Archive for the ‘Help for your child’ Category

Table of contents for the delays and disabilities series

Wednesday, September 10th, 2014

If you are new to this series, or if you want to catch up on posts you may have missed, this is a good way to see all the posts in the series. They are grouped by topic to help you navigate your way.

Table of Contents

Why this blog series?
A new blog series is here

How to get early intervention and special education services
Babies and toddlers:

Understanding developmental milestones and delays
Preemies- adjusted age and delays
Early intervention for babies and toddlers
What is an IFSP?
Guest post from the CDC on early intervention
Don’t delay with delays
How does your state define developmental delay?

Kids ages 3 and older:

Turning 3 – the leap from early intervention to special ed
Early intervention and special ed for children ages 3 and older
What is an IEP?
What are related services?
IEP or 504 – that is the question!
IEP reviews in April
IEPs on TV
April is IEP month
What is Prior Written Notice or “PWN?”
IEPs and LREs – the nitty gritty
An easy way to find resources for kids with special needs
Summer programs for kids with special needs
Delays, disabilities and the law
Learning the lingo
Words and terms – a whole new world
Changing a program for a child with special needs
What is peer-reviewed research?
Keeping track of your child’s records

Pediatric medical specialties

What are pediatric specialties?
Finding pediatric specialists
What is a Developmental Behavioral Pediatrician?
What is a child psychologist?

Therapies and Treatments

What is physical therapy or “PT”?
What is occupational therapy, or “OT”?
What is speech therapy?
What are hippotherapy and therapeutic riding (THR)?
What are recreation services?
Kids with challenges zoom on souped up kiddie cars

Sensory issues

Sensory difficulties in children
Everyday tips for dealing with sensory special kids
Help for sensory issues
Fireworks are not fun for kids with sensitive hearing
Sensory friendly malls

Understanding the diagnosis

Preemies and hearing loss
Did you hear me? What is Auditory Processing Disorder (APD)?
What are learning disabilities (LDS)?
LDs – What they ARE and are NOT
What is dyslexia?
What is dyscalculia?
What is dysgraphia?
What is dyspraxia?

Coping – day in and day out

Medication mistakes are common
It’s good – no, great – to read to your baby
Avoiding and handling tantrums
More resources for handling meltdowns
Positive reinforcement – the power of one M&M’s® candy
Positive reinforcement – fortune cookie advice

Flu can be serious for kids with special needs
Can sleep affect your child with special needs…or you?
A social skills tip for kids with special needs

Apps for math LD and other disabilities
There’s an app for that (for kids with learning challenges)

Getting through transitions, holidays, vacations and disasters

A transition tip
Bracing for the holidays
Holidays :) or :(
Adjusting to life after the holidays
Let it go! Let it go! Let it go! (an inspirational holiday poem)
Vacationing with your child with special needs
Accommodations help vacationers with special needs
Re-entry: life after vacation
Summer to September
From summer to school – the big transition
Back to school is hard on kids and PARENTS!
Shopping for toys for kids with special needs
Preparing for disasters when you have a child with special needs

Surviving and thriving – Your child with special needs, your other children, and YOU

Special moms need special care
Caring for the caretaker – put on your oxygen mask
Caring for the siblings of a child with special needs
Do siblings of children with disabilities need help?
Laughter helps your body, mind and mood
It’s a marathon, not a sprint

You can also see all of the blog posts by clicking on Help for Your Child under “Categories” on the menu. Scroll down to read the blog posts in reverse chronological order. If you have comments or questions, please send them to AskUs@marchofdimes.org. We welcome your input!

Back to school is hard on kids and PARENTS!

Wednesday, September 3rd, 2014

back to schoolIt is back-to-school time… for parents. Yes, I know your kids are the ones who go to school, but going back to school is a feat for parents, too.

