How To Make Your Workspace More Ergonomic

by Christine Worthington, Virtualpsi Coordinator

I’m sure we are all feeling the effects of the significant changes in our schedules from “on-the-go” teaching and in-person interaction with our students in the building to “sit-and-click” instruction at our home computers. Inevitably, these changes can impact all areas of our bodies as we get used to the “new normal” of online instruction. However, there are ways to create a positive experience, both physically and emotionally, into your work-from-home schedule. Luckily for us at psi, we have exceptional occupational therapists on staff who can assist us with transforming our home workstation to a more comfortable, ergonomic design. Melissa Mortensen, OT and I worked together to offer some easy, cost-effective suggestions for your home office transformation. To begin with, consider all areas of your work environment – keyboard and mouse pad, chair, desk, lighting, temperature, background and surrounding stimuli, as well as healthy considerations like diet, exercise, and relaxation.

When I began my journey as the Virtualpsi coordinator, I quickly began to experience wrist and elbow pain, as well as shoulder and neck strain. My eyes were also very strained as a result of working on the computer all day and from consistent exposure to the blue light from the computer screen. Making some minor changes to my desk positioning, chair height, choice of eyeglasses, and taking time to move and stretch my body significantly improved how I felt at the end of the work day. Making changes that best fit your specific needs are essential.

Wrist and hand support – The first area to consider is hand and wrist support. Reducing or eliminating any gaps or spacing between your hands and wrists and the keyboard and desk is a simple adjustment that could have positive lasting effects on reducing arm, elbow and/or shoulder and neck discomfort. Look for keyboards and mousepads that offer foam supports to help eliminate those gaps.

Good posture starts with a good chair – A good office-style chair is essential to help with good posture. Find a chair that offers height adjustments so you can position your body in correct alignment with the desk height. Placing your feet flat on the floor will also encourage proper posture. A kneeling chair or core ball, which both encourage forward positioning of the hips, could be a good choice for you. A thoracic back brace could also assist you with proper posturing while sitting if you tend to hunch over when typing. Do some investigating and find out what works for your body and your workspace.

Should I get a standing desk? Standing desks are definitely trending these days, but it is the height of the desk that will impact your posture the most. If you have a static desk where the height cannot be altered, having an adjustable chair could provide you the necessary relief. If you like the option to stand and sit at your desk, research adjustable desk converters that can allow you to change desk height at your convenience. These converters seem to offer the most versatility.

Why are my eyes so tired at the end of the day? If you are like me, my eyes get very fatigued after a day in front of the computer screen. The lighting in your work area could also affect how your eyes adjust to the light coming from the computer. Wearing protective glasses could really relieve the uncomfortable eye strain associated with the blue light emitted by the computer monitor, as well as the surrounding light from windows, lamps, and overhead lights in an office. Even if you don’t wear glasses, investing in a pair of blue-light filtering eyeglasses could significantly reduce the fatigue felt from the computer screen. There are so many low-cost style options and strength levels available on Amazon. You will probably notice the difference as soon as you start wearing them!

Don’t forget about your surroundings The temperature of your work area, as well as extraneous stimuli, could impact your stress and fatigue levels while working online. For the most effective work environment, consider making changes to the following areas if these items are bothersome or interfere in your work:

  • too high/too low temperatures
  • noise makers like fans, clocks, appliances, ringing phones
  • curious pets or family members
  • eating meals at your desk

Creating a quiet, comfortable, dedicated workspace to complete your online sessions lends itself to positive outcomes and a more stress-free experience.

Lifestyle changes Ergonomic changes to our work environment help our bodies adapt to working in front of a computer for extended periods of time. However, what can you do to help your body be more resilient to the effects of the work you are doing? Staying hydrated and eating healthy, nutrient-dense foods, and putting aside time to move your body between sessions will help clear your head and make you feel more productive throughout the day. Even just a brisk, 15-minute walk in the middle of the day could provide the stress reduction you need. Enjoy the fresh air and sunlight! Don’t forget to get appropriate rest each night and be kind to yourself.😊

Check out these websites for further ideas and suggestions for healthy lifestyle reminders and for tips to easily transform your office area into an ergonomic, stress-free workspace.

