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Children’s Health

Children’s Health

There are many excellent resources available for information about Children’s Health.

Check out these sites:

 

Child Development Resource Connection Peel
Information on child care, resources, training and services for children with special needs

Pep Start Clinics 
PEP-Start Clinic is a drop-in, no-fee clinic designed for families with children newborn up to 5 years of age who live in Peel. PEP-Start offers parents the opportunity to consult with professionals from community agencies in any or all the following:

  • Speech and Language
  • Parenting & Behaviour
  • Preschool Development
  • Infant/Toddler Development
  • Health & Nutrition

Erin Oak Kids
Erin Oak Kids provides a comprehensive range of family-centred treatment, rehabilitation and support services to children with disabilities and their families who reside in Dufferin, Halton, Peel, Waterloo and Wellington in areas such as:

  • Autism
  • Speech and Language
  • Hearing
  • Vision Services
  • Developmental Paediatrics
  • Occupational Therapy
  • Physiotherapy

Peel Children’s Centre
Peel Children’s Centre offers many excellent treatment services for children, teenagers, and families who are having serious issues with relationships, feelings, or behaviour.

Tangerine
Tangerine Walk-In Counselling is a free service for children, youth and families who live in the Peel Region.

Infant and Child Development Services Peel
This program specializes in providing services and resources for families with children 0-6 years old who are at risk of, or have a delay in his or her development.

Canadian Paediatric Society
This great resource from the National Association of Paediatricians  in Canada contains lots of information about children’s health, patient information, diet information, immunizations, guidelines, and resources for children.

Caring for Kids
This is an excellent site published by the Canadian Pediatric Society.  It contains information about Pregnancy and Babies (including feeding your baby in the first year, developmental milestones), Healthy Bodies, Keeping Kids Safe, Growing and Learning, Infections and Illnesses, Behaviour and Parenting, Teen Health, and Tips and Checklists.

 

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Doc Mike Evans White Board Talks

Doc Mike Evans White Board Talks

Check out this new exciting method of delivering health information.

Dr. Mike Evans is an Associate Professor at the University of Toronto in Family Medicine.

He has published a series of educational videos on various health topics in Family Medicine.

He uses an innovative wipe board to tell a story about a topic, that is evidence based, informative and entertaining.

Visit his Youtube channel for topics ranging from healthy lifestyle treatment to specific disease information.

DocMikeEvans

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Periodic Health Exams or “Physicals”

Periodic Health Exams or “Physicals”

Preventative Medicine is an important part of health care.  It is a way to screen for illnesses before they happen, identify risk factors for diseases, and make positive changes to our health to prevent illness.

An important part of Preventative Medicine is the Periodic Health Exam, or “Complete Physical.”  

Many people recognize this as an “annual check-up” with their Family Doctor, and may include things like reviewing their medical history, family history, medications, and allergies, receiving a physical examination from their Doctor, doing blood work or other screening tests like pap tests, mammograms, colon cancer screening, or prostate screening.

There is some debate about the frequency and content of  Periodic Health Exams.   What age should these begin?  How often should they be done?  What should be done at the visit?  What tests should be performed?

Currently there is no consensus or rule available to answer these questions exactly.  You will find that Periodic Health Exams vary between Physicians.  The term “Periodic” is used now instead of “Annual” to suggest that certain tests are recommended at various intervals, and not necessarily every year.

There are however some guidelines for Periodic Health Exams that are evidence-based.  Please see the recommendations below.

**These guidelines are suggestions based on evidence for healthy individuals, taking no medications, and having no other illness, risk factors, or family history of diseases.  For individuals with any medical conditions, taking medications, having risk factors for diseases, or past history of illness, these recommendations are reviewed on a case by case basis.  Please talk to your Doctor to review your preventative health care needs.  These are only suggestions, and should be reviewed with your physician to determine if they are right for you or your children.

Periodic Health Exams

Download a copy

 

Children 0-6 years old

 

Visits are timed with newborn care and vaccinations, and follow a guideline called the Rourke Baby Record

  • within the 1st week of delivery
  • 1 month
  • 2 months (Tetanus, Diphtheria, Polio, Pertussis, H Influenza, Men C, Pneumococcus, Rotavirus)
  • 4 months (Tetanus, Diphtheria, Polio, Pertussis, H Influenza, Men C, Pneumococcus, Rotavirus)
  • 6 months (Tetanus, Diphtheria, Polio, Pertussis, H Influenza)
  • 12 months (Pneumococcus, Measles, Mumps, Rubella)
  • 15 months (Chicken Pox, Men C)
  • 18 months (Tetanus, Diphtheria, Polio, Pertussis)
  • 2-3 years old
  • 4-6 years old (Tetanus, Diphtheria, Polio, Pertussis, Measles, Mumps, Rubella)

 

Children 6 – 14 years old

 

Every 2 years:

  • height, weight
  • growth, development, nutrition, healthy lifestyle
  • social, family, school, peer issues
  • vaccinations done at school:
  1. Hepatitis B (Grade 7, 2 doses, for boys and girls to protect against Hepatitis B)
  2. Menomune (Grade 7, 1 dose, for boys and girls to protect against Meningitis ACYW-135)
  3. Gardasil (Grade 8, 2 doses, for girls to protect against HPV & cervical cancer)

 

Teen 14-16 years old

 

  • Adacel Vaccination (Tetanus, Diphtheria, Pertussis)

Teen Age 16-17

 

