project 21sd - palomar health center/publications/the... · you may be emotionally ready for...

January – April 2008

A HEALTH NEWS AND EDUCATION RESOURCE GUIDE FOR NEW AND EXPECTING PARENTS

LT and PPH Tackle Childhood Obesity Page 4

Women’sHealthConnectionBoutique

Visit Our New Location for All of Your Breastfeeding NeedsPage 7

NICU:High-Tech,High-TouchAdvanced Care for NewbornsPage 9

PeacefulParentingFree Program Puts Families First 0

RisingStarsSpecial Gifts for a Brighter Tomorrow Page 11

Project21SD

2 JAnuAry – April 2008 www.pph.org

Numbersto KnowKeep these important numbers handy for use in the event of an emergency.

EmergencyCrisisHotlines–24-HourService

Fire, Police or Emergency 911

Poison Control 800.222.1222

California Missing Children Hotline 800.222.3463

California Youth Crisis Hotline 800.843.5200

Child Abuse Hotline 800.344.6000

Rape/Crisis Hotline 888.272.1767

Missing, Abused & Exploited Children 888.818.4673

National Runaway Switchboard 800.621.4000

Vanished Children’s Alliance (VCA) 800.826.4743

Suicide and Crisis Counseling 800.479.3339

San Diego Police Department 619.531.2000

powaypomerado Hospital 15615 Pomerado Road Poway, CA 92064 858.613.4000

pomerado Outpatient pavilion Jean McLaughlin Women’s Center Education Classroom 15611 Pomerado Road Poway, CA 92064 858.613.6110

San MarcosThe HealthSource 125 Vallecitos De Oro, Suite A San Marcos, CA 92069 858.675.5376

Escondidopalomar Medical Center 555 East Valley Parkway Escondido, CA 92025 760.739.3000

Off-site classes are also available for groups, businesses and other organizations that would like instruction on a particular health topic. Call 858.675.5372 for more information. The HealthSource retains the right to cancel a community education class if minimum enrollment is not met. If you have a disability, please notify us 72 hours prior to the event so that we may provide reasonable accommodations.

Volume4–Issue1 January – April 2008

Editor-in-ChiefJanet Gennoe Klitzner

Director of Marketing & The HealthSource [email protected]

ContentEditorsMary Coalson

Health Education Specialist [email protected]

Tammy Chung Assistant to The HealthSource

[email protected]

ContributorsGustavo Friederichsen

Chief Marketing & Communications Officer [email protected]

Tami Weigold Marketing Manager

[email protected]

CeCe Wilkens Wilkens Communications

Jennifer Decker Arevalo PSY/MED Media

Noonie Benford

Design/ProductionChase Design

[email protected]

Trina Hinch Marketing Project Manager

[email protected]

Mark Seal Rush Press

PhotographyJanet Gennoe Klitzner

Class Locations

Stork Club Tours Call for dates, times and locations.Tours of the Birth Centers at Palomar Medical Center and Pomerado Hospital are available by appointment only. If you are taking a childbirth class at the Jean McLaughlin Women’s Center or Palomar Medical Center, there is no need to take this tour as well. Tours of the Birth Center at Palomar Medical Center are available in Spanish on the 2nd and last Wednesdays of each month from 7 to 8:30 p.m.

FEE: Free

3For a physician referral, or to register for a class, call The HealthSource at 800.628.2880.

SpECiAl FEATurES

SpECiAl FEATurES

4 Project21SD:LTandPPHTackleChildhoodObesityDiscover more about this visionary community awareness, education and intervention campaign.

7 BreastfeedingBoutiqueThe Women’s Health Connection Boutique and Resource Center at Palomar Pomerado Health has moved. Clip valuable coupons for use in our new store, featuring an extensive line of Medela® breastfeeding products.

8 BurnitOffwithBreastfeedingLearn how nursing can actually boost your effort to lose those extra pounds following pregnancy and birth.

9 NICU:High-Tech,High-TouchCareThe Community Level NICU (Neonatal Intensive Care Unit) at Palomar Medical Center combines the latest technology with a commitment to family-centered care for newborns.

10 PeacefulParentingThis FREE six-week program provides parents the necessary tools to raise an emotionally healthy family.

11 WatchingBabyGrow:Months16–18Learn more about the developmental milestones to look for during months 16 through 18 of your baby’s life.

11 RisingStarsPalomar Pomerado Health Foundation offers a special opportunity for new parents to turn special gifts into brighter tomorrows.

12 ReduceYourBaby’sRiskofSIDSLearn tips to reduce the risk of this unexplained tragedy.

13 PediatricsatPalomarMedicalCenterLearn more about the convenient, high-quality inpatient pediatric care available close to home at Palomar Medical Center.

EduCATiOn

6 ChildbirthPreparationClassesPPH offers a wide variety of classes and services to help you and your partner prepare for pregnancy and delivery.