Creating the Perfect Ergonomic Workspace

Desk Mounted Sit-Stand Workstations

Blue Light Filtering Eyeglasses on Amazon

Making Health and Nutrition a Priority During COVID-19

COVID-19 Vaccine Education from Dr. Carly Wilbur, UH Pediatrician and psi Medical Director

The arrival of COVID-19 vaccines stirs up mixed feelings. Many doctors and scientists are hailing this a new chapter in the fight toward ending the pandemic. However, there are others who are distrustful of these measures and are inclined to mistrust science and the government. This article will provide a brief tutorial of COVID-vaccine terminology and help debunk some of the more dangerous myths surrounding the vaccine’s rollout. The goal is to make the reader a more educated consumer.


First, we will define some of the terms surrounding the introduction of these products. Then we will address some of the most common misconceptions surrounding COVID-19 vaccines.

Below are definitions of some of the terms surrounding the introduction of the COVID-19 vaccines:

OPERATION WARP SPEED refers to the effort to fast-track the development of COVID-19 vaccines. While it typically takes years to advance an idea into a marketable product that clears the FDA’s rigorous safety benchmarks, the path for the development of these vaccines was accelerated in order to save lives. The shortened timespan was a result of mass production of vaccines even while final stages of clinical trials were being conducted, rather than proceeding step-wise and waiting for completion of all trial stages. These vaccines came to market faster than normal not because clinical safety was compromised, but because steps that normally occur in series (i.e. first: complete the clinical trials, second: manufacture large quantities of the vaccine) happened simultaneously. The initial reports were so encouraging that vaccine production was bankrolled on a mass scale so that as soon as the completed trials were deemed successful, vials could be shipped out to waiting recipients.

EMERGENCY USE AUTHORIZATION (EUA) is a mechanism that is employed to help facilitate the rollout of health-related products (like medical countermeasures including vaccines) before they are FDA-approved as long as certain criteria are met. These include the existence of a public health emergency and the absence of any available alternatives. Additionally, the product must satisfy minimum safety and efficacy standards.

MESSENGER RNA (mRNA) is responsible for delivering instructions to protein-building parts of a cell regarding what proteins to manufacture. This process is called transcription, and can be manipulated depending on what the mRNA is programmed to instruct. DNA uses genetic code, a series of nucleotides in a particular order, that is carried by mRNA to translate genetic instructions for protein production. This essentially serves as the recipe for creating a given protein. When used in a vaccine, the mRNA delivers this genetic code directly to the cell. We’ve all seen illustrations of what the Coronavirus germ looks like under the microscope, with its crown-like collection of spikes projecting from the surface of the cell. The COVID-19 mRNA vaccine instructs the recipient’s body to manufacture this spike protein, which then prompts the immune system to create a corresponding antibody against the spike. The process offers all of the benefits of homegrown immunity without the risks of actually getting a COVID-19 infection. While the use of mRNA in vaccines is relatively new, the technology behind it has been studied for years. BioNTech and other laboratories have been exploring its use to fight HIV/AIDS, seasonal Influenza, Zika virus, Rabies, CMV, and even cancer (by way of triggering specific immune cells). Once the genetic code for the COVID-19 virus was published in February of 2020, the next logical step was to employ mRNA technology to fight COVID. Other vaccines, like the Flu vaccine, utilize a different mechanism to prime the immune system, often employing a weakened version of the microbe to prompt an antibody response. These vaccines use fertilized chicken eggs to incubate the virus, and once mature, it is chemically rendered non-infectious and delivered to the body in vaccine form. This inactivated version of the germ stimulates the body to generate an antibody response. One major benefit of mRNA-based vaccines is that their production time is faster than the necessary wait time involved in germinating a microbe in an egg vessel.

PFIZER-BIONTECH and MODERNA: These two companies joined forces to make newer mRNA technology available to the masses. BioNTech, a German laboratory, and Pfizer, a US-based business, received most of their funding for COVID-19 vaccine development from the German government. Their vaccines are mRNA-based and are approved for use in patients at least 16 years of age (for Pfizer’s, and 18 years of age for Moderna’s). These vaccines are injected into the muscle in two doses, administered three weeks (for Pfizer-BioNTech) or four weeks (for Moderna) apart. Their safety in younger children and pregnant women is presumed but has not yet been demonstrated formally. The CDC (Centers for Disease Control) and ACOG (American College of Obstetricians and Gynecologists) endorse this vaccine’s safety in mothers who are breastfeeding.


