• Skip to primary navigation
  • Skip to main content
  • Skip to footer

Appletree Day Care, Inc

  • HomeAppletree Daycare Home Button
  • About UsAppletree Daycare About Us Button
  • ProgramsAppletree Daycare Programs Button
  • ContactAppletree Daycare Contact Us Button
  • Blog
  • Calendar
    • Special Events
  • FAQ
  • Locations
    • Old Poole Road
    • Clarendon Crescent
    • New Bern
    • Poole Road
    • Corporate Office
    • Appletree Careers
    • Current Career Opportunities
  • New Students
  • Parent Resources
    • COVID Resources
    • ABCmouse.com
    • Blog
    • Calendar
    • Menu
    • Newsletter
  • Reviews
  • Careers

Health and Safety

Ear Infection

Posted on: 12.11.22 | by ChildCareOwner

Preventing and Treating Ear Infections [PDF – 2 pages]

Is your child’s ear hurting? It could be an ear infection. Children are more likely than adults to get ear infections. Talk to your child’s doctor about the best treatment.

Some ear infections, such as middle ear infections, need antibiotic treatment, but many can get better without antibiotics.

What is an ear infection?

There are different types of ear infections. Middle ear infection (acute otitis media) is an infection in the middle ear.

Another condition that affects the middle ear is called otitis media with effusion. This condition occurs when fluid builds up in the middle ear without causing an infection. Otitis media with effusion does not cause fever, ear pain, or pus build-up in the middle ear.

Swimmer’s ear is an infection in the outer ear canal. Swimmer’s Ear is different from a middle ear infection. For more information, visit “Swimmer’s Ear” (Otitis Externa).

Causes

Bacteria or viruses can cause a middle ear infection:

  • Bacteria, like Streptococcus pneumoniae and Haemophilus influenzae (nontypeable) are the two most common bacteria causing middle ear infection
  • Viruses, like those that cause colds can cause middle ear infection

Symptoms

Common symptoms of middle ear infection in children can include:

  • Ear pain
  • Fever
  • Fussiness or irritability
  • Rubbing or tugging at an ear
  • Difficulty sleeping

When to Seek Medical Care

See a doctor if your child has:

  • A fever of 102.2°F (39°C) or higher
  • Pus, discharge, or fluid coming from the ear
  • Worsening symptoms
  • Symptoms of a middle ear infection that last for more than 2–3 days
  • Hearing loss

This list is not all-inclusive. Please see a doctor for any symptom that is severe or concerning.

On This Page
  • What is an ear infection?
  • Causes
  • Symptoms
  • When to Seek Medical Care
  • Treatment
  • How to Feel Better
  • Over-the-Counter Medicine and Children
  • Prevention
Healthy Ear / Infection of Middle Ear

Anatomy of the ear showing where fluid builds up in the middle ear and puts pressure, or pushes, on the ear.

A healthy ear including outer, middle, and inner ear. An infected ear showing inflammation and fluid in the ear.

View Larger

What antibiotics treat and won’t treat

What antibiotics treat and won’t treat

Transcript [TXT – 294 B]

Talk to a healthcare professional right away if your child is under 3 months old with a fever of 100.4 °F (38 °C) or higher.

Treatment

A doctor can diagnose a middle ear infection by asking about symptoms and examining your child. The doctor will look inside your child’s ear to examine the eardrum and look for pus in the middle ear.

The body’s immune system can often fight off middle ear infection on its own. Antibiotics are sometimes not needed for middle ear infections. However, severe middle ear infections or infections that last longer than 2–3 days need antibiotics right away.

For mild middle ear infection, your doctor might recommend watchful waiting or delayed antibiotic prescribing.

  • Watchful waiting: Your child’s doctor may suggest watching and waiting for 2-3 days to see if your child needs antibiotics. This gives the immune system time to fight off the infection. If your child’s symptoms don’t improve, the doctor may prescribe an antibiotic.
  • Delayed prescribing: Your child’s doctor may prescribe an antibiotic but suggest that you wait 2–3 days before filling the prescription. Your child may recover on their own and may not need the antibiotic.
 

How to Feel Better

Below are some ways to feel better, even if antibiotics are needed for an ear infection:

  • Rest.
  • Extra water or other fluids.
  • Over-the-Counter Medicines to relieve pain or fever.

Ask your doctor or pharmacist about over-the-counter medicines that can help you feel better. Always use over-the-counter medicines as directed.

 
 

Over-the-Counter Medicine and Children

Carefully read and follow instructions on over-the-counter medicine product labels before giving medicines to children. Some over-the-counter medicines are not recommended for children of certain ages.

