Tag: growth

  • Getting On With Your Life

    Home Safety

    Returning to normal routines after a crisis is easier said than done for many people. This section will make it easier to adjust to the changes in your life after a major crisis or trauma. You probably will never forget the traumatic event. You will be healthier, though, if you move on. The past can’t be changed, but the future can. Focus on creating a “new normal.” Use this time to determine your priorities and goals in life. Make a list of your goals. Write down, too, the steps you need to take to reach each goal.

    Balance Body, Mind, and Spirit

    *  Give yourself time to heal. Know that this will not be an easy time. Let yourself feel whatever you are feeling. Be patient with changes in your feelings.

    *  Stay involved with other people and activities. Be informed.

    *  Help others.

    *  Connect with people. Visit or call people who will support you. Rely on family, friends, co-workers, neighbors, and support groups.

    *  Think positively about challenges ahead.

    *  Get extra rest.

    *  Eat healthy foods.

    *  Exercise.

    *  Take extra care of yourself, even if you don’t feel like it.

    *  Plan your time. Stay busy. Work. Read. Play sports. Do hobbies.

    *  Express your thoughts and feelings about the event. Find good listeners. Talking about it lessens the power trauma has over you, clears your head, and calms you. It also helps you to heal and feel more in control. It helps to write down your thoughts and feelings, too.

    *  Find time to relax. Do things you enjoy. Breathe deeply. Meditate. Do yoga.

    *  Don’t use alcohol or drugs to feel better. You must deal with your emotions so you can heal. Numbing the feelings won’t help.

    *  Find healthy things to do that make you feel good about yourself or feel more in control.

    *  Limit TV watching of disasters.

    *  Don’t make big life decisions in haste.

    Spirituality Can Help You Cope

    During times of crisis, many people find a deep inner peace and strength through their faith. Faith can give deeper meaning to life and helps you focus on what really matters. Some people may question their faith as they search for meaning in a tragedy. Questions and doubts during hard times are normal. The benefits of spirituality come in many ways.

    *  Praying and meditating. Prayer vigils.

    *  Counting your blessings

    *  Forgiving and healing

    *  Practicing and receiving unconditional love

    *  Connecting to a higher power

    *  Reaching out to help others

    *  Attending a place of worship can provide a sense of community and shared purpose as well as support, reassurance, and understanding.

    Pastoral counselors can help with mental health and spiritual concerns. They are certified mental health professionals. They also have had in-depth training in religion and/or theology. You can choose one of your faith (e.g., Catholic, Jewish, Muslim, Protestant, etc.). Call 800.225.5603 or visitwww.aapc.org.

    Effects of the Media

    Having easy access to a world of information can be empowering and help allay fears by keeping us informed and connected to the world at large. On the other hand, newspaper and television, in particular, can overwhelm viewers and have a negative effect on many people. This includes increasing fear.

    Television’s immediate and powerful images can burn into your memory, especially if a traumatic event is watched over and over. How much is too much? The answer depends on the person. Here are some general tips:

    *  Control TV watching. Immediately after a crisis, it is natural to want to keep the TV or radio on for much of the day to stay informed. After a couple of days or if you feel anxious, turn it off. Do not expose children under the age of six to televised videotapes of attacks and disasters. Limit TV viewing for older children and watch it with them.

    *  Use the newspaper, radio, or internet to keep informed.

    *  Check in a few times a day in case something new has happened. Don’t leave the TV on all day. While TV can give a feeling of being connected, it is also emotionally draining. There is a time to just turn it off.

    *  Use the media in moderation. Spend time on other activities you enjoy.

    *  Watch cartoons, other funny shows and videos with your children.

    *  If waking up to the news from a clock radio every morning is draining, find a nice music station instead.

    *  Don’t read, watch, or listen to the news for at least an hour before bed.

    Helping Children Cope

    In the wake of crisis or disaster, helping children cope is a priority in the minds of parents and teachers. According to the American Counseling Association, after any disaster, children are most afraid of the following:

    *  That the event will recur

    *  That they or someone they love will be hurt or killed

    *  That they may be separated from those they love and will be left alone

    Things you say and do can help your children cope with a crisis.

