Tag Archives: sleep

Well-Child Visits

Well-Child Visits – Ages 1 to 4

Getting your kids to their well-child visits helps them be their healthiest. These visits with your doctor are for a full checkup to make sure they’re healthy and developing normally. This is different from other visits for sickness or injury.

Your child needs to go to these visits at:

  • 12 months old
  • 15 months old (1 year and 3 months old)
  • 18 months old (1 year and 6 months old)
  • 2 years old
  • 2 years and 6 months old
  • 3 years old
  • 4 years old

What Happens at Well-Child Visits

Your child needs to have regular well-child visits with their doctor to focus on their development, health, and wellness. At the appointment, some of the basics your doctor will cover are:

  • Checking that your child is developing at a healthy rate and tracking their history
  • Getting a physical exam
  • Staying up to date with their preventive care
  • Getting education and counseling
  • If needed, setting health goals

Your Child’s Development

Your child’s doctor can help you keep track of your child’s key developmental milestones, which can include physical, mental, social, and language skills.

At each visit, your doctor will ask you questions to help make sure your child is reaching milestones on schedule. This can help them recognize signs of problems early on, and put your mind at ease.

Each child grows differently. Some kids take longer to start talking than others. Most of these aren’t a sign that something’s wrong. Your doctor can help you understand what differences could be because of something serious.

By 12 months, most kids:

  • Have started to get their teeth in
  • Stand up by pulling on furniture
  • Walk with help or on their own
  • Copy animal noises
  • Say mama and dad and maybe a few other words
  • Can follow simple directions

See more milestones for 12-month-olds.

By 15 months, most kids:

  • Bend to the floor without falling
  • Can put blocks in a container
  • Make scribbles
  • Bring and show toys to you
  • Listen to stories and look at pictures

By 18 months, most kids:

  • Walk up steps
  • Run or try to run
  • Climb onto low furniture or chairs without help
  • Build short block towers
  • Use spoons and cups
  • Take off socks and hats
  • Point towards things they want
  • Play simple pretend, like feeding a doll

See more milestones for 18-month-olds.

By 2 years, most kids:

  • Have 16 or more teeth
  • Stand on tiptoe
  • Kick a ball
  • Can tell you they’re hungry or thirsty
  • Understand instructions with 2 steps
  • Copy others
  • Name things in a picture book

See more milestones for 2-year-olds.

By 2 years and 6 months, most kids:

  • Can point to different body parts when asked
  • Play simple games with other kids
  • Brush their teeth with help
  • Jump up and down in place
  • Put on clothing, although they may still need help

By 3 years, most kids:

  • Have all 20 of their baby teeth
  • Use the toilet during the day
  • Can copy simple shapes while drawing
  • Put one foot on each step to walk up the stairs
  • Speak in short sentences
  • Ask questions
  • Know their name, age, and if they’re a boy or girl

See more milestones for 3-year-olds.

By 4 years, most kids:

  • Hop on one foot or balance for a short time
  • Can use child-safe scissors
  • Count to 4 or higher
  • Ask a lot of questions
  • Play with imaginary friends
  • Can name some colors
  • Play simple board and card games

See more milestones for 4-year-olds.

Health Information & History

At well-child visits, your doctor will ask you to answer some questions about your kid’s health, and maybe even your family history.

  • Health questions, like:

    • Do they ever complain of headaches, stomachaches, or other kinds of pain?
    • Do they have trouble breathing?

  • Eating habit questions, like:

    • What do they eat on a normal day?

  • Activity questions, like:

    • Do they play pretend and how?

  • Safety questions, like:

    • Do they ride in a car seat?

  • And family questions, like:

    • Have there been any changes in the family, like a new sibling?

Physical Exam

At your child’s appointments, you can expect their doctor to:

  • Measure their height, weight, and blood pressure
  • Check their body and limbs
  • Take their temperature
  • Check their vision
  • Give them any shots or screenings they need

Education, Counseling & Health Goals

Your child’s doctor can help you with important information about caring for your child, managing any conditions or diseases they might have, and preventing future problems.

Their doctor might have valuable handouts, websites, and advice to help or might want to refer you to a specialist who can help with specific issues further.

Their doctor can also help you set health goals to maintain or improve your child’s health, like maintaining a healthy weight.

Prepare for Well-Child Visits

Preparing yourself with questions to ask and answers to your doctor’s questions can help you make the most of your well-child visits.

Know Your Family and Child’s History

Make sure you bring any medical records you have that the doctor might not, especially to a first appointment with a new doctor, like a record of shots and screening results.