8 BreastfeedingClasses,SupportGroupsandLactationServices

10 MommiesinMotionandInfantMommy&MeYogaStay in shape, feel your best and maximize your total well-being during and after pregnancy with these specialized programs.

12 Infant-andToddler-CareClasses

14 SiblingEducation,YoungAdult,CPRandFirst-AidClasses

Finding a physician To select a Palomar Pomerado Health physician

for your pre-pregnancy and pregnancy care, or

to register for a PPH childbirth class, please call

TheHealthSourceat 800.628.2880.

� JAnuAry – April 2008 www.pph.org

Project21SD is ready to tackle childhood obesity with a comprehensive community awareness, education and intervention campaign. Project21SD is a visionary campaign that promotes innovative approaches to address key health concerns and secure funding to support accessible services within the PPH area. It features a partnership between Palomar Pomerado Health (PPH) and the San Diego Chargers’ all-time leading rusher, LaDainian Tomlinson (LT) who wears jersey #21.

LT serves as spokesman for Project21SD and has a personal stake in the subject because his own family has been touched by obesity, diabetes and stroke. Specifically, the childhood obesity project will raise awareness about childhood obesity, educate kids and families on healthy choices, and provide screenings and services to treat childhood obesity.

“We see LT as a role model and cheerleader for physical fitness,” explains Sheila Brown, Chief Clinical Outreach Officer, who is in charge of implementing the Project21SD childhood obesity campaign. “We are targeting fifth graders, who are still young enough to change their eating habits, as well as first-time families. We want to work with families to prevent future obese children.”

Childhood obesity has tripled since the early 1970s. Being overweight exposes children to serious health problems, now and in the future, such as cardiovascular disease, cancer and diabetes, which account for two-thirds of all deaths in California and are largely preventable.

The 2005 Community Health Check conducted by PPH discovered that 13.9% of children between two and five years of age are overweight, while 20.4% of children six to 19 years old are overweight. They may be following their parents’ lead, as 44% of adults within the North County region served by PPH are considered overweight or obese.

Project21SD will implement coordinated activities to overcome childhood obesity. Guarded like the Chargers’ weekly playbook, specific details of the childhood obesity campaign will be revealed as the program gets underway within the next few months. As part of the American Public Health Association’s Healthy People 2010 Objectives for Prevention and Control of Childhood Obesity, Project21SD has adopted five goals for children and families within the PPH service area:

• Participate in more physical activity

• Spend less time in front of TV or computers

• Eat less fat and sugar in food

• Choose more healthy food

• Develop incentives that reinforce ongoing environmental and behavioral change

These goals will be addressed through coordinated activities including health screenings, community outreach activities and partnering with school districts to teach families such skills as role modeling and advertising.

“What excites me about the Project21SD childhood obesity campaign is that it presents a remarkable opportunity for PPH to embrace and enhance the scope of its mission,” says Nick Yphantides, M.D., Chairman of the San Diego County Childhood Obesity Task Force and Medical Consultant to PPH’s Health Development, the district’s grant making division. “We spend too much time focused on treating disease, illness and the consequences of human behavior. With Project21SD we have the opportunity to focus on what health care should be, which is wellness, health promotion and prevention of costly illnesses and diseases.”

Set to Tackle Childhood Obesity

San Diego Chargers Runningback LaDainian Tomlinson and area San Diego youth show their team spirit for the fight against childhood obesity.


Help our children exercise their rights

Childhood obesity is a growing epidemic that increases the risk of death and disability from

heart disease and stroke. Don’t miss your chance to shape a whole new generation of Americans

and stop the nation’s No.1 and No.3 killers – heart disease and stroke.

The Right to Daily PEThe Right to HealthyFood Choices in School

The Right to a HealthySchool Environment

Heart Disease and Stroke. You’re the Cure.www.americanheart.org/yourethecure


Classesthe

6 – 7:30 p.m.

pomerado Outpatient pavilion (poway) Jean Mclaughlin Women’s Center Education ClassroomWednesday, February 20

Thinking about having a baby? You may be emotionally ready for parenthood, but is your

body prepared for the task ahead? Join Dr. Sudabeh Moein, OB/GYN, as she discusses important factors such as family history, chronic conditions, age, lifestyle, medications and more. Discover how to minimize the risk of birth defects and assure the best possible birth conditions for both you and your baby.