First, you need to buy all the school supplies (if you have not misplaced the list), including the all too important backpack. Then, there are the school clothes, shoes, sneakers, boots, and sports equipment. If your child has special needs, you may have even more items to buy. Depending on the age of your child, there may be lockers to decorate and books to purchase. Shopping and gathering all these items is time consuming and expensive. The entire process can be exhausting and stressful. It is so important to try not to let all of these tasks get the better of you, and to keep the focus on your child in a positive way. If you are stressed out, your child will be, too.

Before your child starts school, there are fears of the unknown. The anxiety may keep your little one up at night. Then, once your child starts school, there is the huge adjustment that comes with getting used to a new teacher, new faces in the classroom and a new routine. Little things as simple as a different kind of chair, lights, sounds and smells may bother your child and cause upset. Getting yanked into a whole new environment can be incredibly unnerving to any child, but it is especially difficult for a child with special needs.

Adding to the overall stress of returning to school, is the challenge of figuring out what actually happens during the school day. One of my kids had a teacher who told parents “I will only believe half of what your child tells me about you, if you believe half of what your child tells you about school.” At first I found it somewhat alarming, but then I realized it reminded me of the game of telephone. The more a message gets passed on, the more the message changes.

As your child becomes acquainted with the new school routine, he may come home and tell you information that is slightly incorrect. Or, he may tell you absolutely nothing. (Often, just getting through a school day from beginning to end is a monumental feat for a child with special needs, and once home, the last thing he wants to do is talk about his day. Rather, quiet time is the preferred escape.) If you need to know specific information, consider emailing the teacher or the Class Parent because your child may be too overwhelmed to tell you the information you seek. And, if he does talk about his day, you may not get all the facts you need to answer your question.

If you think that you are the only parent who finds back-to-school tasks stressful and overwhelming at times, you are not alone. But, the important thing to remember is that as stressed as you are, your child is much more stressed. Try to keep a cheerful perspective and know that in time your child will adjust to the new routine, and so will you. With a little luck, you may both grow to love this new year, too.

Note:  This post is part of the weekly series Delays and disabilities – how to get help for your child. It was started in January 2013 and appears every Wednesday. Go to News Moms Need and click on “Help for your child” on the menu on the right side to view all of the blog posts to date. As always, we welcome your comments and input.

Have questions? Send them to AskUs@marchofdimes.org.

Accommodations help vacationers with special needs

Wednesday, August 27th, 2014

mom and daughter in poolGetting a change of scene, even for a day, is GOOD for you and your child with special needs. And now, it is getting easier to do.

I have blogged about the importance of taking time for yourself, and have posted tips on traveling with a child with special needs. But, often parents of kids with special needs don’t go on vacation as a family because they feel that their child’s special needs may not be met at hotels, restaurants or in theme parks. But, the chronic stress associated with your daily life can catch up with you; it is not good physically, emotionally or mentally for you to never re-new your energy. Here is some good news if you are thinking of spending a day at a theme park or going away for the Labor Day weekend.

My two grown kids and I just got back from a vacation where we visited several theme parks. We had a fabulous time going on rides, swimming at the hotel pool, and just spending time together. The breaks from our usual routines were much needed, and we all returned home with renewed energy and enthusiasm.

At the various theme parks we visited, I was heartened to see accommodations for individuals with special needs. “Family Restrooms” are common, where you can take your child into a restroom in privacy, comfort and safety. Ramps or special entrances enable buildings with attractions to be wheelchair-accessible. Amphitheaters are outfitted with numerous seating sections for groups that have a family member in a wheelchair. Sign language interpreters accompany certain shows, and braille can be found on park maps. Many theme parks have staff especially devoted to making sure that guests with disabilities or special needs are accommodated and welcomed. Often sports stadiums or ball parks have days especially dedicated to individuals with disabilities.

At many of the restaurants we went to, gluten free menus were prominently displayed. At our hotel, we observed accommodations for guests with disabilities:  the outdoor hot tub had a chair lift to assist individuals who cannot go down steps, and special room accommodations were available for hearing impaired guests.

