Never leave a child unattended around water-New Jersey Department of Children and Families

Never leave a child unattended around water-New Jersey Department of Children and Families

Not even for a second! Never leave a child unattended around water.

A child can drown in just a few inches of water within seconds-often without any splashing or screaming. Prevent a tragedy before it happens.

Drowning is one of the leading causes of child deaths each year.

Keep your kids safe around water by following these simple guidelines:

*Never leave a child unattended around water.

*Teach your child to swim at an early age-always have an adult supervising.

*Flotation devices or inflatable toys are not substitutes for supervision.

*Don’t mix alcohol and supervision of children near water.

*Enclose pools completely with a self-locking, self-locking, self-closing fence and don’t leave furniture around that children can use to climb over the fence.

*Never leave toys in the pool-children may be tempted to reach for them later.

*Be sure that the adult watching your child knows how to swim, get emergency help and perform CPR.

*Keep rescue equipment (such as life preserver or shepherd’s hook) and a telephone near the pool.

*Be sure to remove pool covers completely to reduce the risk of children getting caught underneath.

*Always drain and store in an upright position all plastic or blow-up wading pools after use.

*Secure the pool so that children cannot get back in after they are finished swimming.

Disclaimer: This information was taken from the New Jersey Department of Children and Families and I give them full credit for this information. Please call them for more information.

Posted in Bergen County NJ Programs, Child Program Services, New Jersey Children's Programs, Swimming Safety Programs, Uncategorized | Tagged , , , , , , , , , , , , , | 1 Comment

My Walk in Manhattan: my walking experience around the whole island. I started this project on Father’s Day June 2015

My Inspiration for my “MywalkinManhattan” was the determination of my father to get better with every day of his illness. Don’t think you can’t get better but there will be a new normal. Always strive and say “I am going to do more today” and “I want to get better and here are my goals”. My best to all caregivers out there. My best to you!!


Happy Father’s Day!

(This project is dedicated with much love to my father, Warren George Watrel, who still inspires me!)

Hello and Welcome to ‘’, an extensive  project to walk the entire island of Manhattan. My name is Justin Watrel and I will be your guide in exploring the island of Manhattan, searching every nook and cranny of the island for the unusual, the usual and the in between.

‘Walking the Island of Manhattan’ may not be terribly original as there are about four other people doing the project at the same time, but this project is different in the way I see the island. Not rushing through to prove I have walked it but to see what these neighborhoods are all about and what is there to discover and enjoy.

For all you ‘Manhattanites’ who think you know your island, I will show you things that you have never…

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Posted in Bergecco-Parc Consulting Inc. Projects, My walk in Manhattan Blog, Uncategorized | Tagged , , , , , , , , , , | 1 Comment

Skin Surveillance Program: What are the chances you have skin cancer?

Skin Surveillance Program: What are the chances you have skin cancer?

Melanoma & Skin Cancer Early Detection

1 in 5 people will get skin cancer in their lifetime. Skin cancer such as melanoma can appear at any time in your life and the risk increases as you age. The good news is that if it’s detected early, it’s almost always treatable. So don’t leave it to chance.

At MoleSafe, our advanced Skin Surveillance Program is designed to look deep inside a mole’s structure to detect any potential skin cancers that can’t be seen with the naked eye.

The MoleSafe Skin Surveillance Program is a comprehensive skin documentation system designed to expose layers of skin lesions not typically viewed during a regular exam by a doctor or dermatologist. The MoleSafe system produces high-resolution diagnostic images and created a profile for your skin that is monitored for any changes in your lesions over time. Following the exam, an extensive diagnostic report of your results is sent to you and your doctor with recommendations and instructions for follow-up visits and/or treatment.

The number one Choice for over 30,000 patients worldwide.

The MoleSafe Skin Surveillance Program:

*Meeting with Melanographer: First you meet with our certified melanographer to discuss medical history and address skin concerns.

*Skin Evaluation & Imagining: A head-to-toe skin evaluation is performed. Clinical and dermoscopic imagines are taken of any moles/lesions of concern.

*Expert Dermatologist Report: A full diagnostic report is created by our expert dermatologist/demoscopist with results and recommendations sent to you and your doctor.

*You’re part of the MoleSafe family! We regularly check in with you and provide the tools and education to keep your skin safe.

*Total Body Photography: A series of high definition pictures are taken of 97% of the body’s surface to create a clinical profile of your benchmark images.

*Digital Melanogram: Exam images are complied into a digital record, along with other information. Including lesion coding and history to fully document.

*Secure Online Archive: Your files are securely kept on record that you and your doctor can access via our online portal to keep monitoring your skin.

Get your skin checked and live with confidence.