You should also make a list of any important changes in your child’s life, like being sick or hurt, changing caregivers, or starting daycare.

Your family’s history of health and wellness is also an important part of your child’s health record. Histories of illness and disease can help doctors look out for issues that run in families and more.

This family health history tool can help you track your family’s health, so that you’re always organized to talk to your child’s doctor. Not sure about your family history? Filling this out is the perfect time to talk to family members for firsthand details.

Talk to Your Doctor

Prepare for your well-child visits by knowing any questions or issues you want to talk about ahead of time. Some things you might want to ask about:

  • Worries about their development
  • Growth and normal development
  • Sleep schedule
  • Getting enough physical activity
  • Healthy weight
  • Getting them to try different foods
  • Getting siblings to get along
  • Disciplining them
  • Screen time
  • Preventive care they need
  • What to do if they get sick

Know What’s Covered

Learn more about what immunizations are covered for your children. And log in to Your Health Alliance or search by your or your child’s member number to see what children’s preventive care your family’s plan covers.

You can use our general preventive care guidelines and prescription drugs to get an idea of what our plans cover.

If you’re not sure what’s covered and what you’ll need a preauthorization for, you can check your coverage and preauthorization lists at Your Health Alliance.

Now that you’re ready for your children’s physicals, log in to Your Health Alliance if you need to set a Primary Care Provider (PCP) for your child or start searching for doctors in our network.

Well-Baby Visits

Well-Baby Visits

Getting your babies to their well-baby visits helps them be their healthiest. These visits with your doctor are for a full checkup to make sure they’re healthy and developing normally. This is different from other visits for sickness or injury.

Your baby needs to go to these visits at:

  • 1 month old
  • 2 months old
  • 4 months old
  • 6 months old
  • 9 months old

What Happens at Well-Baby Visits

Your child needs to have regular well-baby visits with their doctor to focus on their development, health, and wellness. At the appointment, some of the basics your doctor will cover are:

  • Checking that your child is developing at a healthy rate and tracking their history
  • Getting a physical exam
  • Staying up to date with their preventive care
  • Getting education and counseling
  • If needed, setting health goals

Your Baby’s Development

Your baby’s doctor can help you keep track of your baby’s key developmental milestones, which can include physical, mental, social, and language skills.

At each visit, your doctor will ask you questions to help make sure your baby is reaching milestones on schedule. This can help them recognize signs of problems early on and put your mind at ease.

Each child grows differently. Some babies barely crawl and transition right to walking. Most of these situations aren’t a sign that something’s wrong. Your doctor can help you understand what differences could be because of something serious.

By 1 month, most babies:

  • Are growing and gaining weight
  • Move their arms and legs the same on both sides
  • React to sounds
  • Have the reflex to suck

By 2 months, most babies:

  • Lift their heads when lying on their stomachs
  • Look at faces and close objects
  • Smile at people
  • Touch their mouth with their hands
  • Make soft sounds, like cooing

See more milestones for 2-month-olds.

By 4 months, most babies:

  • Roll over from stomach to back
  • Reach for and grab toys
  • Have different cries for different feelings
  • Babble
  • Copy expressions and sounds
  • Recognize parents’ voices and touch

See more milestones for 4-month-olds.

By 6 months, most babies:

  • Start sitting without support
  • Roll over from both stomach to back and back to stomach
  • Sleep through 6 to 8 hours
  • Begin teething
  • Show interest in and reach for objects
  • Respond to their names and look at themselves in mirrors
  • Recognize if someone is a stranger

See more milestones for 6-month-olds.

By 9 months, most babies:

  • Crawl
  • Can sit for a long time
  • Feed themselves with their fingers
  • Have favorite toys they throw, shake, and play with
  • Play games like peek-a-boo
  • Understand “no” and wave goodbye

See more milestones for 9-month-olds.

Health Information & History

At well-baby visits, your doctor will ask you to answer some questions about your baby’s health, and maybe even your family history.

  • Health questions, like:

    • How many diapers do they go through each day?
    • Do they spend time around smokers?

  • Eating habit questions, like:

    • How are you feeding them, and how often do they eat?
    • How is breastfeeding going?

  • Activity questions, like:

    • How often do you read to them?
    • Do they copy your movements and sounds?

  • Safety questions, like:

    • Has your home been inspected for lead?
    • Does your water have fluoride?
    • Do you have a car seat?
    • Have you baby-proofed your home yet?

  • And family questions, like:

    • Who can you count on to help you with childcare?
    • Do you have a family history of any serious childhood illnesses?

