NCH becomes first Mayo Clinic Care Network member in Florida.

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Getting Over the Goal Line - Occupational therapist Ashley Johnson works with Kora Sizemore, aged 14 months, on reaching, grasping and fine motor skills. NCH Pediatric Therapy helps children push past developmental obstacles By Lance Shearer Understandably, new parents are overwhelmed when they learn their child is not reaching certain milestones or has been diagnosed with developmental delay. Developmental delays can range from mild to severe and can include challenges with crawling, walking, speaking, and learning to name a few. Pediatric services of the NCH Outpatient Rehabilitation, located in the Green Tree Center, offers a full range of multi-disciplinary therapy programs to help children overcome developmental challenges and other diagnoses. NCH pediatric physical, occupational, and speech therapists are caring professionals who can make a difference in your child’s future. According to pediatric physical therapist Beth Hardt, early intervention through therapy is crucial. “We want parents to know developmental delays don’t have to mean their children will show delays throughout their lives,” she said. The American Academy of Pediatrics stresses the importance of starting therapy early for the best outcome, and a child’s pediatrician is the key to identifying and accessing the services pediatric therapists can provide. “If you have concerns, bring them up with your pediatrician so he can make further assessments,” Hardt said. “It’s never too soon.” Ashley Johnson is a pediatric occupational therapist at NCH Outpatient Rehabilitation. A recent morning found her sitting in a playpen full of brightly colored balls, working with a young child, Kora Sizemore, in ways that looked like playtime. “One of the occupations of children is play, so using play, we motivate children in order to help them reach their goals,” she said. “Therapy should be engaging and fun. Occupational therapists work on improving fine motor skills necessary for functional tasks including selffeeding, dressing, and taking care of one’s self.” Another important component of the service the pediatric therapist provides, Hardt said, is involving the patient’s family members into their child’s therapy. “We want to educate the family members so they can carry over the skills learned in therapy and incorporate them into daily family life,” she said. “Success for me is seeing children meet their goals and achieve their milestones,” Johnson said. NCH offers multi-disciplinary outpatient pediatric physical, speech, and occupational therapy at Green Tree Center and at the outpatient rehabilitation center in Immokalee. TELL YOUR CHILD WHY YOU ARE CONCERNED ABOUT BULLYING. • “It’s hard to know what to do if someone is picking on you. If you ever have a problem, we can figure out what to do together.” • “In our family, we believe that everyone deserves respect. When you say mean things, don’t let other children play with you, or push and hit others, that’s not being respectful.” PLAY THE “WHAT IF” GAME WITH YOUR CHILD. “What would you do if: • you saw someone getting picked on?” • someone was spreading mean rumors about you?” • you hurt someone’s feelings?” For more information on Pediatric Outpatient Rehabilitation Services, call (239) 436-6898. PREVENT BULLYING: Quick tips for parents LOOK FOR SIGNS OF BULLYING. Talk with your child about what’s going on at school. Your child might be being bullied if he or she: • Doesn’t want to go to school • Has cuts or bruises • Is acting unhappy or depressed • Complains of headaches or stomachaches Your child might bully other children if he or she: • Enjoys teasing other kids • Has a hard time controlling anger • Is very rough or aggressive LEARN MORE ABOUT BULLYING. Talk to other parents and your child’s school to find out how they handle bullying. • Ask about the school’s policies on bullying. • Talk to your child’s teacher or school counselor if you think your child is involved in bullying. For more info about preventing bullying, visit • http://www.stopbullying.gov/parents/index.html • http://kidshealth.org/parent/emotions/behavior/ bullies.html