Melanoma can be fast-growing and is the most life-threatening of all skin cancers but if caught early there is a nearly 100% survival rate. If you have ever been badly sunburned: used a sunbed; have a family history of skin cancer, have many moles or you have an outdoor lifestyle; your chances of getting melanoma increase dramatically.

Your skin is always changing. That’s why our proven system combines advanced technology with skin cancer expertise to track those changes over time. It’s the most effective way to detect melanoma early-when it’s most treatable.

MoleSafe: Skin Surveillance Program-Full Body Screening

Our most comprehensive service essential for first-time patients and anyone considered to be medium to high risk.

*Session with a Certified Melanographer

*Total Body Photography

*Head-to-Toe Skin Check

*Clinical and Dermoscopic Imaging of Individual Moles and Lesions

*Expert Dermatologist Diagnosis

*Diagnostic Report and Follow-Up Recommendations

*Secure Online Access to all of your images

*Skin Cancer Education and support

*HSA/FSA Accepted

-No referral needed

-No long waiting periods

-Safe Professional Caring

Don’t put this off. Book now.

Schedule an appointment. It’s easy. Book online or call us. 1-877-665-3723

Disclaimer: This information was taken directly from the MoleSafe pamphlet and I give them full credit for this information. Please call or email them for more information on the program.

Posted in New Jersey State Program, New York City Caregiver Programming, Senior Caregiver Programs, Skin Cancer and Treatment Programs, Uncategorized | Tagged , , , , , , , , , , , , , , | 1 Comment

Vbeam Prima: Redness, Brown Spots, Wrinkles and Acne

Vbeam Prima: Redness, Brown Spots, Wrinkles and Acne

Get healthier, more youthful-looking skin with Vbeam Prima treatments

Great skin should be an option at any age. Because when we look our best, we often feel out best. An advanced form of laser therapy, Vbeam Prima treatments are customized to meet your individual skin care needs. Vbeam Prima laser treatments offer a way to reduce the appearance of unwanted skin conditions such as:





*Poikioderma of Civatte

*Sun Damage

Treats redness and brown spots at the same time.

Fast lasing results: The Vbeam Prima system treats a wide range of skin conditions, including redness, acne, wrinkles and sun spots on the face and chest by delivering targeting laser therapy.

Patients treated with Vbeam technology reported experiencing minimal discomfort during treatment and were highly satisfied with the result.

*After 3 treatments patients had  less 90% reduction in small red veins (telangiectases) and dark brown spots (lentigines).

*100% of patients treated for facial wrinkles reported being satisfied with their results.

What to expect:

*You can typically expect 2 to 4 treatments

*Your healthcare provider may administer instant cooling to the skin before, during or after treatment for added comfort.

*Each treatment typically lasts 15 to 30 minutes.

*The number and duration of treatments will vary depending on the condition and your skin type.

Versatile treatments, proven results:

*Targets a wide variety of skin conditions

*FDA cleared for most to all skin types

*Improves skin appearance and texture

*Highly rated by patients

Ask your healthcare provider if Vbeam Prima laser therapy is right for you.

Disclaimer: this information was take from the Vbeam Prima laser website and I give them full credit for the information. I have never used the service so I have no opinion on it either yes or no to how good it works. Please call them or check out the website for more information.

Posted in Prescription Drug Programs, Senior Services, Skin Cancer and Treatment Programs, Uncategorized | Tagged , , , , , , , , , , , , , | 1 Comment

Check WIC Out: Give your child a healthy start!

Check WIC Out: Give your child a healthy start!

New Jersey WIC Woman, Infants & Children: Every Child Deserves a healthy Start

Shop at over 900 convenient WIC Approved Grocery Stores

What is WIC?

WIC provides healthy food, nutrition education and community support to income-eligible pregnant women, moms of infants and children up to 5 years old.

You may Quality for WIC Benefits if you:

*Live in New Jersey and are:

*Pregnant (or recently pregnant)

*A breastfeeding mother (up to 1 year)

*An infant or child under 5 years old.

*Meet the income guidelines even if you work or receive Disability, Social Security, Supplemental Nutrition Assistance Program (SNAP), Medicaid or Temporary Assistance for Needy Families (TANF).

*Have a nutritional need

WIC Income Guidelines (Effective July 1, 2019)

If your household income is less than or equal to, the guidelines below, you may qualify for WIC.

Household Size/Yearly Income:









WIC Shopper-WIC shopping simplified

Use WIC benefits to save an average of $60 per month for each family member on WIC.