    Talking with Children

    *  Comfort children. Let them know that you will keep them safe, that you are safe, and you will take care of them. Tell them how rare disasters are and about all the people who work to keep us safe. Tell them that good acts in the world outnumber the bad.

    *  Answer children’s questions honestly. Keep in mind their age and maturity when you respond. Give basic answers. Don’t give too much detail. Children will ask for more information if they want it.

    *  Find out what the child is concerned about. What have they seen? Heard? Experienced? Listen without judging.

    *  Allow children to express their feelings, but do not push them if they aren’t ready. If they can’t talk about their feelings, let them express feelings through drawing, play, etc.

    *  Encourage children to feel in control. Let them make choices about meals, clothing, etc.

    *  As children retell events, ask questions or play out the event. Many children need to hear the same thing over and over before they understand. Help young children to learn words that express their feelings. n Let children know it is normal to feel upset after something bad happens and that the traumatic event was not their fault.

    *  Remind children of times they have been brave before in a new or difficult situation.

    *  Do not criticize regressive behavior or shame the child with statements like, “You’re acting babyish.”

    *  Let children cry and be sad. Don’t expect them to be brave and tough.

    *  Don’t keep secrets. Children will imagine something much worse is going on or think they are to blame. Don’t be afraid to say, “I don’t know.”

    *  Tell them about the heroes involved in a tragedy, (e.g., firefighters, police, doctors, nurses, and ordinary people).

    *  Some children may express hate toward a large group of people. You may feel hate, as well. Let children know that you understand their anger toward specific people who may have caused harm. Help them to separate those feelings from prejudice toward a larger group. Remind them how prejudice causes many problems and that the world can be a better place by being good to others.

    Actions to Take to Help Children

    Above all, stay calm. Children look to us for how to respond.

    *  Try to return to normal routines (school, after- school activities, and play, etc.) as soon as possible.

    *  Make sure the child gets enough rest and eats healthy foods.

    *  Review family safety plans. This will help children feel prepared in the event an emergency situation occurs.

    *  Understand there may be a short, temporary decline in school performance. Talk to teachers, coaches, etc. to see how your children are doing in other settings. Let these same persons know how your child is doing at home.

    *  Spend extra time together as a family. Spend one-on- one time with each child. Give your children hugs and kisses.

    *  Be a role model for tolerance, understanding, and peace.

    *  Do things that show how one person can make a difference. Donate time. Send cards. n Don’t let children under age six watch or hear the news. Watch the news with older children and talk to them about it afterward.

    *  Do relaxing activities together. Read books. Listen to music. Draw or do other artwork. Take a walk, etc.

    *  Limit how much young children hear adults talking about the event.

    *  Avoid unnecessary separations from parents or other important caregivers.

    *  Allow time to cope. Be patient with angry outbursts. Give children a healthy outlet for anger, such as a pillow to punch.

    *  Tell and show children how much you love them. This is true at all times, but even more so after a crisis.

    *  If, after six weeks following a crisis, your child is not able to function normally at home, at school, or in play, seek help for your child from a mental health professional.

    What Really Matters

    After a crisis, many people decide what is truly important to them. You, too, may find yourself experiencing the following common reactions:

    *  You draw closer to loved ones. You tell them how we feel about them. You spend more time with family and friends.

    *  You become more spiritual. You look for deeper meaning in your life.

    *  You make decisions or do things you may have been putting off.

    *  You work less and play more.

    *  You slow down the pace of a hectic lifestyle.

    *  You become more informed about the world.

    *  You reach out to help others and strive to make the world a better place.

    *  Realizing how fragile life is, you learn to enjoy each moment more and fret less.

    *  You learn survival skills.

    *  Communities, nations, and the world unite.