Often you can find theaters that offer “sensory friendly” movies or performances, where the lights are dimmed but are not fully off, the sound or music is lowered, and families can bring their own snacks. Children are not discouraged from getting out of their seats to dance or wiggle around on the floor.

Although the American with Disabilities Act (ADA) has been the driving force behind many of the physical changes in public places, organizations or businesses often go above and beyond the requirements of the ADA to make sure their guests are able to take full advantage of their offerings. The inclusive, welcoming attitude of these organizations is apparent and makes it easier and more enjoyable for you to spend a fun day with your entire family.

Bottom line

If you are heading out of town for the weekend, thinking of going to a theme park or sports stadium for the day, or simply wish to go to a restaurant to eat, check out the website of the venue or call them to see the kind of accommodations they offer.  The information is usually listed under Guest Services, Accessibility Guide, Access Guide, Disability Services, or a similar title. With so many recent positive changes, there are fewer reasons to stay home and not take full advantage of a wonderful family outing.

Note: This post is part of the weekly series Delays and disabilities – how to get help for your child. It was started in January 2013 and appears every Wednesday. Go to News Moms Need and click on “Help for your child” on the menu on the right side to view all of the blog posts to date. As always, we welcome your comments and input.

Have questions? Send them to AskUs@marchofdimes.org.

It’s a marathon, not a sprint

Wednesday, August 20th, 2014

roller-coaster-rideAll children have their highs and lows, but for children with special needs, the extremes tend to be more extreme.  The typical ups and downs of childhood have higher highs and lower lows.

The lows

It is hard to watch your child be frustrated because she can’t do the things that her peers can do. Your child’s frustration may take the form of crying, meltdowns or sadness (depending on your child’s age). When you stop to think about it, it seems very reasonable. Adults react much the same way. But, with toddlers or children, they don’t have the maturity to understand their condition, or the patience to wait until they acquire certain skills. In many cases, they may never acquire the same skills as their peers. Thus, the lower lows.

Along with the lower lows come the “two steps forward and one step back” type of progress that is so common among children with special needs. This is so frustrating – for a parent and especially for the child. You tend to feel like you are on a roller coaster ride – no sooner do you get up in the air and are so happy about progress, when you take a bit of a plunge and feel low again.

The highs

On the flip side, the highs are much higher. When your child achieves a milestone that she had been struggling with (that comes easily to her siblings or her peers), the happy dance is much more jubilant! You celebrate each and every accomplishment, no matter how small. The small steps are big steps to a child with special needs. In fact, every step is a big step. The joys of watching your child inch forward has a much more intense meaning.

Progress is a wiggly line

What has helped some of the parents I know who have children with special needs is realizing that it is a marathon, not a sprint. You need to pace yourself and look at this as one long journey. You may get lost or a little off track now and again, and even need to take breaks to re-fuel or get new directions. But, overall, you will stay on your path and get to your child’s unique destination…eventually. It is important to remember that you need to look at progress as a kind of wiggly line. Look at the overall progress, not minute to minute progress.

Bottom line

Remember that this path has its uniqueness and gifts, too. After all, if we were all the same, this world would be so boring. Try to look past what your little one can NOT do, and focus on what she CAN do. Then, all of the prospects for her future brighten up considerably.

 

Note: This post is part of the weekly series Delays and disabilities – how to get help for your child. It was started in January 2013 and appears every Wednesday. Go to News Moms Need and click on “Help for your child” on the menu on the right side to view all of the blog posts to date. As always, we welcome your comments and input.

Have questions? Send them to AskUs@marchofdimes.org.

From summer to school – the big transition

Wednesday, August 13th, 2014

preschool classThe transition from summertime to the school year can be a daunting one for any child. For a child with special needs, it can be especially difficult. And, for her parents, this journey can be very stressful and anxiety provoking. Whether your child is returning to preschool or elementary school, there is so much to think about.

In two prior blog posts, I shared tips on how to survive the transition from summer to school, especially if your child has trouble transitioning from one activity to another in his daily life:

•    Re-entry: life after vacation will help you cope with the changes of re-establishing your “old” routine after having been away on vacation. Creating a memory book to document last year’s successful transition to preschool/school will help your child realize that he can do this…again.