Physical Exam

At your child’s appointments, you can expect their doctor to:

  • Measure their height, weight, and the size of their head
  • Check their body and limbs
  • Take their temperature
  • Check their eyes and hearing
  • Give them any shots or screenings they need

Education, Counseling & Health Goals

Your baby’s doctor can help you with important information about caring for your baby, managing any conditions or diseases they might have, and preventing future problems.

Their doctor might have valuable handouts, websites, and advice to help or might want to refer you to a specialist who can help with specific issues further.

Their doctor can also help you set health goals to maintain or improve your baby’s health, like maintaining a healthy weight.

Prepare for Well-Baby Visits

Preparing yourself with questions to ask and answers to your doctor’s questions can help you make the most of your well-baby visits.

Know Your Family and Baby’s History

Make sure you bring any medical records you have, especially to their first appointment, including a record of shots and newborn screening results.

You should also make a list of any important changes in your baby’s life, like being sick or hurt, changing caregivers, or starting daycare.

Your family’s history of health and wellness is also an important part of your baby’s health record. Histories of illness and disease can help doctors look out for issues that run in families and more.

This family health history tool can help you track your family’s health, so that you’re always organized to talk to your baby’s doctor. Not sure about your family history? Filling this out is the perfect time to talk to family members for firsthand details.

Talk to Your Doctor

Prepare for your well-baby visits by knowing any questions or issues you want to talk about ahead of time. Some things you might want to ask about:

  • Worries about your baby’s development
  • Growth and normal development
  • Sleep or activity schedule
  • Changes you can expect in the coming months
  • Breastfeeding and if they’re getting enough to eat
  • How and when to start solid foods
  • How to brush their teeth
  • Home safety
  • Preventive care they need
  • What to do if they get sick

Know What’s Covered

Learn more about what immunizations are covered for your children. And log in to Your Health Alliance or search by your or your child’s member number to see what children’s preventive care your family’s plan covers.

You can use our general preventive care guidelines and prescription drugs to get an idea of what our plans cover.

If you’re not sure what’s covered and what you’ll need a preauthorization for, you can check your coverage and preauthorization lists at Your Health Alliance.

Now that you’re ready for your children’s physicals, log in to Your Health Alliance if you need to set a Primary Care Provider (PCP) for your child or start searching for doctors in our network.

Emotional Wellness Month

Emotional Wellness Month

October is Emotional Wellness Month. Emotional wellness means you know how to handle and express your feelings in a positive way and to drive positive change in your life.

Having emotional intelligence is an important part of putting your emotional wellness to work in your professional life. Learn to make the most of it.

Emotional Intelligence at Work

 

Expressing your feelings with respect through open communication, something you develop through emotional wellness, can help you build good relationships.

Communicating Your Way to Good Relationships

 

You would be surprised to know how much sleep can affect your day-to-day life, your feelings, and your emotional wellness. Make sure you get enough.

Sleep and Emotional Wellness

 

Confidence, knowing yourself and your mental health, and talking to others, including professionals, can help you build emotional wellness.

Support for Your Mental Health

 

Handling stress in a healthy way is a key part of your emotional wellness. We can help.

Beating Stress

 

Wondering how you rank in emotional wellness? Here are 7 signs you’re emotionally healthy.

Becoming Emotionally Healthy

Chronic Back Pain

My Healthy Journey: Chronic Back Pain

The Opioid Epidemic and Chronic Back Pain

Over the last year, the leading news story in health care has been the opioid epidemic. And chronic pain, particularly chronic back pain, has been at the top of the list of reasons why people use opioids long term. 

Chronic pain is pain that lasts longer than 12 weeks, and for many, it’s pain that can last the rest of their lives. Chronic pain can happen because of a genetic problem or disorder or an injury or accident. Many people who survive serious car accidents or workplace accidents deal with chronic pain for the rest of their lives. 

And back injuries are a leading cause of chronic pain. Business Insider took a look at a study that dug into the relationship between chronic back pain and opioid use disorder:

Amino - Chronic Back Pain and Opioid Use Disorder

Having back surgery increases your chances of relying on opioids to manage pain by over 7 times! Other back problems raise your chances by over 2 times. 

Obviously, these are also people who are likely to get long-term opioid prescriptions from their doctors.

How Doctors Treat Chronic Pain

For decades, the standard for doctors has been to treat this kind of ongoing pain with opioids. Now, with opioid drug overdoses skyrocketing, doctors are making changes.

Early estimates show that opioids took 53,000 American lives in 2016, more than those killed in car accidents.

Opioids don’t just turn off your pain receptors. They also let your brain release more dopamine, which can help relieve stress and anxiety and make you happier.

