Headaches. 🟏 Injuries to lips, teeth, mouth or throat from airway instruments or devices 🟏 Unexpected drug reaction 🟏 Infection at intravenous site and veins nearby 🟏 Bleeding/injury in the nose due to passage of a breathing tube 🟏 Lung infection 🟏 Eye injury or infection 🟏 Weakness in breathing after awakening 🟏 Nerve Damage ▪ Alternative options to deep sedation/general anesthesia have been discussed with me and may include the use of local anesthesia with nitrous oxide sedation or local anesthesia alone. ▪ I confirm that my child (the patient) has not had anything to eat or drink after midnight (this includes gum, candy, or anything other than clear liquids). Clear liquids (i.e., water, apple juice, Gatorade, 7-Up, or Sprite) can be consumed after midnight, but they must be stopped four (4) hours before the appointment time that was provided to you by the dental office. ▪ I certify that to my knowledge that my child (the patient) is not pregnant or trying to become pregnant. ▪ I have read and agree to the HIPAA Notice of Privacy Practices posted on our website xxx.xxxxxx.xxx.
Headaches. ▪ Injuries to lips, teeth, mouth or throat from airway instruments or devices ▪ Unexpected drug reaction ▪ Infection at intravenous site and veins nearby ▪ Bleeding/injury in the nose due to passage of a breathing tube ▪ Lung infection ▪ Eye injury or infection ▪ Weakness in breathing after awakening ▪ Nerve Damage 🟏 Alternative options to deep sedation/general anesthesia have been discussed with me and may include the use of local anesthesia with nitrous oxide sedation or local anesthesia alone. 🟏 I confirm that my child (the patient) had nothing to eat or drink 8 hours prior to their scheduled appointment time. 🟏 I certify that to my knowledge that my child (the patient) is not pregnant or trying to become pregnant. 🟏 I have read and agree to the HIPAA Notice of Privacy Practices posted on CarePoint’s website xxxxx://xxxxxxxxxxxxxxxxxxx.xxx.
Headaches. Headaches may occur or worsen while on these medications.
Headaches. Lead is also harmful to adults. Adults can suffer from: • Difficulties during pregnancy • Other reproductive problems (in both men and women) • High blood pressure • Digestive problems • Nerve disorders • Memory and concentration problems • Muscle and joint pain *Lead affects the body in many ways.* CHECKING YOUR FAMILY FOR LEAD *Get your children tested if you think your home has high levels of lead.* A simple blood test can detect high levels of lead. Blood tests are important for: • Children who are 6 months to 1 year old (6 months if you live in an older home that might have lead in the paint). • Family members that you think might have high levels of lead. If your child is older than 1 year, talk to your doctor about whether your child needs testing. Your doctor or health center can do blood tests. They are inexpensive and sometimes free. Your doctor will explain what the test results mean. Treatment can range from changes in your diet to medication or a hospital stay. WHERE LEAD-BASED PAINT IS FOUND *In general, the older your home, the more likely it has lead-based paint. * Many homes built before 1978 have lead-based paint. In 1978, the federal government banned lead-based paint from housing. Lead can be found: • In homes in the city, country, or suburbs. • In apartments, single-family homes, and both private and public housing. • Inside and outside of the house. • In soil around a home. (Soil can pick up lead from exterior paint, or other sources such as past use of leaded gas in cars.) WHERE LEAD IS LIKELY TO BE A HAZARD *Lead from paint chips, which you can see, and lead dust, which you can't always see, can both be serious hazards.* Lead-based paint that is in good condition is usually not a hazard. Peeling, chipping, chalking, or cracking lead-based paint is a hazard and needs immediate attention. Lead-based paint may also be a hazard when found on surfaces that children can chew or that get a lot of wear-and-tear. These areas include: • Windows and window xxxxx. • Doors and door frames. • Stairs, railings, and banisters. • Porches and fences. Lead dust can form when lead-based paint is dry scraped, dry sanded, or heated. Dust also forms when painted surfaces bump or rub together. Lead chips and dust can get on surfaces and objects that people touch. Settled lead dust can reenter the air when people vacuum, sweep, or walk through it. Lead in soil can be a hazard when children play in bare soil or when people bring soil into the house on their ...
Headaches. Seizures Type of Seizure: Date of onset: Date of last Seizure: ADD or ADHD Mental / behavioral Concerns History Dental Concerns Yes No Comments Medication Allergies Food Insect stings Reaction: Anaphylaxis: Seasonal Medication Asthma List triggers Frequent Sinus Infections Bronchitis/Pneumonia Dizziness/Fainting Holds Breath Sleep Disturbances Tonsillitis (frequent) Nosebleeds How often? Bladder/Kidney Concern Urinary Tract Infections Stomachache (frequent) Ulcers Irritable bowel Specify: Cardiac/Heart Concerns Hospitalizations Age/year/reason: Surgeries Accidents Type of accident/age/year: Head Injury/Concussion Please help us get to know you! Name of my former school: My favorite subject(s) are: I am interested in: I am good at: I have difficulty: Working in a group makes me feel: Presenting in front of the class is for me.