•    Summer to September covers topics such as meeting the teacher, changing bedtime hours slowly, making medication adjustments, and learning to cut YOURSELF some slack. If your child has an IFSP, IEP or 504, it is very helpful for your child to meet her teacher and for you to hold planning meetings before school starts. It is also helpful for your child to visit the classroom.

Here are some other ideas to help ease the transition.

Create a “cheat sheet”

The first week of school is hard on teachers, too. One teacher may have 25 students to get to know. To help ease the transition for your child, and to keep it manageable for her teacher, create a “cheat sheet.” This short page of bullets will describe your child’s toughest challenges, and what the teacher can do to help ease the transition. Depending on whether your child has a formal diagnosis, an IEP or a 504 plan, or if she is just extra sensitive to change and transition, a “cheat sheet” can help your child’s teacher deal with the rough patches during the first week of school. It should include certain triggers and the most obvious areas of difficulty.

For example, if your child has sensory issues and hates sudden loud sounds, you might have a bullet that says “Diana has a hearing sensitivity. The popping of balloons, sound of fire drills or kids screaming will cause her to put her hands over her ears or cower underneath her desk.”

Likewise, if your child needs extra time to process speech, you can say “Speak directly and slowly to Diana and wait for her to process your words before expecting her to reply to you. If Diana is quiet, she is processing your sentences. She needs extra time to understand all of your words.”

Keep the page short, with just the most important items listed in bullet form. You want the teacher to be able to know the most important tips without having to read pages and pages about your child. Then, follow-up later in the week and ask for an appointment to have a conversation.

Use a communication journal

Often parents and teachers use a daily communication journal to discuss your child’s day. The teacher or classroom assistant jots down any issues (or achievements) that occurred that day. It is a way for you to learn about your child’s day without depending on your child to tell you. You can then add your own comments about homework issues, sleep problems (which may affect mood or attention span the next day), or achievements that occurred at home. Communication journals are often a part of an IEP, so that both the parent and teacher are fully aware of a child’s day/evening, which will take the guesswork out of figuring out why your child is acting in a particular way. A journal can be a way of identifying small problems before they become big ones.

Be patient

It may sound obvious, but patience is paramount. Heading to school is very, very hard for a child with special needs. The changes in routine, scenery, friends and personalities is a lot to take in! Your child may hold it together while at school and then have an enormous meltdown the moment she gets home. Try to understand that she is coping as best she can and try to have patience.

Note: This post is part of the weekly series Delays and disabilities – how to get help for your child. It was started on January 16, 2013 and appears every Wednesday. Click on “Help for your child” and scroll down to view all of the blog posts to date. As always, we welcome your comments and input.

Have questions? Send them to AskUs@marchofdimes.com.

Laughter helps your body, mind and mood

Wednesday, August 6th, 2014

woman laughing“I love to laugh.” That is a famous line in the movie Mary Poppins.  It is sung by the character Uncle Albert, who is floating on the ceiling due to his incessant laughing. The very image of the scene makes me laugh. Over the years, there have been some studies that show laughter is good for you. The more you laugh, the happier you may be – just like the song says.

Here are some of the lyrics:

I love to laugh
Loud and long and clear
I love to laugh
It’s getting worse every year

The more I laugh, the more I fill with glee
And the more the glee
The more I’m a merrier me
The more I’m a merrier me

(Songwriters Richard Sherman; Robert Sherman, Published by Wonderland Music Company, Inc.)

How does laughter help?

In my post last week, I mentioned how moms of kids with special needs need special care. The chronic stress and pressure associated with caring for a child with multiple needs can take an enormous emotional, physical and mental toll. Taking frequent breaks or respites, keeping up with hobbies, exercise and friendships can help to restore balance in your world. And, frequent laughter is being shown to have many benefits, too.