  • height, weight
  • growth, development, nutrition, healthy lifestyle
  • social, family, school, peer issues
  • teen health, puberty, healthy sexuality, substance issues
  • accident prevention

 

Age >21 year old females

 

 Every 3 years:

  • Cervical Cancer Screening for women (Pap tests; Low Risk – every 3 years, age 21 to 70 who are or who have ever been sexually active ; High Risk – Based on results)

 

Age >50

 

Men every 2-3 years:

  • Cholesterol
  • Glucose
  • BP
  • Prostate Cancer Screening (Examination, PSA every year – this is debated by Physicians)
  • Colon Cancer Screening (Low Risk – Stool Check for blood (FOBT) every 2 years; High Risk – Colonoscopy every 10 y, starting 10 years before relatives cancer age, until age 74)

Women every 2-3 years:

  • Cholesterol
  • Glucose
  • BP
  • Breast Screening (Mammograms; Low Risk – every 2 years, age 50 – 74; High Risk – every year, age 30-74)
  • Cervical Cancer Screening (Pap tests; Low Risk – every 3 years, age 21 to 70 who are or who have ever been sexually active; High Risk – Based on results)
  • Colon Cancer Screening (Low Risk – Stool Check for blood (FOBT) every 2 years; High Risk – Colonoscopy every 10 y, starting 10 years before relatives cancer age, until age 74)

 

Age >65

 

  • All of the above for men and women
  • Bone Density (every 3-5 years, depending on risk factors)

 

 

 

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Smoking Cessation

Smoking Cessation

Smoking is a serious risk factor for many diseases, and it is one of leading causes of illness in the world – and it’s preventable!

 

Risks of Smoking

  • Cardiovascular Disease – Heart attack, stroke, blood clots, high blood pressure, kidney failure, dementia
  • Cancer – Lung, mouth, throat, esophagus, bladder, ovary, pancreas, and kidney
  • Chronic Obstructive Pulmonary Disease (COPD) – Emphysema, chronic bronchitis – causing shortness of breath, coughing, wheezing, phlegm, lung dysfunction, need for oxygen, respiratory failure and death
  • Asthma – Worsens asthma, prevents asthma control, causes more flare-ups, causes shortness of breath, coughing, phlegm, and wheezing, reduced endurance
  • Allergies – Worsens allergy symptoms like coughing, sneezing, wheezing, itchy eyes, and rashes
  • Infections – Increases the risk of respiratory tract infections, sinusitis, and dental cavities.  It impairs your immune system when fighting infections or diseases.
  • Impotence – Reduces the blood flow to vessels needed for normal sexual function
  • Macular Degeneration – Increases the risk of developing this condition causing blindness
  • Pregnancy – Increases the risk of miscarriage, premature delivery, low birth weight, and having a child with a respiratory problem.  It reduces that amount of oxygen to the baby, and allows toxins to reach the baby.
  • Stomach Ulcers – Increases the risk of developing a dangerous stomach ulcer that can bleed, causing low blood levels (anemia)
  • Bad Breath – Alters the bacteria in your mouth and digestive system, causing mucous, phlegm, and bad breath
  • Second Hand Smoke – Affects those around you.  Even the smell of smoke on your clothing can cause health problems for your friends, family, and co-workers

 

There are several resources available to help you quit smoking.

The key is to develop a plan with your Physician and learn about options that are right for you.

 

Smoking Cessation Resources

Smokers Helpline – On-line program, phone and text support, handout, resources

Referral Form Smokers Helpline Program

Smokers Helpline Fact Sheet

Information Booklet – For Smokers who don’t want to quit

Information Booklet – For Smokers who want to quit

Information Booklet – Help a smoker quit

Peel Health

Smoke Free Peel Region

Canadian Cancer Society

 

Some Tips to Help You Quit

  • review the resources available to quit
  • develop a plan to quit with your Physician
  • make a list of the top 10 reasons you want to quit, and post it where you will see it
  • chose a quit date that has some significance, like a birthday, anniversary, pay day etc
  • throw out everything related to smoking, including ash trays, lighters, matches, and cigarettes.  No secret stash!
  • add the money you would normally spend on smoking to a jar on your desk, so you can see how much you are saving by not smoking
  • buy yourself something with the money you save by not smoking
  • change your routines when you smoke, for example in the car, at work, on breaks
  • replace smoking with another more positive behaviour, like eating a healthy snack, getting fresh air, exercising, etc
  • plan for cravings – they will happen, so have a backup plan like chewing gum, using toothpicks, candies, veggie snacks, artificial cigarettes (water vapour)
  • avoid other stimulants like caffeine and alcohol and sugar that may stimulate your urge to smoke
  • get plenty of exercise
  • designate some smoke free places, like your home or car
  • work on stress reduction – through exercise, hobbies and stress outlets
  • ask others not to smoke around you
  • avoid places, people, and situations where smoking occurs
  • ask for support from a friend or family member
  • quit smoking together with someone else, and support each other
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Sleep Hygiene

Sleep Hygiene

Normal sleep is a basic requirement for healthy living.  There are some easy things you can do to help ensure you are getting the best sleep possible.
The process of “sleep hygiene” is a series of practices used to sleep in a regular, systematic way to have normal quality sleep.
It involves having a regular bedtime routine, creating an environment conducive to sleep, and avoiding potential things that can disrupt sleep.

Website about Sleep

Canadian Sleep Society

 

Handout on Sleep Hygiene

Sleep Hygiene Handout

 

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