Headaches. It is rare, but you may develop a post procedure headache. This can occur when the spinal needle unintentionally punctures the outer covering of your spinal cord causing leakage of the spinal fluid (CSF). This headache can be eased by lying flat and drinking caffeinated beverages. If you develop a post procedure headache which does not settle within a few days please contact the hospital for further advice. Nerve injury - This can happen when the spinal needle comes into contact with the nerve or nerve sheath causing temporary loss of feeling (numbness) or weakness in the legs and/or possible short term bowel and bladder dysfunction. Pain flair - You may experience some injection site tenderness and increased pain for a few hours or even a couple of days after your injection(s). This normally settles on its own in time. Non-relief or worsening of symptoms - The benefit gained from a spinal injection(s) is variable. Furthermore, it can take up to two weeks to notice any benefit gained. Some patients will experience days, weeks, months or even years of relief following their injection(s), whilst others unfortunately do not benefit at all. It is rare, but occasionally patients feel their symptoms are aggravated by their spinal injection. Facet or sacro-Iliac joint injections Infection - The risk of infection is less than one per cent. If you develop an infection it is likely to be a wound infection that will resolve with a short course of oral antibiotics. Occasionally patients develop a deep spinal infection which is much more serious and may require a prolonged course of intravenous antibiotics or surgery. Bleeding - Rarely you may get some bleeding and/or bruising around the injected area which may cause increased pain for a few days. Pain flair - You may experience some injection site tenderness and increased pain for a few hours or even a couple of days after your injection(s). This normally settles on its own. Non-relief or worsening of symptoms - The benefit you may gain from a spinal injection(s) is variable. Some patients will experience days, weeks, months or even years of relief following their injection(s), whilst others unfortunately do not benefit at all. About Sedation Conscious sedation is the primary method of sedation used for spinal injections. It is a technique whereby medications such as propofol and/or midazolam are injected through an IV (intravenous) site which produces a relaxed state that will allow you to better tolerate any discomf...
Headaches. LEAD IS ALSO HARMFUL TO ADULTS Adults can suffer from: Difficulties during pregnancy. Other reproductive problems (in both men and women). High blood pressure. Digestive problems. Nerve disorders. Memory and concentration problems. Muscle and joint pain. OTHER SOURCES OF LEAD While paint, dust and soil are the most common lead hazards, lead sources also exist. Drinking Water Your home might have plumbing with lead or lead solder. Call your local health department or water supplier to find out about testing your water. You cannot see, smell or taste lead, and boiling your water will not get rid of lead. If you think your plumbing might have lead in it: Use only cold water for drinking ad cooking. Run water for 15 to 30 seconds before drinking it, especially if you have not used your water for a few hours. State Health and Environmental Agencies Some cities and states have their own rules for lead-based paint activities. Check with your state agency (listed below) to see if state or local laws apply to you. Most state agencies can also provide information on finding a lead abatement firm in your area, and on possible sources of financial aid for reducing lead hazards. Pennsylvania (000) 000-0000 EPA REGIONAL OFFICE Region 3 (Delaware, Washington DC, Maryland Pennsylvania, Virginia, West Virginia) 841 Chestnut Building Philadelphia, PA 19107 215.597.9800. CPSC Regional Office Eastern Regional Center 0 Xxxxx Xxxxx Xxxxxx Xxxxx Xxxxxx, Room 350 New York, NY 10048 (212) 466.1612. The National Lead Information Center Call 0-000-XXXX-XXX to learn how to protect children from lead poisoning. For other information on lead hazards call the center's clearinghouse at 1-800-424-LEAD. For the hearing impaired call TDD 0-000-000-0000. (FAX: 000-000-0000, Internet: XXX@XXXX.XXX). EPA's Safe Drinking Water Hotline Call 0-000-000-0000 for information about lead in drinking water. Consumer Product Safety Commission Hotline To request information on lead in consumer products or to report an unsafe consumer product or a product-related injury call 0-000-000-0000. (Internet: xxxx@xxxx.xxx). For the hearing impaired call 0-000-000-0000.