Laughter can lift your mood. It can lower the stress hormone cortisol and release endorphins and dopamine (which make you feel happy). It can ease tension in your muscles. Laughter can increase blood flow which helps with cardiovascular health, and lower your blood pressure. It may even help improve short term memory. That’s a lot of health benefits from a fit of laughter.

How much is enough?

It appears from the research that just 20 – 30 minutes of viewing a funny video or TV show can have a positive effect on your body and mind. There is no known downside to laughing – no contraindications. It is easy to laugh and can make you feel better instantly. It is an inexpensive, fun way to lift your spirits.  And, science is showing that it has real physiological benefits.

So, why not give it a try today – click on a favorite video or TV show for a while, fill with glee, and become a merrier you!

Note:  This post is part of the weekly series Delays and disabilities – how to get help for your child. It was started in January 2013 and appears every Wednesday. While on News Moms Need and click on “Help for your child” in the Categories menu on the right side to view all of the blog posts to date (just keep scrolling down). We welcome your comments and input.

Preemies and hearing loss

Wednesday, July 30th, 2014

baby's earNearly 3 in 1,000 babies (about 12,000) are born with some kind of hearing loss in the United States each year. Most babies get their hearing checked as part of newborn screening before they leave the hospital. Newborn screening checks for serious but rare conditions at birth.

If your baby doesn’t pass his newborn hearing screening, it doesn’t always mean he has hearing loss. He may just need to be screened again. If your baby doesn’t pass a second time, it’s very important that he gets a full hearing test as soon as possible and before he’s 3 months old.

The risk of hearing loss is significantly higher in babies born with a very low birth weight (less than 1500 grams). However, hearing loss can be caused by other factors, such as genetics, family history, infections during pregnancy, infections in your baby after birth, injuries, medications or being around loud sounds. See our article  to learn more about the different causes of hearing loss.

Possible treatments

Different treatments are available depending on your child’s level of hearing loss, his health, and the cause of the hearing loss. They include medication, surgery, ear tubes, hearing aids, cochlear implants, learning American Sign Language and receiving speech therapy.  The article on our website discusses each of these types of treatments.

If a child needs speech therapy, it can usually be provided through the early intervention program for babies and toddlers. Read this post to understand how to access services. The sooner your child gets help, the sooner language skills will emerge and improve.

If you need more detailed information, check out these sites:

Early Hearing Detection and Intervention (EHDI) Program

Individuals with Disabilities Education Improvement Act 2004 (IDEA 2004)  

Hearing loss treatment and intervention services

Note:  This post is part of the weekly series Delays and disabilities – how to get help for your child. It was started in January 2013 and appears every Wednesday. While on News Moms Need and click on “Help for your child” in the Categories menu on the right side to view all of the blog posts to date (just keep scrolling down). We welcome your comments and input.

 

Special moms need special care

Wednesday, July 23rd, 2014

two women meditatingA new study published in Pediatrics shows that groups led by other moms reduced stress in mothers of children with disabilities. It helped to improve “maternal well-being and long-term caregiving for children with complex developmental, physical, and behavioral needs.” These support groups were uniquely focused on learning specialized techniques to reduce stress.

Mothers of children with developmental disabilities experience stress, anxiety and depression more often and to a greater degree than mothers who parent children without disabilities. It is thought that the chronic stress and the associated poor health that often result may impact a mom’s ability to parent effectively.

This study looked at what would happen if a program were put in place specifically for moms of children with disabilities (or what I will call “Special Moms”).  Researchers randomly assigned 243 Special Moms into two groups to attend a program led by peer mentors (eg. other Special Moms who received training to lead the groups).

One group learned Mindfulness-Based Stress Reduction (MBSR) techniques while the other group learned Positive Adult Development (PAD) techniques. MBSR and PAD are evidence-based practices, which mean that they have been shown, through research, to be beneficial.

The MBSR group learned meditation, breathing and movement techniques and the relaxation response. The PAD group learned ways to “temper emotions such as guilt, conflict, worry and pessimism by identifying and recruiting character strengths and virtues…and by exercises involving gratitude, forgiveness, grace and optimism.” All the moms attended weekly group sessions and practiced what they learned at home on a daily basis.