  • Pain relievers:
    • Children younger than 6 months: only give acetaminophen.
    • Children 6 months or older: it is OK to give acetaminophen or ibuprofen.
    • Never give aspirin to children because it can cause Reye’s syndrome. Reye’s syndrome is a very serious, but rare illness that can harm the liver and brain.
  • Cough and cold medicines:
    • Children younger than 4 years old: do not use over-the-counter cough and cold medicines in young children unless a doctor specifically tells you to. Cough and cold medicines can result in serious and sometimes life-threatening side effects in young children.
    • Children 4 years or older: discuss with your child’s doctor if over-the-counter cough and cold medicines are safe to give to your child.

Ask your doctor or pharmacist about the right dosage of over-the-counter medicines for your child’s age and size. Also, tell your child’s doctor and pharmacist about all prescription and over-the-counter medicines they are taking.

 
 

Prevention

You can help prevent ear infections by doing your best to stay healthy and keep others healthy, including:

  • Receive recommended vaccines, such as flu vaccine and pneumococcal vaccine. Pneumococcal vaccine protects against a common cause of middle ear infections, Streptococcus pneumonia.
  • Clean your hands.
  • Breastfeed exclusively until your baby is 6 months old and continue to breastfeed for at least 12 months.
  • Don’t smoke and avoid exposure to secondhand smoke.
  • Dry your ears thoroughly after swimming.
 

Vaccine for Flu (Influenza)

Posted on: 11.28.22 | by ChildCareOwner

Why should my child get a flu vaccine?

  • Reduces the risk of flu illness and hospitalization among children.
  • Shown to be life-saving for children.
  • Can make illness less severe among people who get vaccinated but still get sick with flu.
  • Reduces the risk of illness, which can keep your child from missing school or childcare and you from having to miss work.
  • Reduces the high risk of developing serious flu complication especially if your child is younger than 5 years, or of any age with certain chronic conditions.
  • Helps prevent spreading flu to family and friends, including babies younger than 6 months who are too young to get a flu vaccine.

When should my child get a flu vaccine?

Doctors recommend that your child get a flu vaccine every year in the fall, starting when he or she is 6 months old. Some children 6 months through 8 years of age may need 2 doses for best protection.

  • CDC recommends a flu vaccine by the end of October, before flu begins spreading in your community. Getting vaccinated later, however, can still be beneficial and vaccination should continue to be offered throughout the flu season, even into January or later.
  • Children 6 months through 8 years getting a flu vaccine for the first time, and those who have only previously gotten one dose of flu vaccine, should get two doses of vaccine. The first dose should be given as soon as vaccine becomes available.
  • If your child previously got two doses of flu vaccine (at any time), he only needs one dose of flu vaccine this season.
 

CDC recommends a yearly flu vaccine for everyone ages six months and older. Pregnant women should get a flu vaccine during each pregnancy. Flu vaccines given during pregnancy help protect both the mother and her baby from flu.

 

What vaccines protect against flu?

For the 2020-2021 flu season, CDC recommends a yearly flu vaccination for everyone 6 months and older.

  • Flu shots can be given to your child 6 months and older.
  • The nasal spray vaccine can be given to people 2 through 49 years of age. However, certain people with underlying medical conditions should not get the nasal spray vaccine.

Your child’s doctor will know which vaccines are right for your child.

Should I get vaccinated if I’m pregnant?

Yes. Changes in your immune, heart, and lung functions during pregnancy make you more likely to get seriously ill from flu. CDC recommends pregnant women get a yearly seasonal flu shot by the end of October, if possible, to ensure best protection against flu. You can be vaccinated during any trimester of your pregnancy. Getting vaccinated can also help protect your baby after birth from flu. (Mom passes antibodies onto the developing baby during her pregnancy.)

 

Flu vaccines are very safe.

 

Flu vaccines have a good safety record. Hundreds of millions of Americans have safely received flu vaccines for more than 50 years, and there has been extensive research supporting the safety of flu vaccines.

Vaccines, like any medicine, can have side effects. When they occur, flu vaccine side effects are generally mild and go away on their own within a few days.

 

What are the side effects?

Common side effects from the flu shot may include:

  • Soreness, redness, and/or swelling where shot was given
  • Headache
  • Fever
  • Nausea
  • Muscle aches

Side effects from the nasal spray flu vaccine may include:

  • Runny nose
  • Wheezing
  • Headache
  • Vomiting
  • Muscle aches

If these problems occur, they usually begin soon after vaccination and are mild and short-lived.

To prevent fainting and injuries related to fainting, adolescents should be seated or lying down during vaccination and remain in that position for 15 minutes after the vaccine is given.

Prepare for your child’s vaccine visit and learn about how you can:

  • Research vaccines and ready your child before the visit
  • Comfort your child during the appointment
  • Care for your child after the shot
 

Why does my child need a flu vaccine every year?