Food options for Moms and Children

*Vegetables and Fruit (fresh, canned, frozen) 100% juice

*Breakfast Cereal, Cheese, Eggs and Peanut Butter

*Beans, Peas, Lentils-dry or canned varieties

*Whole Grain Foods like bread, pasta, rice and tortillas

*Milk, Soy Milk, Tofu and Yogurt

*Canned Fish (for exclusively breasfeeding women only)

Food Options for Infants:

*Formula, cereal, baby food including vegetable and fruit varieties

*Meat baby food for exclusively breastfed infants

For more information:

Other WIC Services:

WIC connects families to other local services like dental care and immunizations.

WIC Provides you with three options for learning:

*Meet individually with a nutrition and/or a breastfeeding expert to get your questions answered.

*Online WIC lessons are available at

*WIC Discussion Groups are a great way to meet and learn from other parents.

Plus-breastfeeding support if and when you need it.

The WIC Websites and regulations:

Contact your local program to schedule an appointment or call 1-800-328-3838 (24 hours)

North Jersey:

East Orange WIC-(973) 395-8960

Jersey City WIC-(201) 547-6842

Newark WIC-(973) 733-7628

North Hudson WIC-(201) 866-4700

Passaic WIC-(973) 365-5620

NORWESCAP WIC-Newton, Phillipsburg, Hackettstown and Washington (908) 454-1210

St. Joseph’s WIC-(973) 754-4575

Rutgers WIC-(973) 972-3416

Please see the website to see the locations in Central and South Jersey and New York City.

Disclaimer:  This information was taken directly from the WIC pamphlet and I give them full credit for the information. Please call the above number or check out the websites for more information.


Posted in Child Program Services, Federal Caregiver programs, New Jersey Children's Programs, Uncategorized | Tagged , , , , , , , , , , , , , , | 1 Comment

Census 2020: Count all kids

Census 2020: Count all kids

In our communities, every person counts. When we miss a young child in the Census, our communities lose out on funding for that child for the next 10 years.

Making sure our children get their fair share

A major way our communities get money for child and family programs is by participating in the U.S. Census, which occurs once every 10 years. The  state and federal government use Census data to fund important services including early childhood education, free and low-cost school meals, child care and NJ Family Care.

New Jersey receives a total of $22.7 billion annually in federal funding based on data from the 2010 Census. In New Jersey, 27,000 children (5.2%) under age 5 were missed by the 2010 Census. If children are underrepresented in the Census count in 2020, it will result in less funding for important public services.

New Jersey received a total of $22.7 billion annually in federal funding based on data from the 2010 Census for important programs like:

NJ Family Care: $9.6 Billion

Supplemental Nutrition Assistance Program (SNAP): $ 1.2 Billion

Section 8 Housing Vouchers: $741 Million

Special Education Grants: $370 Million

National School Lunch Program: $261 Million

Head Start: $164 Million

WIC: $151 Million

Child Care: $120 Million

Participation in the Census is safe, confidential and only takes about 10 minutes. Everyone should include their children on the census to ensure their communities receive their fair share for local schools, medical care and child care. Please share this information with your family and friends; it is important that everyone is informed.

Here is how the Census works:

  1. In March 2020, you will get a Census invitation in the mail.
  2. Follow the instructions on the invitation to compete the Census survey online or over the phone.
  3. You may wait to receive a paper form in the mail if you prefer to respond on paper. If you do not complete the Census by the end of April, a Census official will come to your home to help you fill out the survey.

For more information, please see:

Are my answers confidential?

Yes. By federal law, your responses cannot be shared with anyone outside the Census Bureau. That includes all police, governments and individuals. No one can use your Census information to reduce your benefits, evict you, deport you or fine you.

What does the Census ask?

Just the basics. The questionnaire will ask for your name, age, date of birth, race/ethnicity, relationship to other people in the home and whether you rent or own your home.

What if my child is a baby or was just born-do I list him or her on the Census?

Yes. Please list your baby no matter how old, even if you are still in the hospital!

I have kids living with me who aren’t mine-do I list them?

Yes. You should count every child who is living at your address, even if only temporarily.

My child doesn’t live with me all the time-do I list him or her?

It depends. Whomever your child lives with most of the time should count your child. If time is split evenly, the child should be counted wherever they stay on April 1, 2020.

How does it take?

About 10 minutes.

Make sure you are counted so that your community receives the funding and services it deserves. For information and assistance, call NALEO Educational Fund’s bilingual toll free hotline: 1-877-EL-CENSO (352-3676).

Disclaimer: This information was taken from the US Census pamphlet and I give them full credit for this information. Please be on the lookout for this information in 2020.