But when you take an opioid permanently, you can build a tolerance to it, which means you need more and more to manage your pain and to feel good. Both the pain relief for chronic sufferers and the way it makes you feel can become addictive.

Not to mention, opioids can change how often certain neurons in your brain fire, which means that when you’re not on opioids, you actually get more anxious and unhappy until you take more, causing serious withdrawals. 

The Centers for Disease Control and Prevention (CDC) has revised their guidelines to help doctors try other treatments first, and doctors are hard at work to find new ways to treat pain.

Waiting for Chronic Back Pain

So why is this part of my healthy journey? I have my own chronic back pain.

I’m lucky. I’ve never taken opioids for my back pain, so I’ve avoided those issues, but I do understand what it’s like to live with pain as a part of your daily life and why people would be willing to take opioids to stop it.

My father has had a slipped disc in his back my entire life. I’ve always known what back pain looks like. I also always thought it might happen to me. Not only can these issues be hereditary, but I also take after my father physically.

Combine that with the slouch of someone who hated always being the tallest in her class as a child and now sits in front of a computer all day, and I always suspected that back problems were coming for me.

My Chronic Back Pain

The pain started for me in college, when I was no longer playing sports or working out in P.E. every day. One year, I chose to live in the loop in Chicago instead of by my campus, so as part of my daily commute, I walked about an hour and a half. That was when I really started to throw out my back once in a while.

But it wasn’t until I worked at Starbucks after college that I really started to have serious problems regularly. Being on my feet all day and bending up and down with milk jugs all the time really started to take a toll on my back.

I’ll get building back pain on one side of my lower back. It can switch sides, and one side is usually worse than the other. And when it fully goes out, my knee on that side can sometimes buckle, which if I’m not ready for it, can actually knock me down. And sometimes it’s so bad that getting out of bed, getting up and down, or just falling asleep, is a challenge. 

Getting Help

I’ve always known this pain might hit me one day, and when it started, I talked to my dad a lot about what was going on. My symptoms match his exactly.

Since I knew what the issue was from my father’s medical history, I wasn’t really worried about getting an official diagnosis.

I also already knew that I didn’t want to take opioids or painkillers long term. I’m one of those people who rarely takes even Tylenol. And when I had serious opioids after I had my wisdom teeth removed, they made me feel disoriented and nauseous.

My older brother had a serious workplace injury when I was in high school. He broke his pelvis and some of his spine. He’d seen a chiropractor, among many other specialists, when he was recovering, and he still sees one sometimes to cope with his own chronic pain.

I decided to explore that as a treatment option instead. My new chiropractor ran some X-rays and told me that my pelvis is tilted, which lets my disc slip back and forth instead of holding it in place. 

Through a series of adjustments, he worked to bring my pelvis back in line, and brought me some real relief. 

Unfortunately, I’ve done some state-hopping since then, and while I’m still in better shape than I used to be, I haven’t had time to find a new chiropractor yet. 

Starting to Deal with Your Pain

So what can you do to tackle your chronic pain? 

  1. First and foremost, go see your doctor, especially if you’ve been injured or don’t have a family history of back issues. You might need surgery or other serious help.

  2. Consider your treatment options. Surgery can be an option for many chronic back problems, but it has costs. It’s expensive and can cause its own set of pain problems. Opioids are highly addictive. Talk to your doctor about other options, like chiropractic treatment or acupuncture.

  3. Talk to your insurance company. Insurance companies want to stop the opioid epidemic too, and more plans are covering alternative therapies like chiropractic visits than ever before.

  4. Talk to your employer. If you have insurance through your employer, talk to them about making sure other therapies are covered on your group plan.

  5. Work with your care team on a treatment plan to cope with and manage your pain.

Learning to Manage Pain

So how do I manage my chronic back pain without drugs?

  • Set expectations. Knowing I would probably grow up to develop chronic back pain means I’ve always been ready for it. Accepting that pain will be a part of my life helps me feel in control.

  • Find a treatment that helps. For me, this has been regular chiropractic adjustments that help relieve tension and keep my disc in place. 

  • Get massages. I get the occasional massage to help relieve tension in the muscles in my back too. Many people with back pain get regular massages and swear by them.

  • Exercise and eat right. Even just a few extra pounds can put enormous stress on your spine if you already have back problems. And exercise can strengthen the muscles in your back. Focus on low-impact activities and strengthen your core if you’re already in pain.

    And choose your cardio wisely. Running outdoors or on inclines can be really hard on your back and pelvis. Try running on a treadmill, walking, or biking instead.