What were the results?

According to the study, the moms in both groups experienced less stress, anxiety and depression, and improved sleep and life satisfaction.  After 6 months, these improvements continued. There were some differences between the two groups that related to whether they received the MBSR or PAD practice, but the important take-away from this study is that both treatments proved beneficial to the moms.

There are programs in place to help children with disabilities, but few programs exist to help their parents, especially when the stress causes mental, emotional and physical fatigue. Moms often become anxious or depressed, which does not help them as they face the intense daily challenges of parenting a child with a disability. This study shows the positive effect of proven stress reduction techniques when taught in a peer-mentored program.

The authors conclude that “future studies should be done on how trained mentors and professionals can address the mental health needs of mothers of children with developmental disabilities since doing so can improve maternal well-being and long-term caregiving for children with complex needs.”

Bottom line

If you are a Special Mom, your personal take-away message from this study is to try to include a stress reduction program into your daily life, such as meditation, yoga, or another relaxation technique. If you can do so with a group of other Special Moms, all the better!

Note:  This post is part of the weekly series Delays and disabilities – how to get help for your child. It was started in January 2013 and appears every Wednesday. While on News Moms Need and click on “Help for your child” in the Categories menu on the right side to view all of the blog posts to date (just keep scrolling down). We welcome your comments and input.

Medication dosing mistakes are common

Wednesday, July 16th, 2014

medicine syringe for kidsWhether you have a child with special needs or not, chances are you have given him medication at some point. A recent study published in Pediatrics revealed that many parents made mistakes when giving their child medication. “Medication errors were common: 39.4% of parents made an error in measurement of the intended dose, 41.1% made an error in the prescribed dose. Furthermore, 16.7% used a nonstandard instrument.”

The study compared parents who used milliliter-only cups or syringes with parents who used teaspoon or tablespoons to describe how they measured their child’s medicine. The researchers found that parents who described measuring the medication in teaspoons or tablespoons were twice as likely to make a mistake in giving the correct dose.

In addition, many parents did not understand the correct amount of medicine to give their child and mixed up the measuring terms. According to the American Academy of Pediatrics (AAP), “Parent mix up of terms like milliliter, teaspoon and tablespoon contribute to more than 10,000 poison center calls each year.”

Why does this happen?

One reason is because all spoons are not created equal. Dosing mistakes happen because people confuse teaspoons with tablespoons. Did you know that one tablespoon equals three teaspoons?!

Another reason is that people use everyday kitchen spoons instead of medication measuring spoons which are specifically designed to give an accurate dose. Again, the differences in the spoons can produce very different amounts of medicine given to your child.

What can you do?

• When measuring meds, use the oral syringe, dropper, or cup that comes with the medication. Do not use one medicine’s cup for another medicine. Measure carefully and exactly.

• Do not use kitchen teaspoons or tablespoons because there is a wide variety of kitchen spoons which can hold vastly different amounts of liquid.

• If you are giving a non-prescription medication (such as Tylenol or any over-the-counter medicine), be sure to give the dose that is based on your child’s weight, not his age. If in doubt, ask a doctor, nurse, physician assistant or pharmacist.

• Keep a log. Use your smartphone or a notebook to record the medication, date, time and amount that you gave your child. It is very easy to forget when you gave your child a medication, especially if you are giving more than one medication at different times during the day. Parental fatigue, multitasking and stress can also cause you to forget.  In addition, a medication “log” is very important if more than one person is giving medicine to your child.

• If in doubt, ask your child’s health care provider or your pharmacist. It could save your child’s life.

Learn more

• Check out the AAP’s video guide on how to measure meds and read about useful medication tips here.

The study’s authors suggest that children’s liquid medications only be prescribed in milliliters to help eliminate dosing mistakes or confusion. The AAP and CDC support this change. What do you think?