Posted in Child Program Services, Federal Caregiver programs, New Jersey Children's Programs, Uncategorized | Tagged , , , , , , , , , , , , , | 1 Comment

The Truth About Tobacco-Tips for Teens

The Truth About Tobacco-Tips for Teens

Get the Facts:

*Tobacco damages your health:

Smoking is the most common cause of lung cancer. Smoking is also a leading cause of cancer of the mouth, throat, bladder, pancreas and kidney. Smokeless tobacco can cause mouth cancer tooth loss and other health problems.

*Tobacco affects your body’s development:

Smoking is particularly harmful for teens because your body is still growing and changing. The 200 known poisons in cigarette smoke affect your normal development and can cause life-threatening diseases, such as chronic bronchitis, heat disease and stroke.

*Tobacco is addictive:

Cigarettes contain nicotine-a powerfully addictive substance. Three-quarter of young people who use tobacco daily continue to do so because they find it hard to quit.

Tobacco can kill you:

Smoking is the leading preventable cause of death in this country. More than 400,000 Americans die from tobacco-related causes each year and most of them began using tobacco before the age of 18.

Know the signs…

*How can you tell if a friend is using tobacco?

Sometimes it’s tough to tell. But there are signs you can look for. If your friend has one or more of the following signs, he or she may be regularly using tobacco:

*Wheezing, coughing, bad breath

*Smelly hair and clothes

*Yellow-stained teeth and fingers

*Frequent colds

*Decreased senses of smell and taste

*Difficulty keeping up with sports and athletic activities

*Bleeding gums (smokeless tobacco)

*Frequent mouth sores (smokeless tobacco)

What can you do to help someone who is using tobacco?

Be a real friend. Encourage your friend to quit. For information and referrals, call the National Clearinghouse for Alcohol and Drug Information at 800-729-6686.

Before you risk it…

Know the law-It is illegal for anyone under 18 to buy cigarettes, smokeless tobacco or tobacco-related products.

Stay Informed-Addiction to tobacco is hard to control. More than 90% of teens who use tobacco daily experience at least one symptom of withdrawal when they try to quit.

Keep your edge-The poisons in cigarettes can affect your appearance. Smoking can dry your skin out and cause wrinkles. Some research even relates smoking to premature gray hair and hair loss.

Be aware-It can be hard to play sports if you use tobacco. Smoking causes shortness of breath and dizziness and chewing tobacco causes dehydration.

Think of others-Smoking puts the health of your friends and family at risk. Approximately 3,000 non-smokers die of lung cancer each year from breathing other peoples smoke.

Get the facts-Each day more than 3,000 people under age 18 become regular smokers. That’s more than 1 million teens per year. Roughly one-third of them eventually die from a tobacco-related disease.

Look around you-Even tough a lot of teens use tobacco most don’t. According to a 1998 study; less than 20% of teens are regular smokers. In fact, 64% of 12 to 17 years olds have never even tried a cigarette.

The Bottom Line: If you know someone who is using tobacco, urge him or her to quit. If you are using it-stop! The longer you ignore the real facts, the more chances you take with your health and well-being. It’s never too late. Talk to your parents, a doctor, a counselor, a teacher or another adult your trust. Do it today!

*Curious about the TV ads of the National Youth Anti-Drug Media Campaign? Check out the Web site at or visit the Office of National Drug Control Policy Web site at For footnote reference see our Website at

Q: Doesn’t smoking help you relax?

A: No. Smoking can actually increase feelings of stress and nervousness. Break the cycle: use drug-free strategies to calm your nerves like exercise and talking to your friends.

Q: Isn’t smoking sexy?

A: Only if you think, bad breath smelly hair, yellow fingers and coughing are sexy. Advertisements often portray smoking as glamorous and sophisticated but think carefully about who created these ads and why.

Q: Isn’t smokeless tobacco safer to use than cigarettes?

A: No, form of tobacco is safe to use. Smokeless tobacco users are 50 times more likely to get oral cancer than nonusers. Those who don’t develop some form of cancer are still likely to have signs of use, like stained teeth, bad breath and mouth sores.

To learn more about tobacco or obtain referrals to programs in your community, contact one of the following toll-free numbers: SAMHSA’s National Clearinghouse for Alcohol and Drug Information 800-729-6686. TDD: 800-487-4889-linea gratis en espanol 877-767-8432.

Disclaimer: This information was taken from the Elks National Drug Awareness Program. Prevention through Education. and I give them full credit for this information. Please contact the above numbers for more information.



Posted in Child Program Services, Drug and Alcohol Abuse Programs, New Jersey Children's Programs, Uncategorized | Tagged , , , , , , , , , , , , , , , | 1 Comment

A Gift from Captain Buscio-Statistics tell the Story

To all First Responders,

This exam is free to all of us. Please take the time to take a full check up every year as part of your health plan.