Next, let’s address some of the most common misconceptions surrounding COVID-19 vaccines:

MYTH FACT
COVID vaccines were rushed into production with untested technology The mRNA technology behind the two earliest approved vaccines is not new, but the application is novel. Moderna’s mRNA vaccine trials involved at least 30,000 participants and Pfizer’s included 43,000 participants just for the third phase of study. The integrity of the scientific process was not compromised, and safety and efficacy were prioritized.
COVID vaccines can give you a COVID infection Because the mRNA only codes for a protein on the outside of the COVID-19 cell surface and includes no actual virusmaterial, its introduction to the body cannot cause COVID.
mRNA vaccines can change your DNA or genetic makeup Not only does mRNA never enter the cell nucleus, it is a fragile material (hence the ultra-cold storage requirements for the vaccine) that degrades as soon as it delivers its instructions. It cannot alter a person’s DNA in the short-term or long-term.
Patients who had and recovered from COVID don’t need the vaccine The scientific community doesn’t yet know how long naturally-acquired antibodies last, so vaccine-derived immunity may still play a role in protecting patients in the long-term.
Getting a COVID vaccine will implant you with a tracking microchip This unfortunate conspiracy theory is categorically false. These vaccines (and in fact all vaccines) do not contain microchips or RFID trackers.
COVID-19 vaccines cause Lupus or infertility There is no evidence that suggests the side effect profile includes any long-term consequences like auto-immune disease or infertility. The majority of vaccine side effects (the most common of which were fatigue, headache, or soreness/redness at the injection site) manifest by the 8-week mark after injection. Trial participants will continue to be followed for several years to ensure transparency.
The COVID vaccine will be mandatory There is currently insufficient supply of vaccine to ensure a two-dose regimen to every US citizen. Tiered delivery by ranked risk category will allow those whose employment puts them in the most peril to be among the first to get vaccinated. Other high-risk groups, like the elderly and those with underlying health conditions, will be next. After that, assuming adequate stock, the vaccine should be available to anyone who chooses to receive it.
COVID vaccines can make you sick Some vaccine recipients reported symptoms of pain at the injection site, fatigue, headache, or joint/muscle pain. While they overlap with COVID symptoms, these complaints are a result of the body’s immune response. mRNA vaccines are considered “reactogenic,” meaning they prompt a robust immune reaction, which can manifest as the above clinical symptoms. These may be worse in younger patients or with the second dose of the vaccine, as the immune response is typically more vigorous in those situations.
The special storage requirements will make these vaccines almost impossible to distribute Pfizer’s preparation requires -94°F, or “ultra cold” storage, which needs fresh dry ice supplementation every 5 days to maintain that frigid temperature. Moderna’s version can be shipped at -4°F, the temperature in a standard freezer. After thawing, the Pfizer vaccine is viable for 5 days and Moderna’s is usable for 30 days.
COVID vaccines provide long-term immunity Duration of immunity from vaccination is yet undetermined. While a two-dose series may be enough to provide a lifetime of immunity, we may also need an annual COVID shot, much like our current Flu recommendations. Researchers will continue to follow vaccine study participants to assess longevity of antibody response.
The COVID vaccine will quickly make the pandemic go away Vaccinating a critical number of people will allow us to achieve “herd immunity,” a situation wherein enough people have antibodies to the virus and it can no longer find a viable human host. While the threshold for herd immunity in COVID is unknown, for Measles it occurs when 95% of the population demonstrate immunity. A September study out of Stanford University estimated 9% of Americans have had COVID so far, so without vaccinating, it will take a lot more tragedy to achieve the levels needed to claim herd immunity and protect the masses. Until then, we need to maintain masking, physical distancing, and meticulous hand-washing to succeed in keeping safe.