FEE: Free – registration required

Childbirth preparationpreparation for Childbirth

Five-Week Series 6:30 – 9 p.m.

pomerado Outpatient pavilion (poway) Jean Mclaughlin Women’s Center, Education ClassroomChoose one of the following five-week series:

Mondays, January 7 – February 4 Mondays, April 14 – May 12 Wednesdays, March 5 – April 2

palomar Medical Center (Escondido)Choose one of the following five-week series:

Tuesdays, January 15 – February 12 Tuesdays, April 22 – May 20 Wednesdays, March 5 – April 2

Prepare for a safe and satisfying birth experience with this five-week childbirth preparation series. Small classes ensure personalized instruction focusing on the signs and stages of labor, hospital procedures, medication options and Cesarean birth. A general overview of labor-coping techniques is provided, and newborn characteristics, infant feeding and postpartum adjustments are discussed. A tour of the birth center is included.

FEE: $70 /mom or couple (includes childbirth manual)

preparation for Childbirth “in a Weekend” 9 a.m. – 3:30 p.m. (Saturdays) 10 a.m. – 3:30 p.m. (Sundays)

pomerado Outpatient pavilion (poway) Jean Mclaughlin Women’s Center, Education ClassroomChoose one of the following three classes:

January 26 – 27 March 8 – 9 April 12 – 13

palomar Medical Center (Escondido)Choose one of the following four classes:

January 12 – 13 February 2 – 3 March 1 – 2 April 5 – 6

Our weekend class includes the same information covered in our five-week series, but takes only two days to complete. A tour of the birth center is included. Early registration is recommended.

FEE: $70 / mom or couple (includes childbirth manual)

Cesarean Birth lectureCall for dates, times and locations.

Expectant parents who anticipate a Cesarean birth and choose not to enroll in a childbirth class may attend a one-hour lecture about Cesarean birth that is part of our regular childbirth series. Information covered includes indications for a Cesarean birth, pre-operative procedures, medications, the birthing process, and post-operative and recovery procedures.

FEE: $10 /mom or couple

Pre-ConceptionPlanning

Mothers ofTWINS&TRIPLETSClub

Have you been blessed with multiple bundles of joy? The Mothers of Twins and Triplets Club meets monthly and provides a forum for friendship and support for families, or expecting families, with twins or triplets. Speakers and special programs help parents deal with the pressure of raising multiple-birth children. For more information, call 760.798.9678.


At the Women’s Health Connection Boutique, our goal is to provide the very best products,

services and information to every woman embracing the joys of motherhood. Our friendly and

knowledgeable Boutique staff specializes in pregnancy health and is committed to providing the

support and encouragement needed for a positive breastfeeding experience. Choose from our

extensive line of Medela® breast pumps for sale or rental, as well as breastfeeding accessories,

nursing bras, and other necessities for mom and baby.

Visit us beginning January 2008 at our new Boutique in the Jean McLaughlin Women’s Center

for Health & Healing located on the first floor of Pomerado Outpatient Pavilion. For more

information, call us at 858.613.6110.

$15 OFF any purchase of $100 or more.

Visit the Women’s Health Connection Boutique and take $15 OFF any purchase of $100 or more. Choose from a variety of breast pumps, breastfeeding accessories and nursing bras, as well as wigs, hats, scarves and breast prostheses for women recovering from cancer.

Call 858.613.6110 for details.

Offer not valid with any other discount or for previous purchases. Limit one coupon per person. Coupon must be presented at time of purchase. Expires 12/31/08 BS108

Free NursiNg Bra with the purchase of a Medela® Pump in styleadvanced Breastpump

Make the experience of breastfeeding your baby easy and comfortable with our extensive line of Medela® breastfeeding products. Visit the Women’s Health Connection Boutique and receive a FREE Medela® Comfort Bra with the purchase of a Medela® Pump In Style Advanced Breastpump. Call 858.613.6110 for details.

Offer not valid with any other discount or for previous purchases. Limit one coupon per person. Coupon must be presented at time of purchase.Expires 12/31/08 BS108

Pomerado Outpatient PavilionJean McLaughlin Women’s Center15611 Pomerado Road

Poway, CA 92064

858.613.6110

www.pph.org/women

NEWLOCATION!


Breastfeeding Support GroupThe HealthSource, San Marcos120 Craven Road, Suite 207 Thursdays, 1 – 2:30 p.m.

pomerado Outpatient pavilionJean Mclaughlin Women’s Center, Education ClassroomTuesdays and Fridays, 1 – 2:30 p.m.

*nEW! We now offer a breastfeeding support group for working mothers at the Jean Mclaughlin Women’s Center.10:30 a.m. – Noon Saturdays, January 19, March 15, April 19

Meet with a certified lactation consultant and other new moms to share information and learn new ideas during these weekly group sessions. Call the Women’s Health Connection at 858.613.6110 for more information.