The Brothers of The Hasbrouck Heights Fire Department NJ

A Gift from Captain Buscio-Statistics tell the Story

Statistics tell the Story:

When it comes to the relationship between firefighters and heart attacks, the statistics speak for themselves:

*Despite fluctuations, the trend in the proportion of firefighter fatalities from heart attacks has remained constant since 1984.

*More than one-half of all fatal heart attacks strike firefighters while on scene of a fire or non-fire emergency.

Firefighter victims may not have had a previous medical history of heart disease. For this reason getting a comprehensive medical evaluation that is specific to your profession is not just for peace of mind. It is absolutely necessary.

Fire fighter Fatalities.png

For additional details on this statistical data, visit the United States Fire Administration at the Federal Emergency Management Agency’s Website,

Captain Buscio Exam II.jpg

How a gift from Captain Buscio’ Works:

All fire departments whose fire fighters and officers are participating in the program throughout the State of New Jersey…

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Posted in Fire Fighting/First Responder Programming, New Jersey State Program, Uncategorized | Tagged , , , , , , , , , , , , , , | Leave a comment

Learning to read & write begins at birth


Learning to read & write begins at birth: a guide to early literacy in child care.

How your child learns to read and write beings with you.

You help your child every day without even thinking about it when you sing a lullaby to your baby, say a silly rhyme to your toddler or read your child a favorite bedtime story.

You know these things make your child feel loved, safe and happy. Did you also know you are helping your child learn skills needed for reading, writing and school success? You and your family are always your child’s first and best teachers. Build on what you do at home by making sure that your child is having fun with reading and writing in child care, too.

There are five simple steps to literacy success:

  1. Call the experts: this provides information on how you and your child’s caregiver can best build your child’s early reading and writing skills. A call yo your local Child Care Resource & Referral agency (CCR&R) can give additional information about literacy resources. Learning to read and write doesn’t happen all at once.

2. Learn About Literacy: Learning to read and write is like learning to walk. You can see it happening: first, your child rolls over, then inches along the floor and eventually crawls. But when your child takes the first step, It’s magic!

While it feels like magic when it finally (happens usually around ages 5 to 7) , reading and writing is a process just like walking.

Step by Step

A strong connection between what your child learns in child care and at home helps strengthen learning.

Step by Step

First, your baby makes sounds, imitates your facial expressions and learns that hearing “mama” means “my mother”. Then you begin to notice your child point at and name pictures in the books you read together. At first you hold the book for your baby but soon your child is holding the book right side up and turning pages without help. This is the beginning of learning how to read and write-often called early literacy.

It’s more than the ABC’s

Early literacy means much more than just reading and writing. It includes babbling, talking, recognizing letters and sounds and knowing what various pictures and signs mean. Early literary is also scribbling, drawing pictures, memorizing and pretend-reading.

What about learning two languages?

Great! Young children are very good at learning more than one language. In addition to information in this brochure, there are special ways that parents and child care providers can help children who are learning two languages. To find out more, call your  local CCR&R or contact Child Care Aware.

A multi-lingual environment. Your child will learn two languages best if he or she knows that both languages are important and valued. Children also need to have lots of fun and meaningful chances to talk, read and pretend-write in both languages.

Call 1-800-424-2246 or visit to find the CCR&R in your area.

3. Check out your Child Care:

Evaluate the early literacy activities and materials your child’s caregiver offers. Use the Early Literacy Child Care Checklist below to help you.

For all ages:

*Does the caregiver have special training in early childhood education, First Aid and CPR?

*Has the caregiver been in the same program or provided care in the home for at least a year?

*Is one caregiver caring for just a few children (low child/adult ratio)?

*If there is more than one caregiver in the setting, is the number of children in the group still fairly small (group/size)?

*If your child is in a child care center or family child care home, does the caregiver have national accreditation and state licensure (e.g. National Association for the Education of Young Children (NAEYC) or National Association for Family Child Care (NAFCC)?

*Does the caregiver welcome drop-in visits and parent ideas and involvement?

*Are the planned things for children to do as well as lots of time for free plays?

*Are there  planned things for children to do as well as lots of time for free play?

*Are materials such as books, blocks, toys and art supplies available to children all day long?

*Does the place look clean and safe and is hand washing done often?

*Does the caregiver have written policies and procedures, including emergency plans?

*Does the caregiver have references?

*Have satisfactory criminal history background checks been conducted on each adult present?

*Has the program been inspected by the licensing agency within the last 12 months?

For Babies (Birth to one year):

Does the caregiver:

*Hold, touch and make eye contact with babies a lot?

*Use words when responding to babies crying?

*Talk about what is happening during routines, like “Let’s wash our hands. Here’s the soap.”

*Read books with rhymes, name things and allow the babies to pat the pictures?