MYTH FACT
COVID vaccines were rushed into production with untested technology The mRNA technology behind the two earliest approved vaccines is not new, but the application is novel. Moderna’s mRNA vaccine trials involved at least 30,000 participants and Pfizer’s included 43,000 participants just for the third phase of study. The integrity of the scientific process was not compromised, and safety and efficacy were prioritized.
COVID vaccines can give you a COVID infection Because the mRNA only codes for a protein on the outside of the COVID-19 cell surface and includes no actual virusmaterial, its introduction to the body cannot cause COVID.
mRNA vaccines can change your DNA or genetic makeup Not only does mRNA never enter the cell nucleus, it is a fragile material (hence the ultra-cold storage requirements for the vaccine) that degrades as soon as it delivers its instructions. It cannot alter a person’s DNA in the short-term or long-term.
Patients who had and recovered from COVID don’t need the vaccine The scientific community doesn’t yet know how long naturally-acquired antibodies last, so vaccine-derived immunity may still play a role in protecting patients in the long-term.
Getting a COVID vaccine will implant you with a tracking microchip This unfortunate conspiracy theory is categorically false. These vaccines (and in fact all vaccines) do not contain microchips or RFID trackers.
COVID-19 vaccines cause Lupus or infertility There is no evidence that suggests the side effect profile includes any long-term consequences like auto-immune disease or infertility. The majority of vaccine side effects (the most common of which were fatigue, headache, or soreness/redness at the injection site) manifest by the 8-week mark after injection. Trial participants will continue to be followed for several years to ensure transparency.
The COVID vaccine will be mandatory There is currently insufficient supply of vaccine to ensure a two-dose regimen to every US citizen. Tiered delivery by ranked risk category will allow those whose employment puts them in the most peril to be among the first to get vaccinated. Other high-risk groups, like the elderly and those with underlying health conditions, will be next. After that, assuming adequate stock, the vaccine should be available to anyone who chooses to receive it.
COVID vaccines can make you sick Some vaccine recipients reported symptoms of pain at the injection site, fatigue, headache, or joint/muscle pain. While they overlap with COVID symptoms, these complaints are a result of the body’s immune response. mRNA vaccines are considered “reactogenic,” meaning they prompt a robust immune reaction, which can manifest as the above clinical symptoms. These may be worse in younger patients or with the second dose of the vaccine, as the immune response is typically more vigorous in those situations.
The special storage requirements will make these vaccines almost impossible to distribute Pfizer’s preparation requires -94°F, or “ultra cold” storage, which needs fresh dry ice supplementation every 5 days to maintain that frigid temperature. Moderna’s version can be shipped at -4°F, the temperature in a standard freezer. After thawing, the Pfizer vaccine is viable for 5 days and Moderna’s is usable for 30 days.
COVID vaccines provide long-term immunity Duration of immunity from vaccination is yet undetermined. While a two-dose series may be enough to provide a lifetime of immunity, we may also need an annual COVID shot, much like our current Flu recommendations. Researchers will continue to follow vaccine study participants to assess longevity of antibody response.
The COVID vaccine will quickly make the pandemic go away Vaccinating a critical number of people will allow us to achieve “herd immunity,” a situation wherein enough people have antibodies to the virus and it can no longer find a viable human host. While the threshold for herd immunity in COVID is unknown, for Measles it occurs when 95% of the population demonstrate immunity. A September study out of Stanford University estimated 9% of Americans have had COVID so far, so without vaccinating, it will take a lot more tragedy to achieve the levels needed to claim herd immunity and protect the masses. Until then, we need to maintain masking, physical distancing, and meticulous hand-washing to succeed in keeping safe.

 


The introduction of vaccines to fight COVID-19 is a shining example of what can happen when science and innovation unite toward a common goal. The kind of open sharing of information and collaboration between companies and countries has been exceptional, and is a testament to the singular goal we all share: ending the COVID-19 pandemic. When it comes to educating the public, the loudest voices aren’t always the most accurate, so we must be vigilant when we decide which sources to trust. Just as vaccines brought about the eradication of Smallpox in 1972 and Polio in 1979, the hope is that an extensive vaccine campaign can bring about the end of COVID as well. Patience plays a role as well, as we wait for proper scientific studies to confirm the safety of these vaccines in younger children, and for production of the vaccine to meet the demands of the general public. COVID-19 vaccines have tremendous potential to deter suffering and save lives, and hasten the resolution of this devastating pandemic.