    Take Charge, Coping with a Crisis book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • How Your Body Changes, How Your Baby Grows

    Pregnancy & Prenatal Care

    A full-term pregnancy lasts about 40 weeks. You begin counting from the start of your last menstrual period. That’s about 9 calendar months. The 9 months are divided into 3 parts. Each part is called a trimester. The trimester charts that follow show changes in your body. They show how your baby grows.

    First Trimester

    (Months 1-3, Weeks 1-13)

    Changes in Your Body

    *  Your hormones change.

    *  Your body makes more blood and body fluids.

    *  You may feel very tired.

    *  You pass urine more often.

    *  You may have an upset stomach, or throw up (morning sickness). This can happen any time of the day.

    *  You may feel light-headed or dizzy.

    *  You gain a few pounds. The average is 3 or 4 pounds. Your clothes begin to feel a little tight.

    *  Your moods can vary. You may feel happy and elated. You may also feel sad, cross, or anxious.

    *  Your breasts may change.

    – They may get bigger.

    – They may get sore and tender.

    – Your nipples get darker. They may stick up more.

    How Your Baby Grows

    Your baby starts out as a single cell. The cell is formed when your egg and your male partner’s sperm meet. That one cell divides into many cells. These attach to the wall of your uterus. Some of the cells form the placenta. The rest become the embryo. That’s what the unborn baby is called from week 4 to week 8. After 8 weeks, it is called a fetus. By the end of the first trimester, your baby:

    *  Is about 3 to 4 inches long

    *  Weighs about 1 ounce

    *  Has all its internal organs and limbs. Its heart beats.

    *  Has a large head compared to the rest of its body. Its eyes are closed.

    *  Begins to develop sex organs

    *  Has well-formed fingers and toes. Fingernails and toenails are forming.

    *  Can move in the uterus. You can’t feel that yet, though.

    Second Trimester

    (Months 4-6, Weeks 14-27)

    Changes in Your Body

    *  You probably feel really good during this trimester. Most women do.

    *  You start to look pregnant as your belly expands. You gain about a pound a week. Loose or maternity clothes feel best.

    *  Your heart beats stronger. This helps push the extra body fluids around your body. It helps push them into the placenta, too.

    *  You start to feel your baby move. This usually starts between weeks 15 and 20 with a first baby. It may come earlier than that with babies after the first one. First you feel flutters. Then you feel kicks.

    *  Your breasts get ready to make milk.

    *  Your uterus starts to stretch out and get thinner.

    *  You may notice that you have:

    –  Backache

    –  Constipation

    –  Headache

    –  Mood swings

    –  Braxton-Hicks contractions

    –  Mild swelling of the ankles and feet

    –  Less morning sickness or none at all

    –  Less need to pass urine

    –  Bigger appetite

    –  Heartburn

    –  Larger veins in your hands and arms

    –  Stretch marks on your breasts and belly

    –  Leg cramps at night

    None of these is apt to change your sense of well-being, though.

    How Your Baby Grows

    Your baby begins to grow fast. Its organs mature. By the end of the second trimester, your baby:

    *  Is about 11 to 14 inches long

    *  Weighs about 2 to 2-1/2 pounds

    *  Swallows

    *  Sucks its thumb

    *  Moves and kicks

    *  Has wrinkly skin. Its skin is covered by a thick, white coating called vernix.

    *  Has hair growing on its head

    *  Has teeth forming in the jawbone

    *  Can open and close its eyelids

    *  Has eyes that are almost fully developed. Eyebrows and eyelashes start to grow.

    Third Trimester

    (Months 7-9, Weeks 28-40)

    Changes in Your Body

    You gain about a pound a week until the final few weeks. Then you may stop gaining weight or lose a pound or two. As the baby grows, your uterus and belly expand. You feel lots of pressure on your bladder. You need to pass urine more often.

    The baby pushes up on the bottom of your rib cage. The baby pushes up on the diaphragm. This can cause you to feel short of breath.

    The baby makes stronger movements and moves more often. You can feel its head, elbows, and feet as they push against your belly. You may be able to see the baby’s kicks! You may notice that:

    *  You feel hot and you sweat more than usual.

    *  A yellow liquid leaks from your breasts.