Headaches. Seizures Type of Seizure: Date of onset: Date of last Seizure: ADD or ADHD Mental / behavioral Concerns History Dental Concerns Yes No Comments Medication Allergies Food Insect stings Reaction: Anaphylaxis: Seasonal Medication Asthma List triggers Frequent Sinus Infections Bronchitis/Pneumonia Dizziness/Fainting Holds Breath Sleep Disturbances Tonsillitis (frequent) Nosebleeds How often? Bladder/Kidney Concern Urinary Tract Infections Stomachache (frequent) Ulcers Irritable bowel Specify: Cardiac/Heart Concerns Hospitalizations Age/year/reason: Surgeries Accidents Type of accident/age/year: Head Injury/Concussion OTC MED AUTHORIZATION PARENT CONSENT Name of Student: Date of birth: Grade: List any known allergies or sensitivities that your child has: School personnel must have signed consent in order to administer these over-the-counter medications. Generic equivalent medications maintained in the health rooms will be used in place of more expensive brand-name items. The school nurse will administer the approved medications as deemed necessary using his/her judgment. Additionally, the school nurse will attempt to contact you upon administration of medication to yourson/daughter. Over-the-counter medications will be administered sparingly when indicated to make your child more comfortable and able to remain at school. For example, the medication may be used for dental pain, mild headaches, orthopedic pain related to recent injury, or in the case of diphenhydramine for symptoms of an acute allergic reaction. You may still need to be contacted for further care of your child. Also, if your child has a fever (100.0 F or higher), district policy requires that your child go home from school and not return until fever-free for 24 hours. Check all desired medication(s) for your child. Dosage will be according to weight. Acetaminophen (generic for Tylenol®) Ibuprofen (generic for Advil®) Diphenhydramine (generic for Benadryl®) Certirizine (generic for Zyrtec®) Tums® antacid (calcium carbonate) I understand that the school employee who administers these medications according to proper dosages shall not be held liable for any adverse reactions to the medication administered. I hereby give my permission for my son/daughter to receive the above medication(s) checked on this form as deemed necessary by the school nurse. Parent Signature Parent (Printed Name) Today’s Date DISCLAIMER: By typing your name above, you are signing this application electronically. You ...
Headaches. Evaluate and manage headaches. Take a thorough headache history including family history of headaches, location, duration, frequency, character,triggers and associated symptoms. Compare and contrast the symptoms associated with tension headaches, migraine headaches, chronic daily headaches and headaches associated with increased intracranial pressure and sinus disease. Compare the therapeutic options, both pharmacologic and non-pharmacologic, for treatment of migraine and tension headaches in children. Include mechanism of action, effectiveness, side effects, and costs. Identify the indicators for radiologic imaging (CT or MRI) in a patient with headaches. Identify the indicators for a neurology consult or referral in a child with headaches. Counsel families about strategies for helping children with headaches of possible psychosomatic or psychosocial origin. GOAL: Neurological Pharmacology. Understand the indications for the use, side effects, and mode of action of commonly used neurological drugs. Compare and contrast the indications, contraindications, side effects and common drug interactions of the most commonly used neurological drugs. For each neurological drug, describe the laboratory tests needed to follow drug therapy, side effects and drug interactions. Describe the effect on the CNS of other commonly used drugs with known CNS action, including: antihistamines,antidepressants, stimulants for attention deficit disorder, over-the-counter cold preparations, and tranquilizers. GOAL: Pediatric Competencies in Brief. Demonstrate high standards of professional competence while working with patients under the care of a subspecialist.
Headaches. “Pressure in head” Nausea or vomiting Neck pain Balance, double, or fuzzy vision Sensitivity to light or noise Feeling sluggish or slowed down Felling foggy or groggy Drowsiness Change in sleep patterns • • • • • • • • • • Xxxxx observed by teammates, parents and coaches include: • • • • • • • • • • • • • Appears dazed Vacant facial expression Confused about assignment Forgets plays Is unsure of game, score, or opponent Moves clumsily or displays in coordination Answers questions slowly Slurred speech Shows behavior or personality changes Can't recall events prior to hit Can't recall events after hit Seizures or convulsions Any change in typical behavior or personality Loses consciousness Adapted from the CDC and the 3rd International Conference on Concussion in Sport Document created 7/1/2012 Reviewed 4/24/2013 Concussion Information Sheet What can happen if my child keeps on playing with a concussion or returns too soon? Athletes with the signs and symptoms of concussion should be removed from play immediately. Continuing to play with the signs and symptoms of a concussion leaves the young athlete especially vulnerable to greater injury. There is an increased risk of significant damage from a concussion for a period of time after that concussion occurs, particularly if the athlete suffers another concussion before completely recovering from the first one. This can lead to prolonged recovery, or even to severe brain swelling (second impact syndrome) with devastating and even fatal consequences. It is well known that adolescent or teenage athletes will often fail to report symptoms of injuries. Concussions are no different. As a result, education of administrators, coaches, parents and students is the key to student-athlete's safety. If you think your child has suffered a concussion Any athlete even suspected of suffering a concussion should be removed from the game or practice immediately. No athlete may return to activity after an apparent head injury or concussion, regardless of how mild it seems or how quickly symptoms clear, without medical clearance. Close observation of the athlete should continue for several hours. The Return to Play Policy requires that you submit written clearance from either a physician licensed to practice medicine in all its branches or a certified athletic trainer working in conjunction with a physician licensed to practice medicine in all its branches prior to returning to play or practice following a concussion or after bei...