  • Try yoga, pilates, or tai chi. Yes, these are technically forms of exercise, but they’re more than that too. A new study found that yoga can actually help relieve back pain itself, but recommends gentle poses. And the routine they used is free online. I find it highly relaxing and a nice way to stretch and wind down, and you can do it as often as you want.

  • Get plenty of sleep. You’d be surprised how sleep affects other parts of your life. When I’m sleep deprived, my back is much more likely to go out. And since I struggle to sleep once my back’s out, it makes for a long sleepless week in that situation.

  • Try little treatments and tricks. I ice my back and use heating pads. I also take over-the-counter pain meds before bed if my back feels like it will go out during the night. If my back’s already out, lying on the floor (if I have someone handy to help me get up later) can help. Putting a pillow between my knees can also help while I’m trying to fall asleep.

  • Meditate. Meditation can help you clear your mind and refocus, and mindfulness can be surprisingly helpful in overcoming pain. There are easy apps you can try to get started too.

  • Talk to someone or journal. Chronic pain can be emotional. You hurt. You can’t escape it, and it can feel hopeless. Talk to a close loved one, journal about what’s happening, or visit a therapist. It can help you blow off steam, lighten your mental load, feel heard, and document your pain’s progression.

  • Practice self-care. Stress and tension can tighten up everything in your back. Find ways to reduce and fight stress in your life. And find little pleasures that you can focus on each day, like your favorite coffee, trading back rubs with your significant other, or cuddling your pet.

Most importantly, get help when you need it. Never let your pain push you so far that you can’t handle it or you fall into depression. Talk to your doctor to keep your mind and body healthy, even in the face of chronic pain.

Depression Awareness

Depression Awareness for Suicide Prevention Month

It’s National Suicide Prevention Month, and someone with depression dies of suicide every 13 minutes, over 41,000 people per year. We spent the week raising depression awareness.

Depression affects more than 18 million, or 1 in 10, people and takes an economic toll of over $100 billion in the U.S. each year.

The Cost of Depression

 

Severe depression can be one of the most debilitating conditions, rated in the same category as terminal cancer.

Depression's Reach

 

Fewer than half of the people in the world with depression get treatment because of lack of resources or the stigma of mental health issues.

Depression's Toll

 

Depression can be caused by social, psychological, and biological factors, and your physical health can make a difference. Exercise can help.

Exercise to Feel Better

 

There are treatments for moderate and severe depression, from therapy to medicine.

Depression Treatment

 

You can also adjust your lifestyle to improve depression. Avoid stress, alcohol, and drugs, maintain a healthy diet, and get plenty of sleep and exercise.

Lifestyle Changes and Depression

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Smart Caffeine Consumption

National Caffeine Month

It’s National Caffeine Month, and you should know how much is safe. How much is too much?

Up to 400 mg a day is safe for most healthy adults, which is roughly 4 cups of coffee, 10 cans of cola, or 2 energy shot drinks. But remember, there is more than just caffeine in those drinks.

Caffeine Overload

 

Caffeine’s not a good idea for kids. You should try to limit them to no more than 100 mg per day.

Kids and Energy Drinks

 

Drinking too much has side effects, like making you jittery, nervous, and irritable and upsetting your stomach.

Too much can also give you muscle tremors, including a fast heartbeat. Cutting back can also help with heart arrhythmia.

Your Heart and Caffeine

 

It might also be to blame if you always have problems falling asleep, and getting enough sleep is important.

Sleep Deprivation from Caffeine

 

Some medications and supplements may interact with caffeine, including some antibiotics, theophylline, and Echinacea.

Echinacea Supplements

 

Find ways to cut back, and you’ll also probably be cutting back on sugar.

Cutting Caffeine

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The Right Kind of Sleep for Better Sleep Month

Better Sleep Month

May is Better Sleep Month, so we had tips and info to help you get a better night’s sleep.

 

Insufficient sleep is a huge problem for Americans. Check out this guide for better sleep to improve yours.

Are your mattress and bedroom helping you sleep? Take these quizzes to find out.

Focus on Getting Better Sleep

 

Getting a new mattress may help you sleep. This can help you know if you need an upgrade.

How to Upgrade Your Mattress

 

Choose the best mattress with this handy guide.

The Perfect Bedroom

 

You’re just 7 days away from better sleep with these easy steps.

7 Days to Better Sleep
Image and Recipe via The National Sleep Foundation

 

Your sleep can affect you in many ways. Check out these interesting sleep facts.

16 Things You Didn't Know About Sleep

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