    *  Your hands and feet swell.

    *  Your navel may look flat or stick out.

    *  You feel tired.

    *  You have mood swings.

    Toward the very end of this trimester (near your due date):

    *  You may feel your uterus getting tight and hard.

    *  You may have “practice” contractions. These stop when you move your body or walk around.

    *  The baby “drops” into your pelvis. It is easier for you to breathe. It also makes you need to pass urine more often.

    *  You lose the mucus plug. You usually lose it shortly before delivery. It’s called bloody show then. You may notice it as a thick, stringy discharge for days. Or you may pass a big clump that looks like a wet cotton ball. Some women never notice the bloody show.

    How Your Baby Grows

    Your baby keeps growing and gaining weight. During this trimester, your baby:

    *  Grows to about 20 inches long

    *  Gains weight to 7 pounds or more

    *  Fills the uterus

    *  Opens and closes its eyes

    *  Responds to light and sound

    *  Moves a lot. Its movements are more like rolls and turns instead of kicks. These may slow down close to labor. But the baby does not stop moving before birth. Tell your health care provider if you notice a big decrease in your baby’s activity.

    *  Settles further down into your pelvis. Your baby is getting ready to be born!

    Prenatal Self-Care book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Nutrition For Children

    Children’s Health

    Image of toddler eating a strawberry.

    Birth to 2 Years Old

    *  Breast-feed your baby from birth to 6 months of age. Breast-feed for the first year, if you can. If you can’t breast-feed or don’t want to, give iron-enriched formula (not cow’s milk) for the first 12 months. After that and up to age 2, use whole cow’s milk to replace formula or breast milk. Don’t limit fat for the first 2 years of life.

    *  Follow your child’s doctor’s advice on breast-feeding and what formula and vitamins to give your baby. Breast-fed babies who do not get regular exposure to sunlight may need vitamin D supplements.

    *  Start solid foods as advised by your baby’s doctor. It is common to do this at 4 to 6 months of age. Iron-enriched infant rice cereal is usually the first food given.

    *  Start new foods one at a time. Wait 1 week before adding each new cereal, vegetable, or other food. Doing this makes it easier to find out which foods your baby has a problem with.

    *  Use iron-rich foods, such as grains, iron-enriched cereals, and meats.

    *  Do not give honey to infants during the first 12 months of life.

    *  Don’t let a baby fall asleep with a bottle that has formula, juice, or milk. The sugars in these can cause tooth decay.

    Two Years and Older

    *  Give a variety of healthy foods for meals and snacks. Follow guidelines from theChooseMyPlate.gov/kidsWeb site. Let your child choose which healthy foods and how much to eat to satisfy his or her hunger.

    *  Help your child maintain a healthy weight. Give proper foods. Promote regular exercise. Lead by example. Children learn from what they see parents do, as well as, from what parents say. Eat with your children. Be a role model for good eating. Exercise, too.

    *  Let your child help plan meals and snacks, shop for food, and prepare foods.

    *  Don’t force your child to eat certain foods. Don’t use food to reward or punish behavior.

    *  Don’t give foods that can lead to choking, such as hard candies and whole grapes.

    *  Teach healthy behaviors in a fun way. For ideas to help get children to eat well and be more active, access the Web sites under “Resources”.

    Resources

    5-2-1-0 Let’s Go!

    www.letsgo.org

    ChooseMyPlate.gov

    www.choosemyplate.gov/kids/index.html

    We Can!™ Ways to Enhance Children’s  Activity & Nutrition

    www.nhlbi.nih.gov/health/educational/wecan

    Page from Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • New You

    WELL-BEING

    Image of smiling man.

    Why wait to create a new you? Live your best life now. This advice comes from researchers at Washington University:

    *Learn something new.Take a class in a subject you enjoy or are curious about. Check your community colleges for noncredit continuing education classes. Rekindle your love of learning.

    *Volunteer.It’s good for your physical and mental health whether you’re building a house for someone, ladling out soup for the homeless, or collecting canned goods. You’ll make valuable community connections.