For additional information and resources, visit our COVID-19 Resource Center.

Written by Dr. Carly Wilbur, UH Pediatrician and psi Medical Director.

Making the Grade Difference Maker- psi’s Tina Longworth

Tina Longworth, District Nurse at Norton City Schools, has been nominated as a Making the Grade Difference Maker! Congratulations Tina! We are so proud to have such a dedicated, passionate care-giver like you on the psi team.  Together, we are Raising the Power of Education!

 

From the Akron Beacon Journal:

Tina Longworth, Norton City School, District Nurse

District explains nomination: Tina Longworth, the district nurse for Norton City Schools, needs to be recognized for the countless hours that she has worked to connect with our families and students during the school year. Her knowledge and calm spirit have helped many individuals whether that is students, staff, parents or community members. Both of these characteristics are extremely beneficial while working in the schools with everyday scenarios that vary in degree. Norton schools are blessed to have such a caring Difference Maker, who leads our care team, while supporting all members of our Panther Nation!

COVID-19: Managing Stress and Anxiety

The current COVID-19 pandemic is a difficult time that all members of our communities are experiencing. Roles have changed and routines have been turned upside down. People are facing loss of employment, uncertain futures, and, of course, potential infection of a deadly virus. This is an unprecedented time and one for which we don’t have a step-by-step playbook. Now more than ever, it is imperative for everyone to practice good self-care so that we can protect our mental and physical health.

That’s why psi is providing important tips and resources below that we encourage you to share with your parents and school communities. There are tips for managing stress and anxiety, followed by dozens of helpful links and resources, including a Kids Guide that answers questions children may have about the virus. Thank you for sharing this vital information.


Tips for Managing Stress and Anxiety
These practices will help to keep stress and anxiety in check.
Remember to manage your expectations, do your best, and be kind to yourself.

1.  GET A ROUTINE: Having a routine while self-isolating will help to maintain structure and avoid spending too much time thinking about the current situation. If working from home, it will help to avoid working too much, or too little.

2.  LIMIT MEDIA EXPOSURE: Try to limit exposure to social media, especially for updates about COVID-19. Instead, get information from trusted sources, such as the Centers for Disease Control or World Health Organization. Focus more on local news and put a time limit (e.g., 30 minutes, twice a day) on reading about the pandemic. Stay informed about the facts and avoid sensational stories.

3.   MAINTAIN YOUR HEALTH: Make sure to do your best to eat healthy, get enough sleep, and get some physical exercise. Being physically healthy will help to manage symptoms of stress and anxiety.

4.   PRACTICE MINDFULNESS: Try some breathing or brief mediation techniques to help manage symptoms of stress and anxiety. See below for more.

5.   STAY CONNECTED: It is really important to stay connected during this time of social distancing and self-isolation. You can do this virtually using free video chat or video conferencing software or making a phone call. Reach out to family and friends and maintain your social support network.


Mental Health Resources:

Let’s Meet This Moment Together
free meditation resources from Calm.

Care for Your Coronavirus Anxiety
Online toolkit for managing anxiety.

Coronavirus Anxiety – Helpful Expert Tips and Resources
Resource list from the Anxiety and Depression Association of America.

Mental Health and Coping During COVID-19
Tips from the Centers for Disease Control.


Tips and Advice for Parents:

Kids Guide COVID-19
This pdf is a valuable guide geared for children.

COVID19 : Quick tips to support your children in learning at home
Click here for UNESCO tips.

Parent/Caregiver Guide to Helping Families Cope With the COVID-19
Tips from the National Child Traumatic Stress Network.

Talking to Kids About the Coronavirus
Tips from the Child Mind Institute.


Free Online Resources for Parents and Students:

San Diego Zoo
Live Cams

Melbourne Zoo
Animal House

Panda Cam at Atlanta Zoo
Panda Cam 

Monterey Bay Aquarium
Live Cams

Collections
Google Museum Tours

Smithsonian Dinosaur Tour
National Museum of Natural History

Louvre Art Museum, Paris
https://www.louvre.fr/en/ visites-en-ligne

Age of Learning, Inc. > Early Learning, Education Technology Leader
Free access to ABCmouse, Adventure Academy, and ReadingIQ.