FEE: Free

BreastfeedingSuccessful Breastfeeding

6:30 – 9 p.m.

pomerado Outpatient pavilion (poway)Jean Mclaughlin Women’s Center, Education ClassroomChoose one of the following three classes: Tuesdays January 8, February 5, March 4 or April 1

palomar Medical Center (Escondido)Choose one of the following two classes: Mondays February 11 or April 14

Breastfeeding is “nature’s way” to feed a baby, but it doesn’t always come naturally. Enhance your opportunity for a positive breastfeeding experience with this informative class led by a certified lactation consultant. Topics include the benefits of breastfeeding, breast anatomy and physiology, getting off to a good start, common difficulties and solutions, and returning to work.

FEE: $25/mom or couple

Palomar Pomerado Health’s certified lactation consultants provide guidance to new mothers who choose to breastfeed their babies. Breast pumps are also available for sale or rental through the PPH Women’s Health Connection Boutique, along with a wide variety of breastfeeding supplies and literature. Following is a directory of lactation services:

palomar Medical Center 760.739.2�3� 555 E. Valley Parkway, Escondido, CA 92025 Breastfeeding classes; lactation consults; telephone advice warmline; other related services.

pomerado Hospital 858.613.�605 15615 Pomerado Road, Poway, CA 92064 Breastfeeding classes; lactation consults; telephone advice warmline; other related services.

Women’s Health Connection Boutique 858.613.6110 15611 Pomerado Road, Poway, CA 92064 Medela breast pumps for rental or purchase; pump kit accessories; nursing bras; breast-care products; breastfeeding classes; support group meetings.

To register for a breastfeeding class, please call The HealthSource at 800.628.2880.

Lactation SERVICES

Anxious to zip into your pre-pregnancy jeans? Breastfeeding can actually boost your effort to lose those extra pounds gained during pregnancy because you expend additional calories each time you nurse. Experts agree that nursing moms should wait at least two months postpartum to lose weight to give your body time to recover from childbirth and establish a good milk supply.

Before trying to lose weight, check with your physician or lactation consultant for sound nutrition and exercise guidance. Remember that your nursing baby will generally take all he needs nutritionally from your breast milk, which means your own nutritional needs could be short-changed if you try to cut corners with a quick weight loss plan. Aim to lose one or two pounds weekly by increasing your activity level while reducing your intake by about 100 calories per day.

Healthy Tips:

• Avoid “empty calorie” snack foods such as cake, candy or soda.

• Focus on eating foods that provide plenty of lean protein (poultry, fish, beans,) and calcium (low-fat milk, yogurt).

• Drink at least six to eight glasses of fluids daily to replace the water that goes toward milk production.

• Eat three smaller meals daily plus two healthy snacks in between. This will keep your energy level high and prevent hunger pangs.

• Engage in regular, moderate exercise such as walking.

• The food you eat passes along in breast milk within four to 24 hours. If your baby responds unfavorably to a certain food you have eaten, try to avoid that food for awhile.

The Medela® Pump In Style Advanced Breastpump is available for sale at the PPH Women’s Health Connection Boutique. See our ad on page 7.

Burn it off with Breastfeeding


Think of the NICU (Neonatal Intensive Care Unit) like a fire department.

“You don’t really appreciate that it’s available and ready to respond until you need it,” says David J. Golembeski, M.D., a board-certified Neonatologist and Director of Neonatal Services for Palomar Pomerado Health (PPH). “Having a NICU at both Palomar Medical Center and Pomerado Hospital should provide a sense of security to the community, knowing that we have two first-class NICUs to serve families in North County.”

The Community Level (tertiary) NICU at Palomar Medical Center (PMC) combines the latest technology with a commitment to family-centered, integrative health care to meet the special needs of infants requiring intensive care. Pomerado Hospital’s Intermediate Level (secondary) NICU treats premature infants and other newborns who do not require the higher level of care available at PMC. When necessary, infants may be transferred from Pomerado to PMC’s NICU.

“We have made many recent changes to assure that we can meet the growing demand for the best possible care for high-risk babies,” says Dr. Golembeski.

PowerfulNewEquipmentforTinyInfantsOne of the key enhancements is the addition of new “Bear Cub” infant ventilators. Infant ventilators breathe for babies when they are too sick to breathe on their own.

This new type of ventilator allows the infant to trigger a breath and then the respirator automatically synchronizes with the infant’s breathing pattern, rather than forcing the baby to take a breath. The ventilator has a digital display with audio and visual alarms that tracks, breath by breath, what is happening and alerts staff immediately if something goes wrong.

“Currently, there is a debate in neonatal medicine as to how much oxygen a pre-term baby should get at the time of delivery,” says Dr. Golembeski. “Our new resuscitation tables have the ability to blend oxygen with air in precise ratios, based on the amount of oxygen in the infant’s blood.”

Since maintaining the body temperature of preemies is critical, new incubators combine an open warmer that uses radiant heat

with a clamshell-like top that closes over the babies to keep them continuously warm with moistened air.

