pregnancy and pregnancy<br />

prevention.<br />

I felt like I made<br />

new friends when<br />

I was a patient! Thanks<br />

to everyone in the ER, on<br />

Davis Wing (3rd Floor)<br />

and Physical <strong>The</strong>rapy!<br />

– Andrea<br />

Teens and<br />

Alcohol<br />

Shari Frigon, RN<br />

Emergency Department<br />

<strong>The</strong> physical<br />

changes of<br />

puberty might<br />

make your teen<br />

feel self-conscious<br />

and<br />

more likely to<br />

take risks such<br />

as experiment<br />

with alcohol or drugs. A US government<br />

survey shows that most of<br />

teens get alcohol from older friends,<br />

from family members, at parties, or<br />

they take it from their home, or<br />

someone else’s, without permission<br />

According to the US Surgeon<br />

General, about 5,000 kids under the<br />

age of 21 die every year as a result<br />

of underage drinking from crashes,<br />

homicides, and suicides. Car crashes<br />

are the leading cause of death;<br />

about 1,900 people under the age<br />

of 21 every year from car crashes<br />

involving underage drinking.<br />

Alcohol use also interacts with conditions<br />

like depression and stress<br />

and contributes to an estimated 300<br />

teen suicides a year. Teens who<br />

drink tend to become sexually<br />

active earlier and have sex more<br />

often than do teens who don't drink.<br />

Teens who drink are also more likely<br />

to have unprotected sex or have<br />

sex with someone they don’t know.<br />

In addition, research shows that<br />

alcohol use may permanently distort<br />

Studies have confirmed that parents can<br />

have a significant – if not most significant –<br />

impact as to whether their teens will engage<br />

in risky behaviors so take the time to have<br />

open, caring, thoughtful, ongoing conversations<br />

with them.<br />

Prom and summer vacation should be a<br />

fun time that teens will remember fondly<br />

the rest of their lives, but freedom and fun<br />

need to also have limits. Establish a summertime<br />

curfew for your teen. Check in<br />

with their adult supervisors, such as coaches<br />

and employers and meet your child’s<br />

friends, especially those that your teen<br />

hangs out with most often.<br />

Families need to work together to piece<br />

together a summer schedule that will keep<br />

teens busy and provide the level of supervision<br />

necessary to keep them safe and making<br />

good decisions. Empower yourself to<br />

be engaged and an active partner with your<br />

adolescents. <strong>The</strong>y need you!<br />

a teen's emotional and intellectual<br />

development.<br />

It can be tough to talk to your<br />

teen about underage drinking - your<br />

teen might try to dodge the conversation.<br />

Pick a time when you and<br />

your teen are relaxed and don’t try<br />

to cover everything at once, talk<br />

often! If you think your teen might<br />

have a drinking problem, talk to<br />

your teen's healthcare provider or<br />

counselor.<br />

Exercise is<br />

the path to<br />

improved<br />

self-confidence<br />

Peter Ouellette,<br />

DPT, MEd, OCS<br />

Physical <strong>The</strong>rapist and<br />

Manager of<br />

Rehabilitation Services<br />

For adolescents<br />

and<br />

teens the ‘lazydays-of<br />

summer’<br />

often<br />

mean, sleeping<br />

late, ice cream,<br />

sleepovers,<br />

and vacations.<br />

For most it is a welcome break<br />

from the academic demands of a<br />

busy school year, as the balance<br />

shifts to leisure time activity. What<br />

a great opportunity with this shift<br />

to introduce or maximize physical<br />

activity in a society which is<br />

Because every minute matters.<br />

At the Baystate Mary Lane Hospital ER, we pledge that you will see<br />

a provider within 30 minutes of your arrival.<br />

increasingly becoming more<br />

sedentary. We all know that many<br />

of our young athletes accomplish<br />

this through organized sports, but<br />

this is not true for the majority of<br />

our children. <strong>The</strong> benefits of physical<br />

activity and movement for adolescents<br />

and teens, include obvious<br />

outcomes like weight loss and cardiovascular<br />

fitness, but other benefits<br />

like improving bone density<br />

and improved mental health are<br />

equally important. Exercise is the<br />

path to improved self-esteem, selfconfidence,<br />

and helping our kids<br />

deal with the stress that accompanies<br />

the many changes they have<br />

to deal with during the teen years.<br />

Take a fresh look at the opportunities<br />

for physical activity that<br />

abound around our region including;<br />

hiking, bike trails, swimming,<br />

mountain biking, nature walks,<br />

kayaking, zumba, and in line skating.<br />

Incorporate these activities<br />

into a regular routine and try to<br />

include their friends as a guaranteed<br />

formula for success. <strong>The</strong>n,<br />

mix in a little laughter, fun, and<br />

play, and you are well on your way<br />

to promoting a healthy child!<br />

Smart and<br />

Safe Behavior<br />

Dr. Morris Leibowitz<br />

Board Certified Emergency<br />

Physician<br />

Now is a<br />

good time to<br />

talk to your children<br />

about the<br />

upcoming festivities<br />

that<br />

accompany<br />

high school<br />

graduation. It is<br />

important for parents to emphasize<br />

that the decisions that their children<br />

will make during this celebratory<br />

season are similar to important decisions<br />

they will make throughout<br />

their lives. Encourage safety, moderation,<br />

and responsibility, and<br />

emphasize that these are valuable<br />

qualities to adhere to throughout life.<br />

Parents should acknowledge and<br />

accept that their children will be<br />

having fun in ways that may test<br />

societal limits and that could be<br />

dangerous. High school graduates<br />

are about to enter the adult world<br />

where their growth requires that<br />

they test limits. With this in mind,<br />

the discussion you have should not<br />

enforce a fear of having a good time,<br />

but rather a sense of responsibility<br />

for this next step in life. Let your<br />

children know that you encourage<br />

smart, safe behavior, and assure<br />

them that you are there for them in<br />

any time of need. Be clear that you<br />

are there to help and assist if your<br />

children make mistakes or if problems<br />

arise, and acknowledge that<br />

prom season is a challenge for parents<br />

as well as children.<br />

EMERGENCY DEPARTMENT<br />

85 South Street, Ware, MA 413-967-6211 baystatehealth.org/bmlh

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