Flu viruses are constantly changing, so new vaccines are made each year to protect against the flu viruses that are likely to cause the most illness. Also, protection provided by flu vaccination wears off over time. Your child’s flu vaccine will protect against flu all season, but they will need a vaccine again next flu season for best protection against flu.

What is flu?

Flu—short for influenza—is an illness caused by influenza viruses. Flu viruses infect the nose, upper airways, throat, and lungs. Flu spreads easily and can cause serious illness, especially for young children, older people, pregnant women, and people with certain chronic conditions like asthma and diabetes.

What are the symptoms of flu?

Flu symptoms can include:

  • Fever (not everyone with flu will have a fever) or feeling feverish/chills
  • Chills
  • Cough
  • Sore throat
  • Runny or stuffy nose
  • Headache
  • Muscle or body aches
  • Tiredness
  • Vomiting and/or diarrhea (this is more common in children than adults)

Most people who get sick with flu will recover in a few days to less than two weeks.

Is flu illness serious?

Millions of children get sick with flu each year and thousands are hospitalized. CDC estimates that since 2010, between 7,000 and 28,000 children younger than 5 years old have been hospitalized for flu each year in the United States. Children with chronic conditions like asthma, diabetes, and disorders of the brain or nervous system, and children younger than 5 years old (and especially children younger than 2 years old) are more likely to end up in the hospital from flu.

Some people at high risk can develop complications (such as pneumonia) that can result in hospitalization and even death.

Flu seasons vary in how serious they are from one season to another. Since 2010, CDC estimates that between 130 and 1,200 children (younger than 18 years) have died from flu each year.

How does flu spread?

Flu spreads mainly by droplets when people who have flu talk, cough, or sneeze, and these droplets land in the mouths or noses of people who are nearby or are inhaled. Less often, a person might get flu by touching a surface or object that has flu virus on it and then touching their own mouth, nose, or possibly their eyes.

People can spread flu to others from one day before they have symptoms to 5-7 days after they get sick. This can be longer in children and people who are very sick.

Can my child get flu from a flu vaccine?

No, flu vaccines do not cause flu. Flu vaccines (given as a shot) are currently made in two ways: the vaccine is made either with

  1. flu viruses that have been ‘inactivated’ (killed) and are therefore not infectious, or
  2. using only a single gene from a flu virus (as opposed to the full virus) in order to produce an immune response without causing infection.

Flu vaccine protects your child from flu illness. However, flu shots can sometimes cause mild side effects that may be mistaken for flu. Keep in mind that it will take about 2 weeks after getting a vaccine for your child to build protection against flu.

Creating Positive Childhood Experiences

Posted on: 09.15.22 | by ChildCareOwner

Healthy and happy childhoods start now. Learn how you can help!

Children and families thrive when they have access to safe, stable, nurturing relationships and environments. These relationships and environments are essential to creating positive childhood experiences and preventing adverse childhood experiences.

What are adverse childhood experiences?

Early negative events impact the health and well-being of children and the adults they become. These negative events are known as adverse childhood experiences, or ACEs. ACEs are potentially traumatic events that occur in childhood (0-17 years). For example:

  • Experiencing violence or abuse
  • Witnessing violence
  • Having a family member attempt or die by suicide

ACEs also include aspects of the environment like growing up in a household with:

  • Substance misuse
  • Mental health problems
  • Instability due to parental separation or household members being in jail or prison

Some adversity and stress are normal and can even be helpful so that children learn how to react to future challenges. However, if children are repeatedly exposed to adversities like abuse and neglect and unstable relationships or environments, they may experience toxic stress. Discover how toxic stress develops and evolves.

Everyone has a role to play

We all benefit when children have safe, stable, nurturing relationships and environments. Everyone can help prevent ACEs and promote positive childhood experiences by supporting children and families where you live and work.

Parents and caregivers:
Parenting is hard work! There are many things you can do to create positive childhood experiences.

  • Establish a routine. Children feel secure and thrive when the environment is structured for them.
  • Praise your child when she does something right. The more you praise a behavior, the more likely it is your child will behave the same way again.
  • Pay attention to your child when he is trying to communicate with you. Giving him your full attention will make him feel like you care about what he has to say.
  • Set aside time each day to talk and play with your child. Creating a special time lets your child know she is important and strengthens the bond between the two of you.
  • Check out CDC’s Essentials for Parenting Toddlers and Preschoolers! This resource can help you handle common parenting challenges and improve skills so you can enjoy helping your child grow.

We know that every child and every parent is unique. You may face many different situations and challenges every day. It’s ok to ask for help.