SkilledStaffProvideAdvancedCareTwo new neonatologists recently joined the NICU team and NICU nurses trained in advance life support (ALS) are available to assist with high-risk deliveries. “The ALS program is not present in every NICU, but has certainly been the foundation of our NICUs,” says Dr. Golembeski.

The multidisciplinary NICU team also includes specialized respiratory care providers, nutritionists, occupational, speech and physical therapists, lactation consultants, laboratory and radiology technicians, and maternal-child social workers. They continually participate in educational activities to be able to bring the latest treatment options to the NICUs.

“For example, highly trained technicians are now doing echocardiograms in the NICU, where in the past these tests were referred to cardiologists from Rady’s Children’s Hospital,” Dr. Golembeski says.

In addition to providing advanced neonatal services, PPH is dedicated to preventing pre-term deliveries by identifying high-risk pregnancies early. Last year, the Perinatal Testing Center opened at PMC. This program is offered through a partnership between University of California San Diego Medical Center and PPH. The perinatologists – physicians who specialize in the care of high-risk pregnancies – are full-time faculty at the UCSD School of Medicine who work by referral from obstetricians in the community to assess high-risk pregnancies.

“Although our NICUs are high tech, we are also high touch,” says Dr. Golembeski.

One practice is Kangaroo Care, in which parents hold their tiny premature infant skin-to-skin, which provides close natural contact and warmth. Studies have found that Kangaroo Care helps preemies grow faster and leave their incubators sooner, while providing parents with the confidence.

“Getting the family and baby ready for discharge is our goal,” says Kathleen Powers, R.N.C., B.S.N., Interim Director, Pediatrics and Neonatal Intensive Care Units. “We like for parents to spend as much time here as possible, learning to care for their tiny infant. That may include spending the night just before discharge, which gives the family an opportunity to provide overnight care and feel more comfortable about bringing their baby home.”

“I am proud to say that our NICUs are well equipped and the staff is highly trained to care for most pre-term infants and other critically ill infants,” says Dr. Golembeski. “These recent advancements to our technology and training are extremely helpful to parents because it allows us to keep some of the premature babies here that we would have transferred to Children’s Hospital in the past.”

For additional information about the NICUs at PMC and Pomerado, visit www.pph.org.

NICUs OfferHigH-TecH,High-Touch Care

Dr. David Golembeski examines a newborn in the NICU at Palomar Medical Center.


prenatal Exercise ClassFour-Week Series 6 – 7 p.m.

pomerado rehabilitation Outpatient ServicesThursdays, January 17 – February 7 Thursdays, February 28 – March 20 Thursdays, April 17 – May 8Take steps now to stay in shape, feel your best and maximize your total well-being during pregnancy. This four-week series promotes physical fitness and good health through education and exercise. “Mommies in Motion” is suitable for women of any stage of pregnancy or fitness level. A signed physician consent form is required, and participants should bring an exercise mat or large towel to each class. To register, please call The HealthSource at 800.628.2880.

FEE: $�0 / participant for four-week series

Mommies in Motion

With over 23 years of experience as an individual and family counselor, educator and therapeutic foster parent for 27 children, Shelley Cowper-Smith has learned a thing or two about successful parenting.

“Parenting is the most important and influential task in our society,” says Cowper-Smith. “Research shows that a child’s brain develops most dramatically during the early years of life. Through the Peaceful Parenting program, we educate parents, grandparents and caregivers about the important role they play in their children’s first years.”

Palomar Pomerado Health offers the Peaceful Parenting program in conjunction with Jewish Family Service of San Diego funded by the FIRST 5 Commission of San Diego County. It is designed to give parents of children up to age five the necessary tools to raise an emotionally healthy family. A free six-week series will be held at the new Jean McLaughlin Women’s Center for Health and Healing located in the Pomerado Outpatient Pavilion in Poway from 6:30 – 8:30 p.m. on Thursday evenings from January 24 – March 6 (no class on February 14.)

“Each of the free classes is a blend of instruction and discussion tailored to meet the needs of the parents,” says Cowper-Smith. “We cover lots of practical tips and skills as we work through the steps outlined in the book, Systematic Training for Effective Parenting. Lessons include developmental ages and stages, communication skills and positive discipline techniques.”

“Parents thrive with good support and effective tools that build their confidence,” continues Cowper-Smith. “Although our ever evolving society brings special challenges, it is possible to succeed and be a strong family in today’s world.”

Parents who complete the free program will receive a special kit for new parents featuring a DVD with helpful parenting information, a parenting resource guide, and information on important topics such as health, nutrition and obesity prevention, child safety, early literacy and finding quality childcare.

For more information about Peaceful Parenting, call TheHealthSource at 800.628.2880.