*Play games like peek-a-boo with babies?

*Sing to babies?

Are there:

*Boards and soft book that show different cultures, physical abilities and types of families accessible for babies to reach, hold and look at most of the day?

*Times when music is played during the day?

*Rattles, squeak toys and push and pull toys available to babies most of the day?

*Pictures of babies families and a mirror so babies can see themselves?

For Toddlers (One and Two year olds):

In addition to the above, does the caregiver:

*Listen to. repeat and encourage toddlers words?

*Do finger plays, rhyming and counting games?

*Let toddlers turn pages of board books and ask toddlers to name pictures?

*Help toddlers pretend-play things like “going to the grocery store”?

Are there:

*Soft, cozy places for toddlers to read stories to themselves and their stuffed animals?

*Art supplies, like big crayons and paper out for toddlers to use during the day?

*Puppets, play phones and dolls out for toddlers to use during the day?

*Toddler’s drawings with their names written on it, hung up where they can see them?

Preschoolers (Three to Five years old):

Does the caregiver:

*Read books with children every day-one-on-one and in small groups so everyone can see?

*Give children time to look at books by themselves or with each other every day?

*Help children recognize letters in books and things they see all around them, like signs, calendars and directions?

*Help children sound out letter and words?

*Talk and listen to children throughout the day?

*Encourage children to talk to each other?

*Play games like “Simon Says” and “Mother May I” with the children?

*Listen to children’s stories and poems and write them down for children?

* Giver children chances to pretend-write things like dairies, recipes and shopping lists?

*Praise children for their efforts at pretend writing, spelling and copying letters?

Are there:

*Various books and magazines about things like different families and cultures, animals, counting and the alphabet?

*Many things with print where children can see them, like labels on pictures and containers, signs and a big alphabet?

*Objects that add reading and writing into playtime, like a phone book, message pad and markers near a play phone or a book about trucks or maps near play cars and trucks?

*Special areas for writing and drawing with things like books, paper, crayons, makers and chalk and a chalk board?

4. Partner with your provider:

Visiting and participating in events at child care sends a strong message. It tells your child and your child’s caregiver that you think what your child is doing and learning is important.

5 Simple things you can do:

*Talk to your child’s caregiver about things listed on the Early Literacy Child Care Checklist and work together on adding literacy materials and activities into your child’s daily child routine.

*Visit your child at child care and read a book aloud.

*Offer to go on a field trip to the local library.

*Have parent-caregiver meetings regularly and ask questions about what your child is talking about and reading.

*Be there for your child’s birthday party and pick out family pictures with your child that you can label and share at the party.

4 easy after work options:

*Take a few minutes to talk with your child’s caregiver at drop-off and pick up times.

*Share information about your child’s latest favorite book or the new words your child is learning.

*Send notes that can be read out loud with your child at child care-and ask your child’s caregiver to help your child “write” notes back to you.

*Help your child write names on pictures your child makes for your caregiver or another child at child care.

*Talk with your child about what happened in child care every day.

5. Read, Repeat and Relax:

What you do with your child at home will make the biggest difference in how ready your child is for reading and writing.

Again please!

Children like to hear the same story repeatedly. So have fun picking out a new picture or letter to talk about each time or tell the story a little wrong so your child will say, “That’s not what it says!”

Whether you are reading with your baby or preschooler, don’t rush. Take time to read and talk about the book together.

Have fun with literacy. Read, talk, sing and play with your child-and don’t worry! Young children learn at different rates. Your child will want to read and write it if is a fun and natural part of what you do each day.

Give praise freely. Encouraging your baby and young child during the early literacy stages gives your child the confidence to read and write later. Before you know it, your child will be reading aloud to you!

Help with all your child care needs.

Your CCR&R agency can also help you with evaluating and finding child care, financial assistance  and other resources.

For additional resources or help in finding your local Child Care Resource & Referral agency (CCR&R) call:

1-800-424-2246/TTY 1-866-278-9428/

Disclaimer: This information was take from the ChildCare Aware pamphlet and I give them full credit for the information. Please call the above numbers for more information on the program.





Posted in Child Program Services, New Jersey Children's Programs, Uncategorized | Tagged , , , , , , , , , , , , , , | 1 Comment

Managing Pain

Managing Pain

Learn more at

At some point, everyone feels pain. It might be the result of an injury, surgery or overuse. Or it might be related to a medical condition such as arthritis or fibromyalgia. Whatever the cause, pain can interfere with your ability to sleep, work and enjoy life.

Pain often goes away quickly. But pain can also last for many months and sometimes years. This is called chronic pain. Today there are many options to help you find relief.


Talk with your doctor:

Whether this is your first visit or a follow up ask your doctor.