Note:  This post is part of the weekly series Delays and disabilities – how to get help for your child. It was started in January 2013 and appears every Wednesday. While on News Moms Need and click on “Help for your child” in the Categories menu on the right side to view all of the blog posts to date (just keep scrolling down). We welcome your comments and input.

Everyday tips for dealing with sensory special kids

Wednesday, July 9th, 2014

hair washingMany kids with sensory issues struggle with typical everyday activities. Here are suggestions from parents of children with sensory difficulties to help you get through each day in a sensory friendly way. Some kids find bath time and hair washing to be a stressful experience. For other children, getting dressed in the morning or eating meals can be incredibly challenging. Yet others cringe at hearing typical sounds or noises. Here is what some parents recommend:

Tips for bathing

•   Let your child get in the bath when the water temperature feels right to him. He may need to stand in it a while before sitting down, in order to adjust to the feel of the water on his skin.

•    During hair shampooing, use a little pail or plastic bucket to rinse hair instead of using the shower nozzle. Water coming from a shower nozzle can be too direct and forceful.

•    When your child is old enough, allow him to rinse his own hair. Being in control of the pail and the water on his own head is less shocking to him than when someone else pours water on his head.

•    Use a facecloth to cover his face if water on the face will cause distress. Then allow your child to wipe his own face with a damp facecloth.

•    Use distractions in the bath, such as bath foam or toys, to make bath time more appealing.

•    Let your child decide if showering is preferable to bathing (when he is old enough).

Tips for dressing

•    Remove tags from clothing before wearing.

•    Let your child decide what kinds of clothes feel good on his skin. Usually brushed flannel or soft cotton or acrylic fabrics work well, but your child will know.

•    If your child hates getting dressed in the morning (due to the sensory changes), dress your child the night before in the clothes he will wear the next day. In other words, let him wear his clean clothes to bed. He may look a tad more wrinkled in the morning, but he will get his day off in a sensory calm way.

•    When you find a pair of pants, a shirt or outfit that your child loves (i.e. it “feels right”), buy two of them. This way, one can be laundered when the other one is being worn. Or, buy them in different colors if possible. Comfort – not fashion – is key here.

Tips for eating

•    As much as possible, have healthy choices available. If you know your child loves chicken with pasta, then child using forkmake a double portion. This way you can feed it to him another night in the same week, even if the rest of the family is eating something different. This allows you to eat together as a family and yet you did not cook two meals in one evening.

•    Freeze individual portions for meals on the fly, for the babysitter to serve to him, or when the family meal is sure to be too hard for your child to swallow (literally).

•    Ask your child’s pediatrician or consult with a Registered Dietician who is familiar with sensory issues to learn other ways of getting your child to eat a healthy diet. Perhaps mixing vitamin powder into your child’s food (such as spaghetti sauce) or offering protein shakes will substitute nutrients that your child may be missing.

Tips for sound sensitivity

•    Prepare your child for events that may be uncomfortable, such as large assemblies with people clapping, musical events, a meal in a big restaurant, birthday parties, etc. Soft ear plugs are often helpful to use at these events so keep them handy. Other children prefer noise-cancelling headphones.

•    Once home, provide a quiet environment so your child’s ears can rest.

Learn more

These are just a few tips for getting through a day in a sensory successful way. See my prior posts: Sensory difficulties in children to learn more about the different kinds of sensory problems that exist, and Help for sensory issues to learn about different treatments. Ask your child’s pediatrician if a treatment such as Sensory Integration Therapy (a form of Occupational Therapy) may be helpful. You can also discuss other treatments which are available.

Feel free to share what has worked for you and your child. We’d love to hear from you!

If you have questions, or would like more information, please email us at AskUs@marchofdimes.org.

Note:  This post is part of the weekly series Delays and disabilities – how to get help for your child. It was started in January 2013 and appears every Wednesday. While on News Moms Need and click on “Help for your child” in the Categories menu on the right side to view all of the blog posts to date (just keep scrolling down). We welcome your comments and input.