Peaceful Parenting

Six-Week Series 10:30 – 11:30 a.m.

pomerado Outpatient pavilion Jean Mclaughlin Women’s CenterMondays, February 18 – March 24

Enjoy the benefits of yoga with your baby by your side! Finding time to exercise after having a baby can be a challenge. Mommy & Me yoga is the perfect way to stay in shape and spend quality time with your child. Class begins with “baby-style centering,” songs sung just for them, followed by an active Hatha Yoga class incorporating poses using your baby. You’ll wind down with wonderful relaxation! Toys are provided for your baby – just bring a blanket! Dads, grandparents and anyone who loves your baby are welcome! Mothers are asked to wait four to six weeks (6 weeks for C-section) after delivery before practicing yoga. As always, check with your doctor before starting any new exercise program. Class instructor is Erin Noland, registered yoga instructor. Appropriate for new mothers with infants age four weeks to one year – not walking.

FEE: $60 / mom and baby

infant Mommy & Me yoga

peaceful parentingSix-Week Series 6:30 – 8:30 p.m.

pomerado Outpatient pavilion Jean Mclaughlin Women’s Center, Education Classroom

Thursdays, January 24 - March 6 (no class on February 14)

FEE: Free – registration required

MeettheInstructor:Shelley Cowper-Smith Parent Educator


Between16to18months,mosttoddlerswill:

• Turn pages of a book

• Have temper tantrums

• Become attached to a soft toy or other object

• Kick or throw a ball forward

• Stack blocks

• Use six words easily

• Enjoy pretend games

• Like to climb

• Scribble well

• Use spoon or fork; pretend to feed a doll

• Brush teeth with help

Special Gifts for a Brighter Tomorrow.Your Baby is a “Rising Star”You have been given a precious gift. Your child – a star in the eyes of anyone who looks upon this bundle of joy. If your baby was born at Pomerado Hospital or Palomar Medical Center, then you have experienced first-hand the expertise and compassion of our nurses and doctors who strive to make each little one’s entrance into this world the best it can be. What better way to commemorate the birth of your baby, and to honor our caring staff, than with a star on our Rising Stars baby wall?

How to Sign-UpThe Rising Stars program offers two ways to join:

A silver star represents a single donation of $100A gold star denotes a single donation of $500

Your donations are fully tax-deductible!

With the birth of a new baby, everyone wants to celebrate the happy event. Anyone can enroll a newborn in the Rising Stars program, including parents, grandparents, other family members and friends.

For more information, or to sign-up, please call the PPH Foundation at 760.739.2787 or visit www.pphfoundation.org.

Even at this young age, your toddler is learning that he is rewarded with positive attention — hugs, laughter, praise — when he behaves in ways that people around him think are “right,” and that he is punished or ignored when his behavior is “wrong.” The social interactions you’re most likely to witness now are basic — waving, smiling, playing peekaboo, and following simple instructions — but these are all first steps in establishing his personal social style that are learned through imitation. A 16-month-old is also able to initiate displays of affection and he’ll give back what he receives. If you show affection with hugs and kisses, he will likely, too.

Your child also now understands 10 times more than he can put into words. Language development is moving quickly from one- or two-syllable words to short two-word sentences like “walk dog.” This is the perfect time to read to your child every day.

Visit the library or your local book store and take advantage of their free storytime for kids!

Watching Baby GrowMonths 16 – 18

Source: www.babycenter.com Missedpreviouspartsofourseriesondevelopmentalmilestones?Visitwww.pph.orgforanonlineversionofearlierissuesofThe BabySource.


infant and Toddler CareBaby-Care Basics

12:30 – 3 p.m.

Jean Mclaughlin Women’s CenterChoose one of the following two classes:

Saturdays, January 12 or March 29

Since babies don’t come with instructions, this class will provide you with the guidance needed to experience a more confident beginning. Topics include basic physical care skills, growth and development, normal daily activities/habits, safe-proofing your home, nutritional needs and management of illnesses.

FEE: $30 / mom or couple

Soothing and Sleep Strategies6:30 – 8:30 p.m.

Jean Mclaughlin Women’s CenterWednesday, April 9

Listening to your baby cry and cry without knowing what to do can try the patience of any new parent. Based on the best selling book, “The Happiest Baby on the Block,” this class reveals how calming even

the fussiest infants is easy once you can see the world from their point of view. You’ll learn how to survive the “Fourth Trimester” through effective soothing techniques. Expecting and new parents are welcome to attend.

FEE: $20 / mom or couple

infant MassageTwo-Week Series 6:30 – 7:30 p.m.

Jean Mclaughlin Women’s CenterTuesdays, March 18 and 25

Led by Certified Infant Massage Instructor Wendy Morris, this unique class will explore the many advantages of infant massage and provide hands-on instruction using a variety of easy-to-learn massage techniques. Please bring your baby to both one-hour sessions. Babies recently immunized should not participate.