  • Reach out to babysitters, family members, or close friends.
  • Discuss your concerns with your child’s doctor.
  • Find out if your community offers support groups or programs for parents and caregivers.

Friends, family, and neighbors:

As a friend or neighbor, you can develop nurturing, supportive relationships with the children in your life. Offer to babysit, make a meal, or drive a parent or child where they need to go.

Coworkers:
As a coworker, you can listen and support your colleagues by encouraging them to take breaks or seek additional help if needed. You can also offer to help with their workload.

Everyone:
We can all recognize challenges that families face and offer support and encouragement to reduce stress. Everyone can promote social norms that discourage violence and help ensure the safety of all members of a community.

  • Let people know that violence is unacceptable and steps will be taken to protect the victim of violence.
  • Encourage people to stand up and speak up, if they can safely do so, when a person is being harassed or hurt or needs support.

We can also support community programs and policies that provide safe and healthy conditions for all children and families.

  • Examples include supporting family friendly work policies like paid leave and flexible work schedules and supporting policies that strengthen household financial security based on the best available evidence.

Working together, we can help create neighborhoods, communities, and a world in which every child can thrive.

Resources
  • ACEs Trainings
    These online trainings are designed to help users understand, recognize, and prevent ACEs from occurring in the first place.
  • CDC’s Child Abuse and Neglect Prevention Resources
    CDC’s web page that contains child abuse and neglect prevention resources.
  • Child Development
    CDC’s Web page that includes information on developmental milestones, screening, and positive parenting.
  • Parenting Portal
    This portal has information from across all of CDC, covering everything from safety at home and the community to immunization schedules.
  • CDC’s VetoViolence Facebook Page

Childhood Arthritis

Posted on: 08.02.22 | by ChildCareOwner

What is childhood arthritis?

mother pushing child down slide

Arthritis in children is called childhood arthritis or juvenile arthritis. The most common type of childhood arthritis is juvenile idiopathic arthritis (JIA), also known as juvenile rheumatoid arthritis.

Childhood arthritis can cause permanent physical damage to joints. This damage can make it hard for the child to do everyday things like walking or dressing and can result in disability.

 

Is there a cure for childhood arthritis?

Although there is no cure, some children with arthritis achieve permanent remission, which means the disease is no longer active. Any physical damage to the joint will remain.

 

What are the signs and symptoms of childhood arthritis?

Symptoms may come and go over time. There may be times when symptoms get worse, known as flares, and times when symptoms get better, known as remission. Signs and symptoms include:

  • Joint pain
  • Swelling
  • Fever
  • Stiffness
  • Rash
  • Fatigue (tiredness)
  • Loss of appetite
  • Inflammation of the eye
  • Difficulty with daily living activities such as walking, dressing, and playing

 

What causes childhood arthritis?

The exact cause of childhood arthritis is unknown. In childhood arthritis the immune system may not work right which causes the inflammation in the joints and other body systems.

 

How is childhood arthritis diagnosed?

Childhood arthritis is diagnosed through a physical examination and review of symptoms, X-rays, and lab tests. A doctor should make this diagnosis, particularly a rheumatologist who specializes in arthritis and other related conditions in children. These doctors are called pediatric rheumatologists.

 

Who gets childhood arthritis?

Childhood arthritis can affect children of all ages, races and ethnic backgrounds.

Learn more about childhood arthritis
  • Juvenile Arthritisexternal icon from National Institute of Arthritis and Musculoskeletal and Skin Diseases
  • Juvenile Arthritis: Fast Facts for Patients and Caregiversexternal icon from the American College of Rheumatology
  • Childhood Arthritis and Rheumatology Research Alliance (CARRA)external icon
  • Kids Get Arthritis Tooexternal icon from the Arthritis Foundation
Learn more about arthritis
  • Arthritis Types
  • Physical Activity for Arthritis
  • Frequently Asked Questions (FAQs)
  • Arthritis-Related Statistics
  • Go to page 1
  • Go to page 2
  • Go to page 3
  • Interim pages omitted …
  • Go to page 9
  • Go to Next Page »

Footer

Quick Links

  • Blog
  • Calendar
    • Special Events
  • FAQ
  • Locations
    • Old Poole Road
    • Clarendon Crescent
    • New Bern
    • Poole Road
    • Corporate Office
    • Appletree Careers
    • Current Career Opportunities
  • New Students
  • Parent Resources
    • COVID Resources
    • ABCmouse.com
    • Blog
    • Calendar
    • Menu
    • Newsletter
  • Reviews
  • Careers

What People Are Saying

Follow Us

Follows
  • facebook

© Copyright 2020 Appletree Day Care, Inc - All Rights Reserved

Designed and Managed By: ChildCareOwner.com