Help Control Your Weight KEEP RECORDS OF WHAT YOU EAT! For more information call the von Arx Diabetes & Nutrition Health Center at 239-436-6755 Dear Diary, Keeping a record of what you eat can help control weight (whether you want to gain, lose or maintain), better manage blood pressure and help with glucose control. How? You’ll want to keep a record via the format that best fits your busy life. For some that might be via a Smart Phone or website, others a Word document and for some maybe even good old fashioned pen and paper. Record as you go While it may be more time consuming, the single best way to record is in “real time.” Sure, you have the best intentions of recording your intake “later tonight,” but most people just seem to forget what they’ve actually consumed. Its all in the details How detailed you get is up to you, but the more details you provide the better we can assist you. Estimate portion sizes (i.e. ½ cup, 1 fistful, etc.), indicating mealtimes is also helpful. You can even note your mood before and after meals, (i.e. starving, bored, happy, etc.). The goal is to tell a tale without becoming obsessive. Self review Lying on your food diary is like lying to yourself. Since you want the best feedback available, you’ll want to be as honest as possible. Before submitting your diary, you’ll want to do a self review. Take a look at your fruit and vegetable intake, are you getting enough whole grain foods, how about water consumption. You might find some trouble spots to work on over the next few days. Based on a 2,000 calorie diet here’s the average amounts for your weekly menu: Food group Food GRAINS group (mostly from whole grains) GRAINS VEGETABLES (mostly from whole grains) Average 6 Average ounces daily 6 2.5 ounces cups daily This is what your plate should look like: VEGETABLES Vegetable subgroups (amount per week) 2.5 cups daily Vegetable Dark green subgroups (amount per week) 1.5 cups per week Dark Red/Orange green 1.5 5.5 cups per week Red/Orange Starchy 5.5 5 cups cups per per week Starchy Beans and Peas 5 1.5 cups cups per per week week Beans Other Vegetables and Peas 1.5 4 cups cups per per week week Other FRUITS Vegetables 4 2 cups per daily week FRUITS DAIRY 2 3 cups daily DAIRY PROTEIN FOODS 3 5.5 cups oz daily PROTEIN Seafood FOODS 8 5.5 oz oz per daily week Seafood 8 oz per week What foods are in each group? FRUITS Any fruit or 100% fruit juice counts as part of the Fruit Group. Fruits may be fresh, canned, frozen, or dried, and may be whole, cutup, or pureed. VEGETABLES Any vegetable or 100% vegetable juice counts as a member of the Vegetable Group. Vegetables may be raw or cooked; fresh, frozen, canned, or dried/dehydrated; and may be whole, cut-up, or mashed. GRAINS Any food made from wheat, rice, oats, cornmeal, barley or another cereal grain is a grain product. Bread, pasta, oatmeal, breakfast cereals, tortillas, and grits are examples of grain products. Grains are divided into 2 subgroups, Whole Grains and Refined Grains. Whole grains contain the entire grain kernel - the bran, germ, and endosperm. Examples include: whole-wheat flour bulgur (cracked wheat) oatmeal whole cornmeal brown rice Refined grains have been milled, a process that removes the bran and germ. This is done to give grains a finer texture and improve their shelf life, but it also removes dietary fiber, iron, and many B vitamins. Examples of refined grain products are: white flour de-germed cornmeal white bread white rice Most refined grains are enriched. This means certain B vitamins (thiamin, riboflavin, niacin, folic acid) and iron are added back after processing. Fiber is not added back to enriched grains. Check the ingredient list on refined grain products to make sure that the word “enriched” is included in the grain name. Some food products are made from mixtures of whole grains and refined grains. PROTEIN All foods made from meat, poultry, seafood, beans and peas, eggs, processed soy products, nuts, and seeds are considered part of the Protein Foods Group. Beans and peas are also part of the Vegetable Group. For more information on beans and peas, see ChooseMyPlate.gov Select a variety of protein foods to improve nutrient intake and health benefits, including at least 8 ounces of cooked seafood per week. Young children need less, depending on their age and calorie needs. The advice to consume seafood does not apply to vegetarians. Vegetarian options in the Protein Foods Group include beans and peas, processed soy products, and nuts and seeds. Meat and poultry choices should be lean or low-fat. DAIRY All fluid milk products and many foods made from milk are considered part of this food group. Most Dairy Group choices should be fat-free or low-fat. Foods made from milk that retain their calcium content are part of the group. Foods made from milk that have little to no calcium, such as cream cheese, cream, and butter, are not. Calcium-fortified soymilk (soy beverage) is also part of the Dairy Group FROM CHOOSEMYPLATE.GOV
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NCH becomes first Mayo Clinic Care Network member in Florida.

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