FEE: $35 / couple and baby

Basic Training for dads 9:30 a.m. – Noon

Jean Mclaughlin Women’s CenterSaturday, February 16 or Saturday, April 5

Are you a first-time “dad-to-be” in need of some basic training? Your life is about to change drastically and if you don’t know what to expect, this is your opportunity to gain some informal, hands-on experience. This class is intended for expectant fathers in the second or thvird trimester of their baby’s pregnancy. It is a “fathers only” class featuring special guests – Veteran Dads (BT graduates) and their newborn babies. Learn what to expect during the last trimester of pregnancy, birth and the first few weeks at home. Plus, discover practical tips on diapering, feeding and soothing the newborn. Leave the class with a boost of confidence to be the best dad you can be!

FEE:$35/dad

Sudden infant death syndrome (SIDS) is the abrupt, unexplained death of an infant younger than one year old. While it’s impossible to imagine the unthinkable accidental death of a precious baby, SIDS is the leading cause of death in children between one month

and one year old, and claims the lives of about 2,500 children in the

U.S. each year. SIDS occurs most often in babies between the ages of two and four months, although premature babies seem to be at risk for a longer period of time.

Thanks to public awareness and preventive measures, the rate of SIDS has been reduced by half since 1983 and is at an all-time low. Still, fear of the mysterious, unexplained condition keeps new parents awake nights and checking on their baby frequently. While the cause is still not fully understood, health-care professionals recommend following these tips until your baby is at least 12 months old:

• Place your baby on his or her back to sleep, even for short naps. Infants who fall asleep on their stomachs should be gently turned onto their backs. Reserve “tummy time” for when your baby is awake and someone is watching.

• Use a firm sleep surface, such as a crib mattress covered with a fitted sheet.

• Keep soft objects and loose bedding away from your baby’s sleep area. Don’t use pillows, comforters or pillow-like bumpers.

• Keep your baby’s head uncovered during sleep.

• Maintain a comfortable temperature in the nursery – warm but not too hot.

Reduce Your Baby’s Risk of SIDS

Finding a PhysicianTo select a Palomar Pomerado Health physician for your pre-pregnancy and pregnancy care, or to find a pediatrician for your baby, please call The HealthSource at 800.628.2880. One of our friendly representatives will help you to select the doctor who best fits your family’s needs.


Your pediatrician has just told you that your child is very sick and needs to be admitted to the hospital.

Naturally, you’re worried and unsure what to do next.

Since 2006, North County children and their families have benefited from a partnership between Palomar Pomerado Health (PPH) and Rady Children’s Hospital Pediatric Hospitalists. The affiliation provides convenient access to high quality inpatient pediatric care close to home as well as clinical expertise in pediatrics, for which Rady Children’s is known.

“In general, we care for children who require hospitalization for respiratory disorders, asthma, pneumonia, croup, dehydration, jaundice, urinary infections and fevers,” says Edward Epstein, M.D., Medical Director of Inpatient Pediatrics at PPH. “We tend to be much busier during the winter months when colds and flu are common.”

Family-CenteredCareKathleen Powers, RNC, BSN, Interim Director of the Pediatrics & Neonatal Intensive Care Units at Palomar Medical Center says “On average, we treat about six youngsters each day, which allows the nurses to spend more time with each child and family.”

Located on the fourth floor of PMC, the Pediatric Unit is close to the birth center and neonatal intensive care unit (NICU). Having all inpatient pediatric services at PMC in close proximity to one another encourages a strong collaboration between the nursing units and the physicians who care for the pediatric patients.

PediatricHospitalistsAlthough the term may be unfamiliar, this model of staffing assures that pediatric patients receive timely care from board-certified pediatric hospitalists from Rady Children’s Hospital. These pediatric hospitalists are actually on staff within PMC’s Pediatric Unit every weekday, where they examine young patients, order required tests and treatments, and manage the overall treatment plan. Local pediatricians cover the unit on evenings and weekends in order to ensure that continuous care is provided for the patients and for anyone needing hospital admission during those times.

“We also have a small cadre of pediatric nurse practitioners who are trained to provide inpatient care,” says Dr. Epstein. “There is always someone on site or readily available to provide prompt, responsive care.”

Having pediatric hospitalists working within the Pediatric Unit streamlines the care patients receive because their entire focus is on the hospitalized patients, rather than patients with office appointments. The national trend for both pediatric and adult patients is to have hospitalists manage inpatient hospital care while assuring close communication with the patients’ primary care physician.

“While pediatric hospitalists are available to care for all kids admitted to PMC, the child’s own physician is, of course, able to manage the inpatient care for their own patients should they so desire,” says Dr. Epstein. “When a community physician entrusts us with the inpatient care of their patient, we work closely with that physician to communicate treatment progress and always refer the young patient back to his or her physician when it’s time to go home.”