Amazon Future Engineer Program
Free access

Enabling student access to Creative Cloud during COVID-19 campus closures
Free access to Adobe Creative Cloud through May, 2020.

Full Stem Ahead
Live, online events to help teach students code, build, invent and animate.


Medical Advice Disclaimer: The information provided is not intended as medical advice or as a substitute for professional medical care. Always seek the advice of your physician or other health provider for any questions you may have regarding your medical condition and follow your health care provider’s instructions.

psi’s New Free Health Webinar Series!

All of us at psi are very excited to announce our free School Health Webinar Series! Join us this school year as psi’s Medical Director, Dr. Carly Wilbur, UH Pediatrician, takes on the ‘hot topic’ issues pertaining to school health in today’s classrooms. Log in, take part, ask questions, and Raise the Power of Education all for free! Mark your calendars now for:

September 18: Vaccinations- Are Your Students at Risk?
November 20: Functional Abdominal Pain
January 29: The Vaping Epidemic
March 18: Increasing Rates of Suicide Among Teens
May 6: Sleep Hygiene

We look forward to seeing you there!


Can’t wait? We understand! Visit psi’s free Webinar Library for past presentations from industry leaders and experts.

Lyme (and other tick-borne) Diseases

 

Written by Dr. Carly Wilbur, psi Medical Director


Welcome to a very special edition of psi’s Paradigm! Are you up to date on your Lyme disease symptoms, treatments, and preventions? With the beginning of the new school year as well as a nationwide increase in tick-illnesses, know the facts!


By all accounts, the number and extent of tick-borne illnesses are increasing annually in the United States. While Lyme disease is the most recognized of these illnesses, the Centers for Disease Control (CDC) reports that seven new tick-borne germs have been identified in the US in the last two decades.  And while not all cases get reported, the number of logged cases of Lyme disease has tripled since the early 2000’s. Several factors are to blame: new tick species have been identified, reforestation projects bring humans and wildlife in closer proximity, and climate change has altered the ecological nature and seasonal cycles that affect ticks and their hosts.


Nationwide, this has historically been an issue for the Northeast and Midwest regions of the United States, but the geographic area of concern is growing, and the number of counties that qualify for a “high risk” label for Lyme disease has increased 300% in 20 years.

In Ohio specifically, the incidence of Lyme has skyrocketed: Only 44 cases (in 28 counties) were reported in 2010, but that number was up to 270 cases (in 44 counties) by 2017 (the most recent published data for our state).

 

While not every tick encounter results in a diagnosis of Lyme disease, it’s important to recognize the symptoms that would increase one’s index of suspicion.

Erythema Migrans (EM) rash (pictured) and generalized malaise (fever, headaches, muscle pains, joint pains) within 1-2 weeks of a tick bite. If these complaints are not identified, the disease can progress within 2-4 weeks to a more disseminated form that carries the risk of central nervous system involvement (meningitis, cranial nerve palsies, eye conditions) and heart problems. Late disease, often recognized months after a tick bite, carries an even greater risk of nerve damage and prolonged arthritis.

Knowing what to look for is helpful. The Ixodes scapularis (AKA Blacklegged Tick) is tiny, and the nyph (baby) phase of the life cycle can be <3mm in size.


Certain precautions can help prevent Lyme disease:

  • When hiking, walk in the middle of the path, not the tall grass.
  • Use EPA-approved insect repellant spray with DEET.
  • Wear long sleeves and long pants. Tuck pant legs into socks.
  • Clothing and gear can be pre-treated with permethrin. After exposure, clothing can be placed in the dryer on a high heat setting.
  • Wearing light colored clothing makes ticks easier to see.
  • Shower off and check yourself (and your pet) thoroughly after being in tick-infested areas. Promptly remove any ticks discovered.
  • Continue to check for ticks 2-3 days after outdoor activities in areas known for ticks.
  • Be sure to protect your pet(s) with regular anti-tick treatments.

If a tick is discovered, immediate removal is advised.

Because NE Ohio is not currently considered an area of high endemicity for Lyme disease, the standard of care is to not start antibiotics unless certain criteria are met:

  • Tick is engorged
  • Tick has been in place >36 hrs
  • Patient has classic EM rash at tick site.