*What is causing my pain?

*How long should I expect the pain to last?

*Are there any lifestyle changes that might improve my pain?

*Are there any alternative therapies that might help?

*What should I do if there pain gets worse?

Tell your doctor if :

*The locations type or severity of your pain has changed since your last visit.

*You think your medications are causing any side effects.

*You are trying any alternative treatments like acupuncture or taking an herbal remedy.

What is pain?

Pain is an unpleasant feeling of discomfort, often caused by illness or injury.

Pain can serve as a warning that something is wrong. Pain can also help with healing. It tells you to avoid touching a wound or using a joint that’s on the mend. Pain can also be felt for no clear reason.

There are two main types of pain:

*Nocieceptive pain: This is that occurs when body tissue is injured. Examples include burns, sprains, broken bones or inflammation from an infection or arthritis.

When you band your finger, the signal starts at the very tips of the nerve cells, travels to and up the spinal cord and into a part of the brain called the thalamus.

The thalamus sends the signals out to several parts of the brain including those that control touch, emotion, physical reaction and memory.

*Neuropathic pain: This kind of pain, also called nerve pain, happens when the nerves themselves become irritated. Nerves that were once a mere messenger of pain become a source of pain.

Conditions that cause neuropathic pain include a “pinched nerve” (like sciatica), diabetes, shingles and multiple sclerosis.

Understanding types of pain:

Pain can be classified by how long it lasts:

*Transient pain: this is a sensation that accompanies a bang, bump or nick as well as the occasional headache. It lasts for a few seconds to a few hours.

*Intermittent pain: this type of pain comes and goes.

*Acute pain: Acute pain lasts from a few minutes to a few weeks. It usually results from disease, inflammation or injury. Examples include burns and sprains. Its cause can often be identified and treatment. It usually goes away once the injury or disease has healed.

*Chronic pain: Chronic pain lasts for months or eve n years. Conditions that cause chronic pain include arthritis, fibromyalgia, irritable bowel syndrome and others.

Diagnosing pain:

When diagnosing pain, the first and most important task is to rule out serious causes, such as heart disease or cancer.

Your doctor will typically ask several questions about your pain, including:

*When it started

*Its location

*Its intensity

*Other symptoms that accompany it

*Its impact on your daily activities

*Any treatments you’ve already tried

The doctor will perform a physical examinations. He or she may also order blood tests or imagining tests, like an x-ray, to help identify what is causing the pain. It isn’t always easy to identify the cause of pain.

Describing your pain:

Your doctor may ask you to rate your pain:

When your doctor asks you to describe your pain, try to use descriptive words such as:

*sharp/stabbing, dull, hot/burning, cold/freezing/sensitive, tender, itchy, shooting, stinging, numb, tingling, cramping/squeezing, radiating/spreading, throbbing/pounding, aching, and gnawing/biting.

Your doctor may ask these questions:

Is the pain steady or does it come and go? Does it get better and worse or stay the same? What relieves or worsens the pain? Is the pain better or worse at different times of day? Does it vary based on whether you are active or inactive?

Keep a pain journal:

Try to record the frequency, intensity and duration of your pain in a pain journal. It can help you and your doctor identify what triggers your pain and track whether or not it improves over time.

Medicines for pain:

When your aren’t in pain, it’s easier to work, care for family, participate in daily activities and enjoy life.


Medications used primarily to relieve pain are called analgesics. Nonprescription or over the counter pain relievers are generally used for mild to moderate pain. Prescription analgesics are used for moderate to severe pain or pain that doesn’t respond to over-the-counter medications. There are two common classes of analgescis:

*Nonsteroidal anti-inflammatory drugs (NSAIDs) relieve pain and also reduce inflammation. Some are available over the counter; some require a prescription.

*Acetaminophen helps relieve pain but does not reduce inflammation.

Anticonvulsants and antidepressants:

These drugs, mainly used to treat seizure disorders and depression are sometimes used to treat pain.

Opioids (narcotics):

Opioids relieve pain. But they must be taken with care because they can be addictive.

Other treatments:

Topical pain relievers are applied to the skin.

Creams and gels: These contain a wide variety of substances. Ones that contain salicylates reduce inflammation. Others contain “counterirritants,”such as menthol or eucalyptus, which provide a cooling or warming sensation intended to distract from the pain.

Corticosteriod shots:

These shots are injected into an inflamed part of your body such as a joint. The cortiscosteroid is usually mixed with a local anesthetic.

Nerve block:

Nerve block used drugs, chemical or surgical techniques to block the transmission of pain messages between specific areas of the body and the brain.


In some cases, surgery may be needed to relieve pain.

Treating pain without drugs:

Some nondrug treatments can relieve pain.