“What makes this unit special is the quality of the pediatric staff,” says Powers. “Our nursing and medical staff have great clinical and people skills. Having a sick child is upsetting to any parent, but knowing that we have such high quality care right here in the community is reassuring, not to mention more convenient for families.”

To learn more about PMC’s Pediatric Unit and pediatric outpatient services available through PPH Home Health, call 800.628.2880 or visit www.pph.org.

We are undergoing a strategic planning process to determine how best to expand the inpatient pediatric services for families in North County. Our goal is to provide more patient-centered care as close to home as possible by building on the excellent foundation of caring that is already available through PPH.

Edward Epstein, M.D. Medical Director, Inpatient Pediatrics

“”

PalomarMedicalCenterisReadyWhen Your Child Needs Hospital Care

1� JAnuAry – April 2008 www.pph.org

Cpr & First-Aid ClassesAmerican Heart Association life Support and HeartSaver First-Aid Courses

Call 800.628.2880 for dates, times, locations and registration information on the following classes.

The American Heart Association strongly promotes knowledge and proficiency in BLS, ACLS, and PALS and has developed instructional materials for this purpose. Use of these materials in an educational course does not represent course sponsorship by the American Heart Association, and any fees charged for such a course do not represent income to the Association.

Cpr for Family and Friends This course teaches basic life saving techniques including how to relieve an obstructed airway. It is suggested for the lay rescuer such as new parents, grandparents, babysitters, caregivers or anyone who is preparing to help others in distress but does not need certification.

FEE: $25 / participant

HeartSaver First AidThis four-hour class includes instruction on the general principles of first aid, as well as medical, injury and environmental emergencies. Topics covered include choking, chest pain, fainting, seizures, low blood sugar, bleeding, burns, shock, bites, stings, poisoning and more. This course complies with OSHA regulations and is open to anyone.

FEE: $�0 / participant

HeartSaver pediatric First Aid – nEW!This new four-hour class includes instruction on first aid basics, medical and injury emergencies, environmental emergencies and optional topics. It meets state-specific requirements and is designed for child-care professionals, education and recreation staff, new parents, guardians and other caregivers who are responsible for children’s health.

FEE: $�0 / participant

For information on additional CPR and First-Aid Classes offered at Palomar Pomerado Health, please see page 14 of this issue of The HealthSource.

Sibling EducationBecoming a Big Brother/Big Sister

10 – 11:30 a.m.

Jean Mclaughlin Women’s CenterChoose one of the following two classes:

Saturdays, January 12 or March 29

palomar Medical CenterSaturdays, February 23 or April 26

This 90-minute class will help big brothers and sisters prepare for the new baby’s arrival. Activities include safe ways to interact with the new baby, special art projects and diapering and feeding their “own” baby (please bring a doll or stuffed animal). This class is designed for children ages 3 to 5.

FEE: $15 / family

young Adult ClassesBabysitting Basics*

6 – 9 p.m.

Jean Mclaughlin Women’s Center, Education Classroom Fridays, January 18 or March 14

The HealthSource, San MarcosFriday, February 29

This three-hour babysitting course is designed for boys and girls ages 10 to 14. Topics covered include babysitter responsibilities, caring for children, overview of first-aid, safety and accident prevention, handling emergencies, playing with children, behavior management, and tips for a professional babysitter. Those completing the course receive a certificate of completion to present to prospective employers.

FEE: $20 / boy or girl (includes course materials)

Becoming a young Woman*7 – 8:30 p.m.

Jean Mclaughlin Women’s Center, Education ClassroomChoose one of the following two classes:

Fridays, February 8 or April 18

The HealthSource, San MarcosFriday, March 21

This informative class helps young women 10 to 12 years old explore the emotional and physical changes of puberty. Emphasis is placed on how each girl experiences changes in her own special way. Additional topics include challenges with competition and development, communicating with parents, menstruation, purchasing personal female items, cramps and other common menstrual discomforts, and emotional changes and hormones. Mothers are encouraged to attend and share this unique time with their daughters. Please note there is no discussion on sex.

FEE: $10 / daughter and mother

*The “Babysitting Basics” and “Becoming A Young Woman” classes are available for off-site instruction upon request. Please call 858.675.5376 for more information.


I t seems l ike chi ldren always f ind a way to hurt t hemselves. Which iswhy we make sure we’re always ready. Our Emergency Department hasa s uperior team of physicians and nurses, v e r y short w ai t t ime s andadvanced technologies t hat r ival some of the best in t he county. Also,with a pat ient sa t is fact ion score in t he 99 th pe rcent i le among hospitalssurveyed nationwide, you can feel comfort ed knowing we’l l t reat yourfamily l ike they ’re our own. We know you can handle the bumps andbruises that occur in everyday l i fe. However, i f something more seriousever comes up, our Emergency Department is just around t h e cornerand ready to he lp.

www.pph.org • 15615 Pomerado Road • 858.613.4000

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