Blood tests to confirm diagnosis are not necessary if the history and  presentation are classic. EM with known exposure warrants a course of empiric antibiotic treatment.

Atypical symptoms should prompt a laboratory work-up that includes quantitative screening for serum antibodies to Lyme disease. If these are negative, no further testing is needed. Positive tests will need follow-up with Lyme immunoblot or Western blot for presence of IgM and IgG antibodies. Only with a strong response to both antibody types, can a definitive diagnosis be made.

If antibiotics are warranted, first-line agents include oral Doxycycline twice daily for 10 days or Amoxicillin three times a day for two weeks. Most clinicians will administer a single prophylactic dose of Doxycylcine if an engorged tick has been discovered.


 

For more info on Lyme disease symptoms, treatment, and prevention:

Center for Disease Control – Lyme Disease

More info on Dr. Carly Wilbur, psi Medical Director

psi’s School Health Clinic Services Program

 

Fun Summer Tips That Will Keep Your Child Learning!

Summer is almost here… and that means your students and children will be ready for fun and excitement! Try these great tips for keeping kids focused and avoid the dreaded.. Summer Brain Drain!

1. Get involved

Kids of all ages love to know that they’re making a difference, and community service opportunities abound. Read to nursing home residents. Stock food pantries. Clean up a local park. Getting involved helps our community build a Climate of Caring.

2. A day in the park

Ohio has 83 state parks, 2 National Historic Parks, and 3 National Wildlife Refuges. There’s camping, swimming, hiking, boating, breathtaking views — even theaters and historical landmarks. Many parks offer handicapped-accessible facilities and educational programs that will foster your learners’ love of nature!

3. Get creative

Engaging the mind with reading and other creative ventures is just as vital as engaging the body. Summer is the time to read books, make videos, write stories, stage shows, make music and create works of art without the pressure of assignments, deadlines and grades.

4. Backyard adventures

You don’t need to get in the car to discover new wonders. Send kids on a backyard bug hunt, or challenge them to create art with sticks, pinecones and leaves. Hold a backyard camping trip, complete with stargazing. Plant vegetables, and make healthy meals celebrating the bounty of your garden.

5. Kitchen curiosity

Bake a cake. Make a casserole. Build a banana split. Create a new drink recipe. Kitchen adventures teach kids the basics of cooking while giving them the pride of sharing their culinary successes with family and friends.

6. Start a business

Host a lemonade stand or mow lawns. Baby-sit. Sew and sell shopping bags. Kids who earn money learn to appreciate the value of a dollar and to manage their money.

We Love Our Cleveland Cavaliers!

Good Luck to the Cleveland Cavaliers!

Webinar: Managing Concussions in Schools

Did you miss our informative webinar on Managing Concussions in School?   Click here to view on demand.With a focus that addresses concussions on and beyond the sports field, this webinar describes how to create and lead a school concussion management team and provides clear, non-technical information on how concussions can affect learning, mental health, and social-emotional functioning; tools for school-based concussion assessment; and guidelines for creating accommodation plans in collaboration with the family, community, and school team.  This webinar has passed but you can always review our webinars in our library.

Dr. Scott Poland gives some practical advice on grief

In the wake of the tragic events that occurred in Orlando, many people are dealing with grief. You do not have to be directly involved with this incident, as seeing it on the news and hearing about it can bring up a person’s own life experiences, and with it, a sense of grief and despair. To help, Dr. Scott Poland,

A PSI Expert Partner and a professor in Nova Southeastern University ‘s Psychology Department, has put together some “tips” to help people deal with their grief as well as how parents should help their children understand these senseless acts.

You can read Dr. Poland’s advice online HERE .

Dr. Poland is also a nationally recognized expert on school crisis, youth violence, suicide intervention, self-injury, school safety, threat assessment, parenting and the delivery of psychological services in schools. Poland is a founding member of the National Emergency Assistance Team for the National Association of School Psychologists and serves as the Prevention Director for the American Association of Suicidology. He has led multiple national crisis teams following numerous school shootings and suicides and served as the team leader of the crisis response team sent to Jefferson County Public Schools during the aftermath of the Columbine High School shootings.