These may be used instead of medications or in addition to it:

Cold and heat:

*Cold can reduce swelling and decrease pain. Apply a store bought cold pack, a bag of frozen vegetables or ice cubes wrapped in a towel to the affected area-for no more than 20 minutes at a time, four to eight times a day.

*Heat can relax muscles and ease pain. Try moist compresses, hot packs, warm baths and showers, hot whirlpools and heat lamps to temporarily relieve pain. Don’t use heat or cold for too long.

Pain relieving devices:

Special devices can help support painful joints, relieve pressures on irritated nerves and soothe aches and pains. They include splints and braces canes, crutches, walkers and shoe inserts.

Longer-term pain relief options:

*Physical and occupational therapies:

Physical therapists use techniques and exercises to help ease pain and improve strength and range of motion. They customize programs to fit your goals. Occupational therapists help improve your ability to perform activities of daily living, such as dressing, bathing and eating.


An exercise program can help relive chronic pain. It should include regular, gentle aerobic activity, stretching and range of motion exercises and strengthening exercises. Extra weight on joints can cause pain. If you are overweight, losing weight may help relieve pain.

*Alternative therapies:

Therapies that address the whole person, including the mind and emotions, can help restore a sense of control over pain. Some techniques include:

*acupuncture, biofeedback, breathing exercises, chiropractic, cognitive behavioral therapy, hypnosis, massage therapy, mediation, progressive muscle relaxation, yoga and tai chi.

Common kinds of pain:

Finding the right treatment often takes time and patience. Here are some of the most common types of pain:

*Shingles nerve pain:

Shingles is painful, blistering rash. For people, shingles pain remains long after the rash is gone. This continued nerve pain is called postherpetic neuralgia. Posttherpetic neuralgia is a difficult type of pain to treat. Certain medications may help.

A shingles vaccine is recommended for older adults. The vaccine reduces the risk of getting shingles. It also reduces the risk of postherpetic neuralgia if you do get shingles.

*Diabetic neuropathy:

Diabetic neuropathy is nerve damage caused by diabetes. It most often affects the nerves in the feet. In addition to pain, it also causes numbness. It increase the risk of serious foot injury. Keeping your blood sugar close to the normal range helps prevent diabetic neuropathy.

People experience pain differently based on the type of pain and how their brain responds.

*Low back pain:

Most people with back pain get better within a week or two with a combination of brief rest, cold packs and pain relief medication. But for some people, low back pain persists for weeks or months.

If you have or periodic bouts of low back pain, you may find relief with:

*exercise, including yoga and tai chi

*physical therapy, particularly back-strengthening exercises

*therapeutic massage

*topical pain relievers

*Abdominal pain:

Irritable bowel syndrome (IBS) can cause pain, diarrhea, bloating, cramps or constipation. Avoiding foods containing a group of poorly digested sugars and fibers called FODMAPs may help. Probiotic supplements might be worth trying, too.

Other approaches include cognitive behavioral therapy, antidepressants and mind-body relaxation therapies.

Other common kinds of pain:


Osteoarthritis causes stiffness and pain in the joints, especially the knees and hips. Osteoarthritis  develops when cartilage-the connective tissue that covers bones and acts as a cushion-deteriorates. Over time, the space between the bones narrows and the surfaces of the bones change shape. This eventually damages the joint. A combination of medicines, weight loss and physical therapy can help relieve osteoarthritis pain.


Fibromyalgia causes pain and stiffness in multiple tender points throughout the body . It leaves people feeling achy and fatigued.  People with fibromyalgia may be more sensitive to pain than others. Medications to decrease symptoms often include the same drugs prescribed for nerve pain, such as antidepressants and antiseizure medications.

Nondrug therapies, including alternating cold and heat; tai chi, yoga and other forms of exercise; acupuncture and therapeutic massage can also be helpful.

Additional types of pain:

Cancer Pain:

Pain often occurs when cancer spreads to or presses on bones, nerves or organs. The type of cancer you have and how far it has spread usually determines whether you have pain, the amount of pain you have and how it can be treated.

Migraine headaches:

Migraine headaches are intense, throbbing headaches that tend to affect one side of the head. They can be excruciating and debilitating. Many migraine sufferers also experience nausea and vomiting or become sensitive to light and sound.

Migraines are best managed with medications to:

*head off symptoms if you have a warning (aura) before the headache starts.

*relieve symptoms when you have a migraine

*prevent migraines from occurring

Avoiding migraine triggers also helps. These are foods, drinks, smells, activities or situations that can set off migraines.

Get more information on managing pain:

Disclaimer: This information was taken from the AccentHealth pamphlet on Managing Pain and I give them full credit for the information. Please contact them for more information.


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