    *Get your social media house in order.The Internet and social media have opened up exciting new avenues to connect with others and new vistas to share preferences in films, books, and music. Have fun. But be cautious. Check your default privacy settings. Log out and see what your profile looks like to the outside world. Make sure passwords are complex – Use upper and lowercase letters and a special character, such as $. Don’t use the same password for all social media accounts.

    *Rediscover the library.The digital revolution has changed your local library. You can often download books online. Consider how much your library offers: novels and nonfiction works for all ages, how-to books, music CDs, movies on DVD or videotape, maps and reference works. Read the latest magazines or journals.

    *Step away from your desk.Physical activity improves health, lowers stress, and increases productivity. And if those weren’t reasons enough, research shows that exercise reduces the risk of diseases such as breast cancer, colon cancer, and Alzheimer’s.

    *Pay down your credit card debt.Put extra money toward the loans with the highest interest rates. Consolidate several small debts.

    *Use your smartphone to quit smoking.You can tap into apps for messages of support and access websites that give step-by-step encouragement.

    *Kick the car habit.Leave the SUV in the garage and try alternate means of transportation such as the bus or train, bicycling, walking, or park-and-ride commuting.

    *Parents:Make every day count. Happy, well-adjusted children need happy, well-adjusted parents.

    *Get more sleep.

    *Consume more culture.The arts not only educate and entertain, they help us to better understand ourselves and others. Visit your local museums, galleries, theaters, dance companies, and music halls.

    © American Institute for Preventive Medicine

  • The One Question Parents Need To Ask

    FAMILY LIFE

    Image of gun and bullets.

    Before you let your child play at another person’s house, you may ask some safety questions. For instance, you’ll probably want to know if adults are there, when they will be home, and what they will be doing.

    There’s another question that may be harder to ask, but your child’s life may depend on it: “Is there an unlocked gun in your house?”

    The American Academy of Pediatrics says half of all U.S. homes contain firearms. More than a third of all accidental shootings of children happen in the homes of friends, neighbors or relatives.

    Follow these gun safety tips to help keep loved ones safe:

    *  Never keep a loaded gun in the house or in a car.

    *  Keep guns locked up and unloaded. Lock ammunition up in a separate location. Be sure your kids can’t get the keys.

    *  Put trigger locks on all guns.

    *  Know how to operate a gun before you load it.

    *  Don’t point a gun at another person.

    *  Unload the gun before setting it down.

    © American Institute for Preventive Medicine

  • What Is Marriage Counseling?

    FAMILY LIFE

    Image of a couple with a marriage counselor.

    Marriage and relationships take lots of work. When a couple has a problem, they may wonder whether marriage therapy or couples counseling could help.

    Counseling usually includes talk therapy. This means you talk to a professional counselor about your issues. But, therapy isn’t just about talking. Your counselor may help one or both partners address mental health problems that can interfere with the relationship. For example, issues such as depression or anxiety may need treatment. This can go hand-in-hand with the couples counseling.

    When a couple goes to counseling, they can get “tools” to use in daily life that help them with their communications. For instance, therapy can give you new ways to look at challenges or problems. This can help you address issues before they become too big to handle. You may also learn ways to talk to each other so you can work out arguments in positive and constructive ways.

    However, if the marriage involves physical or emotional abuse, couples counseling is not going to be the answer. Instead, the person who is abusing their partner should seek treatment for their problems. The victim of abuse should speak privately with their doctor about how they can get away from the abuse.

    Help for resolving arguments

    If you need to talk something out with your spouse, try these tips:

    *  Listen first. Rather than tell your side, calmly listen to what your partner has to say. When he or she is done, then take your turn to speak.

    *  Don’t interrupt, and don’t yell.

    *  Be honest, but don’t insult. Talk about the behavior or incident that upset you. For instance: “When you did X, I felt like you didn’t care about my feelings.” Avoid name-calling.

    Sources: American Academy of Family Physicians, National Domestic Violence Hotline

    © American Institute for Preventive Medicine